Committee of the whole House: 20 October 2010

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Parliamentary Voting System and Constituencies Bill, continued

Paragraph 19(1)

Form 5 - Form of corresponding number list (to be used in polling stations for

combined polls)

Voting area/constituency: ........................................

Date of Poll: .........................................

Polling Station: .....................................

Sheet No.: .............................................

	Ballot Paper Number (identify the	Elector Number
	number issued for the referendum/
	election)

Committee of the whole House: 20 October 2010

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Parliamentary Voting System and Constituencies Bill, continued

Paragraph 21(1)

Form 6 - guidance for voters to be exhibited outside and inside every polling

station

	1.	When you are given your ballot papers go to one of the compartments.
	2.	On the [insert colour] referendum ballot paper, mark a cross (X) in the box on the right
		hand side of the ballot paper opposite the answer you are voting for.
	3.	On the Scottish Parliament ballot papers, coloured [insert colour or colours], mark your
		choices with a cross (X) in the box on the right hand side of each ballot paper opposite the
		name of the candidate or party you are voting for. Put only one X on each ballot paper.
	4.	Vote once only in the referendum and on each ballot paper for the Scottish Parliament
		election. Put no other mark on the ballot paper, or your vote may not be counted.
	5.	If by mistake you spoil a ballot paper, show it to the presiding officer and ask for another
		one.
	6.	Fold each ballot paper in two. Show the presiding officer the number and other unique
		identifying mark on the back of the ballot paper, but do not let anyone see your vote. Put
		each ballot paper in the [appropriate]* ballot box and leave the polling station.
	* Complete or omit as necessary.

Paragraph 22(1)

Committee of the whole House: 20 October 2010

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Parliamentary Voting System and Constituencies Bill, continued

Form 7 - guidance for voters to be exhibited in every polling station compartment

REFERENDUM ON THE VOTING SYSTEM FOR

UNITED KINGDOM PARLIAMENTARY ELECTIONS

Referendum ballot paper ([insert colour] ballot paper)

Votes cast in this poll will decide on the voting system for United Kingdom parliamentary

elections.

•  You have one vote on this paper.

•  You should place a cross (X) in one box only.

SCOTTISH PARLIAMENT ELECTIONS

Constituency ballot paper ([insert colour] ballot paper)

Votes cast in this poll will decide the election of a member to represent your constituency in

the Scottish Parliament.

•  You have one vote on this paper.

•  You should place a cross (X) in one box only.

Regional ballot paper ([insert colour] ballot paper)

Votes cast in this poll will decide the allocation of the 7 additional seats in the Scottish

Parliament for this region. You may use this vote [either]* for a political party putting

forward a list of candidates [or for an individual candidate not standing on a party list]*.

You have one vote on this paper.

You should place a cross (X) in one box only.

PUT NO OTHER MARKS ON THE BALLOT PAPERS OR YOUR VOTES MAY NOT

BE COUNTED

* Omit as necessary.

Paragraph 26(2)

Form 8 - Form of certificate of employment

Referendum on the voting system for United Kingdom parliamentary elections

[insert name of voting area]

I certify that (name) ..................... who is numbered ................... in the register of electors

cannot reasonably be expected to go in person to the polling station allotted to him or her

in the referendum on (date of poll) ..................... by reason of the particular

circumstances of his or her employment on that date for a purpose connected with the

referendum *as a constable / *by me.

*Delete whichever is inappropriate.

Signature .................................................

*Counting officer / police officer (inspector or above)

Date ....................................

Note: The person named above is entitled to vote at any polling station in the voting area

specified above on production and surrender of this certificate to the presiding officer.

Committee of the whole House: 20 October 2010

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Parliamentary Voting System and Constituencies Bill, continued

Paragraph 33(1)

Form 9 - Form of declaration to be made by the companion of a voter with

disabilities

I, ................................................................................................... (name of companion)

of .................................................................................................. (address of companion)

having been requested to assist ..................................................... (name of voter)

[in the case of a person with disabilities voting as proxy, add

voting as proxy for ........................................................................ (name of elector)]

whose name on the register is .................................................. to record their vote at the

[referendum]* [and]* [election(s)]* being held in this [voting area]* [/constituency]*

hereby declare that

(a)	[I am entitled to vote as an elector at the said [referendum]* [and]* [election]*,]*

(b)	[I am the #.................................. of the said voter and have attained the age of 18

years,]* and

(c)	I have not previously assisted any voter with disabilities [except ..........................

(name of other elector), of .......................... (address of other elector)], to vote at

the [referendum]* [or]* [election]*]*.

#State the relationship of the companion to the voter.

*Delete as appropriate.

(Signed) .......................................... (companion)

Date ................................................

I, the undersigned, being the presiding officer for the .............. polling station for ..............

the [insert name of voting area] hereby certify that the above declaration, having been first

read to the above-named declarant, was signed by the declarant in my presence.

(Signed)..........................................

Date ...............................................

Time ........................................ (am/pm)

NOTE: (1) If the person making the above declaration knowingly and wilfully makes

therein a statement false in a material particular, he or she will be guilty of an offence.

(2) A voter with disabilities is a voter who has made a declaration that he or she is so

incapacitated by blindness or other disability, or by an inability to read, as to be unable to

vote without assistance.

Committee of the whole House: 20 October 2010

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Parliamentary Voting System and Constituencies Bill, continued

Paragraph 54

Form 10 - Statement as to postal ballot papers for the referendum

Referendum on the voting system for United Kingdom parliamentary elections

Voting area .....................

Date of poll ...................

	A. Issue of postal ballot papers	Number for voting area
	1. Total number of postal ballot papers issued under paragraph
	7 of Schedule 4
	2. Total number of postal ballot papers issued under paragraph
	13 of Schedule 4 (spoilt and returned for cancellation) and
	paragraph 14 of Schedule 4 (lost or not received)
	3. Total number of postal ballot papers cancelled under
	paragraph 22 of Schedule 4 (where the first ballot paper was
	cancelled and retrieved)
	4. Total number of postal ballot papers issued (1 to 3)

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Parliamentary Voting System and Constituencies Bill, continued

	B.(1) Receipt of and replacement ballot papers	Number for voting area
	5. Number of covering envelopes received by the constituency
	returning officer or at a polling station before the close of poll
	(excluding any undelivered or returned under paragraph 13(1)
	(spoilt), paragraph 14(1) (lost) and paragraph 22 (cancelled
	ballot papers) of Schedule 4)
	6. Number of covering envelopes received by the constituency
	returning officer after the close of poll, excluding any returned
	as undelivered
	7. Number of postal ballot papers returned spoilt for
	cancellation in time for another ballot paper to be issued
	8. Number of postal ballot papers replaced as lost or not
	received, but not returned for cancellation
	9. Number of postal ballot papers cancelled and retrieved in
	time for another ballot paper to be issued
	10. Number of postal ballot papers returned as spoilt too late
	for another ballot paper to be issued
	11. Number of covering envelopes returned as undelivered (up
	to the 10th day after the date of poll)
	12. Number of covering envelopes not received by the
	constituency returning officer (by the 10th day after the date
	of poll)
	13. Total numbers 5 to 12 (this should be the same as that in 4
	above)

	B.(2) Receipt of postal ballot papers - Personal Identifiers	Number for voting area
	14. Number of covering envelopes set aside for the
	verification of personal identifiers on postal voting statements
	15. Number of postal voting statements not subject to
	verification procedure rejected as not completed (excluding
	prior cancellations)
	16. Number of postal voting statements subject to verification
	procedure rejected as not completed (excluding prior
	cancellations)
	17. Number of postal voting statements rejected following
	verification procedures due to the personal identifiers on the
	postal voting statement not matching those in the personal
	identifiers record (excluding prior cancellations)

Committee of the whole House: 20 October 2010

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Parliamentary Voting System and Constituencies Bill, continued

	C. Count of postal ballot papers	Number for voting area
	18. Number of ballot papers returned by postal voters which
	were included in the count of ballot papers
	19. Number of cases in which a covering envelope or its
	contents were marked “Rejected” (cancellations under
	paragraphs 13, 14 and 22 of Schedule 4 are not rejections and
	should be included in items 2, 3, 7 and 9 above)

	Date ...........................................................	Signed.......................................
		Counting Officer
	Address ................................................................................................................................
	..............................................................................................................................................
	NOTE
	The references to Schedule 4 are references to Schedule 4 to the Scottish Parliament
	(Elections etc.) Order 2007 as applied by the Parliamentary Voting System and
	Constituencies Act 2010.’.

The Deputy Prime Minister

NS5

To move the following Schedule:—

‘Combination of polls: Northern Ireland

Part 1

Provision about combination

General provisions

Interpretation

1    (1)

An election the poll for which is, under section [Combination of polls](4), to

be taken together with the poll for the referendum is referred to in this Schedule

as a “relevant election”.

(2)	The polls to be taken together are referred to in this Schedule as “combined

polls”.

2	In this Schedule—

“Assembly election” means an election to the Northern Ireland Assembly;

“Assembly Elections Rules” means the parliamentary elections rules as

applied for the purposes of Assembly elections by Article 3(1) of, and

Schedule 1 to, the Northern Ireland Assembly (Elections) Order 2001

(S.I. 2001/2599);

“Chief Electoral Officer” means the Chief Electoral Officer for Northern

Ireland;

---

Revised 20 October 2010