| PLEASE READ INSTRUCTIONS TO THE VOTER |
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| Issued by the counting officer |
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| INSTRUCTIONS TO THE VOTER |
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| Complete the ballot papers yourself and in private. If you need help, contact the |
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| counting officer’s staff as shown below. |
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| [contact details for assistance; include address as appropriate] |
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| | You must provide your [#signature and] date of birth. If you do not, the postal |
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| | voting statement will be invalid and your vote(s) will not be counted. |
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| | When you are voting in the referendum on the voting system for United Kingdom |
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| | parliamentary elections ([insert colour of ballot paper] ballot paper), mark a cross |
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| | (X) in the box on the right hand side of the ballot paper opposite the answer you are |
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| | voting for. Vote in one box only. Do not mark the ballot paper in any other way or |
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| | your vote may not be counted. |
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| | [When you are voting in a local government election ([insert colour of ballot paper] |
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| | ballot paper), mark a cross (X) in the box on the right hand side of the ballot paper |
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| | opposite the name of the candidate[s]* you are voting for. [Vote for ONE candidate |
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| | only.]* [Vote for no more than [specify number] candidates.]* Do not mark the |
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| | ballot paper in any other way or your vote may not be counted.]* |
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| | [When you are voting in a [specify parish council] election ([insert colour of ballot |
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| | paper] ballot paper), mark a cross (X) in the box on the right hand side of the ballot |
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| | paper opposite the name of the candidate[s]* you are voting for. [Vote for ONE |
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| | candidate only.]* [Vote for no more than [specify number] candidates.]* Do not |
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| | mark the ballot paper in any other way or your vote may not be counted.]* |
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| | [When you are voting in a [specify] referendum ([insert colour of ballot paper] |
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| | ballot paper) mark a cross (X) in the box on the right hand side of the ballot paper |
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| | opposite the answer you are voting for. Vote once only. Do not mark the ballot paper |
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| | in any other way or your vote may not be counted.]* |
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| | [When you are voting for an elected Mayor ([insert colour of ballot paper] ballot |
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| | paper), mark a cross (X) in the box on the right hand side of the ballot paper |
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| | opposite the name of the candidate[s]* you are voting for. [Vote for ONE candidate |
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| | only.]* [Vote ONCE (X) in column one for your first choice and vote ONCE (X) in |
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| | column two for your second choice.]* Do not mark the ballot paper in any other way |
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| | or your vote may not be counted.]* |
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| | If you need help voting, the person helping you must not tell anyone how you voted. |
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| | Put all the ballot papers in the small envelope marked A and seal it. |
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| | Complete the postal voting statement by [#signing it, and] providing your date of |
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| | Then put the envelope marked A together with the postal voting statement in the |
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| | larger envelope marked B. Return it straightaway. |
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| | After receiving this postal vote, you cannot vote in person at a polling station in |
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| | the referendum[s]* or election[s]*. |
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| | If you accidentally spoil any of your ballot papers, you can apply to the counting |
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| | officer for replacements before 5 pm on [day/date of poll]. You must return all the |
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| | ballot papers, the postal voting statement and the envelopes marked A and B. Make |
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| | sure you contact the counting officer as soon as possible. |
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| | Your ballot papers and the postal voting statement must be received by the counting |
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| | officer by 10 pm on [day/date of poll]. You can deliver your completed postal votes |
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| | to any polling station in your voting area on polling day. |
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| It is an offence to vote using a ballot paper that is not addressed to you. |
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| It is illegal to vote more than once in the same referendum (unless you are appointed |
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| as a proxy for another person). |
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| It is illegal to vote more than once at the same election (unless you are appointed as a |
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| proxy for another person). |
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| #(Counting officer to omit where a person has been granted a waiver) |
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