| 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 once only. Do not mark the ballot paper in any other way or your |
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| | When you are voting in the Scottish Parliament election, you have two ballot papers |
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| | (a constituency ballot paper coloured [insert colour] and a regional ballot paper |
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| | coloured [insert colour]). Vote only once on each ballot paper. Vote by marking a |
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| | cross (X) in the box opposite the name of the party or candidate you are voting for. |
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| | Do not put any other marks on the ballot papers or your votes may not count. |
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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 or election. |
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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 referendum (unless you are appointed as a |
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| proxy for another person). |
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| It is illegal to vote more than once in the constituency poll at the election (unless you |
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| are appointed as a proxy for another person). |
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| It is illegal to vote more than once in the regional poll at the election (unless you are |
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| appointed as a proxy for another person). |
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| #(Counting officer to omit where a person has been granted a waiver) |
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