Parliamentary Voting System and Constituencies Bill

House of Commons

Session 2010 - 11
Internet Publications
Other Bills before Parliament

Parliamentary Voting System and Constituencies Bill

Parliamentary Voting System and Constituencies Bill
Schedule 6 — Combination of polls: Wales
Part 3 — Forms referred to in Parts 1 and 2
202

Date of birth
DDMMYYYY
(voter’s date of birth)

#Signature

(voter’s signature)

IMPORTANT - Keep

signature within border

#(Counting officer to omit where a person has been granted a waiver)

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It is an offence to vote using a ballot paper that is not addressed to you.

PLEASE READ INSTRUCTIONS TO THE VOTER

Issued by the counting officer

INSTRUCTIONS TO THE VOTER

Complete the ballot paper yourself and in private. If you need help, contact the

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counting officer’s staff as shown below.

[contact details for assistance; include address as appropriate]

1.
You must provide your [#signature and] date of birth. You must do this

even if you have already signed a postal voting statement in respect of the

elections to the National Assembly for Wales to be held on the same day. If

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you do not, the postal voting statement will be invalid and your vote will

not be counted.

2.
Vote once only. Do not mark the ballot paper in any other way or your vote

may not be counted.

3.
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.

4.
If you need help in voting, the person helping you must not tell anyone how

you voted.

5.
Put the ballot paper in the small envelope marked A and seal it.

6.
Complete the postal voting statement by [#signing it, and] providing your

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date of birth.

7.
Then put the envelope marked A together with the postal voting statement

in the larger envelope marked B. Return it straightaway.

8.
After receiving this postal vote, you cannot vote in person at a polling

station in this referendum.

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Parliamentary Voting System and Constituencies Bill
Schedule 6 — Combination of polls: Wales
Part 3 — Forms referred to in Parts 1 and 2
203

9.
If you accidentally spoil your ballot paper, you can apply to the counting

officer for a replacement before 5 pm on [day/date of poll]. You must return

the spoilt ballot paper, the postal voting statement and the envelopes

marked A and B. Make sure you contact the counting officer as soon as

possible.

5

!
Your ballot paper and the postal voting statement must be received by the

counting officer by 10 pm on [day/date of poll]. You can deliver your

completed postal vote to any polling station in your voting area on polling

day.

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 (unless you are appointed as a proxy for

another person) in this referendum.

#(Counting officer to omit where a person has been granted a waiver)

*Delete as appropriate

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Paragraph 11(4)
Form 4 - Form of postal voting statement (to be used for National Assembly
for Wales election where proceedings on issue and receipt of postal ballot
papers not combined)

(Front of Form)

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*Voter’s name: .................................
Ballot paper No. .......................

(insert colour)

*(Returning officer to insert name but omit where ballot papers sent to an anonymous

elector)

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[other identifying mark]

You must provide your [# signature and] date of birth. If you do not, the postal

voting statement will be invalid and your vote will not count.

I AM THE PERSON TO WHOM THE BALLOT PAPERS NUMBERED ABOVE

WERE SENT

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Date of birth
DDMMYYYY
(voter’s date of birth)

Parliamentary Voting System and Constituencies Bill
Schedule 6 — Combination of polls: Wales
Part 3 — Forms referred to in Parts 1 and 2
204

#Signature

(voter’s signature)

IMPORTANT - Keep

signature within border

Electoral fraud is a crime. You must not vote using a ballot paper that is not

addressed to you. You must not interfere with another voter’s ballot paper.

5

Issued by the Returning Officer

(Back of form)

INSTRUCTIONS TO THE VOTER

Complete the ballot paper yourself and in private. If you need help you can

contact the Returning Officer’s staff as shown below.

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(Contact details for assistance include address as appropriate)

1.
You have ballot papers for the constituency election and the regional

election.

2.
You must provide your [# signature and] date of birth. You must do this

even if you have already signed a postal voting statement in respect of the

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referendum on the voting system for United Kingdom parliamentary

elections which is to be held on the same day. If you do not, the postal

voting statement will be invalid and your vote will not be counted.

3.
The ballot paper and the postal voting statement must be received by the

Returning Officer by 10pm on [day/date of poll]. You can deliver your

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completed postal vote to any polling station in the constituency on polling

day.

4.
If you need help voting, the person helping you must not tell anyone how

you voted.

5.
You may only vote once on each ballot paper. Mark a cross (X) opposite the

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candidate or party you wish to vote for. Put no other mark on the ballot

paper, or your vote may not be counted.

6.
Put the ballot papers for the Assembly elections in the small envelope

marked A and seal it.

7.
Complete the postal voting statement by signing it, and providing your date

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of birth.

8.
Then put the envelope marked A together with the postal voting statement

in the larger envelope marked B. Return it straightaway.

Parliamentary Voting System and Constituencies Bill
Schedule 6 — Combination of polls: Wales
Part 3 — Forms referred to in Parts 1 and 2
205

9.
After receiving this postal vote, you cannot vote in person at a polling

station at this election.

10.
If you accidentally spoil a ballot paper, you can ask the Returning Officer for

a replacement before 5 p.m. on [day/date of poll]. You must return both

ballot papers, this postal voting statement, and the envelopes marked A and

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B. Make sure you contact the Returning Officer

Electoral fraud is a crime. You must not vote using a ballot paper that is not

addressed to you or interfere with another voter’s ballot paper. You may vote

once at the constituency election and once at the regional election. To vote more

than once at either election is illegal (unless you are appointed as a proxy for

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another elector).

#(Returning officer to omit where a person has been granted a waiver)

Paragraph 19(1)
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Form 5 - Form of corresponding number list (to be used in polling stations for
combined polls)

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

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

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

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

Ballot Paper Number (identify the
Elector Number

number issued for the referendum/

election)

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Parliamentary Voting System and Constituencies Bill
Schedule 6 — Combination of polls: Wales
Part 3 — Forms referred to in Parts 1 and 2
206

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Paragraph 21(1)
Form 6 - guidance for voters to be exhibited inside and outside 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

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right hand side of the ballot paper opposite the answer you are voting for.

3.
On the ballot papers for the election to the National Assembly for Wales, 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.

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4.
Vote once only in referendum and on each ballot paper for the election to the

National Assembly for Wales. 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.

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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.

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* Complete or omit as necessary.

Paragraph 22(1)
Form 7 - guidance for voters to be exhibited in every polling station
compartment
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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.

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Parliamentary Voting System and Constituencies Bill
Schedule 6 — Combination of polls: Wales
Part 3 — Forms referred to in Parts 1 and 2
207

You have one vote on this paper.

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

ELECTION TO THE NATIONAL ASSEMBLY FOR WALES

Constituency ballot paper ([insert colour] ballot paper)

5

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

constituency in the National Assembly for Wales.

You have one vote on this paper.

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

Regional ballot paper ([insert colour] ballot paper)

10

Votes cast in this poll will decide the allocation of the 4 additional seats in the

National Assembly for Wales 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.

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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

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* Omit as necessary.

Paragraph 27(2)
Form 8 - Form of certificate of employment

Referendum on the voting system for United Kingdom parliamentary

25

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

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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 .................................................

Parliamentary Voting System and Constituencies Bill
Schedule 6 — Combination of polls: Wales
Part 3 — Forms referred to in Parts 1 and 2
208

*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

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presiding officer.

Paragraph 34(1)
Form 9 - Form of declaration to be made by the companion of a voter with
disabilities
10

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)]

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

the [referendum]* [and]* [National Assembly for Wales elections]* being held in

this [voting area]*/ [constituency]*

hereby declare that

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

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[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

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elector)], to vote at the said [referendum]* [or]* [election]*]*.

#State the relationship of the companion to the voter.

*Delete as appropriate.

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

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

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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)..........................................

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