| ISSUED BY THE RETURNING OFFICER |
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| Instructions to the Voter |
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| If you need help or require replacement documents please contact the Returning Officer at |
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| [insert contact details for assistance including address as appropriate]. |
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| After receiving this postal vote, you cannot vote in person at a polling station at this |
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| election. You must not vote more than once (unless you are appointed as a proxy for |
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| another elector) at the same election. |
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| This postal voting statement relates to the ballot papers for the Scottish parliamentary |
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| election only. You will receive your ballot papers and instructions for the referendum on the |
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| voting system for United Kingdom parliamentary elections separately. If you have not |
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| received them by [insert date], please contact the Returning Officer. |
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| You must provide your [signature and]** date of birth even if you have already signed a |
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| postal voting statement in respect of the referendum on the voting system for United |
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| Kingdom parliamentary elections which is to be held on the same day. |
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| You have two ballot papers (a constituency ballot paper coloured [insert colour] and a |
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| regional ballot paper coloured [insert colour]). Please check that the ballot paper number on |
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| the back of each ballot paper matches the number at the top of the postal voting statement. |
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| If it does not match, contact the Returning Officer at the address above. |
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| Your vote is personal—complete it yourself and in private. If you need help voting, the |
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| person helping you must not tell anyone how you voted. |
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| For your votes to be counted you must provide your date of birth and signature** on the |
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| postal voting statement. Please use black ink. Your date of birth and signature** will be |
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| checked against the date of birth and signature** you provided to the Electoral Registration |
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| Officer when you asked for a postal vote to ensure that you are the same person who |
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| applied for the postal vote. |
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| The ballot papers and postal voting statement must be received by the Returning Officer by |
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| 10 pm on [day and date of poll]. You can also deliver your completed postal vote to any |
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| polling station in this constituency on polling day up to 10 pm. |
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| How do I complete my postal vote? |
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| Step A—Completing your Ballot Papers |
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| | Vote only once on each ballot paper. |
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| | Vote by marking a cross (X) in the box opposite the name of the candidate or party |
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| | Do not mark the ballot papers in any other way or your votes many not count. |
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| | Put the completed ballot papers in the envelope marked ‘A’ and seal it. |
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| Step B—Completing your Postal Voting statement |
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| | For your votes to be counted you must provide your date of birth and signature**. |
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| | Please use black ink. Put your date of birth in the boxes provided and sign in the |
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| Step C—Before returning your Postal Vote |
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| | Check you have marked the ballot papers, put them in envelope ‘A’ and sealed the |
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| | Check you have your date of birth and signature** on the Postal Voting Statement. |
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| | Put the envelope marked ‘A’ together with the Postal Voting Statement in the |
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| | envelope marked ‘B’ and seal the envelope. |
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| | Post it as soon as possible. If you delay posting your vote it may not be received by |
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| | the Returning Officer in time to be counted. |
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| If you accidentally spoil or lose your ballot papers, you can apply to the Returning Officer |
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| for replacements before 5 pm on [insert day and date of poll]. After 5pm on [insert day and |
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| date of day before the date of poll] replacement papers can only be issued if you apply in |
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| person to the Returning Officer. You must return the spoilt ballot papers, the postal voting |
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| statement, and the envelopes marked ‘A’ and ‘B’. Make sure you contact the Returning |
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| Officer as soon as possible at the address above. |
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| Direction for postal voting statement being sent to an anonymous elector |
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| (This direction does not form part of the postal voting statement.) |
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| *Returning Officer to omit name. |
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| Direction for postal voting statement being sent to an elector who has been granted a |
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| (This direction does not form part of the posting voting statement.) |
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| **Returning Officer to omit grey signature box and references to signature.’. |
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