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Parliamentary Voting System and Constituencies Bill


Parliamentary Voting System and Constituencies Bill
Schedule 2 — Rules for conduct of the referendum
Part 2 — Forms referred to in referendum rules

69

 
 

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

This poll card is to tell you that you

 
 

For the referendum on: [day/date]

may vote in this referendum on behalf

 
 

Name and Address (Proxy):

of the person named on the back of

 
  

We will send the proxy postal voting

 
  

papers around [day/date].

 

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If the postal voting papers have not

 
  

arrived by [day/date] please call

 
  

[helpline number] and ask for help.

 
 

If you lose or accidentally spoil the proxy postal ballot paper, please call:

 
 

[helpline number] as soon as possible. Replacement ballot papers can only be

 

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issued before 5 pm on [day/date of poll].

 
 

This card is to provide you with information about voting by post.

 
 

SEE FURTHER INFORMATION ON THE BACK OF THIS CARD

 
 

Back of card

 

Referendum on the voting system for United Kingdom parliamentary elections

 

15

 

*This poll card is to tell you that for this referendum you will be able to vote as

 
 

proxy for the person named below and you will be sent a postal vote.

 
 

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

 
 

*(Person’s name)

 
 

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

 

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*(Person’s address)

 
 

When you receive the postal voting pack, please read the instructions with it

 
 

carefully before completing the postal ballot paper.

 
 

Do not let anyone see your vote. If you need help voting, the person helping you

 
 

must not tell anyone how you have voted. You can get independent help from the

 

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counting officer: please call our helpline on [helpline number].

 
 
 

Parliamentary Voting System and Constituencies Bill
Schedule 2 — Rules for conduct of the referendum
Part 2 — Forms referred to in referendum rules

70

 
 

You must sign the postal voting statement (unless you have been granted a waiver

 
 

by prior arrangement with the electoral registration officer) and provide your date

 
 

of birth. This is a security measure. It will not affect your vote or mean it can be

 
 

identified. Without your signature and date of birth the statement will not be valid

 
 

and your vote will not be counted. The counting officer can cross check your

 

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signature against other records that they hold.

 
 

If you lose or accidentally spoil the postal ballot paper, please call the helpline

 
 

number below as soon as possible. We can only issue replacement postal ballot

 
 

papers before 5 pm on [day/date of poll].

 
 

Complete and return the postal vote as soon as possible. The counting officer must

 

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receive the postal vote by 10 pm on [day/date of poll]. You can deliver your

 
 

completed voting papers to any polling station in the voting area.

 
 

If you want to vote in person as a proxy in this referendum, you must cancel your

 
 

postal vote before 5 pm on [-11 day/date deadline].

 
 

It is illegal to do any of the following:

 

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•   

Vote more than once (unless you are appointed as a proxy for another

 
 

person) in this referendum.

 
 

•   

Vote as a proxy in this referendum for more than two persons unless you

 
 

are their spouse, civil partner, parent, grandparent, brother, sister, child or

 
 

grandchild.

 

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•   

Vote as a proxy for a person if you know that the person is subject to a legal

 
 

incapacity to vote.

 
 

Issued by the Counting Officer

 
 

[Where poll card sent to the proxy of an anonymous elector substitute for the text

 
 

marked with * above:

 

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This poll card is to tell you that for this referendum you will be able to vote as

 
 

proxy for the person whose electoral number is shown below and you will be

 
 

sent a postal vote.

 
 

You are entitled to vote as proxy for the person whose electoral number is shown

 
 

below:

 

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

 
 

(Person’s number on electoral register)

 
 

Rule 15(6)(a)

Form 9 - Official poll card (to be sent to an elector in Northern Ireland not

voting by post)

35

Front of card

 

Referendum on the voting system for United Kingdom parliamentary

 
 

elections

 
 

OFFICIAL POLL CARD

 
 
 

Parliamentary Voting System and Constituencies Bill
Schedule 2 — Rules for conduct of the referendum
Part 2 — Forms referred to in referendum rules

71

 
 

Voting area: Northern Ireland

 
 

Polling day ...............................................................................................................

 
 

Your polling station will be .....................................................................................

 
 

Polling hours: 7 am to 10 pm

 
 

Number on register ..................................................................................................

 

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Name .......................................................................................................................

 
 

Address ...................................................................................................................

 
 

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

 
 

Back of card

 

Referendum on the voting system for United Kingdom parliamentary

 

10

 

elections

 
 

This card is for information only. You can vote without it, but it will save time

 
 

if you take it to the polling station and show it to the clerk there. Remember

 
 

that you will not be able to vote unless you show an approved form of

 
 

photographic identification.

 

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When you go to the polling station, tell the clerk your name and address, as

 
 

shown on the front of the card and show your photographic identification. If the

 
 

clerk is satisfied that you are entitled to vote you will be given a ballot paper.

 
 

Go to one of the compartments. Mark a cross (X) in the box on the right hand

 
 

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

 

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Fold the ballot paper in two. Show the number and other unique identifying

 
 

mark to the presiding officer, but do not let anyone see your vote. Put the ballot

 
 

paper in the ballot box and leave the polling station.

 
 

Vote in one box only. Put no other mark on the ballot paper, or your vote may

 
 

not be counted.

 

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If by mistake you spoil a ballot paper, show it to the presiding officer and ask for

 
 

another one.

 
 

If you are given a postal vote for this referendum, you will not be able to vote in

 
 

person in the referendum so please ignore this poll card.

 
 

If you have appointed a proxy to vote for you, you may nevertheless vote in this

 

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referendum yourself provided you do so before your proxy has voted on your

 
 

behalf and provided your proxy is not entitled to vote on your behalf by post.

 
 

If you need help with voting please ask the clerk who will explain the assistance

 
 

which can be provided.

 
 

To obtain information in relation to the approved forms of photographic

 

35

 

identification or other information relating to voting procedures please phone

 
 

[helpline number]

 
 

ISSUED BY THE COUNTING OFFICER

 
 
 

Parliamentary Voting System and Constituencies Bill
Schedule 2 — Rules for conduct of the referendum
Part 2 — Forms referred to in referendum rules

72

 

Rule 15(6)(b)

Form 10 - Official proxy poll card (to be sent to an appointed proxy voting in

person in Northern Ireland)

Front of card

 

Referendum on the voting system for United Kingdom parliamentary

 

5

 

elections

 
 

PROXY’S OFFICIAL POLL CARD

 
 

Proxy’s name...........................................................................................................

 
 

Proxy’s address......................................................................................................

 
 

Voting area: Northern Ireland

 

10

 

Polling day ...............................................................................................................

 
 

The poll will be open from 7 am to 10 pm

 
 

This poll card is to tell you that you may vote in this referendum on behalf of the

 
 

person named on the back of this card. Your appointment to vote for this person

 
 

as his or her proxy is either an existing appointment for elections or an

 

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appointment made specifically for this referendum.

 

Back of card

 

Referendum on the voting system for United Kingdom parliamentary

 
 

elections

 
 

The person named below whose proxy you are is entitled to vote at the polling

 

20

 

station—

 
 

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

 
 

To vote as proxy you must go to that polling station. Remember that you will

 
 

not be able to vote unless you show an approved form of photographic

 
 

identification. Tell the clerk that you wish to vote as proxy; show your approved

 

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form of photographic identification and give the name and qualifying address

 
 

of the person on whose behalf you wish to vote, as follows:

 
 

Number on register .............................................................................................

 
 

Name ......................................................................................................

 
 

Address ................................................................................................................

 

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If the clerk is satisfied that you are able to vote as a proxy the clerk will give you

 
 

a ballot paper. The method of voting as proxy is the same as for casting your

 
 

own vote.

 
 
 

Parliamentary Voting System and Constituencies Bill
Schedule 2 — Rules for conduct of the referendum
Part 2 — Forms referred to in referendum rules

73

 
 

It is an offence to vote as proxy for some other person if you know that that

 
 

person is subject to a legal incapacity to vote, e.g. if that person has been

 
 

convicted and is detained in a penal institution in pursuance of his or her

 
 

sentence. It is also an offence to vote in this referendum for more than two

 
 

persons of whom you are not the spouse, civil partner, parent, grandparent,

 

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brother, sister, child or grandchild.

 
 

The person for whom you are appointed as proxy may himself or herself vote in

 
 

person in this referendum if he or she is able, and wishes, to do so and if he or

 
 

she votes before you on his or her own behalf.

 
 

If you need help with voting please ask the clerk who will explain the assistance

 

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which can be provided.

 
 

To obtain information in relation to the approved forms of photographic

 
 

identification or other information relating to voting procedures please phone

 
 

[helpline number]

 
 

ISSUED BY THE COUNTING OFFICER

 

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Rule 17(3)

Form 11 - Form of corresponding number list (to be used in polling stations if

referendum taken alone)

 

Voting area: ........................................

 
 

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

 

20

 

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

 
 

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

 
 

Ballot Paper Number

Elector Number

 
    
    

25

    
    
    
    
    

30

    
    
    
 
 

Parliamentary Voting System and Constituencies Bill
Schedule 2 — Rules for conduct of the referendum
Part 2 — Forms referred to in referendum rules

74

 
    
    
    
    
 

Rule 17(6)

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Form 12 - Form of directions for the guidance of the voters in voting

Referendum on the voting system for United Kingdom parliamentary elections

Guidance for voters

 

1. When you are given a ballot paper go to one of the compartments. Mark a cross

 
 

(X) in the box on the right hand side of the ballot paper opposite the answer you

 

10

 

are voting for.

 
 

2. Vote in one box only. Put no other mark on the ballot paper, or your vote may

 
 

not be counted. Do not let anyone see your vote.

 
 

3. Fold the ballot paper in two. Show the back of the ballot paper to the presiding

 
 

officer so as to disclose the number and other unique identifying mark. Put the

 

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ballot paper in the ballot box and leave the polling station.

 
 

4. If by mistake you spoil a ballot paper, show it to the presiding officer and ask for

 
 

another one.

 

Rule 21(4)(b)

Form 13 - Form of certificate of employment

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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

 

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

 

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*Counting officer / police officer (inspector or above)

 
    
  

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

 
 
 

Parliamentary Voting System and Constituencies Bill
Schedule 2 — Rules for conduct of the referendum
Part 2 — Forms referred to in referendum rules

75

 
 

Note: The person named above is entitled to vote at any polling station on

 
 

production and surrender of this certificate to the presiding officer.

 
 

Rule 31(5)

Form 14 - Form of declaration to be made by the companion of a voter with

disabilities

5

 

I, A.B., of ........................., having been requested to assist C.D. ([in the case of a

 
 

person with disabilities voting as proxy add] voting as proxy for M.N.) whose number

 
 

on the register is ............... to record his vote in the referendum now being held in

 
 

this voting area hereby declare that (I am entitled to vote as a voter at that

 
 

referendum) (I am the *...................... of the said voter and have attained the age of

 

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18 years), and that I have not previously assisted any person with a disability

 
 

(except E.F., of .....................) to vote in that referendum.

 
 

*State the relationship of the companion to the voter.

 
 

(Signed) A.B. ..........................................

 
 

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

 

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

 

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(Signed) G.H. ............................................

 
 

[Date ...........................................................]

 
 

............................ minutes past .................... o’clock [am] [pm]

 
 


 
 

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

 

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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 under rule 31(2)

 
 

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.

 

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Revised 4 November 2010