The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) Regulations 2012 No. 444

SCHEDULE 5 E+W The Local Government Finance Act Referendums (Combination of Polls) Rules

PART 8 E+W Appendix of Forms

Note:—The forms contained in this Appendix may be adapted so far as circumstances require.

Form of Ballot Paper: Question in referendum as specified in Schedule 1

Corresponding Number List M1

Corresponding Number List M2

Form of Postal Voting Statement (for use where there is joint issue and receipt of postal ballot papers)

Form of Postal Voting Statement (for use when a referendum poll is combined with another poll but the postal ballot papers are not combined)

Official Poll Card (to be sent to a voter voting in person)

Official Postal Poll Card (to be sent to a voter voting by post)

Official Proxy Poll Card (to be sent to an appointed proxy voting in person)

Official Proxy Postal Poll Card (to be sent to an appointed proxy voting by post)

Form of directions for the guidance of the voters and proxies in voting

Form of Certificate of Employment

Form of declaration to be made by the companion of a voter or proxy with disabilities

[F1 Form of Ballot Paper: Question in referendum as specified in Schedule 1 E+W

Textual Amendments

F1 Sch. 5 Pt. 8 Form substituted (26.2.2013) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment) Regulations 2013 (S.I. 2013/409), regs. 1(1), 3, Sch. 2

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F2 [F3 Form of Postal Voting Statement (for use when there is joint issue and receipt of postal ballot papers) E+W

Textual Amendments

F2 Sch. 5 Pt. 8 Form, Form of Postal Voting Statement (for use where there is joint issue and receipt of postal ballot papers): words "European Parliamentary election ([insert colour] ballot paper) [Vote only once by putting a cross [x] in the box next to your choice." revoked (31.12.2020) by The European Parliamentary Elections Etc. (Repeal, Revocation, Amendment and Saving Provisions) (United Kingdom and Gibraltar) (EU Exit) Regulations 2018 (S.I. 2018/1310), reg. 1, Sch. 1 Pt. 2 Table 1 (as amended by S.I. 2019/1389, regs. 1, 2(2))

F3 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(a)(i), Sch. 3 (with reg. 1(4))

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[F4 Form of Postal Voting Statement (for use when a referendum poll is combined with another poll but the postal ballot papers are not combined) E+W

Textual Amendments

F4 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(a)(ii), Sch. 3 (with reg. 1(4))

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[F5 Official Poll Card (to be sent to a voter voting in person) E+W Front of card

Textual Amendments

F5 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(b)(i), Sch. 1 (with reg. 1(4))

Back of card E+W

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[F6 Official Postal Poll Card (to be sent to a voter voting by post) E+W Front of card

Textual Amendments

F6 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(b)(ii), Sch. 1 (with reg. 1(4))

Back of card E+W

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[F7 Official Proxy Poll Card (to be sent to an appointed proxy voting in person) E+W Front of card

Textual Amendments

F7 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(b)(iii), Sch. 1 (with reg. 1(4))

Back of card E+W

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[F8 Official Proxy Postal Poll Card (to be sent to an appointed proxy voting by post) E+W Front of card

Textual Amendments

F8 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(b)(iv), Sch. 1 (with reg. 1(4))

Back of card E+W

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[F9 Form of directions for the guidance of the voters and proxies in voting E+W

Textual Amendments

F9 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(a)(iii), Sch. 3 (with reg. 1(4))

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[F10 Form of Certificate of Employment E+W

Textual Amendments

F10 Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) (Amendment No.2) Regulations 2014 (S.I. 2014/925), regs. 1(3), 17(b)(v), Sch. 1 (with reg. 1(4))

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[F11 Form of declaration made by the companion of a voter or proxy with disabilities E+W

Textual Amendments

F11 Sch. 5 Pt. 8 Form substituted (29.12.2022) by The Assistance with Voting for Persons with Disabilities (Amendments) Regulations 2022 (S.I. 2022/1309), reg. 1(3), Sch. 4 Pt. 2 (with reg. 1(4))

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