F1F2F3F4PART 8E+WAppendix of Forms
Textual Amendments
F1Sch. 5 Pt. 8 Form 6 substituted (with effect in accordance with reg. 1(2) of the amending S.I.) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), Sch. 7 Pt. 2
F2Sch. 5 Pt. 8 Form 7 substituted (with effect in accordance with reg. 1(2) of the amending S.I.) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), Sch. 7 Pt. 2
F3Sch. 5 Pt. 8 Form 9 substituted (with effect in accordance with reg. 1(2) of the amending S.I.) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), Sch. 7 Pt. 2
F4Sch. 5 Pt. 8 Form 11 substituted (with effect in accordance with reg. 1(2) of the amending S.I.) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), Sch. 7 Pt. 2
Note:—The forms contained in this Appendix may be adapted so far as circumstances require.
Form 1 - Form of Ballot Paper: Question in referendum as specified in paragraph 1 of Schedule 1
Form 2 - Form of Ballot Paper: Question in referendum as specified in paragraph 2 of Schedule 1
Form 3 - Form of Ballot Paper: Question in referendum as specified in paragraph 3 of Schedule 1
Form 4 - Corresponding Number List M1
Form 5 - Corresponding Number List M2
Form 6 - Form of Postal Voting Statement (for use where there is joint issue and receipt of postal ballot papers)
Form 7 - Form of Postal Voting Statement (for use where a referendum poll is combined with another poll but the postal ballot papers are not combined)
Form 8 - Official Poll Card (to be sent to a voter voting in person)
Form 9 - Official Postal Poll Card (to be sent to a voter voting by post)
Form 10 - Official Proxy Poll Card (to be sent to an appointed proxy voting in person)
Form 11 - Official Proxy Postal Poll Card (to be sent to an appointed proxy voting by post)
[F5Form 11A—Ballot Paper Refusal List]
Textual Amendments
F5Words in Sch. 5 Pt. 8 Table of Contents inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 66(17)(a) (with reg. 1(6)(7))
Form 12 - Form of directions for the guidance of the voters and proxies in voting
Form 13 - Form of Certificate of Employment
Form 14 - Form of declaration made by the companion of a voter or proxy with disabilities
Form 1 - Form of Ballot Paper: Question in referendum as specified in paragraph 1 of Schedule 1E+W
Form 2 - Form of Ballot Paper: Question in referendum as specified in paragraph 2 of Schedule 1E+W
Form 3 - Form of Ballot Paper: Question in referendum as specified in paragraph 3 of Schedule 1E+W
Form 4 - Corresponding Number List M1E+W
Form 5 - Corresponding Number List M2E+W
[F1Form 6: Postal voting statement for use when there is joint issue and receipt of postal ballot papersE+W
Front of form
Rear of form
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[F2Form 7: Postal voting statement for use where a referendum poll is combined with another poll but the postal ballot papers are not combinedE+W
Front of form
Rear of form
]
[F6Form 8 (official poll card to be sent to a voter voting in person)]E+W
Textual Amendments
F6Sch. 5 Pt. 8 Form 8 substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 7 Pt. 2 (with reg. 1(5)-(7))
Front of form
Rear of form
[F3Form 9: Official postal poll card to be sent to a voter voting by postE+W
Modifications etc. (not altering text)
C1Sch. 5 Form 9 modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 30(6)(7) (as inserted by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2024 (S.I. 2024/99), regs. 1(1), 2(5))
Front of card
Rear of card
]
[F7Form 10 (official proxy poll card)]E+W
Textual Amendments
F7Sch. 5 Pt. 8 Form 10 substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 7 Pt. 2 (with reg. 1(5)-(7))
Front of form
Rear of form
[F4Form 11: Official proxy postal poll card to be sent to an appointed proxy voting by postE+W
Modifications etc. (not altering text)
C2Sch. 5 Form 11 modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 30(6)(7) (as inserted by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2024 (S.I. 2024/99), regs. 1(1), 2(5))
Front of card
Rear of card
]
[F8Form 11A: Ballot paper refusal listE+W
Textual Amendments
F8Sch. 5 Pt. 8 Form 11A Form inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 66(17)(d), Sch. 11 Pt. 2 (with reg. 1(6)(7))
]
[F9Form 12: Form of directions for the guidance of the voters and proxies in votingE+W
Textual Amendments
F9Sch. 5 Pt. 8 Form 12 substituted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 66(17)(e), Sch. 11 Pt. 2 (with reg. 1(6)(7))
]
[F10Form 13: Form of Certificate of EmploymentE+W
Textual Amendments
F10Sch. 5 Pt. 8 Form 13 substituted (6.4.2014) by The Neighbourhood Planning (Referendums) (Amendment) Regulations 2014 (S.I. 2014/333), regs. 1(6), 17(b), Sch. 1 (with reg. 1(7))
]
[F11Form 14: declaration to be made by the companion of a voter or proxy with disabilitiesE+W
Textual Amendments
F11Sch. 5 Form 14 substituted (29.12.2022) by The Assistance with Voting for Persons with Disabilities (Amendments) Regulations 2022 (S.I. 2022/1309), reg. 1(3), Sch. 6 Pt. 2 (with reg. 1(4))
]