SCHEDULE 5The Local Government Act Referendums (Combination of Polls) Rules

F1F2F3F4F5F6PART 8Appendix 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 paragraph 1 of Schedule 1

Form of Ballot Paper: Question in referendum as specified in paragraph 2 of Schedule 1

Form of Ballot Paper: Question in referendum as specified in paragraph 3 of Schedule 1

Form of Ballot Paper: Question in referendum as specified in paragraph 4 of Schedule 1

Form of Ballot Paper: Question in referendum as specified in paragraph 5 of Schedule 1

Form of Ballot Paper: Question in referendum as specified in paragraph 6 of 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)

F7Ballot Paper Refusal List

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

Form of Certificate of Employment

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

F8 

 

F9 

 

F10 

 

F11 

 

F12 

 

F13 

 

F14 

 

F15 

 

F16Declaration to be made by the companion of a voter or proxy with disabilities