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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
Textual Amendments
F1Sch. 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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Textual Amendments
F2Sch. 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))
F3Sch. 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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Textual Amendments
F4Sch. 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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Textual Amendments
F5Sch. 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))
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Textual Amendments
F6Sch. 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))
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Textual Amendments
F7Sch. 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))
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Textual Amendments
F8Sch. 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))
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Textual Amendments
F9Sch. 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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Textual Amendments
F10Sch. 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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Textual Amendments
F11Sch. 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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