SCHEDULE 1FORMS FOR LOCAL GOVERNMENT ACT REFERENDUMS

Regulation 9

Form of Postal Voting Statement

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

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Back of card

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

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Back of card

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

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Back of card

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

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Back of card

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

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Form of Certificate of Employment

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

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SCHEDULE 2APPLICATION, WITH MODIFICATIONS, OF OTHER SUBORDINATE LEGISLATION

Regulation 11(a)

Provision

Modification

Regulation 55A (additional requirements for applications for an emergency proxy vote in respect of a particular election)11

Regulation 60B (requirement to provide fresh signatures following rejection of a postal voting statement)12

Regulation 61C (notification of a rejected postal voting statement)13

Regulation 78A (cancellation of postal ballot papers)14

In paragraph (1), for “after the final nomination day at a parliamentary or local government election” substitute “during the referendum period in respect of a referendum”.

Omit paragraph (5).

In Schedule 3, Form K15

For “Representation of the People Acts” substitute “Local Authorities (Conduct of Referendums) (England) Regulations”.

For “Parliamentary Election” substitute “Local Government Act Referendum”.

SCHEDULE 3FORMS FOR LOCAL GOVERNMENT ACT REFERENDUMS COMBINED WITH OTHER POLLS

Regulation 19(a)

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

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

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

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

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