SCHEDULE 1 Representation of the People (England and Wales) Regulations 2001 forms
Regulation 2(13)
Form A1: official postal poll card to be sent to an elector voting by post
Front of card
Rear of card
Form B1: official proxy postal poll card to be sent to an appointed proxy voting by post
Front of card
Rear of card
Form G: postal voting statement for use at a parliamentary election taken alone
Front of form
Rear of form
Form H: postal voting statement for use when postal ballots are combined
Front of form
Rear of form
Form J: postal voting statement for use when a parliamentary poll is combined with another poll but the postal ballots are not combined
Front of form
Rear of form
New form K1: statement as to postal ballot papers for parliamentary elections and local government elections in England
First page
Second page
Final page

SCHEDULE 2 Representation of the People (Scotland) Regulations 2001 forms
Regulation 3(14)
Form A1: official postal poll card to be sent to an elector voting by post
Front of card
Rear of card
Form B1: official proxy postal poll card to be sent to an appointed proxy voting by post
Front of card
Rear of card
Form G: postal voting statement for use at a parliamentary election taken alone
Front of form
Rear of form
Form J: postal voting statement for use when a parliamentary poll is combined with another poll but the postal ballots are not combined
Front of form
Rear of form
Form K: statement as to postal ballot papers
First page
Second page
Final page

SCHEDULE 3 Local Authorities (Mayoral Elections) (England and Wales) Regulations 2007 forms
Regulation 5(2)(c) and (4)(c)

PART 1 Mayoral elections in England: standalone poll
Form 7A: postal voting statement – mayoral elections in England
Front of form
Rear of form
Form 9A: official postal poll card (for use at mayoral elections in England)
Front of card
Rear of card
Form 11ZA: official proxy postal poll card (for use at mayoral elections in England)
Front of card
Rear of card

PART 2 Mayoral elections in England: combined polls
Form 7A(1): postal voting statement for use when there is a joint issue and receipt of ballot papers – mayoral elections in England
Front of form
Rear of form
Form 7A(2): postal voting statement for use when a mayoral election is combined with another poll but the postal ballots are not combined – mayoral elections in England
Front of form
Rear of form
Form 9A: official postal poll card (for use at mayoral elections in England)
Front of card
Rear of card
Form 11ZA: official proxy postal poll card (for use at mayoral elections in England)
Front of card
Rear of card

SCHEDULE 4 Local Authorities (Conduct of Referendums) (England) Regulations 2012 forms
Regulation 6(2)(c) and (4)(d)

PART 1 Local Government Act referendums: standalone poll
Postal voting statement
Front of form
Rear of form
Official postal poll card (to be sent to a voter voting by post)
Front of card
Rear of form
Official proxy postal poll card (to be sent to an appointed proxy voting by post)
Front of card
Rear of form

PART 2 Local Government Act referendums: combined poll
Postal voting statement (for use where there is joint issue and receipt of postal ballot papers)
Front of form
Rear of form
Postal voting statement (for use when a referendum poll is combined with another poll but the postal ballot papers are not combined)
Front of form
Rear of form
Official postal poll card (to be sent to a voter voting by post)
Front of card
Rear of card
Official proxy postal poll card (to be sent to an appointed proxy voting by post)
Front of card
Rear of card

SCHEDULE 5 Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) Regulations 2012 forms
Regulation 7(2)(c) and (4)(d)

PART 1 Local Government Finance Act referendums: standalone poll
Postal voting statement
Front of form
Rear of form
Official postal poll card (to be sent to a voter voting by post)
Front of card
Rear of form
Official proxy postal poll card (to be sent to an appointed proxy voting by post)
Front of form
Rear of card

PART 2 Local Government Finance Act referendums: combined polls
Postal voting statement (for use where there is joint issue and receipt of postal ballot papers)
Front of form
Rear of form
Postal voting statement (for use when a referendum poll is combined with another poll but the postal ballot papers are not combined)
Front of form
Rear of form
Official postal poll card (to be sent to a voter voting by post)
Front of card
Official proxy postal poll card (to be sent to an appointed proxy voting by post)
Front of card
Rear of card

SCHEDULE 6 Police and Crime Commissioner Elections Order 2012 forms
Regulation 8(6)(l) and (7)(d)
PART 1 Form 2: Postal voting statement where PCC election taken alone
Front of form
Rear of form
Form 4: Postal voting statement where polls are combined but proceedings on issue and receipt of postal ballot papers are not combined
Front of form
Rear of form
Form 5: Statement of the number of postal ballot papers issued
First page
Second page
Final page
PART 2 Form 12: Official postal poll card
Front of card
Rear of card
Form 14: Official postal proxy poll card
Front of card
Rear of card

SCHEDULE 7 Neighbourhood Planning (Referendums) Regulations 2012 forms
Regulation 9(2)(c), (4)(d), (5)(j)

PART 1 Neighbourhood planning referendums: standalone poll
Form 6: Postal voting statement
Front of form
Rear of form
Form 8: Official postal poll card
Front of card
Rear of card
Form 10: Official proxy postal poll card
Front of card
Rear of card

PART 2 Neighbourhood planning referendums: combined polls
Form 6: Postal voting statement for use when there is joint issue and receipt of postal ballot papers
Front of form
Rear of form
Form 7: Postal voting statement for use where a referendum poll is combined with another poll but the postal ballot papers are not combined
Front of form
Rear of form
Form 9: Official postal poll card to be sent to a voter voting by post
Front of card
Rear of card
Form 11: Official proxy postal poll card to be sent to an appointed proxy voting by post
Front of card
Rear of card

PART 3 Neighbourhood planning business referendums
Form 4: Form of business referendum postal voting statement
Front of form
Rear of form

SCHEDULE 8 Recall of MPs Act 2015 (Recall Petition) Regulations 2016 forms
Regulation 10(21)

PART 1 Forms for recall petitions in Great Britain
Form E: Official petition notice for an elector who may sign the petition by post
First page
Second page
Final page
Form G: Official petition notice for a proxy who may sign the petition by post
First page
Second page
Final page
Form K: Postal petition statement
First page
Final page
Form L: Statement as to postal petition signing sheets, proxies and additional data
First page
Second page
Final page

PART 2 Forms for recall petitions in Northern Ireland
Form E: Official petition notice for an elector who may sign the petition by post
First page
Second page
Final page
Form G: Official petition notice for a proxy who may sign the petition by post
First page
Second page
Final page
Form L: Statement as to postal petition signing sheets, proxies and additional data
First page
Final page
Form M: Declaration of identity
First page
Final page

SCHEDULE 9 Combined Authorities (Mayoral Elections) Order 2017 forms
Regulation 11(2)(c) and (4)(c)

PART 1 Combined authority mayoral elections: standalone poll
Form 7: Postal voting statement
Front of form
Rear of form
Form 9: Official postal poll card
Front of card
Rear of card
Form 11: Official proxy postal poll card
Front of card
Rear of card

PART 2 Combined authority mayoral elections: combined poll
Form 7(1): Postal voting statement (joint issue)
Front of form
Rear of form
Form 7(2): Postal voting statement (standalone issue)
Front of form
Rear of form
Form 9: Official postal poll card
Front of card
Rear of card
Form 11: Official proxy postal poll card
Front of card
Rear of card

SCHEDULE 10 Police and Crime Commissioner Elections (Welsh Forms) Order 2021 forms
Regulation 12
Form 2: Postal voting statement where PCC election taken alone
Front of form
Rear of form
Form 4: Postal voting statement where polls are combined but proceedings on issue and receipt of postal ballots are not combined
Front of form
Rear of form
Form 5: Statement of the number of postal ballot papers issued
First page
Second page
Third page
Final page
Form 12: Official postal poll card
Front of card
Rear of card
Form 14: Official proxy postal poll card
Front of card
Rear of card