OpenLegislation

Part 8 Appendix of Forms

England and Wales

  • 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)

  • F1Ballot 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

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

F2Postal 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

F3Official Poll Card (to be sent to a voter voting in person)

Front of form

Rear of form

C1Official postal poll card (to be sent to a voter voting by post)

Front of card

Rear of card

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

Front of form

Rear of form

Official proxy postal poll card (to be sent to an appointed proxy voting by post)

Front of card

Rear of card

F4Ballot Paper Refusal List

F5Form of directions for the guidance of the voters and proxies in voting

F6Form of Certificate of Employment

F7Declaration to be made by the companion of a voter or proxy with disabilities

Annotations

Textual amendments

F1

Words in Sch. 5 Pt. 8 list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 50(17)(a) (with reg. 1(6)(7))

F2

Sch. 5 Pt. 8 Forms 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. 4 Pt. 2

F3

Sch. 5 Pt. 8 Forms substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 4 Pt. 2 (with reg. 1(5)-(7))

F4

Sch. 3 Pt. 8 Form inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 50(17)(d), Sch. 8 Pt. 2 (with reg. 1(6)(7))

F5

Sch. 3 Pt. 8 Form substituted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 50(17)(e), Sch. 8 Pt. 2 (with reg. 1(6)(7))

F6

Sch. 5 Pt. 8 Form substituted (6.4.2014) by The Local Authorities (Conduct of Referendums) (England) (Amendment) Regulations 2014 (S.I. 2014/924), regs. 1(3), 19(b)(v), Sch. 1 (with reg. 1(4))

F7

Sch. 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. 3 Pt. 2 (with reg. 1(4))

Modifications

C1

Sch. 5 Pt. 8 Forms modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 13(4)(5) (as inserted by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2024 (S.I. 2024/99), regs. 1(1), 2(4))