OpenLegislation

Appendix OF FORMS F1F2F3F4F5F6F7F8F9F10F11F12F13F14F15F16F17F18F19F20F21

England and Wales

Notes: In this Appendix any reference to a numbered rule is a reference to the rule of that number in the Mayoral Elections (Combination of Polls) Rules.

The forms contained in this Appendix may be adapted so far as circumstances require.

  • Forms

  • Form 1: Nomination paper (for use at mayoral elections in Wales)

  • Form 1A: Nomination paper (for use at mayoral elections in England)

  • Form 2: Candidate’s consent to nomination (for use at mayoral elections in Wales)

  • F22Form 2A: Candidate’s consent to nomination (for use at mayoral elections in England)

  • Form 3: Ballot paper (two candidates) — mayoral elections in Wales

  • Form 3A: Ballot paper – mayoral elections in England

  • Form 4: Ballot paper (three or more candidates) — mayoral elections in Wales

  • Form 5: Corresponding number list M1

  • Form 6: Corresponding number list M2

  • Form 7(1); Postal voting statement — mayoral elections in Wales

  • Form 7(2): Postal voting statement — mayoral elections in Wales

  • Form 7A(1): Postal voting statement —mayoral elections in England

  • Form 7A(2): Postal voting statement —mayoral elections in England

  • Form 8: Elector’s official poll card (for use at mayoral elections in Wales)

  • Form 8A: Elector’s official poll card (for use at mayoral elections in England)

  • Form 9: Official postal poll card (for use at mayoral elections in Wales)

  • Form 9A: Official postal poll card (for use at mayoral elections in England)

  • Form 10: Official proxy poll card (for use at mayoral elections in Wales)

  • Form 10A: Official proxy poll card (for use at mayoral elections in England)

  • Form 11: Official proxy postal poll card (for use at mayoral elections in Wales)

  • Form 11ZA: Official proxy postal poll card (for use at mayoral elections in England)

  • Form 11A: Ballot Paper Refusal List

  • Form 12: Directions for guidance of voters (for use at mayoral elections in Wales)

  • Form 12A: Directions for guidance of voters (for use at mayoral elections in England)

  • Form 13: Certificate of employment

  • Form 14: Declaration to be made by the companion of a voter with disabilities (for use at mayoral elections in Wales)

  • Form 15: Declaration to be made by the companion of a voter with disabilities (for use at a mayoral election in England)

X1Form 1: Nomination paper

F23Form 1A: Nomination paper (for use at mayoral elections in England)

X2F24Form 2: Candidate’s consent to nomination

C1F25Form 2A: Candidate’s consent to nomination (for use at mayoral elections in England)

X3F26Form 3 Ballot paper (two candidates)

Front of ballot paper

Back of ballot paper

Number

Other unique identifying mark

Election of the Mayor for [insert name of authority]

on…………….20….

F27Form 3 Ballot paper (two candidates)

Front of ballot paper

Back of ballot paper

F28Form 3A - Ballot paper – mayoral elections in England

X4F29Form 4 Ballot paper (three or more candidates) F30— mayoral elections in Wales

Front of ballot paper

Back of ballot paper

Number

Other unique identifying mark

Election of the Mayor for [insert name of authority]

on…………….20….

F31Form 4 Ballot paper (three or more candidates)

Front of ballot paper

Back of ballot paper

Form 5: Corresponding number list M1

Form 6: Corresponding number list M2

F32F33Form 7(1) Postal voting statement (for use when there is a joint issue and receipt of postal ballot papers) F34—mayoral elections in Wales

Front of statement

Back of statement

F35Form 7(2) Postal voting statement (for use when a mayoral election is combined with another poll but the postal ballot papers are not combined) F36—mayoral elections in Wales

Front of statement

Back of statement

F37Form 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

Back of form

F38Form 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

Back of form

F39Form 8 Official poll card

Front of card

Back of card

C2F40Form 8A (elector’s official poll card for use at mayoral elections in England)

Front of form

Rear of form

C3C4F41Form 9 Official postal poll card

Front of card

Back of card

F42Form 9A official postal poll card (for use at mayoral elections in England)

Front of card

Back of card

F43Form 10 Official proxy poll card

Front of card

Back of card

C5F44Form 10A (official proxy poll card for use at mayoral elections in England)

Front of form

Rear of form

C6C7F45Form 11 Official proxy postal poll card

Front of card

Back of card

F46Form 11ZA: official proxy postal poll card (for use at mayoral elections in England)

Front of card

Back of card

F47Form 11A: Ballot paper refusal list

F48Form 12 Directions for the guidance of voters

F49Form 12A: Directions for the guidance of voters (for use at mayoral elections in England)

F50Form 13 Certificate of employment

F51F52Form 14 Declaration to be made by the companion of a voter with disabilities

Front of declaration

Back of declaration

F53Form 15: Declaration to be made by the companion of a voter with disabilities for a mayoral election in England

Annotations

Textual amendments

F1

Words in Sch. 3 Appendix list of forms inserted (1.11.2023) by The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), regs. 1(2), 3(3)(e)(i)(aa) (with reg. 1(6)(a)(8))

F2

Words in Sch. 3 Appendix list of forms inserted (1.11.2023) by The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), regs. 1(2), 3(3)(e)(i)(bb) (with reg. 1(6)(a)(8))

F3

Words in Sch. 3 Appendix list of forms inserted (1.11.2023) by The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), regs. 1(2), 3(3)(e)(i)(cc) (with reg. 1(7)(8))

F4

Words in Sch. 3 Appendix list of forms inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(a)(i) (with reg. 1(2))

F5

Words in Sch. 3 Appendix list of forms inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(a)(ii) (with reg. 1(2))

F6

Words in Sch. 3 Appendix list of forms inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(a)(iii) (with reg. 1(2))

F7

Words in Sch. 3 Appendix list of forms inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(a)(iv) (with reg. 1(2))

F8

Words in Sch. 3 Appendix list of forms inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(a)(v) (with reg. 1(2))

F9

Words in Sch. 3 Appendix list of forms inserted (E.) (29.12.2022) by The Assistance with Voting for Persons with Disabilities (Amendments) Regulations 2022 (S.I. 2022/1309), regs. 1(3), 6(7)(a)(i) (with reg. 1(4)(5))

F10

Words in Sch. 3 Appendix list of forms inserted (E.) (29.12.2022) by The Assistance with Voting for Persons with Disabilities (Amendments) Regulations 2022 (S.I. 2022/1309), regs. 1(3), 6(7)(a)(ii) (with reg. 1(4)(5))

F11

Words in Sch. 3 Appendix list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(a)(i) (with reg. 1(6)(7))

F12

Words in Sch. 3 Appendix list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(a)(ii) (with reg. 1(6)(7))

F13

Words in Sch. 3 Appendix list of forms inserted (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), reg. 5(4)(c)(i)(aa)

F14

Words in Sch. 3 Appendix list of forms inserted (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), reg. 5(4)(c)(i)(bb)

F15

Words in Sch. 3 Appendix list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(a)(iii) (with reg. 1(6)(7))

F16

Words in Sch. 3 Appendix list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(a)(iv) (with reg. 1(6)(7))

F17

Words in Sch. 3 Appendix list of forms inserted (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), reg. 5(4)(c)(i)(cc)

F18

Words in Sch. 3 Appendix list of forms inserted (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), reg. 5(4)(c)(i)(dd)

F19

Words in Sch. 3 Appendix list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(a)(v) (with reg. 1(6)(7))

F20

Words in Sch. 3 Appendix list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(a)(vi) (with reg. 1(6)(7))

F21

Words in Sch. 3 Appendix list of forms inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(a)(vii) (with reg. 1(6)(7))

F22

Words in Sch. 3 Appendix list of forms inserted (1.11.2023) by The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), regs. 1(2), 3(3)(e)(i)(dd) (with reg. 1(7)(8))

F23

Sch. 3 Appendix Form 1A inserted (1.11.2023) by The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), reg. 1(2), Sch. 2 Pt. 2 (with reg. 1(6)(a)(8))

F24

Words in Sch. 3 Appendix Form 2 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(11) (with reg. 1(2))

F25

Sch. 3 Appendix Form 2A inserted (1.11.2023) by The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), reg. 1(2), Sch. 2 Pt. 2 (with reg. 1(7)(8))

F26

Sch. 3 Appendix Form 3 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(a), Sch. 2 (with reg. 1(2))

F27

Sch. 3 Appendix Form 3 substituted (E.) (23.2.2019) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) (England) Regulations 2019 (S.I. 2019/351), reg. 1(2), Sch. 2 Pt. 3 (with regs. 3, 4)

F28

Sch. 3 Appendix Form 3A inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), reg. 1(1)(c), Sch. 2 (with reg. 1(2))

F29

Sch. 3 Appendix Form 4 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(b), Sch. 2 (with reg. 1(2))

F30

Words in Sch. 3 Appendix Form 4 heading inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(c) (with reg. 1(2))

F31

Sch. 3 Appendix Form 4 substituted (E.) (23.2.2019) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) (England) Regulations 2019 (S.I. 2019/351), reg. 1(2), Sch. 2 Pt. 4 (with regs. 3, 4)

F32

Sch. 3 Appendix Form 7(1): 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 (as amended by S.I. 2019/1389, regs. 1, 2(2))

F33

Sch. 3 Appendix Form 7(1) substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(c), Sch. 2 (with reg. 1(2))

F34

Words in Sch. 3 Appendix Form 7(1) heading inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(d) (with reg. 1(2))

F35

Sch. 3 Appendix Form 7(2) substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(d), Sch. 2 (with reg. 1(2))

F36

Words in Sch. 3 Appendix Form 7(2) heading inserted (13.12.2022) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2022 (S.I. 2022/1352), regs. 1(1)(c), 5(11)(d) (with reg. 1(2))

F37

Sch. 3 Appendix Form 7A(1) 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. 3 Pt. 2

F38

Sch. 3 Appendix Form 7A(2) 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. 3 Pt. 2

F39

Sch. 3 Appendix Form 8 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(e), Sch. 2 (with reg. 1(2))

F40

Sch. 3 Appendix Form 8A substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 3 Pt. 2 (with reg. 1(5)-(7))

F41

Sch. 3 Appendix Form 9 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(f), Sch. 2 (with reg. 1(2))

F42

Sch. 3 Appendix Form 9A inserted (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. 3 Pt. 2

F43

Sch. 3 Appendix Form 10 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(g), Sch. 2 (with reg. 1(2))

F44

Sch. 3 Appendix Form 10A substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 3 Pt. 2 (with reg. 1(5)-(7))

F45

Sch. 3 Appendix Form 11 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(h), Sch. 2 (with reg. 1(2))

F46

Sch. 3 Appendix Form 11ZA inserted (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. 3 Pt. 2

F47

Sch. 3 Appendix Form 11A inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(d), Sch. 7 Pt. 2 (with reg. 1(6)(7))

F48

Sch. 3 Appendix Form 12 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(i), Sch. 2 (with reg. 1(2))

F49

Sch. 3 Appendix Form 12A inserted (16.1.2023) by The Voter Identification Regulations 2022 (S.I. 2022/1382), regs. 1(3), 45(16)(e), Sch. 7 Pt. 2 (with reg. 1(6)(7))

F50

Sch. 3 Appendix Form 13 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(j), Sch. 2 (with reg. 1(2))

F51

Sch. 3 Appendix Form 14: words “*[Election of Members of the European Parliament for the [insert name ofRegion, e.g. ‘North-West Region’]]”. 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 (as amended by S.I. 2019/1389, regs. 1, 2(2))

F52

Sch. 3 Appendix Form 14 substituted (6.4.2014) by The Local Authorities (Mayoral Elections) (England and Wales) (Amendment) Regulations 2014 (S.I. 2014/370), regs. 1(2), 7(12)(k), Sch. 2 (with reg. 1(2))

F53

Sch. 3 Appendix Form 15 inserted (E.) (29.12.2022) by The Assistance with Voting for Persons with Disabilities (Amendments) Regulations 2022 (S.I. 2022/1309), reg. 1(3), Sch. 2 Pt. 2 (with reg. 1(4)(5))

Modifications

C1

Sch. 3 Appendix Form 2A modified (16.1.2024) by The Representation of the People (Overseas Electors etc.) (Amendment) Regulations 2023 (S.I. 2023/1406), regs. 1(2), 17(3)(4)

C2

Sch. 3 Appendix Form 8A modified (temp.) (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), reg. 1(2), Sch. 2 para. 9(2) (with Sch. 2 para. 7)

C3

Sch. 3 Appendix Form 9 modified (temp.) (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), reg. 1(2), Sch. 2 para. 9(3) (with Sch. 2 para. 7)

C4

Sch. 3 Appendix Form 9 modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 9(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(3))

C5

Sch. 3 Appendix Form 10A modified (temp.) (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), reg. 1(2), Sch. 2 para. 9(2) (with Sch. 2 para. 7)

C6

Sch. 3 Appendix Form 11 modified (temp.) (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), reg. 1(2), Sch. 2 para. 9(3) (with Sch. 2 para. 7)

C7

Sch. 3 Appendix Form 11 modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 9(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(3))

Editorial notes

X1

Editorial note: this is the Form of Nomination paper that remains in force in relation to Wales. The form as substituted in relation to England omitted (1.11.2023) by virtue of The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), regs. 1(2), 3(3)(e)(ii) (with reg. 1(6)(a)(8))

X2

Editorial note: this is the Form of Candidate's Consent to Nomination that remains in force in relation to Wales. The form as substituted in relation to England omitted (1.11.2023) by virtue of The Mayoral and Police and Crime Commissioner Elections, Recall Petitions and Referendums (Ballot Secrecy, Candidates and Undue Influence) Regulations 2023 (S.I. 2023/1141), regs. 1(2), 3(3)(e)(iv) (with reg. 1(6)(a)(8))

X3

Editorial note: this is the Ballot paper (two candidates) that remains in force in relation to Wales. The ballot paper as substituted in relation to England (23.2.2019) is set out after this version.

X4

Editorial note: this is the Ballot paper (three or more candidates) that remains in force in relation to Wales. The ballot paper as substituted in relation to England (23.2.2019) is set out after this version.