Part 7 Appendix of Forms
England and Wales
Note–The forms contained in this Appendix may be adapted so far as circumstances require.—
Form of Nomination Paper
Form of Candidate's Consent to Nomination
Form of Front of Ballot Paper
Form of Back of Ballot Paper
Directions as to Printing the Ballot Paper
Corresponding Number List M1
Corresponding Number List M2
Form of Postal Voting Statement (for use where there is a joint issue and receipt of postal voting papers)
Form of Postal Voting Statement (for use when a parish F1... poll is combined with another poll but the postal ballot papers are not combined)
Official Poll Card (to be sent to an elector voting in person)
Official Postal Poll Card (to be sent to an elector 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)
F2Ballot Paper Refusal List
Form of directions for the guidance of the voters in voting
Form of Certificate of Employment
Form of declaration to be made by the companion of a voter with disabilities
F11Corresponding Number List M1
F12Corresponding Number List M2
F13Form of Postal voting statement (for use when there is a joint issue and receipt of postal ballot papers)
Front of statement

Back of statement

F14Form of postal voting statement (for use when a parish poll is combined with another poll but the postal ballot papers are not combined)
Front of statement

Back of statement

F17Official proxy poll card (to be sent to an appointed proxy voting in person)
Front of card

Back of card

F18Official proxy postal poll card (to be sent to an appointed proxy voting by post)
Front of card

Back of card

F19Ballot Paper Refusal List

F20Form of Directions for the guidance of the voters in voting

F23Form of Declaration to be made by the companion of a voter with disabilities
Front of declaration

Back of declaration

Annotations
Textual amendments
- F1
Words in Sch. 3 Pt. 7 omitted (13.12.2023) by virtue of The Overseas Electors, Postal Vote Handling and Secrecy (Amendment) Rules 2023 (S.I. 2023/1233), rules 1(2), 4(3)(c)(i) (with rule 1(3)(4))
- F2
Words in Sch. 3 Pt. 7 inserted (16.1.2023) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2022 (S.I. 2022/1397), rules 1(1), 9(17)(a) (with rule 1(3)(4))
- F3
Sch. 3 Pt. 7 Form of Nomination Paper substituted (10.1.2024) by The Local Government and Greater London Authority Elections (Amendment) Rules 2023 (S.I. 2023/1334), rules 1(1), 3(3), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F4
Sch. 3 Pt. 7 Form of Candidate's Consent to Nomination substituted (1.11.2023) by The Local Government and Greater London Authority Elections (Miscellaneous Amendments) Regulations 2023 (S.I. 2023/1066), regs. 1(3), 4(17)(b), Sch. 4 Pt. 2 (with savings and transitional provisions in Sch. 1)
- F5
Sch. 3 Pt. 7 Form of Front of Ballot Paper substituted (E.) (2.5.2019 with effect in accordance with rule 1(2) of the amending S.I.) by The Local Elections (Parishes and Communities) (England and Wales) (Amendment) (England) Rules 2018 (S.I. 2018/1309), rules 1(2), 3(9)(c), Sch. 2
- F6
Sch. 3 Pt. 7 Form of the Front of Ballot Paper omitted (W.) (10.3.2022) by virtue of The Local Elections (Miscellaneous and Consequential Amendments) (Wales) Regulations 2022 (S.I. 2022/263), reg. 1(2), Sch. 2 para. 9(23)(c) (with reg. 12(d))
- F7
Sch. 3 Pt. 7 Form of Back of Ballot Paper substituted (E.) (2.5.2019 with effect in accordance with rule 1(2) of the amending S.I.) by The Local Elections (Parishes and Communities) (England and Wales) (Amendment) (England) Rules 2018 (S.I. 2018/1309), rules 1(2), 3(9)(d), Sch. 2
- F8
Sch. 3 Pt. 7 Form of the Back of Ballot Paper omitted (W.) (10.3.2022) by virtue of The Local Elections (Miscellaneous and Consequential Amendments) (Wales) Regulations 2022 (S.I. 2022/263), reg. 1(2), Sch. 2 para. 9(23)(d) (with reg. 12(d))
- F9
Sch. 3 Pt. 7 Form of Front of Ballot Paper and Directions as to Printing the Ballot Paper substituted (2.3.2015 with effect in accordance with rule 1(2) of the amending S.I.) by The Local Elections (Parishes and Communities) (England and Wales) (Amendment) Rules 2015 (S.I. 2015/104), rules 1(2), 3(3)(c), Sch. 2
- F10
Sch. 3 Pt. 7 Form of Directions as to Printing the Ballot Paper: in paragraph 3(b), the words “or community” omitted (10.3.2022) by virtue of The Local Elections (Miscellaneous and Consequential Amendments) (Wales) Regulations 2022 (S.I. 2022/263), reg. 1(2), Sch. 2 para. 9(24) (with reg. 12(d))
- F11
Sch. 3 Pt. 7 Form of the Corresponding Number List: in the part of the form headed “Corresponding Number List-M1”, in the words in brackets below the heading the words “or community” omitted and in the words following those brackets, the words “or Community” omitted (10.3.2022) by virtue of The Local Elections (Miscellaneous and Consequential Amendments) (Wales) Regulations 2022 (S.I. 2022/263), reg. 1(2), Sch. 2 para. 9(25)(a)(i)(ii) (with reg. 12(d))
- F12
Sch. 3 Pt. 7 Form of the Corresponding Number List: in the part of the form headed “Corresponding Number List-M2”, in the words in brackets below the heading the words “or community” omitted and in the words following those brackets, the words “or Community” omitted (10.3.2022) by virtue of The Local Elections (Miscellaneous and Consequential Amendments) (Wales) Regulations 2022 (S.I. 2022/263), reg. 1(2), Sch. 2 para. 9(25)(b)(i)(ii) (with reg. 12(d))
- F13
Sch. 3 Pt. 7 Form of Postal voting statement (for use when there is a joint issue and receipt of postal ballot papers) substituted (13.12.2023) by The Overseas Electors, Postal Vote Handling and Secrecy (Amendment) Rules 2023 (S.I. 2023/1233), rules 1(2), 4(3)(c)(ii), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F14
Sch. 3 Pt. 7 Form of postal voting statement (for use when a parish poll is combined with another poll but the postal ballot papers are not combined) substituted for Form of postal voting statement (for use when a parish or community poll is combined with another poll but the postal ballot papers are not combined) (13.12.2023) by The Overseas Electors, Postal Vote Handling and Secrecy (Amendment) Rules 2023 (S.I. 2023/1233), rules 1(2), 4(3)(c)(ii), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F15
Sch. 3 Pt. 7 Official Poll Card (to be sent to an elector voting in person) substituted (26.12.2024) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2024 (S.I. 2024/1271), rules 1(1), 3(b), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F16
Sch. 3 Pt. 7 Official Postal Poll Card (to be sent to an elector voting by post) substituted (13.12.2023) by The Overseas Electors, Postal Vote Handling and Secrecy (Amendment) Rules 2023 (S.I. 2023/1233), rules 1(2), 4(3)(c)(ii), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F17
Sch. 3 Pt. 7 Official proxy poll card (to be sent to an appointed proxy voting in person) substituted (26.12.2024) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2024 (S.I. 2024/1271), rules 1(1), 3(b), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F18
Sch. 3 Pt. 7 Official proxy postal poll card (to be sent to an appointed proxy voting by post) substituted (13.12.2023) by The Overseas Electors, Postal Vote Handling and Secrecy (Amendment) Rules 2023 (S.I. 2023/1233), rules 1(2), 4(3)(c)(ii), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F19
Sch. 3 Pt. 7 Ballot Paper Refusal List inserted (16.1.2023) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2022 (S.I. 2022/1397), rules 1(1), 9(17)(d), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F20
Sch. 3 Pt. 7 Form of directions for the guidance of the voters in voting substituted (16.1.2023) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2022 (S.I. 2022/1397), rules 1(1), 9(17)(e), Sch. 2 Pt. 2 (with rule 1(3)(4))
- F21
Sch. 3 Pt. 7 Form of Certificate of Employment substituted (6.4.2014) by The Local Elections (Parishes and Communities) (England and Wales) (Amendment) Rules 2014 (S.I. 2014/492), rules 1(2), 4(10)(k), Sch. 2 (with rule 1(2))
- F22
Sch. 3 Pt. 7 Form of Certificate of Employment: in the words below the heading of the form, the word “parish” substituted for “parish/community council” (10.3.2022) by The Local Elections (Miscellaneous and Consequential Amendments) (Wales) Regulations 2022 (S.I. 2022/263), reg. 1(2), Sch. 2 para. 9(28) (with reg. 12(d))
- F23
Sch. 3 Pt. 7 Form of declaration to be made by the companion of a voter with disabilities substituted (29.12.2022) by The Assistance with Voting for Persons with Disabilities (Principal Area, Parish and Greater London Authority Elections) (Amendments) Rules 2022 (S.I. 2022/1284), rules 1(1), Sch. 3 Pt. 2 (with rule 1(2))
Modifications
- C1
Sch. 3 Pt. 7 Form of Candidate’s Consent to Nomination 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)
Notes on Schedule 3
Textual amendments
- F1
Words in Sch. 3 heading omitted (10.3.2022) by virtue of The Local Elections (Miscellaneous and Consequential Amendments) (Wales) Regulations 2022 (S.I. 2022/263), reg. 1(2), Sch. 2 para. 9(2) (with reg. 12(d))
Modifications
- C1
Sch. 3 applied (with modifications) (18.2.2012) by The Local Authorities (Conduct of Referendums) (Council Tax Increases) (England) Regulations 2012 (S.I. 2012/444), reg. 1, Sch. 4 para. 1 Table 10 (with reg. 27)
- C2
Sch. 3 applied (with modifications) (W.) (4.12.2020) by The Local Government (Coronavirus) (Postponement of Elections) (Wales) (No. 2) Regulations 2020 (S.I. 2020/1399), regs. 2, 6(3)(4)













