Part 7 Appendix of Forms
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 joint issue and receipt of postal ballot papers)
Form of Postal Voting Statement (for use when a local government 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)
F1Ballot 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
Corresponding Number List M1
Corresponding Number List M2
F9Form of Postal voting statement (for use when there is a joint issue and receipt of postal ballot papers)
First page

Final page

Form of postal voting statement (for use when a local government poll is combined with another poll but the postal ballot papers are not combined)
First page

Final page

F11Official 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

F12Ballot Paper Refusal List

F13Form of Directions for the guidance of the voters in voting

F14Form of Certificate of employment

Annotations
Textual amendments
- F1
Words in Sch. 3 Pt. 7 list of forms inserted (16.1.2023 with application in accordance with rule 1(3)(4) of the amending S.I.) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2022 (S.I. 2022/1397), rules 1(1), 5(17)(a)
- F2
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), rule 1(1), Sch. 1 Pt. 2 (with rule 1(3)(4))
- F3
Sch. 3 Pt. 7: Candidate 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), 3(18)(b), Sch. 3 Pt. 2 (with Sch. 1 para. 4)
- F4
Sch. 3 Pt. 7: Form of front of ballot paper substituted (E.) (31.12.2018) by The Local Elections (Principal Areas) (England and Wales) (Amendment) (England) Rules 2018 (S.I. 2018/1308), rules 1(2), 3(9)(c), Sch. 2
- F5
Sch. 3 Pt. 7: the version of the Form of the front of ballot paper that has effect only in relation to Wales 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. 1 para. 4(7)(c) (with reg. 12(d))
- F6
Sch. 3 Pt. 7: form of back of ballot paper substituted (E.) (31.12.2018) by The Local Elections (Principal Areas) (England and Wales) (Amendment) (England) Rules 2018 (S.I. 2018/1308), rule 1(2), Sch. 2
- F7
Sch. 3 Pt. 7: the version of the form of the back of ballot paper that has effect only in relation to Wales 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. 1 para. 4(7)(d) (with reg. 12(d))
- F8
Sch. 3 Pt. 7: Directions as to Printing the Ballot Paper substituted (2.3.2015 with effect in accordance with art. 1(2) of the amending S.I.) by The Local Elections (Principal Areas) (England and Wales) (Amendment) Rules 2015 (S.I. 2015/103), art. 1(2), rule 3(b)(ii), Sch. 2
- F9
Sch. 3 Pt. 7: Form of Postal Voting Statement (for use where there is joint issue and receipt of postal ballot papers), the form of postal voting statement (for use when a local government poll is combined with another poll but the postal ballot papers are not combined), the official postal poll card (to be sent to an elector voting by post) and the 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), rule 1(2), Sch. 1 Pt. 2 (with rule 1(3)(4))
- F10
Sch. 3 Pt. 7 form of 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), rule 1(1), Sch. 1 Pt. 2 (with rule 1(3)(4))
- F11
Sch. 3 Pt. 7 form of 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), rule 1(1), Sch. 1 Pt. 2 (with rule 1(3)(4))
- F12
Sch. 3 Pt. 7: form of Ballot Paper Refusal List inserted (16.1.2023 with application in accordance with rule 1(3)(4) of the amending S.I.) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2022 (S.I. 2022/1397), rules 1(1), 5(17)(d), Sch. 1 Pt. 2
- F13
Sch. 3 Pt. 7: Form of directions for the guidance of the voters in voting substituted (16.1.2023 with application in accordance with rule 1(3)(4) of the amending S.I.) by The Voter Identification (Principal Area, Parish and Greater London Authority Elections) (Amendment) Rules 2022 (S.I. 2022/1397), rules 1(1), 5(17)(e), Sch. 1 Pt. 2
- F14
Sch. 3 Pt. 7: form of Certificate of Employment substituted (6.4.2014 with effect in accordance with rule 1(2) of the amending S.I.) by The Local Elections (Principal Areas) (England and Wales) (Amendment) Rules 2014 (S.I. 2014/494), rule 1(2), Sch. 2
- F15
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), rule 1(1), Sch. 2 Pt. 2 (with rule 1(2))
- F16
Sch. 3 Pt. 7 form of Declaration to be made by the companion of a voter with disabilities: words “*[Election of Members of the European Parliament for the [insert name of Region, 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 Table 1 (as amended by S.I. 2019/1389, regs. 1, 2(2))
Modifications
- C1
Sch. 3 Pt. 7 Candidate 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)
- C2
Sch. 3 Pt. 7: form of Official Poll Card (to be sent to an elector voting in person) and the form of the Official Proxy Poll Card (to be sent to an appointed proxy voting in person) modified (31.10.2023) by The Local Government and Greater London Authority Elections (Miscellaneous Amendments) Regulations 2023 (S.I. 2023/1066), reg. 1(2)(d), Sch. 1 para. 8(2)
- C3
Sch. 3 Pt. 7: form of official postal poll card (to be sent to an elector voting by post) and the form of the official proxy postal poll card (to be sent to an appointed proxy voting by post) modified (31.10.2023) by The Local Government and Greater London Authority Elections (Miscellaneous Amendments) Regulations 2023 (S.I. 2023/1066), reg. 1(2)(d), Sch. 1 para. 8(3)
Notes on Schedule 3
Modifications
- C1
Sch. 3 modified (1.2.2007) by The National Assembly for Wales (Representation of the People) Order 2007 (S.I. 2007/236), art. 1(1), Sch. 4 Pt. 3
- C2
Sch. 3 applied (with modifications) (E.) (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 9 (with reg. 27)
- C3
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)














