Schedule 1 Certificate of Vacancy

We, whose names are underwritten, being two Members of the House of Commons, do hereby certify—

  [that                             Member of

Parliament for                    died on

                      19  ;]

  [that                             Member of

   Parliament for               F1 has become disqualified as a

    peer for membership of the House Commons ;]

[that                             Member of

Parliament for                       has accepted

   the office of                           , and

that his appointment to that office has been gazetted in the

   issue of the

   Gazette dated                        19  ;]

and we give you this notice to the intent that you may issue your warrant to the Clerk of the Crown in Chancery to make out a new writ for the election of a Member to serve as Member of Parliament for in place of him.

To the Speaker of the House of Commons.

Note. If there is no Speaker, or if the Speaker is out of the United Kingdom, this certificate may be addressed to any one of the persons appointed under section 4 of the Recess Elections Act 1975 to exercise the Speaker’s powers under that Act.