Schedule 3 FORMSI1
England and Wales
| F1Form A: | (official poll card to be sent to an elector voting in person) |
| F2Form A1: | official postal poll card to be sent to an elector voting by post |
| F3Form B: | (official proxy poll card to be sent to an appointed proxy voting in person) |
| F4Form B1: | official proxy postal poll card to be sent to an appointed proxy voting by post |
| Form C: | Return of expenses required by section 75 of the 1983 Act |
| Form D: | Declaration as to expenses required by section 75 of the 1983 Act |
| Form E: | Proxy paper F5(local government elections in Wales) |
| F6Form E1: | Proxy paper (parliamentary elections and local government elections in England) |
| F7Form F: | Certificate of employment |
| F8Form G: | postal voting statement for use at a parliamentary election taken alone |
| F9Form H: | postal voting statement for use when postal ballots are combined |
| F10Form J: | postal voting statement for use when a parliamentary poll is combined with another poll but the postal ballots are not combined |
| Form K: | Statement as to postal ballot papers F11(local government elections in Wales) |
| F12Form K1: | statement as to postal ballot papers (parliamentary elections and local government elections in England) |
| F13Form L1 | Corresponding Number List for use at parliamentary election taken alone |
| Form L2 | Corresponding Number List for use in polling station at parliamentary election taken alone |
| Form M1 | Corresponding Number List for use when parliamentary election combined with a relevant election or referendum |
| Form M2 | Corresponding Number List for use in polling station when parliamentary election combined with a relevant election or referendum |
Form A (official poll card to be sent to an elector voting in person)
Front of form
Regulation 9(2)

Rear of form

Rear of card

Form B (official proxy poll card to be sent to an appointed proxy voting in person
Front of form
Regulation 9(3)

Rear of form

C3C4Form B1: official proxy postal poll card to be sent to an appointed proxy voting by post
Front of card

Rear of card

Form C:
RETURN OF EXPENSES REQUIRED BY SECTION 75 OF THE 1983 ACT
Regulation 10(1)
Form D:
DECLARATION AS TO EXPENSES REQUIRED BY SECTION 75 OF THE 1983 ACT
Regulation 10(1)
F22Form E1 (proxy paper (parliamentary elections and local government elections in England))
First page

Final page

Form F : Certificate of employment
Regulation 63(1)

Form G: postal voting statement for use at a parliamentary election taken alone
Front of form
Regulation 66(a)

Rear of form

Form H: postal voting statement for use when postal ballots are combined
Front of form

Rear of form

Form J: postal voting statement for use when a parliamentary poll is combined with another poll but the postal ballots are not combined
Front of form
Regulation 66(c)

Rear of form

C10C11C12F31Form K1: statement as to postal ballot papers for parliamentary elections and local government elections in England
First page

Second page

Final page

CORRESPONDING NUMBER LIST FOR USE IN POLLING STATION AT PARLIAMENTARY ELECTION TAKEN ALONE


F35Form M1:
CORRESPONDING NUMBER LIST FOR USE WHEN PARLIAMENTARY ELECTION COMBINED WITH A RELEVANT ELECTION OR REFERENDUM

Annotations
Textual amendments
- F1
Sch. 3 Form A substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 1 (with reg. 1(5)-(7))
- F2
Sch. 3 Form A1 substituted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), reg. 1(2), Sch. 1
- F3
Sch. 3 Form B substituted (4.12.2024) by The Voter Identification (Amendment of List of Specified Documents) Regulations 2024 (S.I. 2024/1275), reg. 1(1), Sch. 1 (with reg. 1(5)-(7))
- F4
Sch. 3 Form B1 substituted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), reg. 1(2), Sch. 1
- F5
Words in Sch. 3 Table of Contents inserted (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(a)(i)
- F6
Words in Sch. 3 Table of Contents inserted (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(a)(ii)
- F7
Sch. 3 Form F substituted (6.4.2014) by The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 47, Sch. 4; S.I. 2014/414, art. 3(a)
- F8
Sch. 3 Form G substituted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), reg. 1(2), Sch. 1
- F9
Sch. 3 Form H substituted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), reg. 1(2), Sch. 1
- F10
Sch. 3 Form J substituted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), reg. 1(2), Sch. 1
- F11
Words in Sch. 3 Table of Contents inserted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), regs. 1(2), 2(13)(a)(i)
- F12
Words in Sch. 3 Table of Contents inserted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), regs. 1(2), 2(13)(a)(ii)
- F13
Sch. 3 Table of Contents entries inserted (1.1.2007) by The Representation of the People (England and Wales) (Amendment) (No. 2) Regulations 2006 (S.I. 2006/2910), regs. 1(1), 29(2) (with reg. 1(2)(3)(a))
- F14
Sch. 3 Form E: the words “European Parliamentary electoral region” and “*[European Parliamentary electoral region]” in each place they appear, and the words “European Parliamentary” and “*[European Parliamentary]” in each place they appear, are 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))
- F15
Sch. 3 Form E: the word “Constituency” is omitted (31.10.2023) by virtue of The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(c)(i)
- F16
Sch. 3 Form E: the punctuation “*[” is omitted in the first place it occurs (31.10.2023) by virtue of The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(c)(ii)
- F17
Sch. 3 Form E: the punctuation “]” is omitted in the first place it occurs (31.10.2023) by virtue of The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(c)(iii)
- F18
Sch. 3 Form E: the words “*[who qualifies as an overseas elector in respect of the above constituency]” are omitted (31.10.2023) by virtue of The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(c)(iv)
- F19
Sch. 3 Form E: the words “local government” are substituted for the words “*[parliamentary] *[local government]” in both places they occur (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(c)(v)
- F20
Sch. 3 Form E: the words “electoral area” are substituted for the words “*[constituency] *[electoral area]” in both places they occur (31.10.2023) by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(c)(vi)
- F21
Sch. 3 Form E: in the section titled “Your right to vote as proxy”, in paragraph (2), the words “parliamentary, or” are omitted (31.10.2023) by virtue of The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2023 (S.I. 2023/1147), regs. 1(2), 6(c)(vii)
- F22
Sch. 3 Form E1 inserted (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. 3 (with Sch. 2 paras. 2, 5)
- F23
Sch. 3 Form K substituted (1.1.2007) by The Representation of the People (England and Wales) (Amendment) (No. 2) Regulations 2006 (S.I. 2006/2910), regs. 1(1), 41, Sch. 2 (with reg. 1(2)(3)(c))
- F24
Sch. 3 Form K: in entry 2 the words “, regulation 78 (lost or not received) and regulation 78A (cancelled due to change of address).” are substituted for “and regulation 78 (lost or not received)” (6.4.2014) by The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 49(1)(a); S.I. 2014/414, art. 3(a)
- F25
Sch. 3 Form K: entry 5 “Total number of postal ballot papers cancelled under regulation 78A.” is inserted after entry 4 (6.4.2014) by The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 49(1)(b); S.I. 2014/414, art. 3(a)
- F26
Sch. 3 Form K: entry 15 is omitted (6.4.2014) by virtue of The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 49(1)(c); S.I. 2014/414, art. 3(a)
- F27
Sch. 3 Form K: entries 5-14 renumbered as entries 6-15 (6.4.2014) by The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 49(2)(a); S.I. 2014/414, art. 3(a)
- F28
Sch. 3 Form K: in entry 14 (as renumbered) the words “6 to 13” are substituted for “5 to 12” (6.4.2014) by The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 49(2)(b); S.I. 2014/414, art. 3(a)
- F29
Sch. 3 Form K: in entry 19 the word “, 78A” is inserted after “78” (6.4.2014) by The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 49(2)(c); S.I. 2014/414, art. 3(a)
- F30
Sch. 3 Form K: in entry 19 the words “2, 3, 5, 8, 9 and 10” are substituted for “2, 3, 7, 8 and 9” (6.4.2014) by The Representation of the People (England and Wales) (Description of Electoral Registers and Amendment) Regulations 2013 (S.I. 2013/3198), regs. 1(3)(d), 49(2)(c); S.I. 2014/414, art. 3(a)
- F31
Sch. 3 Form K1 inserted (12.12.2023 with effect in accordance with reg. 1(2)) by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), reg. 1(2), Sch. 1
- F32
Sch. 3 Form L1 inserted (1.1.2007) by The Representation of the People (England and Wales) (Amendment) (No. 2) Regulations 2006 (S.I. 2006/2910), regs. 1(1), 29(3), Sch. 2 (with reg. 1(2)(3)(a))
- F33
Sch. 3 Form L2 inserted (1.1.2007) by The Representation of the People (England and Wales) (Amendment) (No. 2) Regulations 2006 (S.I. 2006/2910), regs. 1(1), 29(3), Sch. 2 (with reg. 1(2)(3)(a))
- F34
Sch. 3 Form L2 substituted (9.4.2007) by The Representation of the People (England and Wales) and the Representation of the People (Combination of Polls) (England and Wales) (Amendment) Regulations 2007 (S.I. 2007/1025), regs. 1(2), 2(4)(a), Sch. Form L2 (with reg. 1(3))
- F35
Sch. 3 Form M1 inserted (1.1.2007) by The Representation of the People (England and Wales) (Amendment) (No. 2) Regulations 2006 (S.I. 2006/2910), regs. 1(1), 29(3), Sch. 2 (with reg. 1(2)(3)(a))
- F36
Sch. 3 Form M2 inserted (1.1.2007) by The Representation of the People (England and Wales) (Amendment) (No. 2) Regulations 2006 (S.I. 2006/2910), regs. 1(1), 29(3), Sch. 2 (with reg. 1(2)(3)(a))
- F37
Sch. 3 Form M2 substituted (9.4.2007) by The Representation of the People (England and Wales) and the Representation of the People (Combination of Polls) (England and Wales) (Amendment) Regulations 2007 (S.I. 2007/1025), regs. 1(2), 2(4)(a), Sch. Form M2 (with reg. 1(3))
Modifications
- C1
Sch. 3 Form A1 modified (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. 4(2)(b) (with Sch. 2 para. 2)
- C2
Sch. 3 Form A1 modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 4(3)(4) (as inserted by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2024 (S.I. 2024/99), regs. 1(1), 2(2))
- C3
Sch. 3 Form B1 modified (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. 4(2)(b) (with Sch. 2 para. 2)
- C4
Sch. 3 Form B1 modified (temp.) (31.1.2024) by S.I. 2023/1147, Sch. 2 para. 4(3)(4) (as inserted by The Representation of the People (Postal and Proxy Voting etc.) (Amendment) Regulations 2024 (S.I. 2024/99), regs. 1(1), 2(2))
- C5
Sch. 3 Form E applied (with modifications) (E.) (9.2.2012) by The Local Authorities (Conduct of Referendums) (England) Regulations 2012 (S.I. 2012/323), reg. 1, Sch. 4 para. 1 Table 6 (as amended (31.10.2023) by S.I. 2023/1147, regs. 1(2), 15(5)(c)(viii))
- C6
Sch. 3 Form E 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 6 (with reg. 27) (as amended (31.10.2023) by S.I. 2023/1147, regs. 1(2), 16(5)(c)(viii))
- C7
Sch. 3 Form E applied (with modifications) (E.) (3.8.2012) by The Neighbourhood Planning (Referendums) Regulations 2012 (S.I. 2012/2031), regs. 1, 8, 12, 13, Sch. 4 Pt. 1 Table 6 (as amended by (31.10.2023) by S.I. 2023/1147, regs. 1(2), 18(5)(c)(viii))
- C8
Sch. 3 Form K applied (with modifications) (E.) (6.4.2014) by S.I. 2012/2031, regs. 8, 12, 13, Sch. 4 Pt. 1 Table 6 (as amended by The Neighbourhood Planning (Referendums) (Amendment) Regulations 2014 (S.I. 2014/333), regs. 1(6), 10(a), Sch. 2 (with reg. 1(7)))
- C9
Sch. 3 Form K applied (with modifications) (26.2.2016) by The European Union Referendum (Conduct) Regulations 2016 (S.I. 2016/219), reg. 1, Sch. 3 para. 65
- C10
Sch. 3 Form K1 applied (with modifications) (E.) (12.12.2023 with effect in accordance with S.I. 2023/1225, reg. 1(2)) by S.I. 2012/323, Sch. 4 Table 6 (as amended by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), regs. 1(2), 6(3)(b)(vi))
- C11
Sch. 3 Form K1 applied (with modifications) (E.) (12.12.2023 with effect in accordance with S.I. 2023/1225, reg. 1(2)) by S.I. 2012/444, Sch. 4 Table 6 (as amended by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), regs. 1(2), 7(3)(b)(vi))
- C12
Sch. 3 Form K1 applied (with modifications) (E.) (12.12.2023 with effect in accordance with S.I. 2023/1225, reg. 1(2)) by S.I. 2012/2031, Sch. 4 Table 6 (as amended by The Representation of the People (Postal Vote Handling and Secrecy) (Amendment) Regulations 2023 (S.I. 2023/1225), regs. 1(2), 9(3)(b)(vi))
Commencement
- I1
Sch. 3 in force at 16.2.2001, see reg. 1(1)




