SCHEDULE 5The Local Government Act Referendums (Combination of Polls) Rules

PART 8Appendix of Forms

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

• Form of Ballot Paper: Question in referendum as specified in paragraph 1 of Schedule 1

• Form of Ballot Paper: Question in referendum as specified in paragraph 2 of Schedule 1

• Form of Ballot Paper: Question in referendum as specified in paragraph 3 of Schedule 1

• Form of Ballot Paper: Question in referendum as specified in paragraph 4 of Schedule 1

• Form of Ballot Paper: Question in referendum as specified in paragraph 5 of Schedule 1

• Form of Ballot Paper: Question in referendum as specified in paragraph 6 of Schedule 1

• 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 referendum poll is combined with another poll but the postal ballot papers are not combined)

• Official Poll Card (to be sent to a voter voting in person)

• Official Postal Poll Card (to be sent to a voter 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)

• Form of directions for the guidance of the voters and proxies in voting

• Form of Certificate of Employment

• Form of declaration to be made by the companion of a voter or proxy with disabilities