TAKE UP THE OPPORTUNITY
To be able to vote by post in future elections - Parliamentary and European and Blackpool Council -you must have registered to do so by contacting the Elections Office at the Town Hall (Direct Telephone 477490 or 477161)
Postal Voting is a quick, easy and safe way of making sure that your vote counts. A quarter of all people in Blackpool have already proved this is the way they intend to vote in future. Why don't you join them ?
Print out a copy of the form below for anyone in your household who would like a postal vote. Each of you should then fill in your own copy. Then post the completed form or forms to:
Blackpool Council
Elections Office
FREEPOST BJ 1025
Blackpool FY1 1ZR
You can get help in completing the form by speaking with your either of your Councillors for Victoria Ward or by speaking with the Town Hall on 477490 or 477161.
APPLICATION FORM TO VOTE BY POST
1. Address where you are registered to vote:
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2. Postal Vote For Which Elections.
Cross out the alternatives you don't want:
(a) All elections at which you are entitled to vote
(b) Local Elections
(c) Parliamentary Elections
3. For How Long Do You Want A Postal Vote ?
(a) For ALL elections until further notice
(b) For elections until ..................................................
4. The Address At Which To Send Me My Postal Ballot Papers
Cross out the alternative which does not apply:
(a) My address above where I am registered to vote
(b) The following address: ..........................................................................................
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Please give your reason for wanting your ballot paper(s) to be sent to an address different from the address where you are registered to vote:
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5. If You Have Had Help In Completing This Form
Please state the name and address of your Helper:
Full names of your Helper: ...................................................................................
Address of your Helper: .......................................................................................
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6. Information About Me
(a) My First Names in full : ..................................................................................
(b) My Surname: ...................................................................................
(c) My Title (Mr, Mrs, Miss, Ms, Dr, etc): ...................................
(d) My Date of Birth (This must be provided to claim a Postal Vote as a
security measure)
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7. Declaration
As far as I know, the details on this form are true and accurate. I know that I can be fined for making a false statement on this form.
(a) My Signature is made here in black ink: ........................................................
(b) I cannot supply a signature because:
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8. Date: ...........................................................
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FOR OFFICE USE ONLY
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