Application to vote by proxy at a particular election or referendum
Voting by proxy
If you cannot vote at an election or referendum in
person, you can apply to vote by proxy (someone
else voting on your behalf). You can use this form
to apply to vote by proxy for one particular election
What happens after I’ve returned
■ Your proxy must go to your local polling station
to vote. If your proxy cannot get to the polling
station, they can apply to vote for you by post.
They can apply to do this by 5pm 11 working
days before election day. They should contact
the electoral registration office for more details.
■ Your proxy will be sent a proxy poll card, telling
them where and when to vote on your behalf.
■ You should let your proxy know how you want
them to vote on your behalf, for example, which
candidate, party, or outcome.
■ If it turns out that you are able to go to the polling
station on election day, you can vote in person
as long as your proxy has not already done so
or has not applied to vote for you by post.
■ You will need to give your date of birth
and signature on this application form. This
information is needed to prevent fraud. If you
are unable to sign this form, please contact
your Electoral Registration Officer.
Voting as proxy
A person can only be a proxy for close relatives
and up to two other people at an election or
Close relatives are the spouse, civil partner, parent,
grandparent, brother, sister, child or grandchild of
The person you wish to appoint as your proxy can
only act as proxy if they are 18 or over and they are
(or will be) registered individually for that election or
If you have any questions about voting by proxy,
www.aboutmyvote.co.uk or contact your
electoral registration office.
In England and Wales, the electoral registration
office is based at your local council. In Scotland,
it may be a separate office.
For contact details, go to www.aboutmyvote.co.uk
This form does not apply in Northern Ireland.
www.eoni.org.uk for more information.
Electoral Registration Officers will only use the
information you provide for electoral purposes. They
will look after personal information securely and will
follow the Data Protection Act 1998. Electoral
Registration Officers will not give personal
information about you to anyone else or another
organisation unless they have to by law.