Fillable Application to vote by proxy for a member (Grampian Valuation Joint Board)

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Application to vote by proxy for a member (Grampian Valuation Joint Board)

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Application to vote by proxy for a member
of the armed forces
Voting by proxy
Proxy voting m
eans that if you aren’t able to cast your vote in person, you can have someone you trust
cast your vote for you.
You can use this form to apply to vote by proxy if you are a member of the armed forces or a spouse or
civil partner of someone who is.
Both you and your proxy must be registered and eligible to vote.
A person can only be a proxy for close relatives and up to two other people at an election or referendum.
Close relatives are the spouse, civil partner, parent, grandparent, brother, sister, child or grandchild of the
applicant.
For more information, speak to your Unit Registration Officer or contact us.
How do I apply to vote by proxy?
You must ask someone who is willing and capable to be your proxy and vote on your behalf.
If you are registered to vote in Grampian (Aberdeen, Aberdeenshire or Moray) fill in this proxy vote
application form. If you are registered as a service voter you do not need support for your application.
Make sure you complete all sections of the form
, even if you have already given the information on your
service voter registration form and supply your date of birth and signature. You 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 us.
Return your form to us by email at ero@grampian-ero.gov.uk or by post to Grampian Electoral
Registration Officer, Woodhill House, Westburn Road, Aberdeen, AB16 5GE
When applying for a new proxy vote, you must return your proxy vote application form to reach us by
5pm, 6 working days before the poll.
When changing or cancelling an existing proxy, postal or postal proxy vote, you must return your proxy
vote application form to reach us by 5pm, 11 working days before the poll.
If you miss the deadline for applying to vote by proxy you can still apply for an emergency proxy in a
limited number of circumstances up until 5pm on polling day. Contact us for details.
If you are not already registered to vote, you must register before applying for a proxy vote. The
deadline to register to vote is midnight, 12 working days before the poll. Register to vote online at
www.gov.uk/register-to-vote
Page 1 of 4
Application to vote by proxy for a member
of the armed forces
What happens after I’ve returned this form?
Y
our proxy must go to your 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 the poll.
An application form for your proxy to vote for you by post can be downloaded from
www.grampian-vjb.gov.uk/electoral-register/application-forms/
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 polling 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.
Privacy statement
We will only use the information you give us for electoral purposes. We will look after personal
information securely and we will follow data protection legislation. We will not give personal information
about you or any personal information you may provide on other people to anyone else or another
organisation unless we have to by law.
The lawful basis to collect the information in this form is that it is necessary for the performance of a
task carried out in the public interest and exercise of official authority as vested in the Electoral
Registration Officer as set out in the Representation of the People Act 1983 and associated
regulations.
The Data Controller is Ian H Milton, Grampian Electoral Registration Officer, Woodhill House,
Westburn Road, Aberdeen, AB16 5GE, Tel 01224 068400.
For further information relating to the processing of personal data you should refer to the privacy notice
at www.grampian-vjb.gov.uk/privacy-notice Version 20200930
Page 2 of 4
Application to vote by proxy for a member
of the armed forces
Only one person can apply to vote by proxy using this form
Please write in black ink and use BLOCK LETTERS. When all sections are complete and you have
signed the form yourself, send it to: Grampian Electoral Registration Officer, Woodhill House,
Westburn Road, Aberdeen, AB16 5GE or email a scanned copy to ero@grampian-ero.gov.uk
1 About you
Surname
First name(s) (in full)
Current address (used for correspondence)
Postcode
Phone number (optional) include country code
Email (optional)
Providing an email and phone number gives a
quick and easy way to contact you about your
application.
D M Y YD M Y Y
D M Y YD M Y Y
D M Y YD M Y Y
Page 3 of 4
2 UK registration address
The address where you are registered to vote
in the UK.
Postcode
3
About your proxy (the person you
have chosen to vote on your behalf)
Full name
Family relationship (if any)
Full address
Postcode
Phone number (optional)
Email (optional)
4 How long do you want a proxy vote for?
I want to vote by proxy (tick one box only):
until further notice (while I am registered
as a service voter)
for the elections/referendums to be held on
for the period
from
to
D M Y YD M Y Y
D M Y YD M Y Y
Application to vote by proxy for a member
of the armed forces
5 The reason you can’t vote in person
Please give the reason you are unable to vote
in person.
6 Your date of birth and declaration
Declaration: I have asked the person I have
named as my proxy and confirm that they are
willing and capable to be appointed to vote on
my behalf.
As far as I know, the details on this form are
true and accurate. I understand that to provide
false information on this form is an offence.
Date of birth: Please write your date of birth
in the boxes below using black ink.
Signature: Sign below using black ink,
keeping within the grey border.
Please contact us if you are unable to sign
this form.
7 Date of application
Today’s date
Page 4 of 4
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Application to vote by proxy for a member (Grampian Valuation Joint Board)

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Completed 30 January 2021

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