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EC 20010

(04/2020)

Nomination Paper

of a Candidate at a Federal General Election or By-election

As required under section 66 of the Canada Elections Act (CEA)

To be filed after the issue of the Notice of Election pursuant to subsection 67(1) of the CEA

All fields marked with an asterisk

are mandatory

Candidate name (Full name of candidate)

First name(s)

Last name

Electoral district

Name of electoral district

Office use only

Candidate registration #

Date received

EC 20010

(04/2020)

Table of Contents

GENERAL INFORMATION ............................................................................................................................. 3

SECTION A – CANDIDATE INFORMATION (MANDATORY)....................................................................... 6

SECTION B – CAMPAIGN DELEGATE (OPTIONAL) ................................................................................. 10

SECTION C – OFFICIAL AGENT (MANDATORY) ...................................................................................... 12

SECTION D – AUDITOR (OPTIONAL) ......................................................................................................... 14

SECTION E – CAMPAIGN OFFICE (OPTIONAL)........................................................................................ 16

SECTION F – ELECTORS CONSENTING TO CANDIDACY (MANDATORY) ........................................... 17

SECTION G – ARE YOU READY TO SUBMIT YOUR NOMINATION? ...................................................... 33

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General Information

Candidate Qualifications

Any Canadian citizen aged 18 or older on election day can run for election unless deemed to be

ineligible under section 65 of the Canada Elections Act (CEA), which states that the following persons

are not eligible to be a candidate:

• a person who is not qualified as an elector on the date on which his or her Nomination Paper is filed;

• a person who is disentitled under paragraph 502(3)(a) while they are so disentitled;

• a member of the legislative assembly of a province;

• the Chief Electoral Officer;

• a judge appointed by the Governor in Council, other than a citizenship judge appointed under

the Citizenship Act;

• a person who is imprisoned in a correctional institution;

• an election officer; and

• a person who was a candidate in a previous election and for whom a return, report, document or

declaration has not been provided under subsection 477.59(1), if the time and any extension for

providing it have expired.

You may seek election in only one electoral district at a time; however, you are not required to be a

resident of that electoral district.

The relevant procedures and candidate responsibilities are set out in Part 6

of the CEA.

Signing the Candidate Declaration

To complete the nomination package, the candidate must make a solemn declaration before an

authorized person as per s. 66(1)(a) and 549(1) of the CEA.

Under the CEA, the following persons have been authorized to receive such a declaration:

• election officers (including, a returning officer, assistant returning officer, or additional assistant

returning officer);

• judges;

• unit election officers (an elector appointed by a commanding officer to administer an election on a

military base);

• notary publics;

• provincial court judges;

• justices of the peace; or

• commissioners for taking oaths in the province.

Please note: All solemn declarations and affidavits received under the CEA are to be received free of

charge, as per s. 549(2) of the CEA. The declaration does not need to be made in the electoral district

in which you intend to run.

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Candidate Identification and Use of an Alternative Name

When filing your Nomination Paper, you must provide proof of your identity to the returning officer. You

can submit identification documents directly, or copies may be provided by the person filing the

Nomination Paper, as long as the copies are signed by you.

If you want to appear on the ballot under an alternative name, you must supply documentation to the

returning officer proving that you are commonly known by that name. This will be required when you

want to use a different given name (even if it is a normal abbreviation of the name) or a different last

name (e.g. your married name if it is not your legal last name).

For additional information, including the lists of authorized identification documents and documents to

support that you are commonly known by a different name, please consult the

Candidate List of

Authorized ID (EC 20014) available on the How to become a candidate page on the Elections Canada

website.

Political Party Endorsement

If you are running as an endorsed candidate of a political party, your party must submit a document

indicating that they have endorsed you. The Chief Electoral Officer must receive this document no later

than 24 hours before the close of the nomination period. The returning officer cannot confirm your

nomination until the party has confirmed their endorsement of you. We suggest you contact your

political party prior to submitting your Nomination Paper to confirm that this information has been

submitted to the Chief Electoral Officer.

Collecting Signatures of Electors Consenting to Candidacy

You must supply the names, addresses and signatures of at least 100 qualified electors (Canadian

citizens at least 18 years old on election day) who ordinarily reside in the electoral district where you

intend to run as a candidate. Elections Canada recommends that you collect 150 or more signatures to

ensure that you meet this requirement.

In the larger or remote electoral districts listed in Schedule 3 of the CEA

, the required minimum number

of signatures is 50.

Note: To reduce the handling of documents between individuals, a version of Section F – Electors

Consenting to Candidacy containing space for only 1 signature is now available on elections.ca.

Submitting the Nomination Paper

The completed Nomination Paper and all associated supporting documents must be submitted to the

returning officer. Either you or your campaign delegate may submit nominations.

In accordance with the CEA, the Nomination Paper must be filed between the day the returning officer

publishes the Notice of Election and the close of nominations, which is 21 days before election day at

2:00 p.m. local time.

The returning office contact information will be available on the Elections Canada website once the writ

of election is issued. We suggest making an appointment with the returning officer early during the

nomination period, so there is sufficient time if required to correct the Nomination Paper before the

close of nominations.

Online Nomination Form

As an alternative to submitting a hard copy of the Nomination Paper, you have the option of completing

and submitting an online nomination form through the Political Entities Service Centre (PESC) to fulfil

the federal nomination requirements. For more information on how to complete an online nomination

form in PESC, please visit https://csep-pesc.elections.ca/

.

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Offence

It is an offence under section 89 and paragraph 486(3)(a) of the CEA to consent to be a candidate

when you are not eligible. It is also an offence under paragraph 499(2)(a) and subsection 549(3) of the

CEA to falsely take an oath that is provided for by the CEA.

Public Inspection

Any person may examine the completed Nomination Paper of a confirmed candidate at the office of the

returning officer during the election period. After the election period, the Nomination Paper is submitted

to the Chief Electoral Officer and becomes a protected election document. The Nomination Paper may

be shared with the Commissioner of Canada Elections to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting

procedures and the political financing provisions of the CEA.

For More Information

If you require additional information, visit the How to become a candidate

page on the Elections

Canada website, or contact the Political Entities Support Network directly:

Telephone:

TTY:

1-800-486-6563

1-800-361-8935

Email:

CSEP-PESC@elections.ca

Mail:

Elections Canada

30 Victoria Street

Gatineau

Quebec

K1A 0M6

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Section A – Candidate Information (Mandatory)

All fields marked with an asterisk are mandatory

Electoral district

Print the name of the electoral district you are running in. You may run in only one electoral district at a time.

You do not need to reside in the district.

Name of electoral district

Candidate name

Print your first name(s) and last name. The name must not include any title, degree, or other prefix or suffix.

When you file the Nomination Paper, you must provide the returning officer with proof of identity that matches

the first and last name as identified below. CEA 66(2), 67(2)(a),(b)

First name(s)

Name on ballot

You may request an alternative name to appear on the ballot; however, you must provide the returning officer

with sufficient documentation that you are commonly known by that name. For more information on authorized

proof, see the How to become a candidate webpage at elections.ca. CEA 67(5)

Name on ballot

Option 1: Use first name(s) and last name as

provided above (leave fields below blank)

Option 2: Use other name (complete fields

below)

Ballot first name(s)

Ballot last name

Political affiliation

State your political affiliation (name of the registered or eligible political party, or “Independent”). In the absence

of a stated political affiliation, a series of black dashes will appear under your name on the ballot.

Note: In order to have a political party affiliation on the ballot, the party must file an endorsement with Elections

Canada no later than 24 hours before the close of the nomination period. CEA 68(3) It is strongly recommended

you confirm with your political party and returning officer to ensure that your name has been submitted.

Political affiliation

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Last name

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Section A – Candidate Information (Mandatory)

All fields marked with an asterisk are mandatory

Candidate information

Contact information

An email address is required to access the Political Entities Service Centre (PESC) portal, where you will be able

to access election materials and the electronic financial returns system. If you already have an account on the

portal, provide the email address associated with that account. If you do not have an account, Elections Canada

will send you an invitation to the email provided below upon confirmation of the nomination.

Residential address

Street name

City Province/Territory

Mailing address – Same as residential address

Unit # Street # Street name

City Province/Territory Postal code

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Gender Date of birth (YYYY-MM-DD) Language of correspondence

Email

Primary phone number Ext. Alternate phone number Ext. Fax number

Unit # Street #

Postal code

English French

EC 20010

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Section A – Candidate Information (Mandatory)

All fields marked with an asterisk are mandatory

Candidate occupation

State the occupation you are commonly known by in your place of ordinary residence. Please note that the term

“Member of Parliament” is not an occupation, but a title, and will not be accepted. The term “parliamentarian”,

however, is acceptable. CEA 66(3)

Occupation

Sharing of information authorization

To help new members of Parliament, Elections Canada will share the name, gender, residential address,

telephone number, email address, occupation, language of correspondence, electoral district and political

party affiliation of candidates who authorize Elections Canada to share their information with the Conflict of

Interest and Ethics Commissioner and the House of Commons, which includes the Library of Parliament.

Do you authorize Elections Canada to share your personal information with the Conflict of Interest and Ethics

Commissioner and the House of Commons, including the Library of Parliament?

Yes No

Privacy notice

Personal information in this Nomination Paper and all associated supporting documents are collected to

determine your eligibility to seek election and be declared elected to the House of Commons pursuant to the

Canada Elections Act (CEA), for the purpose of administering federal election voting procedures, and for

verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period.

After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a

protected election document. Information in the Nomination Paper and all associated supporting documents

may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure

that the CEA is complied with and enforced. It may also be shared within Elections Canada to administer

federal election voting procedures and the political financing provisions of the CEA.

Subject to consent, your contact information may be shared with the House of Commons, the Conflict of

Interest and Ethics Commissioner, and the Library of Parliament for orientation and communication purposes

for new members of Parliament. If you provide a campaign URL, it may be posted on Elections Canada’s

website to increase electors’ accessibility to the electoral framework and democratic process.

You have the right to access, correct, and protect your personal information under the Privacy Act

. You also

have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your

personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members

Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these

PIBs may be found on the Elections Canada website.

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Section A – Candidate Declaration and Signature (Mandatory)

All fields marked with an asterisk are mandatory

I, the undersigned, do hereby solemnly declare that:

1. my name (including any alternative name I wish to have appear on the ballot), my address and occupation

are as stated in section A of this Nomination Paper;

2. I designate the permanent residential address in this Nomination Paper as the address for service of

process and papers under the Canada Elections Act;

3. To the best of my knowledge, the name and address of my official agent and the name, address and

occupation of my auditor (if applicable) are as stated in sections C and D of this Nomination Paper;

4. the information regarding my political affiliation is as stated in section A of this Nomination Paper; and

5. where applicable, if the returning officer is unable to verify that I have been endorsed by the political party

identified in section A of this Nomination Paper, I wish to:

a. have the word “Independent” appear under my name on the ballot;

b. have no designation of political affiliation (meaning that a series of black dashes will appear under

my name on the ballot); or

c. withdraw my Nomination paper.

Note: If you choose options a or b in the Candidate’s Declaration, you cannot be endorsed by a political party

at a later time. The Canada Elections Act (s. 75) does not allow for modification of a candidate's political

affiliation after a nomination has been confirmed. The consequence of withdrawing a nomination which has

been confirmed is that any votes cast at the election for the candidate who has withdrawn are void.

I further state that:

1. I consent to the nomination;

2. I am a Canadian citizen at least 18 years of age on election day;

3. I have read

section 65 of the Canada Elections Act and acknowledge that I am not an ineligible candidate

as defined therein;

4. I consent to allowing my official agent and campaign delegate (if applicable) to access on my behalf

electoral materials online or at the local Elections Canada office, including the lists of electors distributed by

Elections Canada; and

5. I am aware of my obligations under the Canada Elections Act.

Candidate signature Date (YYYY-MM-DD)

Signature of person receiving the solemn declaration

As per subsection 549(1) of the Canada Elections Act, the solemn declaration must be witnessed by a judge, an election

officer, a unit election officer as defined in section 177, a notary public, a provincial court judge, a justice of the peace, or a

commissioner for taking oaths in the province.

Signature of person receiving the solemn declaration Date (YYYY-MM-DD)

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Candidate’s declaration

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Section B – Campaign Delegate (Optional)

If appointing a campaign delegate, all fields marked with an asterisk are mandatory

Campaign delegate information

A candidate may authorize another individual (referred to in the Nomination Paper as the campaign delegate) to

act on their behalf during the election. The campaign delegate can submit the Nomination Paper and all

associated supporting documents. CEA 67(7)

Note:

The campaign delegate does not have access to the candidate’s financial returns.

First name(s) Last name Language of correspondence

English

French

Contact information

Upon confirmation of the nomination, Elections Canada will send to the email address listed below an invitation to

the Political Entities Service Centre (PESC) online portal.

Email

Primary phone number

Ext. Ext.

Residential address

Unit # Street # Street name

City

Mailing address – Same as residential address

Unit # Street # Street name

City Province/Territory Postal code

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Alternate phone number Fax number

Province/Territory Postal code

EC 20010

(04/2020)

Section B – Campaign Delegate – Privacy Notice and Declaration (Optional)

If appointing a campaign delegate, all fields marked with an asterisk are mandatory

Privacy notice

Personal information in this Nomination Paper and all associated supporting documents are collected to

determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant

to the Canada Elections Act (CEA). They are collected for the purpose of administering federal election voting

procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period.

After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a

protected election document. Information in the Nomination Paper and all associated supporting documents

may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure

that the CEA is complied with and enforced. It may also be shared within Elections Canada to administer

federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act

. You also

have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your

personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members

Elected, Elections PPU 005. A description of this PIBs can be found at elections.ca.

Personal Information Bank (PIB 005)

As per subsection 66(1)(h) of the Canada Elections Act, I authorize the individual identified in this section to act

as my campaign delegate.

Candidate signature Date (YYYY-MM-DD)

Campaign delegate signature

I, the undersigned, campaign delegate for the candidate named in this Nomination Paper, state that:

1. I hereby agree to act as the authorized person for the candidate named herein for the purposes of the

Canada Elections Act,

2. I am fully aware of the duties and responsibilities imposed on me by the Canada Elections Act.

Campaign delegate signature Date (YYYY-MM-DD)

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Candidate authorization of the campaign delegate

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Section C – Official Agent (Mandatory)

All fields marked with an asterisk are mandatory

Official agent information

The official agent is responsible for administering the campaign’s financial transactions and reporting those

transactions to Elections Canada as required by the CEA. For more information, consult the Political Financing

Handbook for Candidates and Official Agents.

Note: The candidate, official agent and auditor must all be different people.

First name(s) Last name Language of correspondence

English

French

Contact information

Upon confirmation of the nomination, Elections Canada will send to the email address listed below an invitation

to the Political Entities Service Centre (PESC) online portal.

Email

Primary phone number

Ext. Alternate phone number Ext. Fax number

Residential address

Unit #

Street #

Street name

City Province/Territory Postal code

Mailing address – Same as residential address

Unit # Street # Street name

City Province/Territory Postal code

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Section C – Official Agent – Privacy Notice and Declaration (Mandatory)

All fields marked with an asterisk are mandatory

Privacy notice

Personal information in this Nomination Paper and all associated supporting documents are collected to

determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant

to the Canada Elections Act (CEA). They are collected for the purpose of administering federal election voting

procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period.

After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a

protected election document. Information in the Nomination Paper and all associated supporting documents

may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that

the CEA is complied with and enforced. It may also be shared within Elections Canada to administer federal

election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act

. You also

have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your

personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members

Elected, Elections PPU 005, and PIB Political Financing, Elections PPU 010. A description of these PIBs can be

found at elections.ca.

Personal Information Bank (PIB 005)

I, the undersigned, official agent for the candidate named in this Nomination Paper, hereby agree to act as official

agent for the candidate named herein for the purposes of the Canada Elections Act.

I further state that:

1. I am fully aware of the duties and responsibilities imposed on me by the Canada Elections Act,

2. I am capable of entering into contracts in the province/territory in which this electoral district is located,

3. I am eligible to act as official agent pursuant to section 477.2* of the Canada Elections Act.

*Section 477.2 of the Canada Elections Act states: The following persons are ineligible to be an official agent: a

candidate, an election officer or a member of the staff of a returning officer, an undischarged bankrupt, an auditor

appointed as required by this Act, a person who is not qualified as an elector, and a person who does not have

the capacity to enter into contracts in the province in which they ordinarily reside.

Official agent signature Date (YYYY-MM-DD)

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Official agent signature

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Section D – Auditor (Optional)

If appointing an auditor, all fields marked with an asterisk are mandatory

An auditor must be appointed if:

• the candidate’s campaign accepts contributions of $10,000 or more;

• the candidate’s campaign incurs expenses of $10,000 or more; or

• the candidate receives 10% or more of votes cast in the electoral district.

If at the time of filing the Nomination Paper, none of the above applies, you do not need to appoint an auditor,

though you may still choose to do so. If the above requirements are later met, you must appoint an auditor

without delay.

A person or partnership who wants to act as a candidate’s auditor must be, or have every partner be,

recognized as a professional accountant under provincial or territorial legislation. CEA 477.3(1)

For more information, consult the Political Financing Handbook for Candidates and Official Agents.

Contact information

Upon confirmation of the nomination, Elections Canada will send to the email address listed below an invitation

to the Political Entities Service Centre (PESC) online portal.

Email

Primary phone number

Ext.

Alternate phone number

Ext.

Fax number

Auditor organizational information

Address (where cheque is sent)

Unit # Street # Street name

City Province/Territory Postal code

14

Auditor information

First name(s) Last name Language of correspondence

English French

Name of firm Occupation of auditor Professional designation

CPA FCPA

Designation registration number Make cheque payable to:

EC 20010

(04/2020)

Section D – Auditor – Privacy Notice and Declaration (Optional)

If appointing an auditor, all fields marked with an asterisk are mandatory

Privacy notice

Personal information in this Nomination Paper and all associated supporting documents are collected to

determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to

the Canada Elections Act (CEA). They are collected for the purpose of administering federal election voting

procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After

the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected

election document. Information in the Nomination Paper and all associated supporting documents may be shared

with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is

complied with and enforced. It may also be shared within Elections Canada to administer federal election voting

procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act

. You also have

the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal

information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members

Elected, Elections PPU 005, and PIB Political Financing, Elections PPU 010. A description of these PIBs can be

found at elections.ca.

Personal Information Bank (PIB 005)

I, the undersigned, hereby agree to act as the auditor for the candidate named in this Nomination Paper.

I further state that I am aware of the duties and responsibilities of this position under the Canada Elections Act and

I am qualified to act as auditor under subsections 477.3(1) and (2) of the Canada Elections Act.

Auditor signature Date (YYYY-MM-DD)

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Auditor signature

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Section E – Campaign Office (Optional)

Information to be made available on the Elections Canada website (optional)

Please note: You may provide a telephone number and/or a link to your website or social media platform of

choice when filing your Nomination Paper with Elections Canada. You do not have to provide this information, but

it is intended to help electors access campaign information. Elections Canada may provide this information as

part of the Voter Information Service. Please include the full website address, including prefix (http://, https://).

Telephone number to be posted on elections.ca

Website to be posted on elections.ca (including prefix http://, https://)

Campaign office address (optional)

Unit # Street # Street name

City Province/Territory Postal code

16

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

17

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

18

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

19

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

20

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

21

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

22

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

23

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

24

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

25

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

26

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

27

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

28

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

29

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

30

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

31

Section F – Electors Consenting to Candidacy (Mandatory)

Name of candidate Electoral district Year

Declaration of electors: I, the undersigned, consent to the candidacy of the person named above. I am a qualified elector and reside in the electoral district

mentioned above. A qualified elector is a Canadian citizen who will be 18 or older on election day.

#

Printed name of elector

Full residential address

(street name and number, city)

Postal code

Signature of elector

Initials of

witness

Internal

use

only

1

2

3

4

5

6

7

8

9

10

Witness to signature

Note: Under subsection 66(4) of the Canada Elections Act, the witness shall use due diligence to ensure that the electors consenting to the candidacy reside within the electoral district. The witness to the

signature supporting a candidate is not required to be a qualified elector in an electoral district. The signatures on this page must all be witnessed by the same person.

Name of witness

Full address of witness

Signature of witness

Personal information in this Nomination Paper and all associated supporting documents are collected to determine a candidate’s eligibility to seek election and be declared elected to the House of Commons pursuant to the Canada Elections

Act (CEA). They are collected for the purpose of administering federal election voting procedures, and for verifying eligibility to receive election materials.

Any person at the returning office may examine the completed Nomination Paper during the election period. After the election period, the Nomination Paper is submitted to the Chief Electoral Officer and becomes a protected election

document. Information in the Nomination Paper and all associated supporting documents may be shared with the Commissioner of Canada Elections or the Director of Public Prosecutions to ensure that the CEA is complied with and

enforced. It may also be shared within Elections Canada to administer federal election voting procedures and the political financing provisions of the CEA.

You have the right to access, correct, and protect your personal information under the Privacy Act. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding the handling of your personal information.

Your personal information is retained under the Personal Information Bank (PIB) Candidates and Members Elected, Elections PPU 005, as well as PIB Political Financing, Elections PPU 010. A description of these PIBs can be found at

elections.ca.

32

Section G – Are You Ready to Submit Your Nomination?

Have you completed the Nomination Paper (EC 20010)?

• Are all mandatory fields in sections A–D complete

?

• H

ave you collected the required number of signatures from qualified electors in section

F?

- For most electoral districts, 100 electors must consent to your candidacy

- F

or electoral districts identified in Schedule 3, only 50 electors are requir

ed

- T

o ensure a smooth nomination process, Elections Canada recommends collecti

ng

s

ignatures from at least 150 elector

s

D

o you have authorized proof of identify?

• For a list of authorized identification, visit elections.c

a

• If a campaign delegate is submitting on your behalf, they must bring a copy of your identification

documents, signed by you

• I

f you want an alternative name to appear on the ballot, additional documentation is required; visi

t

el

ections.ca for detail

s

A

re you endorsed by a political party?

• Make sure your party has submitted the required documentation to Elections Canada attesting t

o

y

our designated political affiliati

on

Have you made a nomination appointment?

• To facilitate the nomination process, make an appointment with the returning officer to finalize t

he

f

iling of the complete nomination packa

ge

• T

he nomination period closes 21 days before election day at 2:00 p.m. local tim

e

33

Fill Online, Printable, Fillable, Blank EC 20010 (04/2020) Form

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Fillable EC 20010 (04/2020)

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