Who can use this form?
You can use this form to enrol for federal, state and local
government elections in Queensland if you are:
unable to sign your name due to a physical incapacity
18 years or older, and
an Australian citizen, or a British subject who was on a
Commonwealth roll on 25 January 1984.
You can enrol at 16 years but cannot vote until you are 18.
You may get someone else to complete this enrolment form and
sign it on your behalf.
Within three weeks of receiving your enrolment form the AEC will
conrm your enrolment. We may seek further information from you
and conrm your enrolment using any of the contact details you
Is it compulsory to enrol and vote?
Yes, it is compulsory for all eligible Australian citizens over 18 years
to enrol and vote.
Do you need to provide a medical certiﬁcate?
Yes, please have a registered medical practitioner complete and
sign the medical certicate on this form before your application is
returned to the AEC.
Do you have to attend a polling place to vote?
No. You can register as a general postal voter at Question 6 and
you will be sent ballot papers as soon as practicable after the
declaration of nominations for federal, state and local government
elections, or the issue of writs or authorisation for a referendum.
When you receive your ballot papers, you may ask someone else to
help you complete them and then return them to the AEC.
Note: If you choose to vote in person at a polling booth, you can
request assistance in marking your ballot paper.
Help in other languages
1300 720 132 Arabic 1300 720 143 Polish
1300 720 135 Cantonese Portuguěs 1300 720 145 Portuguese
Hrvatski 1300 720 136 Croatian
1300 720 146 Russian
1300 720 137 Greek
1300 720 147 Serbian
Italiano 1300 720 138 Italian Espańol 1300 720 148 Spanish
1300 720 134 Khmer Türkçe 1300 720 149 Turkish
1300 720 468 Korean
1300 720 152 Vietnamese
1300 720 139 Macedonian Other languages 1300 720 153
1300 720 142 Mandarin
If you are deaf, or have a hearing or
Contact the AEC through the National Relay Service (NRS):
TTY – 133 677 then ask for 13 23 26
Speak and Listen – 1300 555 727 then ask for 13 23 26
Internet relay – connect to the NRS then ask for 13 23 26
Who has access to your enrolment information?
The Commonwealth of Australia
The Australian Electoral Commission (AEC) is authorised under the
Commonwealth Electoral Act 1918 (CEA) to collect and verify the
information you have been asked to complete on this form. The
information provided will assist the AEC to maintain electoral rolls.
The AEC may disclose electoral information to persons or
organisations in accordance with the CEA. This may include:
access to the publicly available electoral roll (containing
names and addresses) which may be inspected at
state and territory electoral authorities
Members of Parliament, Senators, registered political
parties, and candidates for the House of Representatives
approved medical research and public health
any agencies, persons or organisations prescribed in the
Electoral and Referendum Regulation 2016.
For more information on privacy, visit www.privacy.gov.au
The State of Queensland
Electoral Commission Queensland provides electoral information
to organisations authorised under the Queensland Electoral
For more information
Australian Electoral Commission
www.aec.gov.au or 13 23 26
Electoral Commission Queensland
www.ecq.qld.gov.au or 1300 881 665
Returning your form
Post Australian Electoral Commission
Reply paid 9867
BRISBANE QLD 4001
(No stamp is needed if posted in Australia)
Fax 02 6293 7607
Upload Upload your scanned signed form at
To any AEC ofce
Enrol to vote or update your details
for persons who are unable to sign their name due to
physical incapacity in Queensland
ER022GHw_QLD_0318 © Commonwealth of Australia 2018