Application to vote by emergency proxy based on
occupation, service or employment
Voting by proxy
If you are not able to attend the polling station in
person for reasons relating to your occupation,
service or employment, and you only become aware
of this after 5pm on the sixth working day before an
election, you can apply to vote by emergency proxy
(someone else voting on your behalf). You can apply
up until 5pm on election day.
This form should not be used if you have been
detained in a hospital under Section 145 of the
Mental Health Act 1983 in England and Wales
or Section 329 of the Mental Health (Care and
Treatment) (Scotland) Act 2003 in Scotland.
Who can support my application?
n “I’m self-employed, who can support my
A person aged 18 years or over who knows you
and is not your spouse, civil partner, parent,
grandparent, brother, sister, child or grandchild.
n “I’m employed, who can support my
Your employer or another authorised person at
n “I am registered as a service voter, who can
support my application?”
If you are a member of the Armed Forces, a
Crown servant, a British Council employee or the
spouse or civil partner of one of the above and
you are registered as a service voter, you do not
need support for your application.
If you are registered as an ordinary elector, you
will need support from your employer or another
authorised person at your workplace.
What happens after I’ve returned
n Your proxy must go to your polling station
to vote on your behalf.
n You should tell your proxy how you want them
to vote on your behalf, for example, which
candidate, party, or outcome.
n Your local election office will tell your proxy
when and where to vote on your behalf.
n 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.
If you have any questions about voting by proxy,
go to 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
This form does not apply in Northern Ireland.
Visit 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.