Postal Vote Form 

ACT Aboriginal and Torres Strait Islander Elected Body election

To the ACT Electoral Commissioner
	
Elector Details 	

If you have changed your name since you last enrolled, please print your previous name here:

If you no longer live at your enrolled address, 
please print your current address:

   Date of birth:                   Contact Phone: 

 Day      Month	Year

I declare that I am entitled to a postal vote for the ACT Aboriginal and Torres Strait Islander Elected Body election and that all the statements on this form are true. 

                                                   Today’s date:                      
Signature or mark of elector

 Day    Month   Year

This is Approved Form AF2014-50  under section 34 of the Aboriginal and Torres Strait Islander Elected Body Act 2008

             
Postal vote for the
ACT Aboriginal and Torres Strait Islander Elected Body election
	
Information for the elector	

Am I entitled to a postal vote? 

If you are on the ACT Electoral roll, or are entitled to be on the roll, are at least 18 years old and are an Aboriginal person or Torres Strait Islander, you are entitled to cast a postal vote if: 

•	You expect to be unable to attend a polling place; or
•	Your address has been suppressed from the electoral roll. 

Check your pre-printed name and address details. Please correct any errors. 

If you are unable to vote without help, you can ask someone to assist. 
	
Privacy Statement	

The information sought on this form is required under the ACT Electoral Act 1992. 

Your name and address details and the fact that you have completed this form will be made publically available after polling under the Electoral Act (except if your address is suppressed from the electoral roll, your address will not be made public). 

Need more information?
Contact the ACT Electoral Commission
Phone (02) 6205 0033
Email: elections@act.gov.au
Web: www.elections.act.gov.au

                

Postal Vote Checklist 

You need to: 

1

Read this information in this pack. 

2

Check that your name and address are printed correctly. 

3

Sign and date the declaration. 

4

Follow the instructions on your ballot paper by numbering boxes next to candidates in the order of your choice. 

5

Put your folded ballot paper in the postal vote form envelope and seal it. 

6

Put the sealed envelope, including the completed postal vote form, in the reply paid envelope. 

Please mail or deliver your completed postal vote to the ACT Electoral Commission as quickly as possible. To have your vote counted in this election it must be posted on or before the last day of polling, [insert date] and received no later than [insert date].