Australian Capital Territory
Electoral (Failure to vote form) Approval 2004 
approval statement for
Approved Form AF2004 — 27
made under the
Electoral Act 1992,  s340A (Approved Forms)
1	Name of instrument
	This instrument is the Electoral (Failure to vote form) Approval 2004.
2	Commencement 
	This instrument commences on the day after its notification.
3	Approval
	The attached form is approved for the purposes of section 161(1) of the Electoral Act 1992 .

Phillip Green
Electoral Commissioner
11 November 2004