Local Government Election Regulations, 2015, L-30.11 Reg 1

1 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 The Local Government Election Regulations, 2015 being Chapter L-30.11 Reg 1 (effective January 1, 2016) as amended by an Errata Notice published in the Saskatchewan Gazette on March 18, 2016, and by Saskatchewan Regulations 11/2020 and 120/2023. NOTE: This consolidation is not official. Amendments have been incorporated for convenience of reference and the original statutes and regulations should be consulted for all purposes of interpretation and application of the law. In order to preserve the integrity of the original statutes and regulations, errors that may have appeared are reproduced in this consolidation. 2 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Table of Contents PART I PART VI Elections in Municipalities and School Divisions Preliminary Matters 30 Interpretation of Part 1 Title 31 Repealed 2 Interpretation 32 Appointment of election officials 2.1 Repealed 33 Oath of office – election officials PART II 34 Repealed Voters List 35 Application to access or remove voter 3 Repealed registry information PART III 36 Notice of call for nominations Voting Machines 37 Nomination paper 4 Interpretation of Part 38 Receipt of nomination paper 5 Use of paper ballots 39 Notice of call for further nominations 6 All counting to be done by voting machine 40 Poll book or advance poll book 7 Rejected ballots 41 Ballot paper 8 Programming and testing of machines 42 Directions for voting 9 Online connection prohibited 43 Repealed 10 Register tape 44 Voters registration form and poll book 11 Required bylaws 45 Transfer certificate 12 Additional matters 46 Appointment of candidate’s agent PART IV 47 Declaration of candidates and agents Voter Identification 48 Declaration of voter unable to vote in the manner 13 Interpretation of Part prescribed by Act 14 Alternative forms of identification 49 Template for use of visually impaired voters 15 Evidence of residence 50 Declaration of friend 16 Use and disclosure of information 51 Declaration of interpreter 17 Vouching 52 Deputy Returning Officer’s Statement of Results 18 Identification for mail-in ballot systems 53 Declaration of poll PART V 54 Declaration of results Elections of Board Members 55 Ballot for vote on bylaw or resolution Who Represent Indian Reserves 56 Ballot for vote on question 19 Interpretation of Part 57 Ballot for vote on two or more bylaws, resolutions 20 Application of Act and regulations or questions 21 Nomination paper 58 Designation and declaration of representative 22 First election in Indian Reserve subdivision 59 Deputy Returning Officer’s Statement of results on 23 Poll bylaw, resolution or question 24 Deputy returning officer 60 Notice of results on bylaw, resolution or question 25 Voters 61 Notice of request for recount 26 Poll book 62 Certificate re request for recount 27 Entries in poll book PART VII 28 Voter’s registration form Repeal and Coming into Force 29 Notice of person elected 63 R.R.S. c.L-30.1 Reg 4 repealed 64 Coming into force Appendix A Appendix B Appendix C Appendix D 3 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 CHAPTER L-30.11 REG 1 The Local Government Election Act, 2015 PART I Preliminary Matters Title 1 These regulations may be cited as The Local Government Election Regulations, 2015. Interpretation 2 (1) In these regulations, “Act” means The Local Government Election Act, 2015. (2) For the purposes of sections 36 and 42 of the Act, “assessed person” includes the owner of assessable land that has been leased to another person. (3) For the purposes of section 47.1 of the Act, an emergency is a situation in which the health or safety of persons is at risk, and may include: (a) severe weather; (b) a declared state of emergency; or (c) a public health order preventing the movement or assembly of voters 24 Dec 2015 cL-30.11 Reg 1 s2; 14 Feb 2020 SR 11/2010 s3; 8 Dec 2023 SR 120/2023 s3. 2.1 Repealed. 8 Dec 2023 SR 120/2023 s4. PART II Voters List 3 Repealed. 8 Dec 2023 SR 120/2023 s5. PART III Voting Machines Interpretation of Part 4(1) In this Part: “register tape” means the printed record generated from a voting machine that shows: (a) the total number of ballots received; (b) the number of ballots on which no vote is marked; (c) the number of ballots on which the voter made more votes than the voter is entitled to make; (d) the number of votes for each candidate; and (e) if there is a vote on a bylaw or question, the number of votes for and against each bylaw or question; 4 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 “voter-assist terminal” means a voting device used by a voter with a disability to mark a ballot by selecting a candidate using: (a) audio only voting; (b) a touch screen; (c) pressure sensitive paddles; (d) punch cards; (e) a sip/puff tube; or (f) any other device designed to assist voters with a disability; “voting machine” means any device that records how ballots are marked and produces election results by tabulating votes, including: (a) vote recorders; (b) optical scan vote tabulators; or (c) other similar devices; “zero tape” means a printed register tape of all totals on the voting machine’s memory card that indicates zero for all categories. (2) Parts VIII, IX, X and XI of the Act apply, with any necessary modification, to the use of voting machines except as modified or extended by this Part. 24 Dec 2015 cL-30.11 Reg 1 s4. Use of paper ballots 5(1) Municipalities must use paper ballots when using voting machines. (2) If the voter makes a physical mark on a paper ballot, the municipality must ensure that the voter is able to: (a) personally insert the ballot into the voting machine; or (b) view an election official inserting the ballot into the voting machine. (3) If the voter makes a mark through electronic means such as buttons or a touch screen: (a) the electronic ballot must be printed on paper for the voter to insert into a ballot box; and (b) the printed ballot must be treated in the same manner as other ballots pursuant to section 142 of the Act. 24 Dec 2015 cL-30.11 Reg 1 s5. 5 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 All counting to be done by voting machine 6(1) If a municipality chooses to conduct an election using voting machines, all counting must be done by voting machines, including the counting of ballots cast in: (a) advanced polls; (b) special polls; (c) election day polls; and (d) mail-in ballots. (2) In the case of machine malfunction or another circumstance in which the machine cannot be used during voting hours, the municipality shall take steps to ensure that the ballots are securely stored in a ballot box and inserted into a voting machine as soon as possible after voting hours in the presence of the deputy returning officer. 24 Dec 2015 cL-30.11 Reg 1 s6. Rejected ballots 7(1) Each voting machine must be programmed to accept ballots for which no vote is recorded without requiring an override function or giving an audible indication that the ballot is one for which no vote is recorded. (2) For the purposes of subsection (1), a ballot for which no vote is recorded is any of the following: (a) a ballot on which no vote is marked; (b) a ballot on which the voter has made more votes than the voter is entitled to make. (3) Ballots that are inserted into the voting machine for which no vote is recorded are deemed to be rejected ballots in accordance with section 129 of the Act. (4) Rejected ballots mentioned in subsection (2) must be recorded as rejected on the Deputy Returning Officer’s Statement of Results for Voting Machines in Form AA of Appendix C. 24 Dec 2015 cL-30.11 Reg 1 s7. Programming and testing of machines 8(1) A municipality using voting machines shall cause to be conducted, in a manner approved by the municipality, programming and testing on all voting machines and voter-assist terminals before an election. (2) Subject to subsection (3), a specified time frame and procedures for testing and programming of voting machines must be established by bylaw or resolution. (3) Voting machines must be programmed and tested no more than six months before the scheduled election. 24 Dec 2015 cL-30.11 Reg 1 s8. 6 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Online connection prohibited 9 Voting machines must not be connected to the internet at any time before or during a poll. 24 Dec 2015 cL-30.11 Reg 1 s9. Register tape 10 At the close of the poll, the register tape must be printed and attached to the Deputy Returning Officer’s Statement of Results for Voting Machines found in Form AA of Appendix C. 24 Dec 2015 cL-30.11 Reg 1 s10. Required bylaws 11 A bylaw or resolution passed pursuant to section 90 of the Act must include procedures for: (a) the programming and testing of machines pursuant to sections 7 and 8; (b) pre-poll logic and accuracy testing, including: (i) specifying who is to conduct logic and accuracy testing; (ii) how voting machines are to be tested; and (iii) the printing of a zero tape before the opening of poll; (c) monitoring of voting machines during poll hours by election officials to ensure that the machines are accurately counting each vote; (d) sending results to a central location after the close of poll; (e) what actions are to be taken in the event a voting machine fails; (f) mobile and special polls; (g) accommodating voters with disabilities; (h) advance voting; (i) counting of mail-in ballots if the municipality uses mail-in ballots; (j) recounting of votes; (k) the secure storage and transport of machines and other hardware, including memory cards, before, during and after the election; and (l) any other matter that the council or board considers necessary. 24 Dec 2015 cL-30.11 Reg 1 s11; 8 Dec 2023 SR 120/2023 s6. 7 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 Additional matters 12 The bylaw or resolution passed pursuant to section 90 of the Act may include procedures for: (a) marking a ballot; (b) informing voters how to properly deposit a ballot; (c) post-poll testing of machines; and (d) the safekeeping of machines between elections and between the testing of the machines and the opening of the poll. 24 Dec 2015 cL-30.11 Reg 1 s12. PART IV Voter Identification Interpretation of Part 13 In this Part: “address” means a residential mailing address, legal land description, civic address or post office box number; “person” means a person seeking to vote; “valid” means: (a) in the case of documents with an expiry date, not yet expired; (b) in the case of documents issued annually, dated within the year in which the election is being held; and (c) in the case of documents issued monthly and all other correspondence and documents not mentioned in clause (a) or (b), dated within the six months before the date of the election. 24 Dec 2015 cL-30.11 Reg 1 s13; 14 Feb 2020 SR 11/2020 s5. Alternative forms of identification 14 The pieces of information prescribed for the purposes of subclause 110(a)(ii) of the Act are set out in Table 1 of Appendix D. 24 Dec 2015 cL-30.11 Reg 1 s14. Evidence of residence 15 If the address contained in the piece of identification or pieces of information provided pursuant to clause 110(a) of the Act does not provide evidence of a person’s residence in the municipality but is, in the opinion of the deputy returning officer, consistent with information relating to the person that appears on the voters list or voter’s registration form, the person’s residence is established for the purposes of voting. 14 Feb 2020 SR 11/2020 s6. 8 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Use and disclosure of information 16(1) Every election official, candidate or candidate’s agent who, in the course of the person’s duties, acquires or accesses any information or document presented by a person as evidence of identity shall: (a) keep the information or document confidential; and (b) not disclose or make use of the information or document other than for the purpose of providing a ballot to the person to whom the information or document relates. (2) No election official, candidate or candidate’s agent shall copy or record any information or document presented by a person as evidence of that person’s identity. 24 Dec 2015 cL-30.11 Reg 1 s16; 8 Dec 2023 SR 120/2023 s7. Vouching 17(1) Subject to subsections (2) to (5), a person seeking to vote may prove the person’s identity by being accompanied by a voter who is entitled to vote in the same municipality and who: (a) for the purpose of establishing the voter’s own identity, provides to the deputy returning officer and the poll clerk the piece of identification or pieces of information mentioned in clause 110(a) of the Act; and (b) vouches for the person seeking to vote on oath or affirmation in the prescribed form in the presence of the deputy returning officer using Form B of Appendix A. (2) No voter shall vouch for more than one person in an election unless the persons to be vouched for are living at the same address as the voucher and are related to the voucher in one of the ways set out in Table 2 of Appendix D. (3) A person who has been vouched for at an election shall not vouch for another person at that election. (4) No election official shall vouch for the identity of any person. (5) No candidate or candidate’s agent shall vouch for the identity of any person. 24 Dec 2015 cL-30.11 Reg 1 s17; 8 Dec 2023 SR 120/2023 s8. Identification for mail-in ballot systems 18(1) A bylaw or resolution establishing a mail-in ballot voting system pursuant to subsection 92(1) of the Act must provide that a person, before being issued a mail-in ballot, shall provide to the returning officer, or other person authorized by the bylaw or resolution, the following: (a) subject to subsection (1.2), a voter’s registration form completed by the person requesting a mail-in ballot; (b) a declaration signed by the person requesting a mail-in ballot that includes: (i) a statement that the person is qualified to vote in the municipality; 9 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 (ii) evidence of the person’s identity as set out in section 110 of the Act; and (iii) a statement that the person believes the declaration to be true and knows that it is of the same force and effect as if made under oath or affirmation and by virtue of the Canada Evidence Act. (1.1) The declaration mentioned in clause (1)(b) may be made: (a) in person before the returning office or other person authorized by bylaw or resolution to witness the person’s signature; or (b) by registered mail, by ordinary mail, by fax, by email or as otherwise specified in the bylaw or resolution, in which case the declaration must be accompanied by: (i) the person’s signature; and (ii) copies of the identification or information provided for the purposes of subclause (1)(b)(ii). (1.2) A person requesting a mail-in ballot is not required to complete a voter’s registration form if: (a) a voters list is being used in the election; and (b) the information provided in the person’s declaration made in accordance with subsections (1) and (1.1) matches the information in the voter registry respecting that person (2) The bylaw or resolution mentioned in subsection (1) must also provide for: (a) the maintenance of the secrecy of mail-in ballots; (b) the inspection of the voter’s registration forms and the declarations of persons requesting a mail-in ballot by candidates or candidates’ agents on election day and at any other time provided for in the bylaw until the close of polls on election day; (c) the right of candidates or their agents to object to a person’s eligibility to vote pursuant to subsection 112(1) and to request pursuant to clause 112(2)(b) of the Act to verify that the procedures set out in clause 110(b) of the Act have been followed; (d) the counting of the mail-in ballots after the close of polls on election day; and (e) the retention and destruction of the mail-in ballots and forms with other election materials pursuant to section 142 of the Act. 24 Dec 2015 cL-30.11 Reg 1 s18; 8 Dec 2023 SR 120/2023 s9. 10 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 PART V Elections of Board Members Who Represent Indian Reserves Interpretation of Part 19 In this Part: “band” means a band as defined in the Indian Act (Canada), and includes the council of a band; “band member” means a member of a band; “chief” means the chief of a band who is elected in accordance with section 73 of the Indian Act (Canada); “education committee” means a group of three or more members of a band who are appointed by the chief or elected by the band to deal with matters on the reserve relating to education; “Form” means a form set out in Appendix B; “Indian Reserve subdivision” means a subdivision consisting of one or more reserves; “reserve” means a reserve as defined in the Indian Act (Canada). “subdivision” means a subdivision as defined in The Education Act, 1995. 24 Dec 2015 cL-30.11 Reg 1 s19. Application of Act and regulations 20 Except as otherwise provided in these regulations, the Act and these regulations apply, with any necessary modification, to elections in Indian Reserve subdivisions. 24 Dec 2015 cL-30.11 Reg 1 s20. Nomination paper 21(1) Form A is the form prescribed for the nomination paper for an election in an Indian Reserve subdivision. (2) The form mentioned in subsection (1) must: (a) be signed by at least five persons who are: (i) 18 years of age or more; and (ii) band members residing in the Indian Reserve subdivision; and (b) contain a part entitled “Candidate’s Acceptance” that is signed by the candidate being nominated. 24 Dec 2015 cL-30.11 Reg 1 s21. 11 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 First election in Indian Reserve subdivision 22 For the first election in an Indian Reserve subdivision, the secretary of the division shall cause to be delivered to the chief of each band council in the subdivision, on or before a date to be determined by the minister to whom for the time being the administration of The Education Act, 1995 is assigned, at least two copies of Form A. 24 Dec 2015 cL-30.11 Reg 1 s22. Poll 23(1) For the first election in an Indian Reserve subdivision, if more than one person is nominated, a poll must be taken in each reserve within or partly within the subdivision: (a) on a date to be fixed by the minister to whom for the time being the administration of The Education Act, 1995 is assigned; and (b) at a place designated by the chief of the affected reserve. (2) In general elections after a first election described in subsection (1), if a poll is required, it must be taken: (a) on the date specified in an order made pursuant to section 42 of The Education Act, 1995; and (b) at a place designated by the chief. 24 Dec 2015 cL-30.11 Reg 1 s23. Deputy returning officer 24 In an election in an Indian Reserve subdivision, the chief or the chief’s nominee is the deputy returning officer. 24 Dec 2015 cL-30.11 Reg 1 s24. Voters 25 In order for a person to be entitled to vote in any election in an Indian Reserve subdivision, the person must: (a) be at least 18 years of age; and (b) have resided: (i) in the school division in which the poll is taken for at least three consecutive months immediately preceding the day of the election; and (ii) in Saskatchewan for at least six consecutive months immediately preceding the day of the election. 24 Dec 2015 cL-30.11 Reg 1 s25. 12 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Poll book 26(1) In an election in an Indian Reserve subdivision, the returning officer shall provide a supply of: (a) poll books in Form B; (b) registration forms for voters residing on reserves in Form C; and (c) the statement of results in Form Z of Appendix C. (2) The returning officer shall, not later than the day before the day of the poll, deliver to each deputy returning officer a sufficient number of each form mentioned in subsection (1). 24 Dec 2015 cL-30.11 Reg 1 s26. Entries in poll book 27 In an election in an Indian Reserve subdivision, the deputy returning officer shall keep a poll book in Form B in which the poll clerk shall: (a) enter the name and residence of each voter; and (b) number the entries made pursuant to clause (a) consecutively. 24 Dec 2015 cL-30.11 Reg 1 s27. Voter’s registration form 28 A person who wishes to vote in an election in an Indian Reserve subdivision shall be permitted to vote if the person establishes the person’s eligibility to vote by completing a registration form in Form C. 24 Dec 2015 cL-30.11 Reg 1 s28; 8 Dec 2023 SR 120/2023 s10. Notice of person elected 29 The returning officer shall, as soon as is practicable after an election, give written notice of the name and residence of any person elected as a board member in an Indian Reserve subdivision to: (a) the minister to whom for the time being the administration of The Education Act, 1995 is assigned; (b) the secretary of each education committee; (c) the chiefs of the reserves in the Indian Reserve subdivision; and (d) the board of education. 24 Dec 2015 cL-30.11 Reg 1 s29. 13 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 PART VI Elections in Municipalities and School Divisions Interpretation of Part 30 In this Part, “Form” means a form set out in Appendix C. 24 Dec 2015 cL-30.11 Reg 1 s30. 31 Repealed. 8 Dec 2023 SR 120/2023 s12. Appointment of election officials 32 Form D is the form prescribed for the appointment of any election official for the purposes of subsection 48(3) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s32. Oath of office – election officials 33 Form E is the form prescribed for the oath of office, affirmation or declaration to be taken by an election official for the purposes of subsection 50(1) or (2) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s33. 34 Repealed. 8 Dec 2023 SR 120/2023 s13. Application to access or remove voter registry information 35(1) For the purposes of clause 53.5(1)(a) of the Act, a person or a person’s agent may apply to have access to information in the voter registry about the person by providing the returning officer with a request, in writing, that contains the following information: (a) the person’s full legal name; (b) the date of the request; (c) the person’s ordinary residential address; (d) if submitted by the person’s agent, the agent’s full legal name and mailing address; and (e) either: (i) the signature of the person making the request; or (ii) if submitted by the person’s agent, a declaration signed by the agent stating that the agent is authorized to make the request on the person’s behalf. (2) For the purposes of clause 53.5(1)(b) of the Act, a person or a person’s agent may apply to have the person’s information removed from or not included in the voter registry by providing the returning officer with a request, in writing, that contains the following information: (a) the person’s full legal name; (b) the date of the request; 14 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 (c) the person’s ordinary residential address; (d) the person’s mailing address if different than the address mentioned in clause (c); (e) if submitted by the person’s agent, the agent’s full legal name and mailing address; (f) a statement of confirmation that the person’s information is to be removed from or not included in the voter registry; (g) a statement of recognition that, if the person’s information is removed from or not included in the voter registry: (i) the person’s name will not appear on the voters list for municipal and school board elections; and (ii) the person will be required to register at the poll in order to vote; and (h) either: (i) the signature of the person making the request; or (ii) if submitted by the person’s agent, a declaration signed by the agent stating that the agent is authorized to make the request on the person’s behalf. 8 Dec 2023 SR 120/2023 s14. Notice of call for nominations 36 Form H is the notice form prescribed for calling for nominations for the office of mayor, reeve, councillor or board member for the purposes of section 66 of the Act. 24 Dec 2015 cL-30.11 Reg 1 s36. Nomination paper 37(1) Form I is the form prescribed for the nomination paper in the following circumstances: (a) if the nomination paper must be signed by at least 25 voters of a municipality that has a population of 20,000 or more pursuant to clause 67(3)(a), (b) or (g) of the Act; (b) if the nomination paper must be signed by at least five voters of a municipality with a population less than 20,000 pursuant to clause 67(3)(c), (d) or (h) of the Act; (c) if the nomination paper must be signed by at least two voters of a rural municipality pursuant to subsection 67(4) of the Act. (2) Form J is the form prescribed for the nomination paper if the nomination paper must be signed by at least 10 voters for a school division for the purposes of clause 67(3)(e) or (f) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s37. 15 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 Receipt of nomination paper 38 Form K is the form prescribed for the receipt of nomination paper for the purposes of section 75 of the Act. 24 Dec 2015 cL-30.11 Reg 1 s38. Notice of call for further nominations 39 Form L is the form prescribed for calling for further nominations for the purposes of clause 78(1)(b) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s39. Poll book or advance poll book 40 The returning officer shall ensure that a poll book or advance poll book, as the case may be: (a) numbers each voter sequentially; and (b) contains the following information for each voter: (i) the voter’s name; (ii) whether the voter was issued a ballot with respect to the election of any of the following: (A) the mayor or reeve; (B) a councillor; (C) a member of a public school board of education; (D) a member of a separate school board of education; (E) a bylaw, resolution or question; and (iii) in accordance with subsection 112(1) of the Act: (A) whether a candidate or a candidate’s agent objected to the voter’s eligibility to vote; and (B) the name of the person who made the objection. 8 Dec 2023 SR 120/2023 s15. 16 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Ballot paper 41(1) Form N is the form prescribed for the purposes of clause 91(1)(a) of the Act. (2) The top of the ballot for the office of a member of council must contain a rectangle in which is printed in black ink: “FOR THE OFFICE OF Place X in circle to right of name YOU ARE ENTITLED TO VOTE FOR ___________________________________ CANDIDATE(S) FOR THIS OFFICE”. (3) The top of the ballot for a member of a board of education must contain a rectangle in which is printed in black ink: “FOR MEMBER OF _________________ BOARD OF EDUCATION Place X in circle to right of name YOU ARE ENTITLED TO VOTE FOR __________CANDIDATE(S)”. (4) The top of the first circle must be at least one millimetre below the lower border of the rectangles mentioned in subsections (2) and (3). (5) Each circle must be at least one centimetre in diameter. (6) Each circle must be at least one millimetre from every other circle. (7) The rectangles mentioned in subsections (2) and (3) and the circles mentioned in subsection (5) must be in the natural colour of the paper. (8) The names of duly nominated candidates must be arranged in one or more columns. 24 Dec 2015 cL-30.11 Reg 1 s41. Directions for voting 42 For the purposes of clauses 93(1)(b) and (d) and clause 101(2)(b) of the Act: (a) Form O is the form prescribed for the Directions for Voting; and (b) Form P is the form prescribed for the posting of sections 3, 4, 7 and 8 of The Controverted Municipal Elections Act. 24 Dec 2015 cL-30.11 Reg 1 s42. 43 Repealed. 8 Dec 2023 SR 120/2023 s16. Voters registration form and poll book 44 Form R is the form prescribed for the voter’s registration form and poll book for the purposes of subsection 121(2) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s44; 8 Dec 2023 SR 120/2023 s17. 17 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 Transfer certificate 45 Form S is the certificate prescribed for the purposes of section 97 or 98 of the Act entitling an election official, a candidate’s agent or a voter with a disability to vote at a polling place other than at the one where the person would otherwise be required to vote. 24 Dec 2015 cL-30.11 Reg 1 s45; 8 Dec 2023 120/2023 s18. Appointment of candidate’s agent 46 Form T is the form prescribed for the appointment of a candidate’s agent for the purposes of subsection 104(1) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s46. Declaration of candidates and agents 47 Form U is the form prescribed for the oath, affirmation or declaration to be taken by: (a) agents for the purposes of subsection 104(1)(b) or subsection 105(1) of the Act; or (b) candidates for the purposes of subsection 105(1) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s47. Declaration of voter unable to vote in the manner prescribed by Act 48 Form V is the voter’s declaration form prescribed for the purposes of clauses 123(1)(a) and (b) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s48. Template for use of visually impaired voters 49(1) Form W is the form of the template prescribed for visually impaired voters for the purposes of clause 123(1)(c) of the Act. (2) The form mentioned in subsection (1) must be printed on insert buff tag manila 300M. (3) The form mentioned in subsection (1) must contain at least as many holes as names on the ballot. (4) The holes mentioned in subsection (3) must be 12 millimetres in diameter and located two millimetres from the right side of the template. (5) The centre of the first hole mentioned in subsection (3) must be situated four centimetres from the top. (6) The centres of the holes mentioned in subsection (3) must be two centimetres apart. 24 Dec 2015 cL-30.11 Reg 1 s49. 18 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Declaration of friend 50 Form X is the form prescribed for the purposes of subsection 123(2) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s50. Declaration of interpreter 51 Form Y is the form prescribed for an interpreter for the purposes of subsection 125(2) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s51. Deputy Returning Officer’s Statement of Results 52 Form Z is the form prescribed for the written statement of results for the purposes of clause 133(1)(b) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s52. Declaration of poll 53 Form BB is the form prescribed for the declaration of poll for the purposes of section 135 of the Act. 24 Dec 2015 cL-30.11 Reg 1 s53. Declaration of results 54 Form CC is the form prescribed for the declaration of results for the purposes of clause 139(1)(b) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s54. Ballot for vote on bylaw or resolution 55(1) Form DD is the ballot form prescribed for taking a vote on a bylaw or resolution for the purposes of subsection 148(1) of the Act. (2) The back of the ballot mentioned in subsection (1) must be in the form prescribed for the back of the ballot in Form N. 24 Dec 2015 cL-30.11 Reg 1 s55. Ballot for vote on question 56(1) Form EE is the ballot form prescribed for the taking of a vote on a question for the purposes of subsection 148(1) of the Act. (2) The back of the ballot mentioned in subsection (1) must be in the form prescribed for the back of the ballot in Form N. 24 Dec 2015 cL-30.11 Reg 1 s56. Ballot for vote on two or more bylaws, resolutions or questions 57(1) Form FF is the ballot form prescribed for the taking of a vote on two or more bylaws, resolutions or questions for the purposes of clause 148(1)(c) of the Act. (2) The back of the ballot mentioned in subsection (1) must be in the form prescribed for the back of the ballot in Form N. 24 Dec 2015 cL-30.11 Reg 1 s57. 19 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 Designation and declaration of representative 58(1) Form GG is the form prescribed for the designation of a representative for the purposes of subsection 149(1) of the Act. (2) Form HH is the form prescribed for the declaration made by a representative at the taking of a vote on any bylaw or question for the purposes of clause 149(4)(a) of the Act. 24 Dec 2015 cL-30.11 Reg 1 s58. Deputy Returning Officer’s Statement of results on bylaw, resolution or question 59(1) Form II is the form prescribed for the statement of results of a vote on a bylaw, resolution or question for the purposes of subsection 151(1) of the Act. (2) Form JJ is the form prescribed for the purposes of subsection 151(1) of the Act for the statement of results of a vote on conflicting bylaws. 24 Dec 2015 cL-30.11 Reg 1 s59. Notice of results on bylaw, resolution or question 60(1) Form KK is the form prescribed for the notice of results of a vote on a bylaw, resolution or question for the purposes of section 156 of the Act. (2) Form LL is the form prescribed for the notice of results of a vote on conflicting bylaws for the purposes of section 156 of the Act. 24 Dec 2015 cL-30.11 Reg 1 s60. Notice of request for recount 61 Form MM is the form prescribed as the notice for requesting a recount for the purposes of subsection 158(2). 24 Dec 2015 cL-30.11 Reg 1 s61. Certificate re request for recount 62 Form NN is the form prescribed for the certificate of the returning officer for the purposes of clause 159(1)(a). 24 Dec 2015 cL-30.11 Reg 1 s62. PART VII Repeal and Coming into Force R.R.S. c.L-30.1 Reg 4 repealed 63 The Local Government Election Regulations, 2006 are repealed. 24 Dec 2015 cL-30.11 Reg 1 s63. Coming into force 64(1) Subject to subsection (2), these regulations come into force on the day on which section 1 of The Local Government Election Act, 2015 comes into force. (2) If The Local Government Election Act, 2015 comes into force before the day on which section 1 of these regulations are filed with the Registrar or Regulations, these regulations come into force on the day on which they are filed with the Registrar of Regulations. 24 Dec 2015 cL-30.11 Reg 1 s64. 20 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Appendix A FORM A [Subclause 110(a)(ii) of the Act and section 14 of the Regulations] Certification of Identity and Residence To Be Completed By Person Seeking to Vote in a Local Election I, ________________________________, have resided since _______________________ (Name of Person – Please Print) (Date) OR have eaten or slept on the following dates ____________________________ at _____________________________________________________________________________ (Name of Facility) _____________________________________________________________________________ (Address of Facility) I certify that this information is true. ___________________________________ _ _________________________________________ (Signature) (Date) To Be Completed By Facility Administrator I, __________________________________________________________________________ (Name of authorized representative of the facility noted above – Please Print) ____________________________________________________________________________, (Position – Please Print) certify the following: t I am authorized to complete and issue a “Certification of Identity and Residence” form on behalf of the facility noted above, to provide proof of identity and proof of residence for residents/clients of the facility who wish to register and vote in elections held in a municipality and/or school division at an Advance Poll or on Election Day. t I confirm that the individual mentioned above is a resident/client of the facility, or resident of the location identified above for the period indicated. t I certify that I have witnessed the individual’s signature. ___________________________________ _ _________________________________________ (Authorized Signature of Administrator) (Date) This form may be printed on the facility’s official letterhead. Warning: Every person who furnishes false or misleading information to a returning officer or to any person who is authorized to act as an election official is guilty of an offence and liable on summary conviction to a fine of not more than $5000. 21 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM B [Clause 110(b) of the Act and clause 17(1)(b) of the Regulations] Vouching for Identity Voter Information ____________________________________________________________________________ (Name – Please Print) ____________________________________________________________________________ (Address – Please Print) ___________________________________ _ _________________________________________ (Signature of Voter) (Date) Voucher Information ____________________________________________________________________________ (Name – Please Print) ____________________________________________________________________________ (Address – Please Print) Voucher Declaration I swear (or solemnly affirm): t That I know the above-mentioned person who is seeking to vote at this polling place, that this voter has completed the Voter’s Registration Form, and that I believe the matters sworn to/affirmed are true in substance and in fact. t That I have been requested by the above-mentioned person to vouch for the person’s identity and residence. t That I have not acted, and will not act as a voucher for any other person in this municipality during this election except for a member of my family living with me, pursuant to subsection 17(2) of The Local Government Election Regulations, 2015. t That the information given by me with respect to the above statements is true in all respects. ___________________________________ _ _________________________________________ (Signature of Voucher) (Date) Witness Declaration I have witnessed the signatures of the voter and voucher. ___________________________________ _ _________________________________________ (Signature of Deputy Returning Officer) (Date) This Form must be attached to the Voter’s Registration Form. Warning: Every person who furnishes false or misleading information to a returning officer or to any person who is authorized to act as an election official is guilty of an offence and liable on summary conviction to a fine of not more than $5000. 18 Mar 2016 Errata Notice; 8 Dec 8 2023 120/2023 s19. 22 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM C Repealed. 8 Dec 2023 SR 120/2023 s19. 23 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 Appendix B FORM A [Section 21 of the Regulations] Nomination Paper The _________________________________________School Division No. ___________of Saskatchewan, Indian Reserve Subdivision No. _______________________________. We the undersigned, each being an adult resident of the band or bands of the above-mentioned Indian Reserve Subdivision, nominate ________________________ of ______________________________________ Indian Reserve Subdivision No. ______ as a candidate for election as a member of the board of Indian Reserve Subdivision No. _______. Dated this ____________day of ________________________ , 20 _________. _________________________________ _____________ I.R. No. ___________________ . (Band Member) _________________________________ _____________ I.R. No. ___________________ . (Band Member) _________________________________ _____________ I.R. No. ___________________ . (Band Member) _________________________________ _____________ I.R. No. ___________________ . (Band Member) _________________________________ _____________ I.R. No. ___________________ . (Band Member) Candidate’s Acceptance The _________________________________________School Division No. ___________of Saskatchewan, Indian Reserve Subdivision No. _______________________________. I, _____________________________________ , a(n) _______________________________ , (Name as it will appear on the ballot) (Occupation) named in the above nomination, declare that: 1 I am the full age of 18 years. 2 I am a band member of the ______________________Indian Reserve No. ______. 3 I am a Canadian citizen and I have resided in Saskatchewan for at least six consecutive months immediately preceding the date on which this nomination paper is submitted. 4 I am not disqualified by The Local Government Election Act, 2015, The Education Act, 1995 or any other Act from holding the office for which I am a candidate. 5 If elected, I will accept the office for which I was nominated. 6 I have resided for at least three consecutive months immediately preceding the date on which this nomination paper is submitted in the school division named above. _____________________________________ (Witness) _____________________________________ _____________________________________ (Witness) (Candidate) 24 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM B [Clause 26(1)(a) of the Regulations] Poll Book for Elections The ______________________________________School Division No. ______________of Saskatchewan, Indian Reserve Subdivision No. _______________. Record of poll taken this __________ day of __________________, 20 ______ , for the election of a member of the board of education. Date of Poll _________________________________________________________________ Name of Voter Place of Declared Voted Objected Remarks Residence or Refused to Declare 25 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM C [Clause 26(1)(b) of the Regulations] Registration Form For Voter Residing on Indian Reserve ________________________________School Division No. ____ Subdivision No. ____ _______________________________________ Indian Reserve Subdivision No. _______ _______________________Separate School Division No. ____ Subdivision No. ____ _______________________________________ Indian Reserve Subdivision No. _______ Print: Full Name ____________________________________________________________ Place of Residence ___________________________________________________________ Residing On ___________________________ Indian Reserve No. ___________________ Polling Area No. _______________________ I declare that: 1 I have not already voted in this election. 2 On the day of the election: (a) I am the full age of 18 years or will attain the full age of 18 years on or before election day; (b) I have resided for at least three consecutive months immediately preceding the day of the election in the school division or separate school division named above; (c) I am a band member of the __________________Indian Reserve No.____ ; (d) I have resided in Saskatchewan for at least six consecutive months immediately preceding the day of the election; and (Check one of the following:) (e) G I am a voter of the public school division; or G I am a voter of the separate school division and I am of the religious faith of the minority that established the separate school division. I declare that the information given by me with respect to the above statements is true in all respects. Dated this _____________ day of ____________________________________, 20 _____ . Witness: ___________________________________ _ _________________________________________ (Deputy Returning Officer) (Voter) 14 Feb 2020 SR 11/2020 s7; 8 Dec 2023 SR 120/2023 s20. 26 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Appendix C FORM A Repealed. 8 Dec 2023 SR 120/2023 s20. FORM B Repealed. 8 Dec 2023 SR 120/2023 s20. FORM C Repealed. 8 Dec 2023 SR 120/2023 s20. 27 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM D [Subsection 48(3) of the Act] Appointment of Election Official In my capacity as returning officer for the: (complete as applicable) ___________________________________of ____________________________________ (Municipality) ______________________________________ School Division No. ______________ ____________________________ Separate School Division No. ______________ I appoint _____________________________________________________________ to be: (Name) (check the appropriate office(s)) □ (a) election clerk; □ (b) deputy returning officer for Polling Area No. ______ , the polling place for which shall be _______________________________________________ ; □ (c) deputy returning officer for Polling Area No. ______ , the polling place for which shall be ______________________, and who is also designated as the deputy returning officer mentioned in sections 49 and 137 of The Local Government Election Act, 2015; □ (d) deputy returning officer mentioned in clause 48(3)(c) of The Local Government Election Act, 2015, the polling place for which shall be _______________________________________; □ (e) deputy returning officer mentioned in clause 48(3)(d) of The Local Government Election Act, 2015; □ (f) poll clerk for Polling Area No. _____ , the polling place for which shall be ______________________________________ ; □ (g) nomination officer; □ (h) other ____________________________________; □ Repealed. 8 Dec 2023 SR 120/2023 s21. for the election to be held on _________________, 20 ___________. Dated this ____________day of ________________________ , 20 _________. _____________________________________ (Returning Officer) 8 Dec 2023 SR 120/2023 s21. 28 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM E [Subsection 50(1) or (2) of the Act] Oath, Affirmation or Declaration of Election Official I, _______________________________________________________________ , an election (Name) official at the election to be held for the: (complete as applicable) ___________________________________of ____________________________________ (Municipality) ______________________________________ School Division No. ______________ ____________________________ Separate School Division No. ______________ on the ________day of _______________ , 20 ________ , swear (or affirm or declare) that: 1 I will not attempt unlawfully to ascertain the candidate or candidates for whom any person has voted or the manner of a person’s vote on a bylaw, resolution or question, and I will not in any way aid in the unlawful discovery of that information; 2 I will strictly observe secrecy with respect to any and all knowledge that may come into my possession regarding the information and identification provided pursuant to section 110 of the Act; 3 I will strictly observe secrecy with respect to any and all knowledge that may come into my possession regarding the candidate or candidates for whom any person has voted or the manner in which a voter has marked the voter’s ballot on a bylaw, resolution or question; and 4 I will faithfully and impartially, to the best of my knowledge and ability, execute the office of ______________________________________ , and I have not received and will not receive any payment or reward or promise of payment or reward for the exercise of any partiality or corrupt practice. Sworn (or affirmed or declared) before me at ____________________________________ , Saskatchewan, this ___________________ _______________________________ (Election official) day of __________________ , 20 _________ . ________________________________________________________ (Returning Officer, Commissioner for Oaths for Saskatchewan or other person authorized by law to administer an oath) 14 Feb 2020 SR 11/2020 s7. FORM F Repealed. 8 Dec 2023 SR 120/2023 s21. FORM G Repealed. 8 Dec 2023 SR 120/2023 s21. 29 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM H [Section 66 of the Act] Notice of Call for Nominations (Municipal or School Division Elections) PUBLIC NOTICE is hereby given that nominations of candidates for the office(s) of: (complete as applicable) Mayor/Reeve: __________________________ of ________________________________ (Municipality) Councillor: ____________________________ of ________________________________ (Municipality) Ward/Division No. _________ (If applicable) -or- Number to be Elected _____ Board Member: ________________________ School Division No. _______________ Subdivision No. ____________ (If applicable) -or- Number to be Elected _____ Board Member: ________________________ Separate School Division No. ______ Subdivision No.

____________ (If applicable) -or- Number to be Elected _____ will be received by the undersigned on the ______ day of _____________, 20 ____, from __________________ to ______________________ at ___________________, and (Place) (If applicable) during regular business hours on __________________________________ (Month and day) to _____________________________ 20 ______ at ______________________________. (Month and day) (Place) Nomination forms may be obtained at the following location(s): Dated this _____________ day of ___________________________________, 20 ______. _________________________________________ (Returning Officer or Nomination Officer) 24 Dec 2015 cL-30.11 Reg 1. 30 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM I (FRONT) [Clauses 67(3)(a),(b),(c),(d),(g) & (h) and subsections 67(3), (4) & (5) of the Act] [Subsection 37(1) of the Regulations] Nomination We the undersigned, being voters of the: ___________________________________of ____________________________________ (Municipality) Ward/Division No. ________________(If applicable) nominate ______________________________ , ____________________________________ , (Name) of ___________________________________________ , to be a candidate at the election (Street/road address or legal description of land) to be held on the __________day of _________________ , 20 ________for the office of: (Complete one) Mayor/Reeve: ___________________________ of ______________________________ (Municipality) Councillor: ______________________________ of ______________________________ (Municipality) Ward/Division No. __________(If applicable) Signature * Name (printed) Street/Road Address or Legal Description of Land ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ * require at least ● 25 signatures for a municipality with a population of 20,000 or more (except for Rural Municipalities); ● 5 signatures for a municipality with a population of less than 20,000 (except for Rural Municipalities); or ● 2 signatures for Rural Municipalities. 14 Feb 2020 SR 11/2020 s7. 31 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM I (BACK) [Clauses 67(3)(a)(b)(c)(d)(g) & (h) of the Act] [Subsection 37(1) of the Regulations] Candidate’s Acceptance I, __________________________________________________________________________, (Name as it will appear on the ballot) a(n) ________________________________________________________________________, (Occupation)* a candidate nominated for the office of: (complete as applicable) Mayor/Reeve: ___________________________ of ______________________________ (Municipality) Councillor: ______________________________ of ______________________________ (Municipality) Ward/Division No. __________(If applicable) declare that: 1 I am the full age of 18 years or will attain the full age of 18 years on or before election day; 2 I am a Canadian citizen; 3 If elected, I will accept the office for which I was nominated; and 4 I am not disqualified by The Local Government Election Act, 2015 or any other Act from holding the office for which I am a candidate; For municipalities – excluding rural municipalities and resort villages 5 I have resided in Saskatchewan for at least six consecutive months immediately preceding the date on which this nomination paper is submitted; and 6 I have resided in the municipality, or on land now in the municipality, for at least three consecutive months immediately preceding the date on which this nomination paper is submitted. For rural municipalities 5 I am eligible to vote in the municipality; 6 I am a resident of Saskatchewan; 32 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 For resort villages only 5 I have resided in Saskatchewan for at least six consecutive months immediately preceding the date on which this nomination paper is submitted; and 6 I: (indicate one of the following) (a) have resided in the resort village, or land now in that resort village, for three consecutive months immediately preceding the date on which this nomination paper is submitted; (b) have been the assessed person with respect to property in the resort village, or property now situated in the resort village, pursuant to section 207 of The Municipalities Act, for at least three consecutive months immediately preceding the date on which this nomination paper is submitted; or (c) am the spouse of a person mentioned in clause (a) or (b). Candidate’s preferred contact information (Candidates must provide at least one of the following) Home Phone Number: _ ____________________________________ Cell Phone Number: _______________________________________ Email Address: ___________________________________________ Other Contact Information: _______________________________________________ Dated at ___________________, this ________day of __________________ , 20 _____. ___________________________________ _ _________________________________________ (Signature of Candidate) (Witness) _ _________________________________________ (Witness) *Can be removed from the form, unless otherwise required by bylaw of the municipality pursuant to clause 9.1(2)(c) of the Act. 8 Dec 2023 SR 120/2023 s21. 33 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM J (FRONT) [Clause 67(3)(e) or (f) of the Act] [Subsection 37(2) of the Regulations] Nomination for School Board We the undersigned, being voters of the: (Complete one) _____________________________________________ School Division No. ________ Subdivision No. ___________________(If applicable) ___________________________________ Separate School Division No. _______ Subdivision No. ___________________(If applicable) nominate ___________________________________________________________________, (Name) of ___________________________________________ , to be a candidate at the election (Street/road address or legal description of land) to be held on the __________day of _________________ , 20 ________for the office of: (Complete one) Board Member: _____________________________School Division No. _______ Subdivision No. ____________________(If applicable) Board Member: ___________________Separate School Division No. ________ Subdivision No. ____________________(If applicable) Signature Name (printed) Street/Road Address or (10 signatures required) Legal Description of Land ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ ______________________ ______________________ _____________________________ Note • In the case of a school division election in which subdivisions are used, an eligible nominator must reside in the subdivision in which the candidate is seeking nomination. • In the case of a separate school division election, an eligible nominator must be a voter of the separate school division in accordance with subsection 36(2) of The Local Government Election Act, 2015. 34 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM J (BACK) [Clause 67(3)(e) or (f) of the Act] [Subsection 37(2) of the Regulations] Candidate’s Acceptance I, ___________________________________, a(n) _________________________________ , (Name as it will appear on the ballot) (Occupation if required) a candidate nominated for the office of: (Complete as applicable) Board Member: _____________________________School Division No. _______ Subdivision No. ____________________(If applicable) Board Member: ___________________Separate School Division No. ________ Subdivision No. ____________________(If applicable) declare that: 1 I am the full age of 18 years or will attain the full age of 18 years on or before election day; 2 I am a Canadian citizen and I have resided in Saskatchewan for at least six consecutive months immediately preceding the date on which this nominate paper is submitted; 3 I am not disqualified by The Local Government Election Act, 2015, The Education Act, 1995 or any other Act from holding the office for which I am a candidate; 4 If elected, I will accept the office for which I was nominated; and 5 I have resided for at least three consecutive months immediately preceding the date on which this nomination paper is submitted in, or on land now in: (a) School Division No. _________________; OR (b) Separate School Division No. _________________ , and I am of the religious faith of the minority that established the separate school division. Candidate’s preferred contact information (Candidates must provide at least one of the following) Home Phone Number: _ ____________________________________ Cell Phone Number: _______________________________________ Email Address: ___________________________________________ Other Contact Information: _______________________________________________ Dated at ___________________, this ________day of __________________ , 20 _____. ___________________________________ _ _________________________________________ (Signature of Candidate) (Witness) _ _________________________________________ (Witness) Note - Occupation is required if authorized by resolution pursuant to section 9.2 of The Local Government Election Act, 2015 14 Feb 2020 SR 11/2020 s7; 8 Dec 2023 SR 120/2023 s21. 35 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM K [Section 75 of the Act] Receipt of Nomination and Candidate’s Acceptance I acknowledge that I have received a completed nomination paper and candidate’s acceptance form from ________________________________________________________________________ _____________________________________________________________________________ (Name) of _______________________________________________ , a candidate for the office of: (Street/road address or legal description of land) (Complete as applicable) Mayor/Reeve: _____________________of ____________________________________ (Municipality) Councillor: _____________________________________________of ______________ (Municipality) Ward/Division No. _________(If applicable) Board Member: ____________________________ School Division No. ________ Subdivision No. ___________(If applicable) Board Member: __________________ Separate School Division No. ________ Subdivision No. ___________(If applicable) Dated at ___________________ this ________day of __________________ , 20 _____. _________________________________ (Returning Officer or Nomination Officer) 36 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM L [Section 78 of the Act] Notice of Call For Further Nominations (Municipal or School Division Elections) Mayor/Reeve: _____________________of ____________________________________ (Municipality) Councillor: _____________________________________________of ______________ (Municipality) Ward/Division No. _________(If applicable) Board Member: ____________________________ School Division No. ________ Subdivision No. ___________(If applicable) Board Member: __________________ Separate School Division No. ________ Subdivision No. ___________(If applicable) The returning officer or nomination officer will receive nominations of candidates for the above office(s): (a) during normal office hours from ____________________________________ (Close of withdrawal period) until __________________________________________________________________ (4:00 p.m. on the second Wednesday following the close of the withdrawal period; or in the case of a resort village, 2:00 p.m. on the second Saturday following the close of the withdrawal period) at ___________________________________________________________ ; and (Place) (b) on the _____day of _____________, 20 _____, from _______ until ________ at ____________________________________________________________________ (Place) Nomination forms may be obtained at the following location(s): ______________________________________ _____________________________________ Dated at ___________________, this ________day of __________________ , 20 _____. _____________________________________ (Returning Officer or Nomination Officer) 37 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM M Repealed. 8 Dec 2023 SR 120/2023 s21. 38 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM N [Section 91 of the Act] Ballot (FRONT) Council for Division/Ward No. (if applicable) _____________________ FOR THE OFFICE OF FOR MEMBERS OF ROMAN CATHOLIC SEPARATE MAYOR/REEVE BOARD OF EDUCATION • PLACE X IN CIRCLE TO RIGHT OF NAME • YOU ARE ENTITLED TO VOTE FOR ONE • PLACE X IN CIRCLE TO RIGHT OF NAME CANDIDATE FOR THIS OFFICE • YOU ARE ENTITLED TO VOTE FOR A MAXIMUM OF _______CANDIDATE(s) FOR THE OFFICE OF COUNCILLOR • PLACE X IN CIRCLE TO RIGHT OF NAME • YOU ARE ENTITLED TO VOTE FOR A MAXIMUM OF ________CANDIDATE(s) FOR THIS OFFICE FOR MEMBER OF BOARD OF EDUCATION • PLACE X IN CIRCLE TO RIGHT OF NAME • YOU ARE ENTITLED TO VOTE FOR _______CANDIDATE(s) 39 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM N [Section 91 of the Act] Ballot (BACK) D.R.O. INITIALS PRINTER’S NAME and ADDRESS 40 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM O [Clause 93(1)(b) and clause 101(2)(b) of the Act] Directions for Voting 1 Carefully read the instructions for voting that are printed in the upper portion of the ballot paper. 2 Make only those marks on the ballot paper you are instructed to make and no other. 3 In marking the ballot paper, use the pencil provided in the voting compartment. 4 After you have marked the ballot paper, fold it so as to show only the name or initials of the deputy returning officer on the back of it. 5 After you have folded the ballot paper, hand the ballot paper to the deputy returning officer. 6 Do not let any person see how you have marked your ballot paper. 7 You may watch the deputy returning officer deposit your ballot paper in the ballot box and then you must promptly leave the polling place. 8 If you accidentally spoil the ballot paper, return it to the deputy returning officer and ask for another, which will be given to you if the deputy returning officer is satisfied that the first one was spoiled by accident. 9 If you vote for more candidates for any office than you are entitled to vote for, your ballot will be void and will not be counted for any of the candidates for that office. 10 If you place any mark on your ballot by which you may afterwards be identified, or if the ballot has been torn, defaced or otherwise dealt with so that you can thereby be identified, the ballot will be void and not counted. 11 You must not take the ballot paper out of the polling place. 41 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM P [Clause 93(1)(d) and clause 101(2)(b) of the Act] Sections 185.1, 185.11, 185.21 and 185.22 of The Local Government Election Act, 2015 Bribery 185.1 A person is deemed to have committed the offence of bribery if that person: (a) or any other person on that person’s behalf, directly or indirectly: (i) gives, lends or agrees to give, lend, offer or promise money or valuable consideration, or gives, procures or agrees to give, procure, offer or promise any office, place or employment, to or for any voter or person in order to induce that voter or person to vote or refrain from voting at an election or on a bylaw or question; or (ii) does any act described in subclause (i) on account of a voter having voted or having refrained from voting at an election or on a bylaw or question; (b) or any other person on that person’s behalf, directly or indirectly, makes any gift, loan, offer, promise or agreement described in clause (a) to or for any person in order to induce that person to procure or defeat, or endeavour to procure or defeat: (i) the election of a candidate; (ii) the passing of a bylaw; (iii) the result of a vote on a question; or (iv) the vote of a voter at an election; (c) in return for a gift, loan, offer, promise, procurement or agreement, procures, defeats, engages, promises or endeavours to procure or defeat: (i) the election of a candidate; (ii) the passing of a bylaw; (iii) the result of a vote on a question; or (iv) the vote of a voter at an election; (d) advances, pays or causes to be paid money to or for the use of any other person, with the intent that the money or any part of it be spent in bribery at an election or at the voting on a bylaw or question, or knowingly pays or causes to be paid money to any person in discharge or repayment of money wholly or in part spent in bribery at an election or at the voting on the bylaw or question; 42 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 (e) or any other person on that person’s behalf, before or during an election or before or during the voting on a bylaw or question, directly or indirectly, receives, agrees or contracts for any money, gift, loan or valuable consideration, office, place or employment for that person or any other person for: (i) voting or agreeing to vote at the election or on the bylaw or question; or (ii) refraining or agreeing to refrain from voting, at the election or on the bylaw or question; (f) or any other person on that person’s behalf, after an election or the voting on a bylaw or question, directly or indirectly: (i) receives any money or valuable consideration on account of any person having voted or refrained from voting; or (ii) induces any other person to vote or refrain from voting at the election or on the bylaw or question; or (g) hires a vehicle for the purpose of transporting voters to or from the polls, or receives pay for the use of a vehicle for the purpose of transporting voters to and from a poll. Undue Influence 185.11(1) In this section, “threatens” means: (a) makes use of or threatens to make use of any force, violence or restraint; (b) inflicts or threatens the infliction personally or by or through any other person of any injury, damage, harm or loss; or (c) in any manner practises intimidation. (2) A person is deemed to have committed the offence of undue influence if that person or any other person on that person’s behalf, directly or indirectly: (a) threatens any person in order to induce or compel any person to vote or refrain from voting, or to vote for or against a particular candidate, bylaw or question, at an election, or on account of a voter having voted or refrained from voting at an election; or (b) by abduction, duress or any fraudulent device or contrivance: (i) impedes, prevents or otherwise interferes with the free exercise of the franchise of a voter; or (ii) compels, induces or prevails on a voter to give or refrain from giving the voter’s vote, or to vote for or against a candidate, bylaw or question, at an election. Forfeiture and disqualification 185.21 A candidate elected at an election who is found by a judge, on the hearing of a motion in the nature of a quo warranto, to be guilty of an act of bribery pursuant to section 185.1 or of using undue influence pursuant to section 185.11 forfeits the candidate’s seat and is ineligible as a candidate at any election for 12 years. 43 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 Penalty for bribery or undue influence 185.22(1) A person who is found guilty of an offence within the meaning of section 185.1 or 185.11 is: (a) liable to a fine of not more than $5,000, payable to the local jurisdiction on behalf of which the election was conducted; and (b) disqualified from voting at any election or on any bylaw or question for the next four consecutive years. (2) The penalty imposed in this section is recoverable with full costs of suit by any person who sues for the penalty in court, and a person against whom judgment is rendered is ineligible either as a candidate or a voter until the full amount of the penalty has been paid. (3) The judge may direct that, in default of payment of the penalty and costs within the time fixed, the person against whom judgment is rendered must be imprisoned for the lesser of the following periods: (a) 30 days; or (b) until the day on which the penalty and costs are fully paid. (4) In case of default of payment, the judge may issue a warrant for the arrest and imprisonment of the person against whom judgment is rendered in accordance with the judgment until the penalty and costs are fully paid. 14 Feb 2020 SR 11/2020 s7. 44 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM Q Repealed. 8 Dec 2023 SR 120/2023 s21. 45 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM R [Subsection 121(2) of the Act] Voter’s Registration Form and Poll Book (if voters list is not used) Name: ______________________________________________________________________ (Print) Address: ____________________________________________________________________ (Print) Election held in: (complete as applicable) ___________________________________of ____________________________________ (Municipality) Ward/Division No. _____________(If applicable) ______________________________________ School Division No. ______________ Subdivision No. ____________________(If applicable) ____________________________ Separate School Division No. ______________ Subdivision No. ____________________(If applicable) Complete the following by placing an “X” in the box to the left of each statement that is correct: 1 I am a Canadian citizen. 2 I am the full age of 18 years or will attain the full age of 18 years on or before election day. 3 I have not already voted at this election. (Choose one) School Division Voters 4 On the day of the election, I: (a) have resided for at least three consecutive months immediately preceding the day of the election in or on land now in the: (i) _________________________________ School Division No. ___; or (ii) __________________________Separate School Division No. ___, and I am of the religious faith of the minority that established the separate school division; (b) qualify as a voter of that school division; and (c) have resided in Saskatchewan for at least six consecutive months immediately preceding the day of the election. 46 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Municipal Voters – excluding Rural Municipalities and Resort Villages 5 On the day of the election: (a) I: (place an “X” in one of the following boxes for clause (a)) (i) have resided for at least three consecutive months immediately preceding the day of the election in or on land now in the ______________________ of _____________________________________; or (Municipality) (ii) have been the owner for at least three consecutive months immediately preceding the day of the election of assessable land situated in the municipality or of land now in the municipality; and (b) I have resided in Saskatchewan for at least six consecutive months immediately preceding the day of the election. Municipal Voters – Rural Municipalities only 6 On the day of the election, I: (place an “X” in one of the following boxes) (a) have resided in the rural municipality or on land now in the rural municipality for at least three consecutive months immediately preceding the day of the election; (b) am the registered owner, (or purchaser pursuant to a bona fide agreement for sale), of land in the rural municipality; (c) am assessed with respect to land in the rural municipality pursuant to a lease, licence, permit or contract in agreement with the registered owner; (d) am assessed with respect to an improvement in the rural municipality; (e) am the holder of a permit in the rural municipality with respect to a trailer or mobile home; (f) am the spouse of a person described in clause (b), (c), (d) or (e); (g) am the chief executive officer of a duly incorporated co-operative, corporation or religious association that is assessed on the last revised assessment roll with respect to property in the rural municipality that is not exempt from taxation. Municipal Voters – Resort Villages only 7 On the day of the election, I: (place an “X” in one of the following boxes) (a) have resided for at least three consecutive months immediately preceding the day of the election in or on land now in the Resort Village of______________________________________________; (b) have been the assessed person with respect to property for at least three consecutive months immediately preceding the day of the election in or on property now situated in the Resort Village of______________________; (c) am the spouse of a person described in clause (a) or (b). 47 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 I declare that I am a voter entitled to vote in Ward/Division No. ____________________ of the ___________________________________ of _____________________________ .* (municipality) I declare that I am a voter entitled to vote in Subdivision No. ________________ of the ____________________________ School Division/Separate School Division No. _____.** I declare that the information given by me with respect to the above statements is true in all respects. Dated this ____________day of ________________________ , 20 _________. Witness: ______________________________________ _ _________________________________________ (Deputy Returning Officer or other person (Voter) authorized by bylaw for the purposes of a mail-in ballot) VOTED WITH RESPECT TO Member of Member of Bylaw, Public Separate Resolution Sworn or Mayor/ School School or Refused to Reeve Councillor Board Board Question Declare Objection REMARKS ____________________________________________ Entry No. _____________ * Declaration statement to be used in rural municipalities that have established wards. ** Declaration statement to be used only if subdivisions are established in the school division/separate school division. 8 Dec 2023 SR 120/2023 s21. 48 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM S [Sections 97 and 98 of the Act] Transfer Certificate I authorize __________________________________________________________________ (Name) of ___________________________________________________________________________ (Address) who resides in Polling Area No. ______to vote at Polling Area No. ________: (check one) (a) at which the person will perform the duties of: G Deputy Returning Officer G Poll Clerk G Candidate’s Agent G Other _____________________________________________________; or (Office) (b) G which provides convenient access to persons with disabilities. Dated this _______ day of ______________________, 20 _________. . _____________________________________ (Returning Officer) Note: No person may transfer his or her vote from one ward to another. 8 Dec 2023 SR 120/2023 s21. 49 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM T [Subsection 104(1) of the Act] Appointment of Candidate’s Agent This is to certify that_________________________________________________________ (Name) of ___________________________________________________________________________ (Address) is authorized to attend at Polling Area No. ___ located at _______________________ (Address or place) on the _______ day of _____________________, 20 ______ , as my agent. Dated at ___________________, this ________day of __________________ , 20 _____. _____________________________________ (Candidate) 50 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM U [Clause 104(1)(b) and Subsection 105(1) of the Act] Declaration of Candidate or Agent I, ______________________________________________________________, declare that: (Name) 1 I will not, at the election to be held for the: (Complete as applicable) ___________________________________of ____________________________________ (Municipality) Ward/Division No. _____________(If applicable) ______________________________________ School Division No. ______________ Subdivision No. ____________________(If applicable) ____________________________ Separate School Division No. ______________ Subdivision No. ____________________(If applicable) on the _____ day of ________________ , 20 ______: (a) attempt unlawfully to ascertain; (i) the candidate or candidates for whom any person has voted; or (ii) the manner of a person’s vote on a bylaw or question; or (b) in any way aid the unlawful discovery of the information mentioned in clause (a). 2 I will strictly observe secrecy with respect to any and all knowledge that may come into my possession of: (a) any person who has shown evidence of the person’s identity and residence pursuant to section 110 of the Act; (b) the candidate or candidates for whom any person has voted; and (c) the manner in which a voter has marked the ballot on a bylaw or question. Dated this ____________day of ________________________ , 20 _________. Witness: ___________________________________ _ _________________________________________ (Deputy Returning Officer) (Candidate or Agent) 8 Dec 2023 SR 120/2023 s21. 51 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM V [Clauses 123(1)(a) and (b) of the Act] Declaration of Voter Unable to Vote in the Manner Described by the Act I declare that: 1 I am a Canadian citizen. 2 I am the full age of 18 years or will attain the full age of 18 years on or before election day. 3 I have not already voted at this election. 4 I am unable to vote in the manner otherwise prescribed by The Local Government Election Act, 2015. School Division Voters 5 On the day of the election, I: (a) have resided for at least three consecutive months immediately preceding the day of the election in or on land now in the: (i) _________________________________ School Division No. ____; or (ii) ________________________ Separate School Division No. _____, and I am of the religious faith of the minority that established the separate school division; (b) qualify as a voter of that school division; and (c) have resided in Saskatchewan for at least six consecutive months immediately preceding the day of the election. Municipal Voters – excluding Rural Municipalities and Resort Villages 6 On the day of the election: (a) I: (place an “X” in one of the following boxes for clause (a)) (i) have resided for at least three consecutive months immediately preceding the day of the election in or on land now in the _________________ of _____________________________________; or (Municipality) (ii) have been the owner for at least three consecutive months immediately preceding the day of the election of assessable land situated in the municipality or of land now in the municipality; and (b) I have resided in Saskatchewan for at least six consecutive months immediately preceding the day of the election. 52 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 Municipal Voters – Rural Municipalities only 7 On the day of the election, I: (complete one) (a) have resided in the rural municipality or on land now in the rural municipality for at least three consecutive months immediately preceding the day of the election; (b) am the registered owner, (or purchaser pursuant to a bona fide agreement for sale), of land in the rural municipality; (c) am assessed with respect to land in the rural municipality pursuant to a lease, licence, permit or contract in agreement with the registered owner; (d) am assessed with respect to an improvement in the rural municipality; (e) am the holder of a permit in the rural municipality with respect to a trailer or mobile home; (f) am the spouse of a person described in clause (b), (c), (d) or (e); (g) am the chief executive officer of a duly incorporated co-operative, corporation or religious association that is assessed on the last revised assessment roll with respect to property in the rural municipality that is not exempt from taxation. Municipal Voters – Resort Villages only 8 On the day of the election, I: (place an ‘X’ in one of the following boxes) (a) have resided for at least three consecutive months immediately preceding the day of the election in or on land now in the Resort Village of______________________________________________; (b) have been the assessed person with respect to property for at least three consecutive months immediately preceding the day of the election in or on property now situated in the Resort Village of______________________; (c) am the spouse of a person described in clause (a) or (b). I declare that I am a voter entitled to vote in Ward/Division No. ____________________ of the ___________________________________ of _____________________________ .* (municipality) I declare that I am a voter entitled to vote in Subdivision No. ________________ of the ____________________________ School Division/Separate School Division No. _____.** I declare that the information given by me with respect to the above statements is true in all respects. Dated this ____________day of ________________________ , 20 _________. Witness: ______________________________________ _ _________________________________________ (Deputy Returning Officer) (Signature of Voter) * Declaration statement to be used in rural municipalities that have established wards. ** Declaration statement to be used only if subdivisions are established in the school division/separate school division. 14 Feb 2020 SR 11/2020 s7; 8 Dec 2023 SR 120/2023 s21. 53 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM W [Clause 123(1)(c) of the Act] Template for Use of Visually Impaired Voters THIS TEMPLATE IS FOR THE USE OF VISUALLY IMPAIRED VOTERS WHO DO NOT WISH TO BE ASSISTED BY A FRIEND OR BY THE DEPUTY RETURNING OFFICER General Instruction to Deputy Returning Officer Visually impaired voters are required to make the declaration in Form V when using this template. Your poll clerk will make the usual entry in the poll book, i.e. “voted”. Procedure in the handling of the Ballot Detach voter’s ballot from the book and fold it in the prescribed way. Unfold ballot and place it inside template in such a way that the first circle on the ballot is aligned with the first circle on the template. IF ASKED, inform voter of the order in which the names of the candidates appear on the ballot. Direct the voter to refold the ballot, after marking it, using as a guide the ridges left when you folded it. 24 Dec 2015 c.L-30.11 Reg 1; 8 Dec 2023 SR 120/2023 s21. 54 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM X [Subsection 123(2) of the Act] Declaration of Friend I, ______________________________________________________________, declare that: (Name) 1 I will observe strict secrecy with respect to all knowledge that comes into my possession of the candidate(s) for whom ________________________ has voted; and 2 I will mark the ballot as the voter has instructed. Dated this ____________day of ________________________ , 20 _________. Witness: ___________________________________ _ _________________________________________ (Deputy Returning Officer) (Signature of Friend) 8 Dec 2023 SR 120/2023 s21. 55 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM Y [Subsection 125(2) of the Act] Declaration, Oath or Affirmation of Interpreter I, ______________________________________________________________, declare that: (Name) 1 I will translate faithfully such oaths, questions and answers as the deputy returning officer may require me to translate at this election. 2 I will observe strict secrecy with respect to all knowledge that comes into my possession of the candidate or candidates for whom any person has voted. Dated at ___________________, this ________day of __________________ , 20 _____. Witness: ___________________________________ _ _________________________________________ (Deputy Returning Officer) (Signature of Interpreter) 56 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM Z [Clause 133(1)(b) of the Act] Deputy Returning Officer’s Statement of Results (Complete one) Poll No. _______ Mayor/Reeve: _____________________of ____________________________________ (Municipality) Councillor: _____________________________________________of ______________ (Municipality) Ward/Division No. _________(If applicable) Board Member: ____________________________ School Division No. ________ Subdivision No. ___________(If applicable) Board Member: __________________ Separate School Division No. ________ Subdivision No. ___________(If applicable) for the election held on the _______day of __________________, 20 ______. Names of Candidates Number of Votes or Acclamation/Elected BALLOT ACCOUNT Ballots Number Counted (Not objected to) Counted (Objected to) Rejected by deputy returning officer because: no vote marked no deputy returning officer’s initials marked for more persons than required to be elected marked to identify voter torn or defaced to identify the voter other Spoiled and Declined SUBTOTALS Unused ballots TOTAL Ballots supplied The number of voters who have voted as indicated in the poll book is ___________. 57 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 I certify that the above statements are correct. Dated this _________________day of __________, 20 ______ . _____________________________________ (Deputy Returning Officer) Note: A separate Statement of Results must be completed for each office. 58 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM AA [Subsection 7(2) and Section 10 of the Regulations] Deputy Returning Officer’s Statement of Results for Voting Machines (Complete one) Mayor/Reeve: _____________________of ____________________________________ (Municipality) Councillor: _____________________________________________of ______________ (Municipality) Ward/Division No. _________(If applicable) Board Member: ____________________________ School Division No. ________ Subdivision No. ___________(If applicable) Board Member: __________________Separate School Division No. _______ Subdivision No. ___________________(If applicable) for the election held on the _______day of __________________, 20 ______. Names of Candidates Number of Votes or Acclamation/Elected BALLOT ACCOUNT Ballots Number Counted Rejected Ballot on which no vote marked Ballot on which voter made more votes than entitled Spoiled and Declined SUBTOTALS Unused ballots TOTAL Ballots supplied 59 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 The number of voters who have voted as indicated in the poll book is ___________. I certify that the above statements are correct. Dated this _________________day of __________, 20 ______ . _____________________________________ (Deputy Returning Officer) Note: - A separate Statement of Results must be completed for each office. - This form is for summing votes when counting ballots with vvoottiinngg mmaacchhiinneess oonnllyy.. - In the case in which ballots are counted manually (counted by hand), use Form Z. 60 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM BB [Section 135 of the Act] Declaration of Poll I, __________________________________________, the undersigned deputy returning (Name) officer for: (Check one) G Polling Area No. _______ OR G Advance Poll No. _______ of the: (Complete as applicable) ___________________________________of ____________________________________ (Municipality) Ward/Division No. ___________(If applicable) ______________________________________ School Division No. ______________ Subdivision No. ___________________(If applicable) ____________________________ Separate School Division No. ______________ Subdivision No. ___________________(If applicable) declare that to the best of my knowledge the: (Check one) G Polling Book _____________ OR G Advance Poll List(s) ______ used in this election held on the _____day of ____________________ , 20 ______, was so used in the manner prescribed by law and that the entries required by law to be made in the polling book or advance poll lists(s) were correctly made. Dated this ____________day of ________________________, 20 ______ . ___________________________________ _ _________________________________________ (Poll Clerk Deputy) (Deputy Returning Officer) 61 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM CC [Clause 139(1)(b) of the Act] Declaration of Results (Complete one) Mayor/Reeve: ___________________________ of ______________________________ (Municipality) Councillor: ______________________________ of ______________________________ (Municipality) Ward/Division No. __________(If applicable) Board Member: _____________________________School Division No. _______ Subdivision No. ____________________(If applicable) Board Member: ___________________Separate School Division No. _______ Subdivision No. ____________________(If applicable) for the election held on the _______day of __________________, 20 ______. Names of Candidates Number of Votes or Acclamation/Elected Number of rejected ballots, except those on which no vote was made: ................................................................. ______________ *Number of ballots counted but objected to: ................................... ______________ Spoiled: (e.g. Issued to a person who declined to vote) .................. ______________ Total number of voters who voted as indicated on each Form Z (or Form AA for voting machines) ............................. ______________ I declare that this is an accurate statement of the votes cast for the office of _________________________________ for ______________________________________ (Specify) (Municipality or School Division) Dated this _______ day of ___________________________________, 20 ______ . _____________________________________ (Returning Officer) Note: A separate Declaration of Results must be completed for each office. *Not applicable when using a voting machine 14 Feb 2020 SR 11/2020 s7. 62 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM DD [Subsection 148(1) of the Act] Ballot for Vote on Bylaw or Resolution Note: Mark your ballot for or against the bylaw or resolution by placing an “X” in the circle to the right of the words that express your intention. Do not write any word or other figure on this ballot. __________________________________________________________________________________________________________________________________________________________ Vote on bylaw/resolution to _____________________________________________________________________________ (Here state object of the bylaw) submitted by the FOR the Bylaw/Resolution _________________________________ AGAINST the Bylaw/Resolution ______________________________________ (Name in full of municipality or school division) Dated this ____________day of ________________________ , 20 _________. __________________________________________________________________________________________________________________________________________________________ FORM EE [Subsection 148(1) of the Act] Ballot for Vote on Question Note: Mark your ballot by placing an “X” in the circle to the right of the word that expresses your opinion on the question. Do not write any word or other figure on this ballot. Vote on the Question: _____________________________________________________________________________ (Here state object of the question) submitted by the YES _________________________________ NO ______________________________________ (Name in full of municipality or school division) Dated this ____________day of ________________________ , 20 _________. 63 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM FF [Clause 148(1)(c) of the Act] Ballot for Vote on Two or More Bylaws, Resolutions or Questions Mark your ballot by placing an “X” in the circle to the right of the word that expresses your opinion on the question asked. Preliminary Question: (state the text of the general question as shown on the ballot) _____________________________________________________________________________ Are you in favour of any bylaws, resolutions or questions regarding: (state subject/object) submitted by the YES _________________________________ NO ______________________________________ (Name in full of municipality or school division) If you voted “NO” to the above question, you should not vote for any of the following bylaws/resolutions. If you voted “YES” to the above question, select one bylaw/resolution that most expresses your intention by placing an “X” in the circle to the right of that bylaw/resolution. DO NOT MARK MORE THAN ONE BYLAW/RESOLUTION Vote for Bylaw/Resolution to (state object of the bylaw/resolution) _____________________________________________________________________________ Vote for Bylaw/Resolution to (state object of the bylaw/resolution) _____________________________________________________________________________ Vote for Bylaw/Resolution to (state object of the bylaw/resolution) _____________________________________________________________________________ 64 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM GG [Subsection 149(1) of the Act] Designation of Representative (Re: Voting on Bylaw, Resolution or Question) ______________________________________________is designated a representative to (Name) attend at Poll No. _______________ on behalf of the voters interested in: G promoting G opposing the following bylaw or voting in the: G affirmative G negative on the following question, as marked, submitted for the taking of a vote by: (Complete as applicable) ___________________________________of ____________________________________ (Municipality) ______________________________________ School Division No. ______________ ____________________________ Separate School Division No. ______________ on the _________day of ______________________ , 20 ______ . (Place an “X” in the space provided) __________________Bylaw No. _____________________________ (state object) ______________________Bylaw No. _____________________________ (state object) __________________Bylaw No. _____________________________ (state object) __________________Question No. __________________________ (state object) __________________Question No. __________________________ (state object) __________________Resolution No. _________________________ (state object) __________________Resolution No. _________________________ (state object) ___________________________________ _ _________________________________________ (Date) (Returning Officer) 65 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM HH [Clause 149(4)(a) of the Act] Declaration of Representative I, ______________________________________________________________, declare that: (Name) 1 I am a voter of: (Complete as applicable) ___________________________________of ____________________________________ (Municipality) ______________________________________ School Division No. ______________ ____________________________ Separate School Division No. ______________ 2 I wish to: (check one) G promote G oppose the passing of the bylaw(s). 3 I support the: (check one) G affirmative G negative vote on the question(s) as marked, and as submitted for the taking of a vote by the: (Mark one) G Municipality G School Division G Separate School Division on the _________day of ______________________ , 20 ______ . __________________Bylaw No. _____________________________ (state object) ______________________Bylaw No. _____________________________ (state object) __________________Bylaw No. _____________________________ (state object) __________________Question No.

__________________________ (state object) __________________Question No. __________________________ (state object) __________________Resolution No. _________________________ (state object) __________________Resolution No. _________________________ (state object) _____________________________________ (Representative) _____________________________________ (Returning Officer) 66 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM II [Subsection 151(1) of the Act] Deputy Returning Officer’s Statement of Results of Vote on Bylaw, Resolution or Question (Complete one) Poll No. _______ ___________________________________of ____________________________________ (Municipality) _____________________________________________ School Division No. ________ Subdivision No. ___________________(If applicable) ___________________________________ Separate School Division No. _______ Subdivision No. ___________________(If applicable) Bylaw/Question/Resolution For/Affirmative Against/Negative BALLOT ACCOUNT Number of Ballots Bylaw/ Bylaw/ Bylaw/ Bylaw/ Question/ Question/ Question/ Question/ Resolution Resolution Resolution Resolution Counted (Not objected to) Counted (Objected to) Rejected - no vote - other Spoiled Issued to persons who declined to vote Total ballots supplied Unused ballots I certify that the above statements are correct. Dated this ____________day of ________________________ , 20 _________. _____________________________________ (Deputy Returning Officer) Note: Complete a separate “Statement of Results” for each of: - Municipal Bylaws/Questions/Resolutions - School Division Bylaws/Questions/Resolutions - Separate School Division Bylaws/Questions/Resolutions 67 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM JJ [Subsection 151(1) of the Act] Deputy Returning Officer’s Statement of Results of Vote on Conflicting Bylaws Poll No. ________ Name of Polling Place: ____________________ _____________________________________of _____________________________________ (Municipality) Ward/Division No. _________________________ (If applicable) __________________________________________________________________________________________________________________________________________________________ PRELIMINARY QUESTION: (State the text of the general question as shown on the ballot) __________________________________________________________________________________________________________________________________________________________ YES .................................................................................. _________________ NO . .................................................................................. _________________ TOTAL ............................................................................ _________________ __________________________________________________________________________________________________________________________________________________________ CONFLICTING BYLAW FOR THE BYLAW 1 BYLAW NO. ___________ ...................................... _________________ 2 BYLAW NO. ___________ ...................................... _________________ 3 BYLAW NO. ___________ ...................................... _________________ NUMBER OF BALLOTS WHERE NO BYLAW MARKED .................................................... _________________ TOTAL (Same as total of YES votes above) .............................. _________________ __________________________________________________________________________________________________________________________________________________________ 68 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 BALLOT ACCOUNT Counted (Not objected to) ............................... ___________ Counted (Objected to) .................................... ___________ Subtotal ................................................................................... ________________ Note: This subtotal should be the same as the total number of “yes and “no” votes. Rejected – No vote marked ....................... ___________ Rejected – Other ........................................ ___________ Subtotal .................................................................................... ________________ Spoiled............................................................................................. ________________ Declined to vote (Voter refused ballot) .......................................... ________________ Ballots taken from poll .................................................................. ________________ Unused ballots ................................................................................ ________________ TOTAL ..................................................................................... ________________ Ballots supplied .............................................................................. ________________ The number of voters who have voted as indicated in the poll book is ____________ . I certify that the above statements are correct. Dated this ____________day of ________________________ , 20 _________. _____________________________________ (Deputy Returning Officer) 69 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM KK [Section 156 of the Act] Notice of Results of Vote on Bylaw, Resolution or Question (Complete one) ___________________________________of ____________________________________ (Municipality) _____________________________________________ School Division No. ________ Subdivision No. ___________________(If applicable) ___________________________________ Separate School Division No. _______ Subdivision No. ___________________(If applicable) for the vote held on the_______day of ____________________________, 20 _______. Bylaw/Resolution/Question For/ Against/ No. of No. of Affirmative Negative Ballots Ballots Rejected Counted but Objected to I certify that the above is an accurate statement of the votes cast on the bylaw(s)/ resolution(s)/question(s). Dated this ____________day of ________________________ , 20 _________. _____________________________________ (Returning Officer) Note: Complete a separate “Declaration of Results” for each of: - Municipal Bylaws/Resolutions/Questions - School Division Bylaws/Questions - Separate School Division Bylaws/Questions 70 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM LL [Section 156 of the Act] Notice of Results of Vote on Conflicting Bylaws _____________________________________of _____________________________________ (Municipality) for the vote held on the _____day of ____________________ , 20 ______. General Question Yes No No. of Ballots No. of Ballots Rejected Counted but Objected to _____________________________________________________________________________ (Put in text of question as shown on the ballot) ________________________________________________________________________________________________________________________________________________________________________________________________ Bylaw For the Bylaw _____________________________________________________________________________ (List the conflicting bylaws) (List votes for each of the conflicting bylaws) I certify that the above is an accurate statement of the votes cast on the general question on conflicting bylaws, and that the majority of the voters voted (either YES or NO) to the general question asked. Note: If the majority of the voters votes YES, the following statement should be included in the declaration. I further certify that of the voters voting YES to the general question, the greatest number of voters voted FOR BYLAW. (Specify the bylaw receiving the greatest number of votes.) Dated this ____________day of ________________________ , 20 _________. _____________________________________ (Returning Officer) 71 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 FORM MM [Subsection 158(2) of the Act] Notice of Request for Recount To: __________________________________________________, Returning Officer of the (Name) ___________________________________of ____________________________________ (Municipality) _____________________________________________ School Division No. ________ Subdivision No. ___________________(If applicable) ___________________________________ Separate School Division No. _______ Subdivision No. ___________________(If applicable) Pursuant to The Local Government Election Act, 2015: 1 I, ______________________________ , of ______________________ , Saskatchewan, (Name) voter/candidate of the ______________________________________________________at (Name of municipality or school division) the election held on the ______ day of ________________________, 20 _____, request a recount of the ballots in connection with: (Check one) G the election of a mayor/reeve G the election of a councillor G the election of a councillor in Ward/Division No. ___________ G the election of members of the board of education G the election of a member of the board of education in Subdivision No. ________ G the election of members of the separate board of education G the election of a member of the separate board of education in G Subdivision No. ______ G a vote on Bylaw No. (Description of object of the bylaw) ___________________________ G a vote on Question No. (State question) ______________________________________ G a vote on Resolution No. (State resolution) ____________________________________ 2 I request that you issue a certificate as required by clause 159(1)(a) of The Local Government Election Act, 2015. 3 My address for service of all documents required to be served on me is __________________________________________________________________________. Dated at ___________________, this ________day of __________________ , 20 _____. _____________________________________ (Voter or Candidate) 72 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 FORM NN [Clause 159(1)(a) of the Act] Certificate of Returning Officer (Re: Request for Recount) ___________________________________________________, voter or candidate of the: (Name) (Complete as applicable) ___________________________________of ____________________________________ (Municipality) OR ______________________________________ School Division No. ______________ OR ____________________________ Separate School Division No. ______________ has requested a recount pursuant to section 158 of The Local Government Election Act, 2015 for the office of ___________________________________________________________________________ or Bylaw No. _________, Resolution No. _________ or Question No. __________ . I certify that: (Complete as applicable) 1 The difference between the number of votes cast for an elected member and the candidate having the next highest number of votes is _________________ ; The difference between the YES and NO votes on Question No. ____________ is ____________ ; OR The difference between the Affirmative and Negative votes on Bylaw No. _____________ is ___________________; The difference between Yes and No votes on Resolution No. _______________ is ___________ ; 2 The number of rejected ballots except those on which no vote was made is ___________________________; 3 The number of the ballots counted but objected to is _______________________ Dated at ______________, this ______________________day of _______, 20 ______ . _____________________________________ (Returning Officer) 73 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 Appendix D TABLE 1 Voter Identification [Section 14 of the Regulations] 1. Information Showing Name The following valid and original documents containing the name of the bearer: 1-1 Birth Certificate 1-2 Canadian Blood Services Donor Card 1-3 Canadian Passport 1-4 Certificate of Canadian Citizenship (Citizenship Card or Citizen Certificate) issued by the Government of Canada 1-5 Certificate of Indian Status (Status Card) or Secure Certificate of Indian Status issued by the Government of Canada 1-6 Canadian National Institute for the Blind (CNIB) client card bearing the person’s photograph and signature or a card bearing the person’s photograph and signature issued by any registered charitable organization that provides services to persons with disabilities 1-7 Credit Card issued by a bank or credit union 1-8 Debit Card issued by a bank or credit union 1-9 Identification issued by the Canada Border Services Authority 1-10 Identification issued by Canadian Air Transport Security Agency (CATSA) 1-11 Identity Card issued by the Canadian Forces 1-12 Employee card issued by the Government of Canada, the Government of Saskatchewan, a Saskatchewan municipality, a school division or an Indian Band in Saskatchewan, or an agency of one of these entities 1-13 Firearm Possession and Acquisition Licence or Possession Only Licence issued pursuant to the Firearms Act (Canada) 1-14 Hunting, Angling and Trapping Licence issued pursuant to The Fisheries (Saskatchewan) Act, 1994 or The Wildlife Act, 1998 1-15 Hospital bracelet/Hospital card 1-16 Métis Nation Status Card issued by the Métis Nation – Saskatchewan 1-17 Old Age Security (OAS) Card issued pursuant to the Old Age Security Act (Canada) 1-18 Pleasure Craft Operator Card issued pursuant to the Canada Shipping Act 1-19 Parolee identification card or other identification card issued by an institution under the authority of the Commissioner of the Correctional Service of Canada 74 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 1-20 Radio Operator Card or Certificate issued by Industry Canada 1-21 Saskatchewan Driver’s Licence issued pursuant to The Traffic Safety Act 1-22 Saskatchewan Health Services Card issued pursuant to The Health Administration Act 1-23 Social Insurance Number Card issued by the Government of Canada 1-24 Student Identification Card issued by a post-secondary institution regulated by a Saskatchewan Act 1-25 Union Identification Card 1-26 Veterans Affairs Canada Health Identification Card 1-27 Wildlife Habitat Certificate 1-28 Professional or trade certification card or licence 1-29 any other piece of identification issued by the Government of Canada, the Government of Saskatchewan, a Saskatchewan municipality, a school division or an Indian Band in Saskatchewan, the Métis Nation - Saskatchewan or an agency of one of these entities bearing the person’s name 2. Information Showing Name and Address The following valid and original documents containing the name and address of the bearer: 2-1 any document bearing the person’s name and address and issued by the Government of Canada, the Government of Saskatchewan, a Saskatchewan municipality, a school division or Indian band in Saskatchewan, the Métis Nation - Saskatchewan, or an agency of one of these entities 2-2 a Certification of Identity and Residence that is substantially in the form of Form A of Appendix A, issued by the responsible authority of a shelter, soup kitchen, student residence, senior residence or long-term care facility. 2-3 one of the following documents issued by the responsible authority of a shelter, soup kitchen, student residence, senior residence or long-term care facility: (a) Letter of Stay (b) Admission Form (c) Statement of Benefits (d) An original or copy of an original document provided by the facility that includes the resident’s name, facility address and other relevant information indicating that the individual resides at the facility, such as: (i) a resident data sheet; (ii) a Face Sheet from the Care Organizer Health Record System; or (iii) a similar document that is kept on record by the facility. 75 LOCAL GOVERNMENT ELECTION, 2015 L-30.11 REG 1 2-4 Bank Card Statement issued by a bank or credit union 2-5 Blank cheque bearing the person’s name and address 2-6 Credit Card Statement issued by a bank or credit union 2-7 Certified copy of title issued by the Registrar of Titles 2-8 Certificate of vehicle registration issued pursuant to The Traffic Safety Act 2-9 Correspondence issued by a post-secondary institution regulated by a Saskatchewan Act 2-10 Declaration witnessed by a notary public or Commissioner for Oaths 2-11 Document issued or certified by a court in Canada 2-12 Documents issued by a utility that supplies telephone, cable television, electricity, gas, or water services 2-13 Government cheque or cheque stub issued by the Government of Canada, the Government of Saskatchewan, a Saskatchewan municipality, a school division or Indian band in Saskatchewan, the Métis Nation - Saskatchewan, or an agency of one of these entities 2-14 Income Tax Assessment Notice issued by the Canada Revenue Agency 2-15 Insurance policy 2-16 Letter from the Public Guardian and Trustee 2-17 Pay cheque or pay receipt issued by an employer 2-18 Pension plan Statement of Benefits, Contributions or Participation 2-19 Property Tax Assessment Notice or a Tax Notice issued by a municipality 2-20 Residential Lease or Mortgage Statement 2-21 Statement of Crop Insurance issued by the Saskatchewan Crop Insurance Corporation 2-22 Statement issued by the Worker’s Compensation Board 2-23 Statement of government benefits (employment insurance, old age security, social assistance, disability support or child tax benefit) issued by the Government of Canada or the Government of Saskatchewan 2-24 Voter identification card issued by a Saskatchewan municipality that shows name and address. 76 L-30.11 REG 1 LOCAL GOVERNMENT ELECTION, 2015 TABLE 2 Vouching [Subsection 17(2) of the Regulations] 1-1 spouse 1-2 father 1-3 mother 1-4 grandfather 1-5 grandmother 1-6 stepfather 1-7 stepmother 1-8 father-in-law 1-9 mother-in-law 1-10 brother 1-11 sister 1-12 brother-in-law 1-13 sister-in-law 1-14 son 1-15 daughter 1-16 stepson 1-17 stepdaughter 1-18 son-in-law 1-19 daughter-in-law 1-20 grandson 1-21 granddaughter 24 Dec 2015 cL-30.11 Reg 1. 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