Emergency Proxy Voting Application for Disability
This file provides a comprehensive application for voters seeking to vote by proxy due to a disability or medical emergency. It outlines the eligibility criteria, application process, and necessary supporting details required for submission. Voters can ensure their participation in elections even when unable to attend polling stations in person.
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How do I fill this out?
Filling out the emergency proxy voting application is essential for those unable to vote in person due to a disability. Start by identifying a trustworthy individual who can vote on your behalf, then complete the application form accurately. Finally, ensure to submit all necessary signatures and documents to your local elections team before the deadline.

How to fill out the Emergency Proxy Voting Application for Disability?
1
Identify a person you trust to be your proxy.
2
Complete the proxy vote application form.
3
Motivate your request by stating the reason you need a proxy.
4
Ensure all sections of the application are filled accurately.
5
Submit the form to your local elections team before the deadline.
Who needs the Emergency Proxy Voting Application for Disability?
1
Individuals with disabilities who cannot visit polling stations due to their condition.
2
Caregivers assisting persons with disabilities who need to facilitate voting access.
3
People recovering from a recent medical emergency that prevents them from voting in person.
4
Individuals receiving a relevant benefit due to their disability and wishing to vote.
5
Legal guardians of voters unable to cast their votes due to medical or mobility issues.
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What are the instructions for submitting this form?
To submit this form, make sure you have completed all sections accurately, including your personal details and the basis for proxy voting. You can send the filled application to your local elections team via mail or fax, as indicated on their official electoral website. Always retain a copy for your records and ensure submission before the specified deadline for your election.
What are the important dates for this form in 2024 and 2025?
In 2024, be mindful of the important deadlines for submitting your proxy vote application, such as: registration period ending midnight 12 working days before elections. It's crucial to ensure your form is submitted before 5 PM on the day of the poll. For 2025, the deadlines will be similar, so check local announcements when the elections are scheduled.

What is the purpose of this form?
The purpose of this form is to enable voters who are unable to attend polling stations due to disability or emergencies to participate in elections through proxy voting. It requires detailed personal information, the selected proxy's details, and a valid reason for not voting in person. The form ensures that those who need assistance can still exercise their democratic rights with support.

Tell me about this form and its components and fields line-by-line.

- 1. Surname: The applicant's last name.
- 2. First name(s): The applicant's full first name(s).
- 3. Address: Registered voting address of the applicant.
- 4. Postcode: Postal code of the registered address.
- 5. Phone number: Optional contact number for communication.
- 6. Email: Optional email address for notifications.
- 7. Proxy's full name: The name of the individual who will cast the vote.
- 8. Family relationship: Indicates any family relation between applicant and proxy.
- 9. Proxy's address: Full residential address of the chosen proxy.
- 10. Election details: Specifies the election or referendum for which the proxy is requested.
- 11. Reason for proxy vote: The reason for applying for a proxy vote, based on disability.
- 12. Disability details: Details about the disability affecting voting ability.
What happens if I fail to submit this form?
Failing to submit this form may result in missing the opportunity to have your vote cast in the election.
- Lost Voting Rights: Not submitting the form could deny you the right to vote.
- Inability to Participate: You may not be able to participate in the election process.
- Late Submission Consequences: Timely submission is crucial to ensure your proxy is recognized.
How do I know when to use this form?

- 1. Medical Emergencies: Individuals experiencing sudden medical issues that prevent attendance.
- 2. Disability Care: Voters requiring assistance due to chronic disabilities.
- 3. Travel or Relocation: Those away from their registered voting location on polling day.
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Are there any deadlines I need to be aware of?
Yes, make sure to check the important dates related to submitting your proxy request.
Do I need to register to vote before applying for proxy?
Yes, you must be registered to vote prior to submitting a proxy application.
What types of identification are required?
You may need to provide proof of identity and any documentation supporting your disability.
Are there other forms I can use for voting?
Yes, there are various application forms depending on your voting circumstances.