PART II/PARTIE II REVISED REGULATIONS OF …the saskatchewan gazette, october 31, 2014 1527 part...

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PART II/PARTIE II REVISED REGULATIONS OF SASKATCHEWAN/ RÈGLEMENTS RÉVISÉS DE LA SASKATCHEWAN TABLE OF CONTENTS/TABLE DES MATIÈRES SR 85/2014 The Election Forms (Chief Electoral Officer) Amendment Regulations, 2014 .................................................. 1529 PART II/PARTIE II The Saskatchewan Gazette PUBLISHED WEEKLY BY AUTHORITY OF THE QUEEN’S PRINTER/PUBLIÉE CHAQUE SEMAINE SOUS L’AUTORITÉ DE L’IMPRIMEUR DE LA REINE Volume 110 REGINA, FRIDAY, OCTOBER 31, 2014/REGINA, VENDREDI, 31 OCTOBRE 2014 No. 44/nº 44

Transcript of PART II/PARTIE II REVISED REGULATIONS OF …the saskatchewan gazette, october 31, 2014 1527 part...

Page 1: PART II/PARTIE II REVISED REGULATIONS OF …the saskatchewan gazette, october 31, 2014 1527 part ii/partie ii revised regulations of saskatchewan/ rÈglements rÉvisÉs de la saskatchewan

1527THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

PART II/PARTIE IIREVISED REGULATIONS OF SASKATCHEWAN/

RÈGLEMENTS RÉVISÉS DE LA SASKATCHEWANTABLE OF CONTENTS/TABLE DES MATIÈRES

SR 85/2014 The Election Forms (Chief Electoral Officer)Amendment Regulations, 2014 .................................................. 1529

PART II/PARTIE II

The Saskatchewan GazettePUBLISHED WEEKLY BY AUTHORITY OF THE QUEEN’S PRINTER/PUBLIÉE CHAQUE SEMAINE SOUS L’AUTORITÉ DE L’IMPRIMEUR DE LA REINE

Volume 110 REGINA, FRIDAY, OCTOBER 31, 2014/REGINA, VENDREDI, 31 OCTOBRE 2014 No. 44/nº 44

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1528 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014Revised Regulations of Saskatchewan 2014/Règlements Révisés de la Saskatchewan 2014

July 18, 2014The Open Seasons Game Amendment Regulations, 2014 ........................................................ SR 66/2014

July 25, 2014The Subdivision Regulations, 2014 ........................................................................................... P-13.2 Reg 2The Child Care Amendment Regulations, 2014 ........................................................................ SR 67/2014

August 8, 2014The Newborn Screening Regulations ......................................................................................... P-37.1 Reg 15The Drug Schedules Amendment Regulations, 2014 ............................................................... SR 68/2014The Disease Control Amendment Regulations, 2014 ................................................................ SR 69/2014

August 15, 2014The Securities Commission (Adoption of National Instruments)

Amendment Regulations, 2014 (No. 2) ................................................................................... SR 71/2014

August 22, 2014The Saskatchewan Polytechnic Regulations ............................................................................. S-32.21 Reg 1The Wildlife Amendment Regulations, 2014 (No. 2) ................................................................ SR 72/2014

September 12, 2014The Oil and Gas Conservation Amendment Regulations, 2014 (No. 2) .................................. SR 73/2014The Electrical Licensing Fees Amendment Regulations, 2014 ................................................ SR 74/2014The Gas Licensing Amendment Regulations, 2014 .................................................................. SR 75/2014The Municipalities Amendment Regulations, 2014 (No. 2) ..................................................... SR 76/2014The Securities Commission (Adoption of National Instruments)

Amendment Regulations, 2014 (No. 3) ................................................................................... SR 77/2014

September 26, 2014The Justices of the Peace Amendment Regulations, 2014 /

Règlement de 2014 modifiant le Règlement de 1989 sur les juges de paix ............................ SR 78/2014/RS 78/2014

The Victims of Crime Amendment Regulations, 2014 / Règlement de 2014modifiant le Règlement de 1997 sur les victimes d’actes criminels ....................................... SR 79/2014/

RS 79/2014October 10, 2014The Municipal Police Equipment Amendment Regulations, 2014 .......................................... SR 80/2014

October 17, 2014The Apprenticeship and Trade Certification Commission

Amendment Regulations, 2014 ............................................................................................... SR 81/2014

October 24, 2014The Powers of Attorney Amendment Regulations, 2014/

Règlement de 2014 modifiant le Règlement sur les procurations ........................................ SR 82/2014/RS 82/2014

The Trust and Loan Corporations Amendment Regulations, 2014 ........................................ SR 83/2014*The Northern Municipalities Amendment Regulations, 2014 (No. 3) .................................... SR 84/2014

October 31, 2014The Election Forms (Chief Electoral Officer) Amendment Regulations, 2014 ....................... SR 85/2014

Page 3: PART II/PARTIE II REVISED REGULATIONS OF …the saskatchewan gazette, october 31, 2014 1527 part ii/partie ii revised regulations of saskatchewan/ rÈglements rÉvisÉs de la saskatchewan

1529THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

THE SASKATCHEWAN GAZETTE, JANUARY 18, 2002 19

REVISED REGULATIONS OF SASKATCHEWAN

THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014 1529

SASKATCHEWAN REGULATIONS 85/2014The Election Act, 1996

Subsection 287(2)

Order of the Chief Electoral Officer, dated October 10, 2014(Filed October 22, 2014)

Title1 These regulations may be cited as The Election Forms (Chief Electoral Officer)Amendment Regulations, 2014.

R.R.S. c.E-6.01 Reg 2 amended2 The Election Forms (Chief Electoral Officer) Regulations are amended in themanner set forth in these regulations.

Section 3 amended3 The following clauses are added after clause 3(ddd):

“(eee) Form III is prescribed as the form to be used for the purposes of anapplication to be considered as a homebound voter pursuant to subsection 89.2(1)of the Act;

“(fff) Form JJJ is prescribed as the form to be used for the certificate to becompleted with respect to absentee voters pursuant to section 89.3 of the Act;

“(ggg) Form KKK is prescribed as the form for the statement of homeboundvoters’ ballots mailed or delivered to a returning officer;

“(hhh) Form LLL is prescribed as the form of the poll book record to be used tocontain the names of persons who have voted as homebound voters;

“(iii) Form MMM is prescribed as the form to be used by an applicant forrevision of the preliminary voters’ list pursuant to section 29.1 of the Act;

“(jjj) Form NNN is prescribed as the form to be used for the purposes of anapplication to access information in the register of voters pursuant tosection 18.6 of the Act;

“(kkk) Form OOO is prescribed as the form to be used to record collected voterdata during an enumeration pursuant to section 22 of the Act”.

New heading after section 44 The following heading is added after section 4:

“Appendix”.

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1530 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

Appendix amended5(1) The Appendix is amended in the manner set forth in this section.

(2) Form H is repealed and the following substituted:

“FORM H[Section 12 of the Act]

Appointment of Election Clerk

To: , Name Occupation

of Residential Address

In my capacity of Chief Electoral Officer of Saskatchewan

I appoint you to be Election Clerk, to act in that capacity at the approaching election for the said

constituency of .

Given under my hand this day of , .

Signature of Chief Electoral Officer”.

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1531THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

You swear (or solemnly affirm):

That you know (full name of voter who has a disability that significantly restricts the voter’s ability to vote

or voter who is unable to understand the English language) who has applied to vote at this polling place, andyou have heard the voter take the oath or make the declaration in Form X of The Election Act, 1996 andbelieve the matters sworn to are true in substance and in fact;

That you have been requested by (full name of voter who has a disability that significantly restricts the

voter’s ability to vote or voter who is unable to understand the English language) to mark the ballot paper,and you will keep secret the name of the candidate being marked for the voter on the ballot paper; and

That you have not acted and will not act for any more than two voters who have a disability that significantlyrestricts the voter’s ability to vote or voters who are unable to understand the English language, at thiselection (to be included only with respect to the Oath or Declaration of a friend who marked the ballot paperfor a voter who has a disability that significantly restricts the voter’s ability to vote or voter who is unable tounderstand the English language).

(So help me God.)

(if sworn)

(3) Forms X and Y are repealed and the following substituted:

“FORM X[Sections 77 and 78 of the Act]

Oath or Declaration of Inability to Mark Ballot Paper

You swear (or solemnly affirm) that you have a disability that significantly restricts your ability to vote, or

that you do not understand the English language (as the case may be).

(So help me God.)(if sworn)

“FORM Y[Sections 77 and 78 of the Act]

Oath or Declaration of Friend of Voter

”.

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1532 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

(4) Form DD is repealed and the following substituted:

“FORM DD[Sections 71, 81, 82, 99, 107, 115 and 123 of the Act]

Declaration of Voter

Part 1: Voter Making a Declaration (Declaring Voter)

Voter’s Polling Date of Writ , Voter’s Constituency Division Number

Last Name of Voter First Name of Voter Middle Name or Initial of Voter

G Male G Female Date of Birth (yyyy/mm/dd) Occupation (e.g., labourer)

Number & Street (e.g., 123 Main Street) Apartment/Unit (e.g., Apt. 4 or Unit 4) or Land Location (e.g., NE20-16-10 W3M)

, SaskatchewanCity, Town or Village (e.g., Ile-a-la-Crosse) Postal Code (e.g., S4N 6B2)

Mailing Address (if different than ordinary residential address given above)

Number & Street or Post Office Box Apartment/Unit

, SaskatchewanCity, Town or Village (e.g., Ile-a-la-Crosse) Postal Code (e.g., S4N 6B2)

Part 2: Declaration of Voter (to be completed by voter applying for a ballot)

! I am the full age of 18 years or will attain the full age of 18 years on or before Polling Day;! I am a Canadian citizen or a British subject and was qualified as a voter (in Saskatchewan) on June 23, 1971;! I have ordinarily resided in Saskatchewan for at least six months immediately preceding the day the writ was

issued;! I was ordinarily resident in the above-mentioned constituency on the day the writ was issued; ! I am not disqualified pursuant to section 17 of The Election Act, 1996 to vote at this election; ! I have not already voted at this election; and

I make this solemn declaration conscientiously, believing it to be true and knowing that it is of the same force and effectas if made under oath and by virtue of the Canada Evidence Act.

Date Signature of Applicant/Voter I do not want my name added to the Register of Voters

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1533THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

Part 3: Voter Vouching (for an individual who is not on the voters’ list and does not have acceptable identification)

I, , being a qualified voter in the above-named constituency, appearing on the voter’s list, (Printed Name of Voter Vouching)

having provided satisfactory evidence of the voter’s identity and ordinary residence at (Address of Voter Vounching)

to the poll clerk, confirm that the declaring voter is known to me and that the information provided by the declaringvoter as to identity and place or ordinary residence is accurate and that I have only vouched for one voter at thiselection.

Signature of Voter Vouching for Declaring Voter

Part 4: For Use by Election Officer

Acceptable identification presented by voter who is vouching

Voter who is vouching is on the Voters’ List

Yes

Yes

No

No

Signature of Election Officer ”.

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1534 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

(5) Form FF is repealed and the following substituted:

“FORM FF[Section 77 of the Act]

Ballot Template

This template, valid for a ballot paper (Form A) with a maximum of eight candidates, is for the use of a voterwho has a disability that significantly restricts the voter’s ability to vote and who does not wish to be assistedby a friend or the deputy returning officer in marking the ballot.

The portion of the template containing the circular holes shall be coloured black with instructions reading asfollows:

General Instruction to Deputy Returning Officer

! Voters who have a disability that significantly restricts their ability to voteARE NOT required to take the oath of an incapacitated voter when usingthis template

! Your poll clerk will make the usual entry in the poll book, i.e. “voted”

Procedure in the handling of the Ballot Paper

! Detach voter’s ballot paper from the book and fold it in the prescribed way

! Unfold ballot paper and place it inside template in such a way that the firstcircle 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 candidatesappear on the ballot paper

! Direct the voter to refold his/her ballot paper, after marking it, using as aguide the ridges left when you folded it

”.

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1535THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

(6) Forms GG and HH are repealed and the following substituted:

“FORM GG[Section 140 of the Act]

Notice to Voters - Northern Constituencies

Public notice is given that registration will be made of all persons qualified to vote, in the election now pending, at the

polling places named in my proclamation dated the day of , .

The enumerator appointed by me for the territory adjacent to the polling place located at

is of in this constituency.

Application for registration may be made to the enumerator by any person ordinarily resident in the territory adjacent

to that polling place at any time from a.m./p.m. to p.m. from

to .

The enumerator will sit for revision of the voters’ list at

between the hours of and from to .

Given under my hand at this day of , .

Returning Officer

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1536 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

“FORM HH[Sections 58 and 191 of the Act]

Directions for the Guidance of Voters

A voter may vote for one candidate only.

Voter’s Declaration – A patient in a hospital, a remand prisoner

in a remand centre, or a temporarily displaced voter may vote

only if he or she makes a voter’s declaration at the polling

place.

Persons whose names appear on the voters’ list may be required

to make the declaration and if so required will be allowed to

vote only after making the voter’s declaration.

HOW TO VOTE

Step 1: On receiving a ballot paper, the voter shall proceed to a

voting station provided for the purpose of voting.

Step 2: The voter shall mark the ballot paper by placing a cross

or other mark that clearly indicates the voter’s choice in the

circle to the right of the name of the candidate for whom the

voter intends to vote. An example is below.

DO NOT MARK ANY OTHER PART OF THE BALLOT

In the following example, the Candidates are Bill Brown, Jane

Hamon, Joseph O’Neil and Alice Smith.

The voter has marked his or her ballot paper in favour of Alice

Smith.

Bill BROWN(Political Affiliation)

Farmer

Jane HAMON(Political Affiliation)

Lawyer

Joseph O’NEIL(Political Affiliation)

Printer

Alice SMITH(Political Affiliation)

Teacher

Step 3: After marking the ballot paper, the voter will fold the

ballot paper so that the names of the candidates and the voter’s

mark on the ballot are concealed, but the initials of the Deputy

Returning Officer are exposed.

Leave the voting station with your ballot.

Step 4:

(a) After leaving the voting station, the voter will immediately

deliver the folded ballot paper to the Deputy Returning Officer,

without showing the front to anyone or displaying the ballot

paper so as to make the name of the candidate for whom he or

she has voted known to any person.

(b) The Deputy Returning Officer will examine the initials on

the ballot paper to confirm it is the ballot paper given to the

voter by the Deputy Returning Officer.

(c) After removing the counterfoil, the Deputy Returning

Officer will give the ballot back to the voter.

Step 5: The voter will deposit the ballot in the ballot box or

allow the Deputy Returning Officer to deposit the ballot in the

ballot box.

Step 6: The voter will leave the polling place immediately after

the ballot has been deposited in the ballot box.

If a voter inadvertently spoils a ballot paper so that he or she

cannot conveniently use it as he or she desires, he or she may

return it to the Deputy Returning Officer who will give him or

her another.

If a voter votes for more than one Candidate, or places any

mark on the ballot paper by which he or she can be

identified, his or her vote will be void and WILL NOT be

counted.

If a voter fraudulently takes a ballot paper out of the polling

place or fraudulently delivers to the Deputy Returning Officer

to be placed in the ballot box any other paper than the ballot

paper given to him or her by the Deputy Returning Officer, he

or she will be disqualified from voting for the next five years

and is liable to imprisonment for not more than one year.

Warning189(1) No person shall unlawfully take down, cover up, mutilate, deface or alter an election proclamation, notice or other document required to be posted pursuant to this

Act. Any person violating the provision of subsection 189(1) is guilty of an offence and, subject to subsection 216(2) of this Act, if convicted, is liable to a fine of not

more than $5,000.00 or to imprisonment for a term not exceeding two years or to both. ”.

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1537THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

(7) Forms MM and NN are repealed and the following substituted:

“FORM MM[Section 25(6) of the Act]

Certificate of Returning Officer

“FORM NN[Section 28 of the Act]

Certificate of Revision

I certify that the foregoing is a true copy of the voters’ list in Polling Division No. (or in the case of a

personal care facility insert name of facility) of the constituency of

as prepared by me for use in the election now pending of a member of the Legislative Assembly of

Saskatchewan for that constituency.

Dated this day of , .

Signature of Returning Officer

Name of Returning Officer Phone Number and Address of Returning Officer

Revision will take place at

(Here the Returning Officer shall make any addition to the list that he or she finds necessary.)

I certify that the foregoing is a corrected list of the voters in Polling Division No. (or in the case of a

personal care facility insert name of facility) of the constituency of

as revised (or if no correction is made as finally approved) by me this day of

.

Signature of Returning Officer ”.

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1538 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

(8) Form EEE is repealed and the following substituted:

“FORM EEE[Section 5 of the Act]

Poll Book

”.

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1539THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

(9) The following Forms are added after Form HHH:

“FORM III[Subsection 89.2(1) of the Act]

Homebound Voter Application and Declaration

To: The Returning Officer, Constituency of

Part 1 Application (eligible voter who is disabled or caregiver of an eligible voter who is disabled)

I hereby apply to vote at the election now pending as provided in sections 89.1, 89.2, and 89.3, inclusive, of The Election Act, 1996.

First Name (e.g., “Mary”) Middle Name or Initial (e.g., “Alice” or “A”) Last Name (e.g., “Smith”)

G Male G FemaleDate of Birth (yyyy/mm/dd) (e.g., 1960/12/23) Occupation (e.g., labourer)

I am (check one):

An eligible voter who is disabled

Caregiver of an eligible voter who is disabled

Ordinary Residential Address (on the day the writ was issued)

Number & Street (e.g., 123 Main Street) Apartment/Unit (e.g., Apt. 4 or Unit 4) or Land Location (e.g., NE20-16-10 W3M)

, Saskatchewan City, Town or Village (e.g., Ile-a-la-Crosse) Postal Code (e.g., S4N 6B2)

Telephone: ( ) / Cell: ( )

Facsimile: ( ) / Email Address:

Part 2 Declaration of Voter

! I am the full age of 18 years or will attain the full age of 18 years on or before Polling Day;! I am a Canadian citizen or a British subject and was qualified as a voter on June 23, 1971;! I have ordinarily resided in Saskatchewan for at least six months immediately preceding the day the writ

was issued;! I was ordinarily resident in the above-mentioned constituency on the day the writ was issued; ! I am not disqualified pursuant to section 17 of The Election Act, 1996 to vote at this election; ! I am unable to vote at an Advance Poll or on Polling Day in the constituency in which I am an ordinary

resident due to a disability or I am providing care to a person with a disability and unable to vote at anAdvance Poll or on Polling Day in the constituency in which I ordinarily reside; and

! I have not already voted at this election.

I make this solemn declaration conscientiously, believing it to be true and knowing that it is of the same forceand effect as if made under oath and by virtue of the Canada Evidence Act.

Signature of Applicant Date

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1540 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

“FORM JJJ[Clause 89.3(4)(c) of the Act]

Certificate Envelope

To be completed by the Returning Officer:

Constituency of

ofName of Voter

Address (Street and Number) and (apt. or unit) or Land Location

, Saskatchewan City, Town or Village Postal Code

To be completed by the homebound voter:

Insert ballot envelope (E-163) in this envelope, seal and complete the following

certificate.

I certify that I am entitled to vote pursuant to section 89.1 of The Election Act,

1996, because I am unable to vote at an Advance Poll or on Polling Day in theconstituency in which I am an ordinary resident due to a disability or I am providingcare to a person with a disability, and that enclosed in this envelope is a ballotenvelope that contains the ballot received by me and marked by me.

Dated this day of , 20 .

Signature of Voter

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1541THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

“FORM KKK[Section 89.3 of the Act]

Statement of Homebound Voters’ Ballots Delivered to the Returning Officer

Constituency of

BALLOTS COUNTED FOR EACH CANDIDATE

Number of ballots cast for:

Number of ballots cast for:

Number of ballots cast for:

Number of ballots cast for:

Number of ballots cast for:

Number of ballots cast for:

Number of rejected ballots

Axob tollab ni stollab ’sretov dnuobemoh latoT ´

´

NOTE:

These

Numbers

must be

the sameNUMBER OF BALLOTS

Number of certificate envelopes deposited in ballot box

Number of unopened certificate envelopes rejected

Number of unopened outer envelopes received after the deadline

Number of ballot papers not returned (if any)

Number of ballot papers spoiled or declined

Number of unused ballot papers

Bstollab ’sretov dnuobemoh latoT ´

´

NOTE:

These

Numbers

must be

the sameNUMBER OF BALLOTS

Total number of ballot papers assigned to the homebound voting process C

The seal locking this ballot box bears number . I certify that the above statement is correct. Dated at , Saskatchewan, this day of , 20 .

Signature of Returning Officer

´

´

´

´

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1542 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

“FORM LLL[Sections 5, 66, and 89.3 of the Act]

Poll Book (Homebound Voters)

7654321

Consecutive

Number

Name of Voter Address of Voter

(Street Number &

Name or Land Location)

Occupation Polling

Division

Number

Number on

Voters’

List

Date

Homebound

Voter

Application

Received

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1543THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

21110198

Date and time when

Homebound Voting

will take place

Address where Homebound Voting will occur

(if difference from Column 3).

Certificate

Envelope

Rejected by

Returning

Officer

Certificate

Envelope

Deposited in

Sealed Ballot

Box

Comments

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1544 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

“FORM MMM[Subsection 29.1(2) of the Act]

Application for Revision

By completing this form you are agreeing to revise information on the Voters’ List or in the Register of Votersand you are confirming that you meet the requirements as an eligible voter.

CONSTITUENCY POLLING DIVISION

Provide name of voter as it appears on Voters’ List/Register of VotersLAST NAME FIRST NAME MIDDLE NAME(S) BIRTH DATE

(YYYY/MM/DD)

/ /

Reason for Revision

PLEASE PRINT IN BLOCK LETTERS Complete only information that needs to be revised

*Denotes mandatory information

VOTER INFORMATION

LAST NAME* FIRST NAME* MIDDLE NAME(S)*

BIRTH DATE* (YYYY/MM/DD)

/ /

GENDER HOME PHONE NUMBER CELL PHONE NUMBER

EMAIL ADDRESS OCCUPATION I AM A CANADIAN CITIZEN*

YES

If not a Canadian Citizen:

I AM A BRITISH SUBJECT WHO QUALIFIED AS

A VOTER ON JUNE 23, 1971*

YES

ORDINARY RESIDENCE – COMPLETE 1, 2 OR 3

1. HOME RESIDENCE (URBAN)*

APT/UNIT NUMBER BUILDING NUMBER STREET NAME/DIRECTION CITY/TOWN POSTAL CODE

2. HOME ADDRESS (RURAL) PROVIDE LEGAL LAND DESCRIPTION*

QTR SEC TWP RGE WMER

LOT BLOCK PLAN

3. RESERVE NAME* HOUSE NUMBER

I have ordinarily resided in Saskatchewan for at least six

months immediately preceding the day the writ was

issued*

I was ordinarily resident in this constituency on the day the writ was

issued*

MAILING ADDRESS (IF MAIL IS NOT DELIVERED TO YOUR HOME ADDRESS)

CITY/TOWN POSTAL CODE

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1545THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

For use by Election Officials

DATE OF REVISION REGISTRY IDENTIFICATION NUMBER VOTER PROVIDED ACCEPTABLE

INDENTIFICATION*

’ YES

IF DELETION BECAUSE OF DEATH, COPY OF

DEATH CERTIFICATE PROVIDED

DATE OF DEATH (YYYY/MM/DD)

/ /

Signature Date

Signature of Returning Officer/Revising Officer Date

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1546 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

“FORM NNN[Section 18.6 of the Act]

Application to Access Information in Register of Voters

I request access to information in the Register of Voters for Poll No. in the constituency of for:

Name of Voter: Please print Given Name, Initial and Last Name

Address: Physical land description or street, city, postal code

Birth Date: (YYYY/MM/DD)

For myself.

Acting on behalf of the voter named. If acting on behalf of a voter, the reason for acting on behalf of

voter is

The purpose of this request is to:

Determine whether the information on the Voters’ List in the Register of Voters is correct.

Remove information from the Register of Voters

Not include information in the Register of Voters

In accordance with the provisions of Section 18.6 of The Election Act, 1996, I acknowledge, undertake andagree as follows with respect to the information I obtain, directly or indirectly, from the Register of Voters forSaskatchewan including any voters’ list (hereinafter “voter information”), whether the voter information is inprinted or electronic format or examined in either format without obtaining a copy.The Election Act, 1996 – Section 216(1) Any person who contravenes any provision of this Act is guilty of an offence and is liable on summaryconviction to the penalties set out in this Act with respect to that offence.(2) If no penalty is prescribed with respect to that offence, the person, if convicted, is liable to a fine of notmore than $5,000 or to imprisonment for a term not exceeding two years or to both.

I have read, understand and agree to abide by the above provisions of The Election Act, 1996.

Name (Please Print) Address

Phone number:

Signature of Applicant Address

Signature of Returning Officer or Election Official Address

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1547THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

“FORM OOO[Clauses 22(2)(b) and 22(5)(a) of the Act]

Enumeration/Registration at a Poll

Personal information collected on this form will be used to register voters or to update voterinformation as authorized under The Election Act, 1996. Any unauthorized use of this informationis a violation of Section 216 of The Election Act, 1996.

By providing information on this form, you are confirming that you meet the requirements as aneligible voter:

CONSTITUENCY POLLING DIVISION

PLEASE PRINT IN BLOCK LETTERS

*Denotes mandatory information

VOTER INFORMATION

LAST NAME* FIRST NAME* MIDDLE NAME(S)*

BIRTH DATE* (YYYY/MM/DD)

/ /

GENDER HOME PHONE NUMBER CELL PHONE NUMBER

EMAIL ADDRESS OCCUPATION I AM A CANADIAN CITIZEN*

YES

If not a Canadian Citizen:

I AM A BRITISH SUBJECT WHO QUALIFIED AS

A VOTER ON JUNE 23, 1971*

YES

ORDINARY RESIDENCE – COMPLETE 1, 2 OR 3

1. HOME RESIDENCE (URBAN)*

APT/UNIT NUMBER HOUSE/BUILDING NUMBER STREET NAME/DIRECTION CITY/TOWN POSTAL CODE

2. HOME ADDRESS (RURAL) PROVIDE LEGAL LAND DESCRIPTION*

QTR SEC TWP RGE WMER

LOT BLOCK PLAN

3. RESERVE NAME* HOUSE NUMBER

I have ordinarily resided in Saskatchewan for at least six

months immediately preceding the day the writ was

issued*

I was ordinarily resident in this constituency on the day the writ was

issued*

MAILING ADDRESS (IF MAIL IS NOT DELIVERED TO YOUR HOME ADDRESS)

CITY/TOWN POSTAL CODE

For use by Election Officials

DATE OF REGISTRATION DATE OF REVISION REGISTRY IDENTIFICATION NUMBER

Signature of Election Official”.

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1548 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

Coming into force6(1) Subject to subsection (2), these regulations come into force on the day onwhich section 1 of The Election Amendment Act, 2014 comes into force.

(2) If these regulations are filed with the Registrar of Regulations after the day onwhich section 1 of The Election Amendment Act, 2014 comes into force, theseregulations come into force on the day on which they are filed with the Registrar ofRegulations.

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1549THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

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1550 THE SASKATCHEWAN GAZETTE, OCTOBER 31, 2014

REGINA, SASKATCHEWAN

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