For information only: Made by the Lieutenant Governor in Council (O.C. 201/2020) on July 8, 2020 pursuant to section 27 of the Alberta Senate Election Act. Definitions 1 In this Regulation, (a) "general election" means a general election as defined by section 1(p) of the Local Authorities Election Act; (b) "local authority election form" means a form prescribed in the Local Authorities Election Forms Regulation (AR 106/2007); (c) "Senate election" means an election conducted under the Alberta Senate Election Act; (d) "supplementary form" means a form set out in the Schedule. Forms 2 Where a Senate election is to be held in conjunction with general elections, (a) local authority elections forms 3 to 5, 8 to 12, 14, 15, 17, 19, 20, 21 and 24 to 28 may be used, without making any changes; (b) supplementary forms 1SE, 2SE, 6SE, 7SE, 13SE, 16SE, 22SE and 23SE must be used instead of local authority election forms 1, 2, 6, 7, 13, 16, 22 and 23; (c) supplementary forms 18SE and 19SE must be used in a Senate election and local authority election forms 18 and 19 must be used for general elections. Modified forms 3 Where a Senate election is to be held in conjunction with general elections, the Minister of Municipal Affairs may issue modified forms if the Minister considers the provisions of this Regulation insufficient. Schedule FORM 1SE OATH OF RETURNING OFFICER Local Authorities Election Act (Section 16) Alberta Senate Election Act (Section 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA ELECTION DATE: . I, (name of person taking oath) , solemnly swear (affirm) THAT I will diligently, faithfully and to the best of my ability execute according to law the office of Returning Officer; THAT I will not communicate to any person any information obtained at an election or in the course of carrying out my duties as to the candidate or candidates for whom a person has voted, or at a vote on a bylaw or question, as to whether a person has voted for or against a bylaw or question; THAT I will not communicate to any person any information obtained at an election or in the course of carrying out my duties as to the Senate nominee candidate or candidates for whom a person has voted; THAT, where applicable, I will not communicate to any person any information obtained in the course of carrying out my duties as a returning officer; and THAT I will in all respects maintain and aid in maintaining the absolute secrecy of the vote. SWORN (AFFIRMED) BEFORE ME at the of , in the Province of Alberta, this day of , (Signature of Person Taking Oath) 20 . (Signature of Commissioner for Oaths) IT IS AN OFFENCE TO SIGN A FALSE AFFIDAVIT NOTE: The personal information on this form is being collected to support the administrative requirements of the local authorities election process and is authorized under section 16(2) of the Local Authorities Election Act and section 33(c) of the Freedom of Information and Protection of Privacy Act. The personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection of this personal information, please contact (title and business phone number of the responsible official) FORM 2SE STATEMENT OF DEPUTY, SUBSTITUTE, ENUMERATOR AND CONSTABLE Local Authorities Election Act (Section 16) Alberta Senate Election Act (Section 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA ELECTION DATE: I, (name of deputy, substitute, enumerator or constable) , solemnly state THAT I will diligently, faithfully and to the best of my ability execute according to law the office of (office appointed to) ; THAT I will not communicate to any person any information obtained at an election or in the course of carrying out my duties as to the candidate or candidates for whom a person has voted, or at a vote on a bylaw or question, as to whether a person has voted for or against a bylaw or question; THAT I will not communicate to any person any information obtained at an election or in the course of carrying out my duties as to the Senate nominee candidate or candidates for whom a person has voted; THAT, where applicable, I will not communicate to any person any information obtained in the course of carrying out my duties as a deputy, substitute, enumerator or constable; and THAT I will in all respects maintain and aid in maintaining the absolute secrecy of the vote. (Signature of Deputy, Substitute, Enumerator or Constable) IT IS AN OFFENCE TO SIGN A FALSE STATEMENT NOTE: The personal information on this form is being collected to support the administrative requirements of the local authorities election process and is authorized under section 16(2) of the Local Authorities Election Act and section 33(c) of the Freedom of Information and Protection of Privacy Act. The personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection of this personal information, please contact (title and business phone number of the responsible official) FORM 6SE NOTICE OF ELECTION Local Authorities Election Act (Sections 12, 35, 46, 53) Alberta Senate Election Act (Sections 5, 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA Notice is hereby given: _________________________________________________________ _____________________________________________ A That an election will be held for the filling of the following offices: Office(s) Number of Vacancies Ward or Electoral Division Number (If Applicable) B That an election will be held for the election of a Senate nominee for the purposes of the Alberta Senate Election Act. Voting will take place on the day of , 20 , between the hours of (start time) and (closing time) . Voting stations will be located at: _________________________________________________________ _________________________________________________________ ________________________________________________ In order to vote, your name must appear on the list of electors. If your name does not appear on the list of electors, the person vouching for you must produce identification for inspection. The identification must be one or more of (list acceptable forms of identification) as required by section 53 of the Local Authorities Election Act. DATED at the of , in the Province of Alberta, this day of , 20 . (Returning Officer) FORM 7SE NOTICE OF ELECTION AND REQUIREMENTS FOR VOTER IDENTIFICATION Local Authorities Election Act (Sections 12, 35, 46, 53) Alberta Senate Election Act (Sections 5, 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA Notice is hereby given: _________________________________________________ A That an election will be held for the filling of the following offices: Office(s) Number of Vacancies Ward or Electoral Division Number (If Applicable) B That an election will be held for the election of a Senate nominee for the purposes of the Alberta Senate Election Act. Voting will take place on the day of , 20 , between the hours of (start time) and (closing time) . Voting stations will be located at: _____________________ _________________________________ _____________________________ _________________________ In order to vote, you must produce identification for inspection. The identification must be one or more of (list acceptable forms of identification) as required by section 53 of the Local Authorities Election Act. DATED at the of , in the Province of Alberta, this day of , 20 . (Returning Officer) FORM 13SE ELECTOR REGISTER Local Authorities Election Act (Sections 1(n.1), 47, 53, 54, 59, 78) Education Act (Sections 4(4), 74) Alberta Senate Election Act (Sections 5, 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA ELECTION DATE: VOTING SUBDIVISION OR WARD (If Applicable): VOTING STATION: STATEMENT OF ELECTOR ELIGIBILITY I, (name of elector) , of (complete address and postal code) , am eligible to vote at the above mentioned election because:  I have not voted before in this election;  I am 18 years of age or older;  I am a Canadian citizen;  My place of residence is in the Voting Subdivision on Election Day;  I have provided the required proof of eligibility as required by section 53 of the Local Authorities Election Act, or I have been vouched for as to my eligibility by an elector; and  I am eligible to vote for: Where applicable: (Check [û] One) [] A Public School Trustee [] A Separate School Trustee (Signature of Elector) IT IS AN OFFENCE TO SIGN A FALSE STATEMENT DEPUTY RETURNING OFFICER (Deputy's Initials) VOTER NUMBER: [] Identification Shown [] Elector Vouched For BALLOTS ISSUED TO ELECTOR (Check [û]) [] Chief Elected Official [] Bylaw or Question [] Councillors [] Separate School Trustee [] Public School Trustee [] Senate Nominee OBJECTION TO PERSON VOTING Name of Candidate/Official Agent/R.O./Scrutineer Making Objection: Reason for Objection: ELECTOR WHO IS UNABLE TO VOTE IN THE USUAL MANNER Ballot of Elector who is Unable to Vote in the Usual Manner Was Marked By Another Person: (Check [û]) [] Reason: NOTE: The personal information on this form is being collected to support the administrative requirements of the local authorities election process and is authorized under sections 53, 54 and 78 of the Local Authorities Election Act and section 33(c) of the Freedom of Information and Protection of Privacy Act. The personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection of this personal information, please contact (title and business phone number of the responsible official) FORM 16SE STATEMENT OF SCRUTINEER OR OFFICIAL AGENT Local Authorities Election Act (Sections 16(2), 68.1, 69, 70) Alberta Senate Election Act (Section 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA ELECTION DATE (OR VOTE ON A BYLAW OR QUESTION): I, (name of scrutineer or official agent) , of (complete address and postal code) in the Province of (name of province) , am at least 18 years of age and, (a) FOR THE PURPOSES OF AN ELECTION, will act as scrutineer on behalf of (name of candidate) for the office of (office for which candidate was nominated) OR (b) FOR THE PURPOSES OF A VOTE ON A BYLAW, will act as scrutineer for those persons who are interested in (Check [û] One) [] promoting the passing of Bylaw No. [] opposing the passing of Bylaw No. OR (c) FOR THE PURPOSES OF A VOTE ON A QUESTION, will act as scrutineer on behalf of those persons who are interested in (Check [û] One) [] voting in the positive on the question set out [] voting in the negative on the question set out OR (d) FOR THE PURPOSES OF A SENATE NOMINEE ELECTION, will act as scrutineer on behalf of (name of candidate) for the office of Senate nominee AND I will in all respects maintain and aid in maintaining the absolute secrecy of the vote. (Signature of Scrutineer or Official Agent) IT IS AN OFFENCE TO SIGN A FALSE STATEMENT NOTE: The personal information on this form is being collected to support the administrative requirements of the local authorities election process and is authorized under sections 16(2), 68.1, 69 and 70 of the Local Authorities Election Act and section 33(c) of the Freedom of Information and Protection of Privacy Act. The personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection of this personal information, please contact (title and business phone number of the responsible official) FORM 18SE NOTE OF OBJECTION TO A BALLOT for Senate Nominee Local Authorities Election Act (Section 87) Alberta Senate Election Act (Section 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA ELECTION DATE: VOTING SUBDIVISION OR WARD (If Applicable): VOTING STATION: Objection Number Name of Official Agent, Scrutineer or Candidate Making Objection Reason for Objection 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. NOTE: The personal information on this form is being collected to support the administrative requirements of the local authorities election process and is authorized under section 87 of the Local Authorities Election Act and section 33(c) of the Freedom of Information and Protection of Privacy Act. The personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection of this personal information, please contact (title and business phone number of the responsible official) FORM 19SE BALLOT ACCOUNT AND RESULT OF VOTE for Senate Nominee Local Authorities Election Act (Sections 54, 77.2, 88, 89) Alberta Senate Election Act (Section 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA ELECTION DATE: VOTING SUBDIVISION OR WARD (If Applicable): VOTING STATION: Result of Vote Names of Candidates (or Question, or Description of Bylaw) Number of VALID Ballots Marked for Each Candidate (or For and Against on a Question or Bylaw) (Continue on Reverse if Required) Ballot Account (a) Number of Ballots Supplied (b) Number of Special Ballots Sent Out + ======* (c) Valid Ballots (d) Valid Special Ballots Received + (e) Rejected Ballots + (f) Rejected Special Ballots + (g) Spoiled Ballots + (h) Unused Ballots + (i) Ballots Not Accounted For + (j) Special Ballots Not Returned + (k) Total ======* *Total number of ballots in (a) and (b) must equal (k); the total number of ballots in (c), (d), (e), (f), (g), (h), (i) and (j) must equal (k). Persons objected to under section 54 Valid Ballots for: Candidate Candidate Candidate Candidate Candidate Candidate Candidate Candidate Candidate Candidate Candidate Candidate Number of Ballots: Valid Ballots Objected To ____________ Rejected Ballots On Which No Vote Was Cast by an Elector ____________ DATED this day of , 20 . (Signatures of at least 2 Deputies) (Signatures of Candidates/ Official Agents/Scrutineers who desire to sign) (HAND THIS FORM TO THE RETURNING OFFICER) NOTE: The personal information on this form is being collected to support the administrative requirements of the local authorities election process and is authorized under section 88 of the Local Authorities Election Act and section 33(c) of the Freedom of Information and Protection of Privacy Act. The personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection of this personal information, please contact (title and business phone number of the responsible official) FORM 22SE REQUEST FOR SPECIAL BALLOT PACKAGE Local Authorities Election Act (Section 77.1) Alberta Senate Election Act (Section 37) LOCAL JURISDICTION: , PROVINCE OF ALBERTA ELECTION DATE: VOTING SUBDIVISION OR WARD (If Applicable): VOTING STATION: I, (printed first name and surname) , of (complete municipal address and postal code) , request a Special Ballot package which will include one of each of the following ballots: Please select: [] A Public School Trustee [] A Separate School Trustee [] Chief Elected Official [] Councillors [] Bylaw or Question [] Senate Nominee Please select one: (Election official to fill in if application is made by telephone.) [] I would like my Special Ballot package sent by regular mail to the following address: (complete address to which the application will be mailed, including the postal code). [] I will arrange for my Special Ballot package to be picked up during regular office hours. I would like my package held for pick-up. (date of request) Contact telephone number: Contact email address: Reason why a special ballot is requested: [] physical disability [] absence from the local jurisdiction [] being a returning officer, deputy returning officer, constable, substitute returning officer, candidate, official agent or scrutineer who may be located on election day at a voting station other than that for the elector's place of residence NOTE: The personal information on this form is being collected to support the administrative requirements of the local authorities election process and is authorized under section 77.1 of the Local Authorities Election Act and section 33(c) of the Freedom of Information and Protection of Privacy Act. The personal information will be managed in compliance with the privacy provisions of the Freedom of Information and Protection of Privacy Act. If you have any questions concerning the collection of this personal information, please contact (title and business phone number of the responsible official) FORM 23SE SPECIAL BALLOT PACKAGE Local Authorities Election Act (Sections 77.1, 77.2) Alberta Senate Election Act (Section 37) SPECIAL BALLOT SPECIAL BALLOT FORM FOR CHIEF ELECTED OFFICIAL ELECTION OF CEO FOR THE (Local Jurisdiction) (List Names of Candidates below if known prior to Application for Special Ballot in the following Ballot Format) This ballot shall not be marked for more than one candidate. SPECIAL BALLOT FORM FOR OTHER ELECTED OFFICES ELECTION OF (Office) FOR THE (Local Jurisdiction) (If Application for Special Ballot is sent prior to Special Ballots being printed with List of Candidates Names, use the following Ballot Format) Print the name(s) of the candidates on the lines below. I vote for: The maximum number of candidates that can be voted for is (number) . USING SEPARATE BALLOTS FOR EACH OFFICE A separate ballot must be used for:  the office of chief elected official;  the offices of councillors;  the offices of school trustees;  any questions,  Senate nominee. BALLOT FOR A VOTE ON A BYLAW OR QUESTION The wording on a ballot for a vote on a bylaw or question must be determined by a resolution of the elected authority. The form of the ballot may be determined by a resolution of the elected authority; however, if no resolution is passed, the returning officer must determine the form in accordance with section 44 of the Local Authorities Election Act. ARRANGING THE NAMES ON THE BALLOTS The names of the candidates on each ballot must be arranged alphabetically in order of the surnames and, if 2 or more candidates have the same surname, the names of those candidates must be arranged alphabetically in order of their given names. If an elected authority passes a bylaw 2 months before an election that provides that ballots be printed in as many lots as there are candidates for the office, section 43(3) of the Local Authorities Election Act applies. INDICATING THE NUMBER OF CANDIDATES THAT CAN BE VOTED FOR Every ballot used in an election for a member of an elected authority must contain a brief explanatory note stating the maximum number of candidates that can be voted for in order not to make the ballot subject to being rejected, and every ballot used in an election for a chief elected official must contain a brief explanatory note stating that the ballot shall not be marked for more than one candidate. BALLOTS FOR PUBLIC OR SEPARATE MEMBERS Every ballot should indicate if the elector is voting for a public or separate candidate.