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Application to Amend the Voters' List - EL15(A)

This Application may be used to update, add, or remove your information from the Voters' List. This includes changing your name or qualifying address, updating your school support designation, or removing your information from the Voters' List.

To be eligible, you must be:

A Canadian citizen and
At least 18 years of age and
A resident of the Kingsville, or a owner/tenant of property in Kingsville, or the spouse of a owner/tenant of property in Kingsville.

If you have any questions about this form or require assistance please contact us at clerks@kingsville.ca or 519-733-2305 ext. 223

Voter Eligibility

Please be prepared to upload a valid piece of identification (ID) as part of your Application. O. Reg. 304/13 - Voter Identification, made under the Municipal Elections Act, 1996, prescribes the acceptable forms of ID, a person may use for the purposes of the election.

Alternatively, you may fill out the paper application form and submit it in the Kingsville Town Hall.

Please upload one piece of ID showing both your name and qualifying Kingsville address (Driver's Licence preferred)

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Reason for Change

Check One (1) Only

Add Myself

Correct Information

Delete Myself

Voter Information

Phone Number

Email Address

Last Name

First Name

Middle

Date of Birth

Qualifying Address on Voting Day

Street Address

Apartment/Unit Number

City

Province

Postal Code

Roll Number (If applicable)

Current Mailing Address of Applicant

Street Address

Apartment/Unit Number

City

Province

Postal Code

Roll Number (If applicable)

School Support Designation

Applicant wishes to be an elector for the following school board:

English-Public (anyone can support English-Public)

English-Separate (must be Roman Catholic)

French-Public (must have French Language Education Rights)

French-Separate (must be Roman Catholic and have French Language Education Rights)

I, the undersigned, hereby declare that I am a Canadian citizen, that I have attained the age of eighteen (18) on or before Voting Day, and that on Voting Day, I am entitled to be an elector in accordance with the facts or information submitted on this form, and that I understand the effect thereof. I hereby apply to have my name included or amendments made on the Voters’ List in accordance with such facts or information.

Signature of Applicant

Clear

Date

Privacy Statement: The information collected on this form is collected under the authority of s.17, s.24, and s.25 of the Municipal Elections Act, 1996 and will be used to amend the Voters' List. Questions about the collection of this information should be directed to the Manager of Municipal Governance/Clerk (Returning Officer), Town of Kingsville, 2021 Division Road North, Kingsville, ON N9Y 2Y9. Phone: 519-733-2305