Application to Remove Deceased Person from the Voters' List EL15(B)

This application will be used to remove a deceased person's name voters' list.

Carefully read the below informaton before proceeding to complete the form.

This form is to be used by an Elector wishing to remove a deceased Elector's name from the Voters' List.  If an Elector requires assistance in completing this Form, they may attend the visit the Town of Kingsville's Municipal Office for assistance. You must carefully complete the Form to ensure the information you provide is true and correct - carefully check your spelling and dates. 

Government Issued Identification

Have valid, government-issued identification readily available for upload as you will need to provide proof of identity and/or citizenship at the end of this Application. If you do not upload sufficient identification, there could be delays, your Application may be rejected, or you may have to attend the Kingsville Municipal Office in person.

Identification Upload

We ask for identification to confirm your identity. 

A valid Driver's Licence showing your qualifying address is preferred. If you do not have a Driver's Licence, you may choose to upload one of the following ID types:

• Ontario Photo Card
• Ontario Health Card (with photo)
• Birth Certificate issued in Canada
• Canadian Passport
• NEXUS Card 
• Possession and Acquisition Licence
• Canadian Citizenship Card
• Canadian Armed Forces Identification Card
• Certificate of Indian Status Card

Deceased Information

Proof of Death

You will need to submit a copy of documentation showing Proof of Death. Examples of documents that can be used to prove death include:

• Burial or Death Certificate 
• Document or receipt issued by a cemetery or crematorium in Ontario
• Life or group insurance claim along with a statement signed by a medical doctor
• Medical Certificate of Death
• Memorandum of Notification of Death, issued by the Chief of the Defence Staff
• Notarial Copy of Letters Probate
• Official Notification from the Office of the Public Guardian and Trustee
• Program or Notice from a Funeral Ceremony
• Registration of Death 
• Statement from a Doctor, Coroner, or Funeral Director
• Statement of Verification of Death from Veterans Affairs Canada

You can also share a link to an Obituary Posting if you do not have access to other forms of documentation.

Declaration of Applicant: By providing proof of death, I request that the deceased person named above, be removed from the Voters’ List. By signing below, I hereby declare that all of the information I have provided is true and correct to the best of my knowledge, knowing that it is of the same force and effect as if made under oath. I further acknowledge that any false statement made herein is an offence under the Municipal Elections Act, 1996, and subject to prosecution.

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 s.16 of the Assessment Act, 1990, 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