Candidate Pack – Crimchard Ward

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CRIMCHARD WARD – CHARD COUNCIL
NOMINATION PACK
You must print off the forms in this pack before submitting them
The following papers must be delivered by hand:
1a: Nomination paper
1b: Home address form
1c: Candidate’s consent to nomination
The following papers can be delivered by hand or by post:
2: Certificate of authorisation (Political Party Candidates only)
3: Request for a party emblem (Political Party Candidates only)
4: Appointment of Counting Agents
5: Appointment of Postal Vote Agents
6: Appointment of Polling Agents
The notice of election published by the Returning Officer will specify the times at which
nomination papers must be delivered to the Returning Officer, Somerset Council Offices,
Brympton Way, Yeovil, BA20 2HT
Ensure that where signatures are required, you submit the original signed version of each
completed paper. Documents without original signatures cannot be accepted.

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Privacy Statement – Returning Officer

We will only use the information you give us for electoral purposes. We will look after personal
information securely and we will follow the data protection legislation. We will not give personal
information about you or any personal information you may provide on other people to anyone else
or another organisation unless we have to by law.
The lawful basis to collect the information in this form is that it is necessary for the performance of a
task carried out in the public interest and exercise of official authority as vested in the Electoral
Registration Officer as set out in Representation of the People Act 1983 and associated regulations.
Some of the information that is collected in this form is classified as special category personal data.
This is processed for reason of substantial public interest as set out in Representation of the People
Act 1983 and associated regulations. To process this type of information the Data Controller must
have a relevant policy document that sets out how this information will be handled.
The Returning Officer is the Data Controller: Duncan Sharkey, Somerset Council , Offices Cannards
Grave Road, Shepton Mallet, BA4 5BT telephone 01749-341236. You should refer to the Privacy
Notice at http://www.somerset.gov.uk
General Data Protection Regulation (GDPR) – Candidate Requirements
Revised data protection legislation applies from 25 May 2018 and will apply to the processing of all
personal data. Please contact the Information Commissioner's Office for further information about how
the General Data Protection Regulation affects you.
When collecting subscriber information, you should point out what the information will be used for,
how personal data will be processed and kept secure. The lawful basis to collect the information in this
form is that it is necessary for the performance of a task carried out in the public interest and exercise
of official authority as set out in Representation of the People Act 1983 and associated regulations.
You should also explain that the information will be shared with the Returning Officer. For further
information on data protection and data processing you should refer to the Returning Officer’s privacy
notice on the Somerset Council website.

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CL Local government election in England

Candidate checklist

This checklist is designed to assist candidates standing in a principal area local government
election 1 in England in preparing to submit their nomination, and should be read alongside the
Electoral Commission's Guidance for candidates and agents.

Nomination form (all candidates)

Task

Tick

Add your full name – surname in the first box and all other names in the second.
Optional - Use the commonly used name(s) box(es) if you are commonly known by
a name other than your full name and want it to be used instead of your full name.
Description – Party candidates can use a party name or description registered with
the Electoral Commission and this must match the details shown on the required
certificate of authorisation from that party; others can use ‘Independent’ or leave
this blank. Whatever you enter in this box will appear as your description on the
ballot paper.
Subscribers – the proposer and seconder must sign and have their name printed.
Use your copy of the electoral register to make sure their elector numbers are
accurate. When collecting subscriber information ensure that you explain what the
information will be used for and that the information will be shared with the
Returning Officer.
Method of submitting the form to the RO: in person (but not limited to you or your
agent), by hand, to be accompanied by the home address form. It cannot be
submitted by post, fax, e-mail or other electronic means.

Task
Candidate’s home address form (all candidates)

Tick

Add your full name.
Add your home address in full.
Add your qualifying address, or qualifying addresses, to each of the relevant
qualifications and tick those which apply.
Add the full name and home address in full of the person who will witness your
consent to nomination form. The home address form will not be accepted without
this information.
Please also complete part 2 of the form if you do not want to have your home
address printed on the ballot papers, giving the name of the relevant area – this is
the county/district/London borough which your home address is in – or, where
outside the UK, the country, in which your home address is situated, and sign the
form. Please submit part 2 of the home address form with your nomination papers,
even if you do not want to withhold your home address from the ballot papers.
Method of submitting the form to the RO: in person (but not limited to you or your
agent), by hand, to be accompanied by the nomination form. It cannot be submitted
by post, fax, e-mail or other electronic means.

1 This is not to be used for parish, community or mayoral elections. Separate forms and guidance are available.

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Task
Candidate’s consent (all candidates)
You must be a British, European Union or a qualifying Commonwealth citizen who
does not require leave to enter or remain in the United Kingdom or have indefinite
leave to remain. You must also be 18 years old or older on the date you sign this
form.
You must declare that you meet at least one of the listed qualification(s) and
should cross through any that do not apply. Those left should match the
qualification(s) as given on your home address form.
You must not sign the form if you are disqualified to stand. Make sure that you read
the Electoral Commission guidance on standing for election as well as the
legislation listed. If you are not sure if you are able to stand you should contact
your employer (where relevant), consult the legislation or, if necessary, take your
own independent legal advice.
Add your full date of birth.
Sign and date the document in the presence of another person. You must not sign
the consent form earlier than one calendar month before the deadline for
submitting your nomination papers.
Get the other person to complete and sign the witness section. This should be the
same person whose details you provided as your witness on the home address
form.
Method of submitting the form (which must include all pages of legislation) to the
RO: in person (but not limited to you or your agent), by hand. It cannot be
submitted by post, fax, e-mail or other electronic means.

Certificate of authorisation (party candidates only)
Ensure the certificate contains the candidate’s full name.
Check the certificate allows the registered party name or description given on the
nomination paper to be used (or allows the candidate to choose to use the party
name or any registered description).
Ensure the certificate is issued by the party Nominating Officer (or someone that
they have authorised to issue it on their behalf) and that it is the original copy
signed by that person.
Method of submitting the form to the RO: in person (but not limited to you or your
agent) or by post.

Request for party emblem (party candidates only)
Write the name or description of an emblem registered by the party and published
on the Electoral Commission’s website.
Ensure the request is made by the candidate.
Method of submitting the form to the RO: in person (but not limited to you or your
agent) or by post.

Appoint an election agent (all candidates)
Give the name, address and office address of the appointed election agent. If you
do not appoint an agent or choose to act as your own agent and do not provide an
office address, your home address will be published on the notice of election
agents if that address is within the required area (otherwise the office address will

Tick

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be that of your proposer). This will be the case even if you have requested to
withhold this information on the home address form.
Ensure the appointed agent signs the form showing their acceptance.
Method of submitting the form to the RO: in person (but not limited to you or your
agent) or by post.

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Somerset Council
*ELECTION OF COUNCILLORS / A COUNCILLOR for the

Crimchard

ward of the

Parish of

Chard

Date of election:

24 April 2025

Candidate name
Telephone no
e-mail
In the event of my being elected as a Councillor at the Town Council, I hereby authorise
the Returning Officer to notify my contact details, including my address, to the Proper
Officer of the relevant parish council.
Signed __________________________________________
A candidate at the election

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Timetable for Crimchard Ward – Chard Town
Election

24 April 2025
The days which are disregarded in calculating the timetable are Saturday, Sunday, Good Friday,
Easter Monday, bank holidays and any day appointed for public thanksgiving or mourning.
Please be aware that the timetable may change in the event of days being appointed for public
thanksgiving or mourning.
Event

Working days before poll
(deadline if not midnight)

Date

Publication of notice of
election
Delivery of nomination
papers

Not later than 25 days

Tuesday 18 March

From the date and at the
times stated on the notice of
election up to 4pm on the
nineteenth working day
before the election
On 19 days (10am to 5pm),
subject to the following:

From Wednesday 19 March to 4pm
on Wednesday 26 March

Making objections to
nomination papers

Between 10am and 12noon
objections can be made to all
delivered nominations

Publication of first interim
election notice of alteration
Publication of statement of
persons nominated

Between 12 noon and 5pm
objections can only be made
to nominations delivered after
4pm, 20 days before the poll
19 days

Not later than 18 days (4pm)

(please phone to book an
appointment)
Between 10am and 12 noon on 26
March can objections can be made
to all delivered nominations

Between 12 noon and 5pm on 26
March objections can only be made
to nominations delivered after 4pm
on 25 March
4pm on Wednesday 26 March

Not later than 4pm on Thursday 27
March

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Event

Working days before poll
(deadline if not midnight)

Date

Deadline for receiving
12 days
applications for registration
Deadline for receiving new 11 days (5pm)
postal vote and postal
proxy applications, and for
changes to existing postal
or proxy votes
Publication of second
Between 18 days and 6 days
interim election notice of
alteration

4 April

Deadline for receiving new
applications to vote by
proxy (not postal proxy or
emergency proxies)

6 days (5pm)

5pm on 14 April

Deadline for receiving
applications for Voter
Authority Certificates

6 days (5pm)

5pm on 14 April

Publication of notice of poll

Not later than 6 days

Not later than 14 April

Publication of final election
notice of alteration

5 days

15 April

Deadline for notification of
appointment of polling and
counting agents

5 days

15 April

First date that electors can
apply for a replacement for
lost postal votes
Polling day

4 days

16 April

0 (7am to 10pm)

24 April

Last time that electors can
apply for a replacement for
spoilt or lost postal votes
Deadline for emergency
proxy applications
Last time to alter the
register due to clerical
error or court appeal

0 (5pm)

5pm on 24 April

0 (5pm)

5pm on 24 April

0 (9pm)

9pm on 24 April

5pm on 7 April

7 April

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Event

Working days before poll
(deadline if not midnight)

Date

Deadline for production of
temporary Voter Authority
Certificates
Count

0 (10pm)

10pm on 24 April

10pm on 24 April

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No text could be extracted from this page. Consult the original or request an accessible version.

Source page 11

1a – Nomination paper

Office use only

Local government election in England

Date received Time received

Initials

No

*ELECTION OF A COUNCILLOR for the

Crimchard

Ward

Parish of

Chard

Date of election:

24 April 2025

Candidate’s Details
Mr/Mrs/Miss/
Ms/Dr/Other

Candidate’s surname
Other forenames in full
Commonly used surname (if any)
Commonly used forenames (if any)
Description (if any)
Use no more than six words
(see note 5)

We, the undersigned, being local government electors for the said *electoral division/
ward, do hereby assent to the foregoing nomination
*Delete whichever is inappropriate
Electoral number
Signature
Proposer
Seconder

Print name

Polling
District

Elector
Number

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Notes
1.The attention of candidates and electors is drawn to the rules for completing
nomination papers and other provisions relating to nomination papers
contained in the election rules in the Local Elections (Principal Areas)
(England and Wales) Rules 2006 (as amended).
2.Where a candidate is commonly known by some title they may be described by
their title as if it were their surname.
3.Where a candidate commonly uses a name which is different from any other
name they have, the commonly used name may also appear on the
nomination paper, but if it does so, the commonly used name (instead of any
other name) will appear on the ballot paper.
4.But the ballot paper will show the other name if the Returning Officer thinks that
the use of the commonly used name may:
(a) be likely to mislead or confuse electors, or
(b) that the commonly used name is obscene or offensive.
5.The description, if any, can only be:
(a) one certified as an authorised or registered description as mentioned
in Rule 5 of the election rules, or
(b) the word ‘Independent’
6.An elector may not:
(a) subscribe more nomination papers than there are vacancies to be
filled in the electoral area in which the election is held, or
(b) subscribe a nomination paper for more than one electoral area in the
same *county/district/London borough.
7.In this form ‘elector’:
(a) means a person whose name is registered in the register of local
government electors for the electoral area in question on the last day
for the publication of notice of election, and
(b) includes a person then shown in the register as below voting age if
(but only if) it appears from the register that he will be of voting age on
the day fixed for the poll.
8.However, a person who has an anonymous entry in the register of local
government electors cannot nominate a candidate for election.

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1b – Home address form

Office use only

Local government elections in England

Date received Time received

Initials

*ELECTION OF A COUNCILLOR for the

Crimchard

Ward

Parish of
Date of election:

Chard
24 April 2025

You must complete Part 1
Only complete Part 2 if you do not wish your home address to be made public
Part 1: To be completed by all candidates in England
Full name of candidate
Home address (in full)
Qualifying address: Add your qualifying address, or qualifying addresses (in full) to each of the
relevant qualifications below (you can complete more than one qualification).
Address
Qualifications that apply (tick those which apply)
(a) I am registered as a local government
elector for the area of the
*county/district/London borough named
above
(b) I have during the whole of the preceding
12 months occupied as owner or tenant land
or other premises in the area named above
I my principal or only place of work during the
preceding 12 months has been in the
*county/district/London borough named
above
(d) I have during the whole of the preceding
12 months resided in the *county/district or
London borough named above
Witness details
Full name of the person who will witness the
candidate’s consent to nomination form
Full home address of the person who will witness
the candidate’s consent to nomination form

No

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Part 2: To be completed only if you do not wish your home address to be
made public.
Note: Please submit this part (part 2) of the home address form with your
nomination papers, even if your home address is to be made public.
If you request that your home address is not made public then your address will not appear on
the statement of persons nominated, notice of poll or the ballot paper. Instead the name of the
relevant area in which your home address is situated (or country, if outside the UK), as explained
below, will appear on the statement of persons nominated, notice of poll and the ballot papers.
Statement: I require my home address not to be made public
The relevant area my home
address is situated in:
OR
My home address is
situated outside the UK. My
home address is situated in:

(insert name of relevant area)2

(insert name of country)

Signature of candidate (only required where Part 2 above has been completed)
Candidate’s signature:
Date:
Deliver both Parts 1 and 2 with the nomination paper to the Returning Officer by no later than 4pm
on the last day to deliver nominations
the name of the “relevant area” in which your home address is situated (if your home address is
in the UK)
• For home addresses in England:
o if the address is within a district for which there is a district council, that district;
o if the address is within a county in which there are no districts with councils, that
county;
o if the address is within a London borough, that London borough;
o if the address is within the City of London (including the Inner and Middle Temples),
the City of London; and
o if the address is within the Isles of Scilly, the Isles of Scilly
• For home addresses in Wales:
o if the address is within a county, that county;
o if the address is within a county borough, that county borough
• For home addresses in Scotland:
o the local government area in which the address is situated
• For home addresses in Northern Ireland:
o the local government district in which the address is situated
2

Note: The relevant area should be given in the format described above and is not the ward or
parish, nor should the local authority name be given in full

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1c – Candidate’s consent to nomination
Local government elections in England

Office use only
Date received Time received

Initials

No

*You must declare that you meet at least one of the listed qualification(s) below and may declare
more than one qualification if applicable. To do this, strike through any that do not apply. Any
qualification(s) that apply must match the information given on your home address form.

Date of election:

24 April 2025

I (name in full):
hereby consent to my nomination as a
candidate for election as councillor for
the:
of the Parish of

Crimchard

Ward
Chard

I declare that on the day of my nomination, I am qualified and that, if there is a poll on the day of
election, I will be qualified to be so elected by virtue of being on that day or those days a
qualifying Commonwealth citizen, a citizen of the Republic of Ireland or a citizen of a Member
State of the European Union, who has attained the age of 18 years and that:
*a. I am registered as a local government elector for the area of the *county/district/London
borough named above; or
*b. I have during the whole of the 12 months preceding that day, or those days, occupied as
owner or tenant land or other premises in the area named above; or
*c. my principal or only place of work during those 12 months has been in the
*county/district/London borough named above; or
*d I have during the whole of those 12 months resided in the *county/district or London borough
named above.
I declare that to the best of my knowledge and belief I am not disqualified for being elected by reason of any
disqualification set out in, or decision made under, sections 80 or 81A of the Local Government Act 1972 or section 34
of the Localism Act 2011 (copies of which are printed overleaf), and I do not hold a politically restricted post, within the
meaning of Part 1 of the Local Government and Housing Act 1989, under a local authority, within the meaning of that
Part.
Note 1: A candidate who is qualified by more than one qualification may complete any of those which may apply.
Note 2: Disqualifications set out under s.81A of the Local Government Act 1972 only apply to a person who is subject
to any relevant notification requirements, or a relevant order, made on or after 28 June 2022.

Date of birth:
Signature:
Date of consent:
Witness: I confirm the above-mentioned candidate signed the declaration in my
presence.
Witness (name in full):
Witness’s signature:

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Candidate’s consent to nomination Local government election in England
Local Government Act 1972
80. Disqualifications for election and holding office as member of local authority
(1) Subject to the provisions of section 81 below, a person shall be disqualified for being elected or
being a member of a local authority if he –
(a) holds any paid office or employment (other than the office of chairman,
vice-chairman,
deputy chairman, presiding member or deputy presiding member or, in the case of a local
authority which are operating executive arrangements which involve a leader and cabinet
executive, the office of executive leader or member of the executive) appointments or elections
to which are or may be made or confirmed by the local authority or any committee or subcommittee of the authority or by a joint committee or National Park authority on which the
authority are represented or by any person holding any such office or employment; or
(b) is the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order, or a
debt relief restrictions order under Schedule 4ZB of the Insolvency Act 1986; or
(c) [This has been removed and no longer applies]
(d) has within five years before the day of election or since his election been convicted in the
United Kingdom, the Channel Islands or the Isle of Man of any offence and has had passed on
him a sentence of imprisonment (whether suspended or not) for a period of not less than three
months without the option of a fine; or
(e) is disqualified for being elected or for being a member of that authority under Part III of the
Representation of the People Act 1983.
(2) Subject to the provisions of section 81 below, a paid officer of a local authority who is employed
under the direction of –
(a) a committee or sub-committee of the authority any member of which is appointed on the
nomination of some other local authority; or
(b) a joint board, joint authority, economic prosperity board, combined authority, joint waste
authority or joint committee on which the authority are represented and any member of which is
so appointed;
shall be disqualified for being elected or being a member of that other local authority.
(2AA) A paid member of staff of the Greater London Authority who is employed under the direction
of a joint committee the membership of which includes –
(a) one or more persons appointed on the nomination of the Authority acting by the Mayor, and
(b) one or more members of one or more London borough councils appointed to the committee on
the nomination of those councils,
shall be disqualified for being elected or being a member of any of those London borough councils.
(2A) Subsection (2) above shall have effect as if the reference to a joint board included a reference
to a National Park authority.
(2B) For the purposes of this section a local authority shall be treated as represented on a National
Park authority if it is entitled to make any appointment of a local authority member of the
National Park authority.
(3) Subsection (1)(a) shall have effect in relation to a teacher in a school maintained by the local
authority who does not hold an employment falling within that provision as it has effect in
relation to a teacher in such a school who holds such an employment.
(5) For the purposes of subsection (1)(d) above, the ordinary date on which the period allowed for
making an appeal or application with respect to the conviction expires or, if such an appeal or
application is made, the date on which the appeal or application is finally disposed of or
abandoned or fails by reason of the non-prosecution thereof shall be deemed to be the date of
the conviction.

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Candidate’s consent to nomination Local government election in England
81. Exception to provisions of section 80
(4) Section 80(2) and (3) above shall not operate so to disqualify –
(a)

any person by reason of his being a teacher, or otherwise employed, in a school or
other educational institution maintained or assisted by a county council for being a
member of a district council by reason that the district council nominates members
of the education committee of the county council

81A. Disqualification relating to sexual offences etc
(1) A person is disqualified for being elected or being a member of a local authority in England
if the person is subject to—
(a) any relevant notification requirements, or
(b) a relevant order.
(2) In this section "relevant notification requirements" means—
(a) the notification requirements of Part 2 of the Sexual Offences Act 2003;
(b) the notification requirements of Part 2 of the Sex Offenders (Jersey) Law 2010;
(c) the notification requirements of Part 2 of the Criminal Justice (Sex Offenders and
Miscellaneous Provisions) (Bailiwick of Guernsey) Law 2013;
(d) the notification requirements of Schedule 1 to the Criminal Justice Act 2001 (an Act of
Tynwald: c. 4).
(3) In this section "relevant order" means—
(a) a sexual harm prevention order under section 345 of the Sentencing Code;
(b) a sexual harm prevention order under section 103A of the Sexual Offences Act 2003;
(c) a sexual offences prevention order under section 104 of that Act;
(d) a sexual risk order under section 122A of that Act;
(e) a risk of sexual harm order under section 123 of that Act;
(f) a risk of sexual harm order under section 2 of the Protection of Children and Prevention of
Sexual Offences (Scotland) Act 2005;
(g) a sexual risk order under section 27 of the Abusive Behaviour and Sexual Harm (Scotland)
Act 2016;
(h) a restraining order under Article 10 of the Sex Offenders (Jersey) Law 2010;
(i) a child protection order under Article 11 of that Law;
(j) a sexual offences prevention order under section 18 of the Criminal Justice (Sex Offenders
and Miscellaneous Provisions) (Bailiwick of Guernsey) Law 2013;
(k) a risk of sexual harm order under section 22 of that Law;
(l) a sexual offences prevention order under section 1 of the Sex Offenders Act 2006 (an Act of
Tynwald: c. 20);
(m) a risk of sexual harm order under section 5 of that Act.
(4) For the purposes of subsection (1)(a), a person who is subject to any relevant notification
requirements is not to be regarded as disqualified until—

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Source page 18

(a) the expiry of the ordinary period allowed for making an appeal or application against the
conviction, finding, caution, order or certification in respect of which the person is
subject to the relevant notification requirements, or
(b) if such an appeal or application is made, the date on which it is finally disposed of or
abandoned or fails because it is not prosecuted.
(5) For the purposes of subsection (1)(b), a person who is subject to a relevant order is not to
be regarded as disqualified until—
(a) the expiry of the ordinary period allowed for making an appeal against the relevant order, or
(b) if such an appeal is made, the date on which it is finally disposed of or abandoned or fails
because it is not prosecuted.

Localism Act 2011
Section 34(4) describes how a person may be disqualified from standing in local government
elections under this section. The remaining provisions of section 34 do not directly affect a
person’s entitlement to stand for election.

34 Offences
(1) A person commits an offence if, without reasonable excuse, the person—
(a) fails to comply with an obligation imposed on the person by section 30(1) or 31(2),
(3) or (7),
(b) participates in any discussion or vote in contravention of section 31(4), or
(c) takes any steps in contravention of section 31(8).
(2) A person commits an offence if under section 30(1) or 31(2), (3) or (7) the person
provides information that is false or misleading and the person—
(a) knows that the information is false or misleading, or
(b) is reckless as to whether the information is true and not misleading.
(3) A person who is guilty of an offence under this section is liable on summary conviction to
a fine not exceeding level 5 on the standard scale.
(4) A court dealing with a person for an offence under this section may (in addition to any
other power exercisable in the person's case) by order disqualify the person, for a period not
exceeding five years, for being or becoming (by election or otherwise) a member or co-opted
member of the relevant authority in question or any other relevant authority.
(5) A prosecution for an offence under this section is not to be instituted except by or on
behalf of the Director of Public Prosecutions.
(6) Proceedings for an offence under this section may be brought within a period of 12
months beginning with the date on which evidence sufficient in the opinion of the prosecutor
to warrant the proceedings came to the prosecutor's knowledge.
(7) But no such proceedings may be brought more than three years—
(a) after the commission of the offence, or
(b) in the case of a continuous contravention, after the last date on which the offence
was committed.

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Candidate’s consent to nomination Local government election in England
(8) A certificate signed by the prosecutor and stating the date on which such evidence came
to the prosecutor's knowledge is conclusive evidence of that fact; and a certificate to that
effect and purporting to be so signed is to be treated as being so signed unless the contrary
is proved.
(9) The Local Government Act 1972 is amended as follows.
(10) In section 86(1)(b) (authority to declare vacancy where member becomes disqualified
otherwise than in certain cases) after “ 2000 ” insert “ or section 34 of the Localism Act 2011
”.
(11) In section 87(1)(ee) (date of casual vacancies)—
(a) after “2000” insert “ or section 34 of the Localism Act 2011 or ”, and
(b) after “decision” insert “ or order ”.
(12) The Greater London Authority Act 1999 is amended as follows.
(13) In each of sections 7(b) and 14(b) (Authority to declare vacancy where Assembly
member or Mayor becomes disqualified otherwise than in certain cases) after sub-paragraph
(i) insert—
“(ia) under section 34 of the Localism Act 2011,”.
(14) In section 9(1)(f) (date of casual vacancies)—
(a) before “or by virtue of” insert “ or section 34 of the Localism Act 2011 ”, and
(b) after “that Act” insert “of 1998 or that section”

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2 – Certificate of authorisation
Local government elections in
England

Office use only
Date received Time received

Initials

No

To accompany the nomination of a candidate standing on behalf of a registered political party.
(Note: candidates standing on behalf of two or more parties require a certificate from each party
and each must allow the same registered joint description to be used).
This certificate must be issued by the registered Nominating Officer of the party or by a person
authorised to sign on their behalf.
This certificate authorises the candidate to use a specific registered description or the name of
the party as registered with the Electoral Commission, or to use ‘any registered description or
the party name as registered with the Electoral Commission’.
This authorised party name or description can then be included by the candidate on the
nomination form. It is this which will appear as their description on the ballot paper. Party
names and registered descriptions are listed on the Electoral Commission’s website
(http://search.electoralcommission.org.uk).

Details of candidate to be authorised and the allowed description/party name
Parish/Ward name:

Chard – Crimchard Ward

Date of
election:

24 April 2025

The candidate
(name in full):
Name of political party:

Political party registered with the Electoral Commission

I hereby certify that the candidate
may include the following
registered description or party
name in their nomination form:
Note: it is an offence to sign this form if you are not the party’s registered nominating officer
or authorised to do so by the party’s registered nominating officer
Signature of party’s registered Nominating
Officer (or person authorised by the
registered Nominating Officer):
Name of person signing this form:
Date:
This form must be delivered to the Returning Officer by no later than 4pm on the last
day to deliver nominations.

Source page 22

3 – Request for a party emblem
Local government elections in
England

Office use only
Date received Time received

Initials

This form is for a candidate of a political party who is subject to a certificate of authorisation
and who wishes to have a party emblem printed on the ballot paper next to their name.
Party emblems are listed on the Electoral Commission’s website
(http://search.electoralcommission.org.uk).
This form must be signed by the candidate.

Candidate’s request for use of an emblem
Parish/Ward name:

Chard – Crimchard Ward

Date of

24 April 2025

election:

Candidate name in
full:
I request that the ballot paper shall contain, against my name, the following registered
emblem (please identify which emblem if the party has registered more than one):
Emblem to be used
(Please use name or
description as on the Electoral
Commission’s website):
Candidate’s signature:

Date:
This form is only effective if delivered for a candidate standing on behalf of a political
party to the Returning Officer by no later than 4pm on the last day to deliver
nominations.
Candidates standing on behalf of more than one political party and using a joint description
may choose one emblem from one of the parties that you are standing for. Please indicate
the name of the party and the emblem name in the ‘Emblem to be used’ box above.

No

Source page 23

4 – Notification of an election agent
Local government elections in England

Office use only
Date received Time received

Parish - Ward name

Chard – Crimchard Ward

Date of election:

24 April 2025

Initials

Candidate’s notification of their election agent
I, (Candidate name in full):
Hereby declare that the name and address of my election agent is:
Agent’s name:
Agent’s address (in full):

The office address of my election agent to which all claims, notices, legal process and the
other documents may be sent is:
Agent’s office address (in full):
Candidate’s signature (or of person
authorised to act on behalf of
candidate):
Date:

Confirmation of acceptance by election agent
I [agent named above] confirm my acceptance as the election agent for the above named
candidate.
I understand that I must carry out my duties according to law. I understand that there are
penalties if I fail to fulfil my duties according to law.
Agent’s signature:
Date:

Agent’s other details in case of query (optional – will not be published)
Home telephone:
Work telephone:
Mobile telephone:
Email address:
Return to the Returning Officer by no later than 4pm on the last day to deliver nominations.

No

Source page 24

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Source page 25

Appointment of counting agents

5

Counting agents may be appointed using this form by the candidate.
This form must be delivered to the Returning Officer no later Tuesday 15 April 2025. Confirmation on
the number of agents will be able to be given from 27 March 2025.
Council

Chard

Name of Ward

Crimchard

Date of Poll

24 April 2025

Name of candidate:
Signature of candidate
I appoint the following people as counting agents:
Name of counting agent

Address of counting agent (including postcode)

Source page 26

No text could be extracted from this page. Consult the original or request an accessible version.

Source page 27

Somerset Council Election

6

Appointment of postal vote agents

Postal vote agents may be appointed by the candidate or their election agent using this form. Only one
postal vote agent may be appointed for each postal vote opening.
Name of Council

Chard

Name of Ward

Crimchard

Date of Poll

24 April 2025

Name of candidate:
Signature of candidate
I appoint the following people as agents to attend postal vote openings:
Name of postal vote agent

Address of postal vote agent

Source page 28

No text could be extracted from this page. Consult the original or request an accessible version.

Source page 29

7

Appointment of polling agents

Polling agents can be appointed using this form by the candidate. This form must be delivered to the
Returning Officer no later than Tuesday 15th April 2025.

Council

Chard

Name of Ward

Crimchard

Date of Poll

24 April 2025

Name of candidate:
Signature of candidate
I appoint the following people as polling agents:
Name and address of polling agent
(include postcode)

List of polling stations to which they are appointed