Birch Island Referendum Mail Ballot Application

First Name

Last Name

Residential Address

City/ Town

Postal Code

Mailing Address (if different from Residential Address)

City/ Town

Postal Code

Ballot Requested for:

Vavenby Fire Protection Service Area Amendment Bylaw No. 2857, 2024

Residency

Resident Elector

Non-Resident Elector (Note: If more than one person owns the property, the person wishing to cast the vote for that property must provide written consent from a majority of the property owners in the return ballot package)

(If you are a Non-Resident Elector, please provide: Legal Description of Property)

Mail Ballot Package Delivery Details:

I will pick up the mail ballot package at the TNRD office in Kamloops

Mail the package to my residential address

Mail the package to my mailing address (if different than residential address)

Mail the package to a different address

Courier to a different address at my expense.

If you selected “Mail the package to a different address,” please provide the address in full in the field below:

If applicable, please provide the address and name of courier service and account number:
(If you have no courier account, the package will be sent “collect”)

Declaration:

By signing and submitting this application, I declare that:

I am 18 years of age or older on September 14, 2024;
I am a Canadian citizen;
I have been a resident of B.C. for at least six (6) months immediately preceding voting day;
I am a resident in the jurisdiction for which voting is taking place or the owner of real property within the jurisdiction for which voting is taking place for at least 30 days immediately preceding voting day;
I am not disqualified by the Local Government Act or any other enactment from voting in this election;
I have completed this application with accurate information to the best of my knowledge; and
I will not attend a voting place to vote again if I submit a mail ballot.

Name (Please Print)

Date

Phone Number

Email Address

(Optional): How did you hear about the opportunity to vote by mail in the TNRD?

Advertisement

TNRD Website

TNRD Social Media

Other Social Media

Media Reporting

TNRD Staff

Other

Privacy Notice:

Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy Act sections 26(a) and 26(c) and will be used only for the purpose of the mail ballot voting process for the 2024 Birch Island Fire Protection Service referendum, pursuant to the Local Government Act section 110. If you have any questions about the collection and use of this information, please contact the Chief Election Officer or Deputy Chief Election Officer, 250 377-6310, or legservices@tnrd.ca.

Start Over

If you are human, leave this field blank.

Birch Island Referendum Mail Ballot Application

Sign up for the TNRD mailing list

Main Office

Connect

Explore