Regulation Adapting the Canada Elections Act for the Purposes of a Referendum
FORM 1: Not applicable.
Notice of Referendum
of which all persons are asked to take notice and to govern themselves accordingly and in obedience to Her Majesty's writ directed to me for the electoral district of
for the purpose of holding a referendum, public notice is hereby given of the
Polling day will be
from 9:00 a.m. until 8:00 p.m.
I have established my office for the conduct of the referendum at the following location, where I shall validate the results from the statements of the vote and declare the number of votes cast for each answer to the referendum question(s).
Given under my hand
Returning Officer: _____________________________________
OFFENCE: It is an offence with severe penalties to remove, cover up or alter this
FORM 3: Not applicable.
FORM 4: Not applicable.