Alberta Gazette — 15 February 2025 (Part II)

15 February 2025

Alberta — Gazette

Alberta Gazette — 15 February 2025 (Part II)

15 February 2025

Alberta — Gazette

Alberta Regulation 1/2025

Critical Infrastructure Defence Act

CRITICAL INFRASTRUCTURE DEFENCE

AMENDMENT REGULATION

Filed: January 29, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 8/2025) on

January 29, 2025 pursuant to

section 5 of the Critical Infrastructure Defence Act.

1 The Critical Infrastructure Defence Regulation

(AR 169/2021) is amended by this Regulation.

Section 1 is repealed and the following is substituted:

Essential infrastructure

1 All land in Alberta within 2 km of the United States border is

prescribed as essential infrastructure for the purposes of

section 1(1)(a)(xxi) of the Act.

--------------------------------

Alberta Regulation 2/2025

ATB Financial Act

ATB FINANCIAL AMENDMENT REGULATION

Filed: January 29, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 12/2025)

on January 29, 2025 pursuant to

section 34 of the ATB Financial Act.

1 The ATB Financial Regulation (AR 187/97) is amended by

this Regulation.

Section 9 is repealed and the following is substituted:

Mortgage investments

9(1) In this section,

(a) "alternative finance mortgage lender" means a subsidiary of

ATB that is a corporation referred to in

section 19(4)(j.1) of

the Act;

(b) "mortgage" means a mortgage on improved real estate.

(2) Subject to subsections (3) and (4), ATB or an alternative finance

mortgage lender may do either of the following:

(

a) purchase a mortgage;

(

b) make a loan on the security of a mortgage.

(3) An alternative finance mortgage lender may not purchase a

mortgage or make a loan on the security of a mortgage unless the

mortgage is a residential mortgage.

(4) Where a mortgage is a residential mortgage, the amount paid for

or advanced on the mortgage, together with the amount of

indebtedness under any other mortgage on the improved real estate

that ranks equally with or prior to the mortgage, must not exceed

80% of the market value of the real estate at the time the mortgage is

purchased or granted, as the case may be, unless the excess amount

is guaranteed or insured by one of the following:

(

a) the Government of Alberta;

(

c) the government of another province;

(

d) an agency of a government referred to in clauses (

a) to (c);

(

e) an insurance policy issued by an insurance corporation

authorized to carry on business in Canada.

(5) Where the excess amount referred to in subsection (4) is

guaranteed or insured by an agency of the Government of Alberta,

the guarantee or insurance must be on the same basis and subject to

the same conditions that would apply if the excess amount were

guaranteed or insured under the National Housing Act (Canada).

(6) Subsection (4) does not apply to a loan made on the security of a

mortgage to the purchaser of improved real estate that ATB or an

alternative finance mortgage lender, as the case may be,

(

a) acquired for the purpose of protecting its investment, and

(

b) in respect of which it is disposing.

3 The following is added after

section 31:

Expiry

31.1 For the purpose of ensuring that this Regulation is reviewed

for ongoing relevancy and necessity, with the option that it may be

repassed in its present or an amended form following a review, this

Regulation expires on January 31, 2030.

--------------------------------

Alberta Regulation 3/2025

Credit Union Act

CREDIT UNION (PRINCIPAL)

AMENDMENT REGULATION

Filed: January 29, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 13/2025)

on January 29, 2025 pursuant to

section 230 of the Credit Union Act.

1 The Credit Union (Principal) Regulation (AR 249/89) is

amended by this Regulation.

Section 1 is amended

(

a) in subsection (1)

(

i) by repealing clause (

a) and substituting the

following:

(a) "alternative finance mortgage loan" means a

residential mortgage loan in respect of which the

borrower is legally liable to the lender for the

following payments:

(

i) the principal amount of the loan;

(ii) any expense charged for the making of the

loan;

(iii) an amount that is payable in a form other than

as principal, interest or an expense and that

relates to a return or profit payable on the

loan;

(ii) in clause (

l) by adding "and includes an alternative

finance mortgage loan" after "mortgage of land";

(iii) in clause (m)(ii) by striking out "the credit union"

and substituting "a credit union or lending

subsidiary, as the case may be,";

(iv) in clause (m.1) by striking out "the credit union"

and substituting "a credit union or lending

subsidiary";

(

b) in subsection (2.1) by striking out "and sections

2(1)(a)(

i) and (ii) and (c)(iv) and 3(

a) and (

b) and 4 of

Schedule 2".

Section 2(1)(

d) is amended by striking out "section 2 of

Schedule 2" and substituting "the capital requirements standard

established under

section 145.1 of the Act".

Section 13.1(2)(

c) is amended

(

a) by striking out "where a credit union is providing a loan"

and substituting "where a credit union or lending

subsidiary is providing a loan";

(

b) by striking out "information to the credit union," and

substituting "information to the credit union or lending

subsidiary, as the case may be,".

5 The following is added after

section 15:

Subsidiary as an alternative

finance mortgage lender

15.01 For the purposes of

section 46(5)(

b) of the Act, a subsidiary

is entitled to make or acquire an alternative finance mortgage loan in

accordance with

section

Section 22(

k) is amended by adding "or the employees of its

subsidiaries" after "employees".

Section 25 is amended by striking out "section 2(1) of

Schedule 2" and substituting "the capital requirements standard

established under

section 145.1 of the Act,".

Section 41.3 is repealed.

Section 51 is amended by adding the following after

subsection (2):

(3) A lending subsidiary shall not make an alternative finance

mortgage loan, or acquire the rights of a lender under an alternative

finance mortgage loan, unless the loan is a quality mortgage loan.

(4) Notwithstanding subsection (3), a lending subsidiary may make

an alternative finance mortgage loan that is not a quality mortgage

loan as part of the sale of foreclosed land to a purchaser if the prior

approval of a special loans committee has been received for the

making of the loan.

Section 54.1 is amended

(

a) in clause (

a) by striking out "where a small credit union

is" and substituting "in the case of a small credit union or

its lending subsidiary";

(

b) in clause (b)

(

i) by adding "of a credit union or its lending subsidiary

making a loan or placing a deposit with another credit

union" after "in any other case";

(ii) by striking out "lender";

(iii) by adding "or its lending subsidiary" after "of its".

Section 74(

b) is repealed and the following is

substituted:

(

b) payment under the loan agreement of any of the applicable

payments referred to in

section 1(1)(hh) of the Act is not in

arrears,

Schedule 2 is repealed.

13 This Regulation comes into force on the coming into

force of

section 5 of the Financial Statutes Amendment Act,

2024 (No. 2).

Alberta Regulation 4/2025

Land Titles Act

FORMS AMENDMENT REGULATION

Filed: January 29, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 14/2025)

on January 29, 2025 pursuant to

section 213 of the Land Titles Act.

1 The Forms Regulation (AR 480/81) is amended by this

Regulation.

2 The following is added after Form 9:

Form 9.1

Land Titles Act

(Section 64.1(4.1))

Affidavit in Support of Transfer

Levy Exception

I, A.B., of , in the , make oath and say:

1 I am (one of) the transferee (or agent of the transferee) named in

the within or annexed transfer.

2 I know the circumstances of the transfer and the sole purpose of

the transfer is that referred to in

section 64.1(4.1)(

a) of the Land

Titles Act.

3 I have (or the transferee has), in the capacity of a mortgagee,

entered into a mortgage agreement in respect of the land

described in the within or annexed transfer that complies with

section 64.1(4.1)(

b) of the Land Titles Act.

SWORN before me at )

in the )

this day of , )

) (Signature)

Form 9.2

Land Titles Act

(Section 64.1(4.1))

Affidavit in Support of Transfer

Levy Exception

I, A.B., of , in the , make oath and say:

1 I am (one of) the transferee (or agent of the transferee) named in

the within or annexed transfer.

2 I know the circumstances of the transfer and the sole purpose of

the transfer is that referred to in

section 64.1(4.1)(

a) of the Land

Titles Act.

3 I have (or the transferee has), in the capacity of a mortgagee,

entered into a mortgage agreement in respect of the land

described in the within or annexed transfer that complies with

section 64.1(4.1)(

b) of the Land Titles Act.

4 I am executing this document by two-way video conferencing

separate and apart from any other person.

SWORN BEFORE ME, , )

a lawyer in and for the Province of Alberta )

at the in the )

of by two-way video conferencing )

with the deponent who was at the )

in the Province of Alberta this day of )

, on the basis of evidence )

provided to me that enabled me to verify the ) (Transferee or Agent of Transferee)

deponent's identity and confirm the contents )

of the document being executed. )

(Lawyer)

3 This Regulation comes into force on the coming into

force of

section 9 of the Financial Statutes Amendment Act,

2024 (No. 2).

--------------------------------

Alberta Regulation 5/2025

Land Titles Act

TARIFF OF FEES AMENDMENT REGULATION

Filed: January 29, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 15/2025)

on January 29, 2025 pursuant to

section 213 of the Land Titles Act.

1 The Tariff of Fees Regulation (AR 120/2000) is amended

by this Regulation.

2 The following is added after

section 3:

Transfer related to mortgage with

no payment of interest required

3.1 An instrument that, on registration, results in a

transfer of ownership to a transferee referred to in

section 64.1(4.1) of the Act

$50

3 This Regulation comes into force on the coming into

force of

section 9 of the Financial Statutes Amendment Act

(No. 2), 2024.

--------------------------------

Alberta Regulation 6/2025

Education Act

EARLY CHILDHOOD SERVICES

AMENDMENT REGULATION

Filed: January 29, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 17/2025)

on January 29, 2025 pursuant to

section 21 of the Education Act.

1 The Early Childhood Services Regulation (AR 126/2022)

is amended by this Regulation.

Section 5.1 is repealed and the following is substituted:

Access to learning

5.1 An operator may not deny a child or student access to an early

childhood services program if the child or student does not wear a

face mask or other face covering for the primary purpose of

preventing or limiting the spread of any communicable disease as

defined in the Public Health Act.

3 This Regulation comes into force on March 1, 2025.

Alberta Regulation 7/2025

Education Act

PRIVATE SCHOOLS AMENDMENT REGULATION

Filed: January 29, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 18/2025)

on January 29, 2025 pursuant to

section 29 of the Education Act.

1 The Private Schools Regulation (AR 127/2022) is

amended by this Regulation.

2 Sections 1(1)(b.1), 3.1, 11.1 and 16.1 are repealed.

3 This Regulation comes into force on the coming into

force of

section 5 of the Education Amendment Act, 2024.

--------------------------------

Alberta Regulation 8/2025

Traffic Safety Act

OPERATOR LICENSING AND VEHICLE CONTROL

AMENDMENT REGULATION

Filed: January 31, 2025

For information only: Made by the Minister of Service Alberta and Red Tape

Reduction (M.O. 22/2024) on January 27, 2025 pursuant to

section 64(

a) of the

Traffic Safety Act.

1 The Operator Licensing and Vehicle Control Regulation

(AR 320/2002) is amended by this Regulation.

2 The following is added after

section 61:

No registration before collection of fee and tax

61.1 The Registrar shall not issue a certificate of registration for a

motor vehicle before collecting the registration fee and, if

applicable, the tax payable under

section 22.2 of the Fuel Tax Act.

Section 62 is amended by adding "and, if applicable, the tax

payable under

section 22.2 of the Fuel Tax Act" after "payment of the

registration fee".

4 This Regulation comes into force on the coming into

force of

section 6(3) of the Financial Statutes Amendment

Act, 2024 (No. 2).

--------------------------------

Alberta Regulation 9/2025

Local Authorities Election Act

LOCAL AUTHORITIES ELECTION FORMS

AMENDMENT REGULATION

Filed: January 31, 2025

For information only: Made by the Minister of Municipal Affairs (M.O. 5/2025) on

January 29, 2025 pursuant to

section 159(2) of the Local Authorities Election Act.

1 The Local Authorities Election Forms Regulation

(AR 106/2007) is amended by this Regulation.

Section 2 is amended by adding "or resolution" after

"bylaw".

Schedule 1 is amended

(

a) by repealing

The following are the forms set out in this Schedule:

Form

Number

Form Title

In respect

of

Section

Oath of Returning Officer

Statement of Deputy, Substitute, Enumerator

and Constable

Notice of Nomination Day

3 SV

Notice of Nomination Day for Summer

Villages

12,26

Nomination Paper and Candidate's

Acceptance

Local Authorities Election Act

Education Act

12,21,22,23,

27,28,47,68.1,

151,

Part 5.1

4(4),74

Candidate Financial Information

Notice of Election

12,35,46,53

Notice of Election and Requirements for Voter

Identification

12,35,46,53

Notice of Vote on a Bylaw or Question

7,12,35,46,53

Ballot

42,43,44

Instructions for Electors

Enumerator, Candidate or Official Agent

Proof of Identification for

Section 52 Access

Campaign Worker Proof of Identification

Elector Register

Local Authorities Election Act

Education Act

1(n.1),47,53,

54,59,78

4(4),74

13 SV

Elector Register for Summer Villages

1(n.1),12,47,

53,54,59,78

Statement of Voucher

Local Authorities Election Act

Education Act

47,53,54,59

4(4),74

Presiding Deputy's Certification and

Statement on Completion of Ballot Count

90,91

Statement of Scrutineer or Official Agent

16(2),68.1,

69,70

Statement of Interpreter, Elector who is

Unable to Vote in the Usual Manner, Friend

or Relative of Elector who is Unable to Vote

in the Usual Manner

72,78

Note of Objection to a Ballot

Ballot Account and Result of Vote

54,77.2,88,89

Disclaimer before a Complaint

Disclaimer after Application

Request for Special Ballot Package

77.1

Special Ballot Package

77.1,77.2

Special Ballot Voting Instructions

77.1,77.2

Special Ballot Certificate Envelope

47,53,77.1,

77.2

Campaign Disclosure Statement and Financial

Statement

147.3,147.4

Registration of a Third Party

Third Party Advertising Contribution

Statement

180,181

and substituting

The following are the forms set out in this Schedule:

Form

Number

Form Title

Oath of Returning Officer

Statement of Deputy, Substitute and Constable

Notice of Nomination Day

3 SV

Notice of Nomination Day for Summer Villages

Nomination Paper and Candidate's Acceptance

Candidate Financial Information

Notice of Election and Requirements for Voter Identification

Notice of Vote on a Bylaw or Question

Ballot

Instructions for Electors

Candidate or Official Agent Proof of Identification for Access

Campaign Worker Proof of Identification

Elector Register

13 SV

Elector Register for Summer Villages

Statement of Voucher

Presiding Deputy's Certification and Statement on Completion

of Ballot Count

Statement of Scrutineer or Official Agent

Statement of Interpreter, Elector Who Is Unable to Vote in the

Usual Manner, Friend or Relative of Elector Who Is Unable to

Vote in the Usual Manner

Note of Objection to a Ballot

Ballot Account and Result of Vote

Disclaimer before a Complaint

Disclaimer after Application

Request for Special Ballot Package

Special Ballot Package

Special Ballot Voting Instructions

Special Ballot Certificate Envelope

Campaign Disclosure Statement and Financial Statement

Registration of a Third Party

Third Party Advertising Contribution Statement

(

b) in Form 1 by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under

section 16(1) of the Local Authorities Election Act and

section 33(

c) of the Freedom of Information and Protection of Privacy Act.

The personal information will be managed in compliance with the privacy

provisions of the Freedom of Information and Protection of Privacy Act.

If you have any questions concerning the collection of this personal

information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

c) by repealing Form 2 and substituting the following:

FORM 2 STATEMENT OF DEPUTY,

SUBSTITUTE AND CONSTABLE

Local Authorities Election Act

(Section 16)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

I, (name of deputy, substitute or constable) , solemnly state that

? I will diligently, faithfully and to the best of my ability execute

according to law the office of (office appointed to) ,

? I will not communicate to any person any information obtained at

an election or in the course of carrying out my duties as to the

candidate or candidates for whom a person has voted, or at a vote

on a bylaw or question as to whether a person has voted for or

against a bylaw or question,

? Where applicable, I will not communicate to any person any

information obtained in the course of carrying out my duties as a

deputy, substitute or constable, and

? I will in all respects maintain and aid in maintaining the absolute

secrecy of the vote.

Signature of Deputy, Substitute or Constable

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

d) by repealing Form 4 and substituting the following:

FORM 4 NOMINATION PAPER AND

CANDIDATE'S ACCEPTANCE

Local Authorities Election Act

(Sections 12, 21, 22, 23, 23.1,

27, 28, 47, 68.1, 151, 158.3,

Part 5.1)

Education Act

(Sections 4(4), 74)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

We, the undersigned electors of (name of local jurisdiction and ward, if

applicable) , nominate (candidate's surname and given names) of

(complete address and postal code) as a candidate at the election about

to be held for the office of (office nominated for) of (name of

local jurisdiction) .

The candidate's local political party or slate is (if applicable).

Provide signatures of at least 5 ELECTORS ELIGIBLE TO VOTE in

this election in accordance with sections 27 and 47 of the Local Authorities

Election Act and sections 4(4) and 74 of the Education Act (if applicable).

If a city or a board of trustees under the Education Act passes a bylaw

under

section 27(2) of the Local Authorities Election Act, then the

signatures of up to 100 electors eligible to vote may be required.

Printed Name

of Elector

Complete Address and Postal Code

of Elector

Signature of

Elector

CANDIDATE'S ACCEPTANCE

I, the above-named candidate, solemnly swear (affirm) that

I am eligible under sections 21 and 47 (and

section 12, in the case of

summer villages) of the Local Authorities Election Act and sections

4(4) and 74 of the Education Act (if applicable) to be elected to the

office,

I am not otherwise disqualified under

section 22, 23 or 23.1 of the

Local Authorities Election Act,

I will accept the office if elected,

I have read sections 12, 21, 22, 23, 23.1, 27, 28, 47, 68.1 and 151 and

Part 5.1 of the Local Authorities Election Act and sections 4(4) and 74

of the Education Act (if applicable) and understand their contents,

I am appointing (name, contact information or complete address

and postal code, and telephone number of official agent) as my

official agent (if applicable),

I have provided a criminal record check with my nomination package

(if applicable),

I will read and abide by the municipality's code of conduct if elected

(if applicable), and

The electors who have signed this nomination paper are eligible to

vote in accordance with the Local Authorities Election Act and the

Education Act and resident in the local jurisdiction on the date of

signing the nomination.

(Print name as it should appear on the ballot.)

____________________

(Candidate's surname) (Candidate's given names)

(may include nicknames, but

not titles, i.e. Mr., Ms, Dr.)

SWORN (AFFIRMED) BEFORE ME )

at the of , in the Province )

of Alberta, this day of , )

20 . ) Signature of Candidate

Signature of Returning Officer or

Commissioner for Oaths

IT IS AN OFFENCE TO SIGN A FALSE AFFIDAVIT

OR A FORM THAT CONTAINS A FALSE STATEMENT

RETURNING OFFICER'S ACCEPTANCE

Returning Officer signals acceptance by signing this form:

Signature of Returning Officer

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

e) in Form 5 by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under

section 27 of the Local Authorities Election Act and

section 33(

c) of the Freedom of Information and Protection of Privacy Act.

The personal information will be managed in compliance with the privacy

provisions of the Freedom of Information and Protection of Privacy Act.

If you have any questions concerning the collection of this personal

information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

f) by repealing Form 6;

(

g) in Form 7 by striking out

In order to vote, you must produce identification for inspection. The

identification must be one or more of (list acceptable forms of

identification) as required by

section 53 of the Local Authorities Election

Act.

and substituting

In order to vote, you must produce for inspection one or more of the

acceptable forms of identification required by

section 53 of the Local

Authorities Election Act.

(

h) in Form 8 by striking out

In order to vote, your name must appear on the list of electors, if any, and

if your name does not appear on the list of electors, the person vouching

for you must produce identification for inspection. If there is no list of

electors, you must produce identification for inspection. The identification

must be one or more of (list acceptable forms of identification) as

required by

section 53 of the Local Authorities Election Act.

and substituting

In order to vote, you must produce for inspection one or more of the

acceptable forms of identification required by

section 53 of the Local

Authorities Election Act.

(

i) in Form 9

(

i) by striking out

FORM 9 BALLOT

Local Authorities Election Act

(Sections 42, 43, 44)

BALLOT FORM FOR CHIEF ELECTED OFFICIAL (CEO)

ELECTION OF CEO

FOR THE

(Local Jurisdiction)

(List Names of Candidates Below)

This ballot shall not be marked for more than

one candidate.

BALLOT FORM FOR OTHER OFFICES

ELECTION OF

(Office)

FOR THE

(Local Jurisdiction)

(List Names of Candidates Below)

The maximum number of candidates that can

be voted for is (number) .

and substituting

FORM 9 BALLOT

Local Authorities Election Act

(Sections 42, 43, 44, 158.3)

BALLOT FORM FOR CHIEF ELECTED OFFICIAL (CEO)

ELECTION OF CEO

FOR THE

(Local Jurisdiction)

(List names of candidates below. If

applicable, include the name of each

candidate's local political party or slate.)

This ballot shall not be marked for more than

one candidate.

BALLOT FORM FOR OTHER OFFICES

ELECTION OF

(Office)

FOR THE

(Local Jurisdiction)

(List names of candidates below. If

applicable, include the name of each

candidate's local political party or slate.)

The maximum number of candidates that can

be voted for is (number) .

(ii) by striking out "not to make the ballot subject to

being rejected" and substituting "for the ballot not to

be rejected";

(

j) by repealing Forms 11, 12, 13, 13 SV and 14 and

substituting the following:

FORM 11 CANDIDATE OR OFFICIAL AGENT

PROOF OF IDENTIFICATION

FOR ACCESS

Local Authorities Election Act

(Section 52)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

For the purposes of access authorized under

section 52 of the

Local Authorities Election Act, this constitutes identification for

(name) of (complete address and postal code) serving in the

capacity of (office) .

This appointment is in effect for the 20 campaign period.

Section 52 of the Local Authorities Election Act states that a person to

whom a candidate, an official agent or a campaign worker on behalf of a

candidate has produced identification in the prescribed form, indicating

that the person is a candidate, an official agent or a campaign worker, shall

not

(

a) obstruct or interfere with, or

(

b) cause or permit the obstruction or interference with

the free access of the candidate, official agent or campaign worker to each

residence in a building containing 2 or more residences or to each

residence in a mobile home park.

Signature of Returning Officer

or Deputy Returning Officer

Signature of Candidate

or Official Agent named above

FORM 12 CAMPAIGN WORKER PROOF

OF IDENTIFICATION

Local Authorities Election Act

(Section 52)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

For the purposes of access authorized under

section 52 of the Local

Authorities Election Act, this constitutes identification for (name) of

(complete address and postal code) serving in the capacity of

(office) .

This appointment is in effect for the 20 campaign period.

Section 52 of the Local Authorities Election Act states that a person to

whom a candidate, an official agent or a campaign worker on behalf of a

candidate has produced identification in the prescribed form, indicating that

the person is a candidate, an official agent or a campaign worker, shall not

(

a) obstruct or interfere with, or

(

b) cause or permit the obstruction or interference with

the free access of the candidate, official agent or campaign worker to each

residence in a building containing 2 or more residences or to each

residence in a mobile home park.

Candidate's Signature Campaign Worker's Signature

FORM 13 ELECTOR REGISTER

Local Authorities Election Act

(Sections 1(n.1), 47, 49, 53, 59, 77.1, 78)

Education Act

(Sections 4(4), 74)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

SUBDIVISION OR WARD (If applicable):

VOTING STATION:

STATEMENT OF ELECTOR ELIGIBILITY

I, (name of elector) of (complete address and postal

code) , born on (birth date) , am eligible to

vote at the above-mentioned election because

? I have not voted before in this election,

? I am 18 years of age or older,

? I am a Canadian citizen,

? My place of residence is in the voting subdivision or ward

on election day, and

? I have provided the required proof of eligibility as required

section 53 of the Local Authorities Election Act, or, if

applicable, I have provided identification for inspection and

my residence has been vouched for.

I am eligible to vote for:

Select one (if applicable) ? A Public School Trustee

? A Separate School Trustee

Signature of Elector

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

DEPUTY RETURNING OFFICER (Deputy's initials)

VOTER NUMBER:

? Identification shown

Select one:

? The elector is on the permanent electors register for the above-

named local jurisdiction.

? The elector is NOT on the permanent electors register for the

above-named local jurisdiction. Statement of elector eligibility

completed.

? The above-named local jurisdiction is not a municipality, and the

elector is on the permanent electors register of a municipality with

the same boundaries or within the boundaries of the above-named

local jurisdiction.

? The above-named local jurisdiction is not a municipality, and the

elector is NOT on the permanent electors register of a municipality

with the same boundaries or within the boundaries of the above-

named local jurisdiction. Statement of elector eligibility completed.

? The above-named local jurisdiction is not a municipality, and the

elector resides in a summer village that does not have a permanent

electors register. The summer village is within the boundaries of the

above-named local jurisdiction. Statement of elector eligibility

completed.

If the elector is not on an applicable permanent electors register, select

one:

? Proof of residence shown

? Elector's residence vouched for, if applicable

BALLOTS ISSUED TO ELECTOR

? Chief Elected Official ? Bylaw or Question

? Councillors ? Separate School Trustee

? Public School Trustee

ELECTOR

WHO IS

UNABLE TO

VOTE IN THE

USUAL

MANNER

? Ballot of elector who is unable to vote in the

usual manner was marked by another person

Reason:

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

FORM 13 SV ELECTOR REGISTER

FOR SUMMER VILLAGES

Local Authorities Election Act

(Sections 1(n.1), 12, 47, 49, 53, 59, 77.1, 78)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

STATEMENT OF ELECTOR ELIGIBILITY

I, (name of elector) of (complete address and postal

code) , born on (birth date) , am eligible to

vote at the above-mentioned election because

? I have not voted before in this election,

? I am 18 years of age or older,

? I am a Canadian citizen,

? I have provided the required proof of eligibility as required by

section 53 of the Local Authorities Election Act, or, if applicable,

I have provided identification for inspection and my residence has

been vouched for by an elector, and

? Select one:

? I am named on the certificate of title as the person who owns

property within the summer village, or I am the spouse or

adult interdependent partner of the person named.

? My place of residence is in the summer village on election

day.

Signature of Elector

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

DEPUTY RETURNING OFFICER (Deputy's initials)

VOTER NUMBER:

? Identification shown

Select one:

? Elector on the permanent electors register for the above-named local

jurisdiction.

? Elector NOT on the permanent electors register for the

above-named local jurisdiction, and the statement of elector

eligibility was completed.

? Above-named local jurisdiction does not have a permanent electors

register, and the statement of elector eligibility was completed.

If the elector is not on an applicable permanent electors register, select

one:

? Proof of residence shown

? Elector's residence vouched for, if applicable

BALLOTS ISSUED TO ELECTOR

? Chief Elected Official ? Bylaw or Question

? Councillors

ELECTOR

WHO IS

UNABLE TO

VOTE IN THE

USUAL

MANNER

? Ballot of elector who is unable to vote in the

usual manner was marked by another person

Reason:

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

FORM 14 STATEMENT OF VOUCHER

Local Authorities Election Act

(Sections 47, 53, 59)

Education Act

(Sections 4(4), 74)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

STATEMENT OF VOUCHER

I, (name of elector) of (complete address and postal code) ,

state that

? I know the following individual(s):

(name)

(name)

(name)

who live(

s) at:

(complete address and postal code) .

? I am eligible to vote at the above-mentioned election.

? I have not been vouched for in this election.

? Select one:

? I am properly on the permanent electors register for the

above-named local jurisdiction.

? The above-named local jurisdiction is not a municipality,

and I am properly on the permanent electors register of a

municipality with the same boundaries or within the

boundaries of the above-named local jurisdiction.

? I have provided the required proof of eligibility as required by

section 53 of the Local Authorities Election Act.

? I truly believe the person(

s) named above is (are) resident at the

address listed above.

? I have not already vouched for a person who is resident at an

address other than the address listed above.

Signature of Voucher

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

DEPUTY RETURNING OFFICER (Deputy's initials)

? Identification shown

Select one:

? Vouching elector is on the permanent electors register for the

above-named local jurisdiction.

? The above-named local jurisdiction is not a municipality, and the

vouching elector is on the permanent electors register of a

municipality with the same boundaries or within the boundaries

of the above-named local jurisdiction.

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

k) in Form 15 by striking out "signed the elector register"

and substituting "registered";

(

l) in Form 16 by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under sections 16(2), 68.1, 69 and 70 of the Local Authorities

Election Act and

section 33(

c) of the Freedom of Information and

Protection of Privacy Act. The personal information will be managed in

compliance with the privacy provisions of the Freedom of Information and

Protection of Privacy Act. If you have any questions concerning the

collection of this personal information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

m) in Form 17 by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under sections 72(2) and 78 of the Local Authorities Election

Act and

section 33(

c) of the Freedom of Information and Protection of

Privacy Act. The personal information will be managed in compliance

with the privacy provisions of the Freedom of Information and Protection

of Privacy Act. If you have any questions concerning the collection of this

personal information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

n) in Form 18 by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under

section 87 of the Local Authorities Election Act and

section 33(

c) of the Freedom of Information and Protection of Privacy Act.

The personal information will be managed in compliance with the privacy

provisions of the Freedom of Information and Protection of Privacy Act.

If you have any questions concerning the collection of this personal

information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

o) in Form 19

(

i) by striking out "(Sections 54, 77.2, 88, 89)" and

substituting "(Sections 77.2, 88, 89)";

(ii) by striking out "Persons objected to under

section

54 ";

(iii) by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under

section 88 of the Local Authorities Election Act and

section 33(

c) of the Freedom of Information and Protection of Privacy Act.

The personal information will be managed in compliance with the privacy

provisions of the Freedom of Information and Protection of Privacy Act.

If you have any questions concerning the collection of this personal

information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

p) by repealing Forms 22, 23, 24, 25 and 26 and

substituting the following:

FORM 22 REQUEST FOR SPECIAL BALLOT PACKAGE

Local Authorities Election Act

(Section 77.1)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

I, (printed first name and surname) of (complete address and postal

code) , am unable to vote at an advance voting station or at the voting

station on election day.

Select one:

? I am properly on the permanent electors register for the above-

named local jurisdiction.

? I am not on the permanent electors register for the above-named

local jurisdiction, and I am applying to be added to the permanent

electors register. I have included

* a copy of my identification, and

* a completed statement of elector eligibility on Form 13

(Elector Register) or, in the case of summer villages, on Form

13 SV (Elector Register for Summer Villages).

? The above-named local jurisdiction is not a municipality, and I am

properly on the permanent electors register of a municipality with the

same boundaries or within the boundaries of the above-named local

jurisdiction.

? The above-named local jurisdiction is not a municipality, and I am

not on the permanent electors register of a municipality with the same

boundaries or within the boundaries of the above-named local

jurisdiction. I am applying to be added to the permanent electors

register of a municipality with the same boundaries or within the

boundaries of the above-named local jurisdiction. I have included

* a copy of my identification, and

* a completed statement of elector eligibility on Form 13 (Elector

Register).

I request a special ballot package including one of each of the following

ballots:

Select: ? Chief Elected Official

? Councillors

? Bylaw or Question

Select one (if applicable): ? A Public School Trustee

? A Separate School Trustee

Select one:

? I would like my special ballot package sent by regular mail to the

following address: (complete address to which the application will

be mailed, including the postal code) .

? I will arrange for my special ballot package to be picked up during

regular office hours. I would like my package held for pick up.

(date of request)

Contact telephone number:

Contact email address:

(Instruction: If the local jurisdiction has authorized applications by

telephone under

section 77.1(2) of the Local Authorities Election Act and

an application is made by telephone, an election official will fill in this

form with the information provided by the elector.

If a person must provide a copy of their identification because they are not

on the permanent electors register, an application cannot be made by

telephone.)

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

FORM 23 SPECIAL BALLOT PACKAGE

Local Authorities Election Act

(Sections 77.1, 77.2)

SPECIAL BALLOT

SPECIAL BALLOT FORM FOR CHIEF ELECTED OFFICIAL (CEO)

ELECTION OF CEO

FOR THE

(Local Jurisdiction)

Print the name of the candidate on the line

below.

I vote for:

This ballot shall not be marked for more than

one candidate.

SPECIAL BALLOT FORM FOR OTHER ELECTED OFFICES

ELECTION OF

(Office)

FOR THE

(Local Jurisdiction)

Print the name(

s) of the candidate(

s) on the

lines below.

I vote for:

The maximum number of candidates that can

be voted for is (number) .

USING SEPARATE BALLOTS FOR EACH OFFICE

A separate ballot must be used for:

? the office of chief elected official;

? the offices of councillors;

? the offices of school trustees.

BALLOT FOR A VOTE ON A BYLAW OR QUESTION

The wording on a ballot for a vote on a bylaw or question must be

determined by a resolution of the elected authority. The form of the ballot

may be determined by a resolution of the elected authority; however, if no

resolution is passed, the Returning Officer must determine the form in

accordance with

section 44 of the Local Authorities Election Act.

ARRANGING THE NAMES ON THE BALLOTS

If an elected authority provides for another method of voting under

section

77.2(2) of the Local Authorities Election Act, the names of the candidates

on each ballot must be arranged alphabetically in order of the surnames

and, if 2 or more candidates have the same surname, the names of those

candidates must be arranged alphabetically in order of their given names.

If an elected authority passes a bylaw 2 months before an election that

provides that ballots be printed in as many lots as there are candidates for

the office,

section 43(3) of the Local Authorities Election Act applies.

INDICATING THE NUMBER OF CANDIDATES THAT

CAN BE VOTED FOR

Every ballot used in an election for a member of an elected authority must

contain a brief explanatory note stating the maximum number of

candidates that can be voted for in order for the ballot not to be rejected,

and every ballot used in an election for chief elected official must contain a

brief explanatory note stating that the ballot shall not be marked for more

than one candidate.

BALLOTS FOR PUBLIC OR SEPARATE MEMBERS

Every ballot should indicate if the elector is voting for a public or separate

candidate.

FORM 24 SPECIAL BALLOT VOTING INSTRUCTIONS

Local Authorities Election Act

(Sections 77.1, 77.2)

SPECIAL BALLOT VOTING INSTRUCTIONS

You are eligible to complete a special ballot if you are unable to vote at

an advance voting station or at the voting station on election day.

1. Mark the ballot(

s) by printing the name of the candidate(

s) of your

choice in the space provided with a pen or pencil, or, if a ballot was

provided with the printed names of the candidates, mark an "X" in

the space provided on the right hand side opposite the name of the

candidate(

s) of your choice.

The ballot indicates the maximum number of candidates that can be

voted for. You may vote for less than the maximum number, but not

for more.

2. Place the ballot(s), marked or not, in the ballot envelope, and seal

the envelope.

3. Place the ballot envelope in the certificate envelope.

4. Complete and, in the presence of a witness, sign

Part 1 of the

certificate on the certificate envelope. The witness must be eligible

to vote.

5. Have the witness complete the signature verification portion of

Part 1 of the certificate on the certificate envelope.

6. Seal the certificate envelope.

7. Place a photocopy of your identification in the outer envelope. Your

identification must be one or more of the acceptable forms of

identification required by

section 53 of the Local Authorities

Election Act.

8. Place the certificate envelope in the outer envelope, and seal the

envelope.

9. It is your responsibility to ensure that this outer envelope, complete

with all prescribed contents, arrives at the office of the Returning

Officer prior to (time and date) .

10. No person other than the elector may send the elector's completed

special ballot package.

11. Failure to complete any of these steps may invalidate your ballot.

FORM 25 SPECIAL BALLOT CERTIFICATE ENVELOPE

Local Authorities Election Act

(Sections 47, 53, 77.1, 77.2)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

Part 1

To be completed by the Elector

STATEMENT OF ELECTOR ELIGIBILITY

I, (name of elector) of (complete address and postal code) , am

eligible to vote at the above-mentioned election because

? I have not voted before in this election,

? I am 18 years of age or older,

? I am a Canadian citizen,

? Select one:

? My place of residence is in the voting subdivision or ward

on election day,

? I am named on the certificate of title as the person liable to

pay property taxes for property within the summer village,

or I am the spouse or adult interdependent partner of the

person named,

? I have provided the required proof of eligibility as required by

section 53 of the Local Authorities Election Act, and

? I am entitled to receive a special ballot in accordance with

sections 77.1 and 77.2 of the Local Authorities Election Act

because I will not be able to attend advance voting stations, if

any, or the voting station established for my local jurisdiction.

I declare that the above statements are true.

Dated at (complete address and postal code where Special Ballot

Certificate Envelope is received) this (date) day of

(month) , (year) .

Signature of Elector

I witnessed the elector's signature.

_______________________ ______________________

Name of Witness Signature of Witness

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

Part 2

To be completed by the Returning Officer

Date and time received:

Instruction: Returning Officer must open the outer envelope in the

presence, if any, of candidates, official agents or scrutineers.

CHECK REQUIREMENTS:

? 1. The name of the elector in

Part 1 is recorded in the special

ballot elector register.

? 2.

Part 1 is properly completed.

? 3. The elector's identification meets the requirements of

section

53 of the Local Authorities Election Act.

? 4. Select one:

? The elector's signature in

Part 1

sufficiently matches the signature on the

copy of the elector's identification.

? The copy of the elector's identification did

not contain a signature.

? 5. The elector has not already returned a special ballot.

? 6. The special ballot package was received within the time

required by

section 77.2 of the Local Authorities Election Act.

SELECT ONE:

? The special ballot certificate envelope IS accepted because it

complies with requirements 1 to 6.

? The special ballot certificate envelope IS NOT accepted because

it does not comply with requirement(s) (insert number(

s) of the

missing requirement(

s) from the list above) .

Signature of Returning Officer

FORM 26 CAMPAIGN DISCLOSURE STATEMENT

AND FINANCIAL STATEMENT

Local Authorities Election Act

(Sections 147.3, 147.4)

LOCAL JURISDICTION: , PROVINCE OF ALBERTA

Calendar year of disclosure:

Full name of candidate:

Candidate's mailing address:

, Alberta

Postal code:

This form, including any contributor information from line 2,

is a public document.

Campaign Revenue for Calendar Year

CAMPAIGN CONTRIBUTIONS

1. Total amount of contributions of

$50.00 or less $

2. Total amount of all contributions of $50.01

and greater, together with the contributor's

name and address (attach listing and amount) $

NOTE

For lines 1 and 2, include all money and valued personal property, real

property or service contributions.

3. Deduct total amount of contributions returned $

4. Net contributions (line 1 + 2 - 3) $

OTHER SOURCES

5. Total amount contributed out of candidate's

own funds $

6. Total net amount received from fund-raising

functions $

7. Transfer of any surplus or deficit from a

candidate's previous election campaign $

8. Total amount of other revenue $

9. Total other sources

(add lines 5, 6, 7 and 8) $

TOTAL REVENUE

10. Total campaign revenue for calendar year

(add lines 4 and 9) $

Campaign Expenditures for Calendar Year

11. Total paid campaign expenses $

12. Total unpaid campaign expenses $

13. Total campaign expenses

(add lines 11 and 12) $

The candidate must attach an itemized expense report to this form.

Campaign Surplus (Deficit) for Calendar Year

(deduct line 13 from line 10) $

A candidate who has incurred campaign expenses or received

contributions of $50 000 or more must attach a review engagement

statement to this form.

ATTESTATION OF CANDIDATE

I certify that to the best of my knowledge this document and all

attachments accurately reflect the information required under

section 147.4

of the Local Authorities Election Act.

Signature of Candidate Date

Forward the signed original of this document to the address of the local

jurisdiction in which the candidate was nominated for election.

IT IS AN OFFENCE TO FILE A FALSE STATEMENT

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

q) in Form 27 by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under

section 163 of the Local Authorities Election Act and

section 33(

c) of the Freedom of Information and Protection of Privacy Act.

The personal information will be managed in compliance with the privacy

provisions of the Freedom of Information and Protection of Privacy Act.

If you have any questions concerning the collection of this personal

information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

r) in Form 28 by striking out

NOTE:

The personal information on this form is being collected to support the

administrative requirements of the local authorities election process and is

authorized under

section 180 of the Local Authorities Election Act and

section 33(

c) of the Freedom of Information and Protection of Privacy Act.

The personal information will be managed in compliance with the privacy

provisions of the Freedom of Information and Protection of Privacy Act.

If you have any questions concerning the collection of this personal

information, please contact

(title and business phone number of the responsible official)

and substituting

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

Schedule 2 is amended

(

a) by striking out

Les formulaires suivants sont contenus dans cette annexe.

Num‚ro du

formulaire

Titre du formulaire

Selon

l'article

1RA

Serment du directeur du scrutin

2RA

D‚claration du scrutateur, du

rempla‡ant, du recenseur et du

pr‚pos‚ au service d'ordre

3RA

Avis du jour de d‚claration de

candidatures

4RA

Mise en candidature et consentement

du candidat

Local Authorities Election Act

Education Act

12,21,22,23,

27,28,

68.1,151,

Partie 5.1

1(1)(i),135

5RA

Informations financiŠres du candidat

6RA

Avis d'‚lection

35,46,53

7RA

Avis d'‚lection et exigences relatives

… l'identification de l'‚lecteur

35,46,53

8RA

Avis de vote sur un rŠglement ou une

question donn‚e

7,35,46,53

9RA

Bulletin de vote

Local Authorities Election Act

Education Act

42,43,44

10RA

Instructions … l'intention des ‚lecteurs

11RA

Preuve d'identification du recenseur,

candidat ou agent officiel en matiŠre

d'accŠs conform‚ment … l'article 52

12RA

Preuve d'identification du travailleur

de campagne ‚lectorale

13RA

Registre des ‚lecteurs

Local Authorities Election Act

Education Act

1(n.1),53,54,

1(1)(i),135

14RA

Attestation de l'identit‚ de l'‚lecteur

Local Authorities Election Act

Education Act

47,53,54,59

67,135

15RA

D‚claration du scrutateur aprŠs le

d‚pouillement du scrutin

90,91

16RA

D‚claration d'un repr‚sentant du

candidat ou de agent officiel

16(2),68.1,

69,70

17RA

D‚claration d'un interprŠte, d'un

‚lecteur incapable de voter de la

maniŠre pr‚vue ou d'un ami ou d'un

membre de la parent‚ de l'‚lecteur

incapable de voter de la maniŠre

pr‚vue

72,78

18RA

Avis d'opposition faite … un bulletin

de vote

19RA

Relev‚ des bulletins de vote et r‚sultat

du vote

54,77.2,

88,89

20RA

Renonciation avant une plainte

21RA

Renonciation … la suite d'une motion

22RA

Requˆte pour paquet de bulletins de

vote sp‚ciaux

Local Authorities Election Act

Education Act

77.1

23RA

Paquet de bulletins de vote sp‚ciaux

77.1,77.2

24RA

Proc‚dures de vote pour un bulletin de

vote sp‚cial

77.1,77.2

25RA

Enveloppe " Certificat du bulletin de

vote sp‚cial "

Local Authorities Election Act

Education Act

53,77.1,77.2

1(1)(i),135

26RA

D‚claration sur la campagne

‚lectorale et ‚tat financier

147.3,147.4

27RA

Enregistrement d'un tiers

28RA

Publicit‚ d'un tiers d‚claration des

contributions

and substituting

Les formulaires suivants sont contenus dans cette annexe.

Num‚ro du

formulaire

Titre du formulaire

1RA

Serment du directeur du scrutin

2RA

D‚claration du scrutateur, du rempla‡ant et du pr‚pos‚

au service d'ordre

3RA

Avis du jour de d‚claration de candidatures

4RA

Mise en candidature et consentement du candidat

5RA

Informations financiŠres du candidat

7RA

Avis d'‚lection et exigences relatives … l'identification

de l'‚lecteur

8RA

Avis de vote sur un rŠglement ou une question donn‚e

9RA

Bulletin de vote

10RA

Instructions … l'intention des ‚lecteurs

11RA

Preuve d'identification du candidat ou agent officiel aux

fins de l'accŠs

12RA

Preuve d'identification du travailleur de campagne

‚lectorale

13RA

Registre des ‚lecteurs

14RA

Attestation de l'identit‚ de l'‚lecteur

15RA

D‚claration du scrutateur aprŠs le d‚pouillement du

scrutin

16RA

D‚claration d'un repr‚sentant du candidat ou de l'agent

officiel

17RA

D‚claration d'un interprŠte, d'un ‚lecteur incapable de

voter de la maniŠre pr‚vue ou d'un ami ou d'un membre

de la parent‚ de l'‚lecteur incapable de voter de la

maniŠre pr‚vue

18RA

Avis d'opposition faite … un bulletin de vote

19RA

Relev‚ des bulletins de vote et r‚sultat du vote

20RA

Renonciation avant une plainte

21RA

Renonciation … la suite d'une motion

22RA

Demande de trousse pour voter par bulletin sp‚cial

23RA

Trousse pour voter par bulletin sp‚cial

24RA

Proc‚dures pour voter par bulletin sp‚cial

25RA

Enveloppe-certificat pour le bulletin de vote sp‚cial

26RA

D‚claration sur la campagne ‚lectorale et ‚tat financier

27RA

Enregistrement d'un tiers

28RA

Publicit‚ d'un tiers d‚claration des contributions

(

b) by repealing Formulaires 1RA and 2RA and

substituting the following:

FORMULAIRE 1RA SERMENT DU DIRECTEUR

DU SCRUTIN

Local Authorities Election Act

(Article 16)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

Je, soussign‚, (nom du d‚clarant) , d‚clare sous serment (ou affirme

solennellement) que:

* je remplirai consciencieusement et fidŠlement les fonctions de

directeur du scrutin, et ce, le mieux possible et conform‚ment … la

loi;

* je ne divulguerai … quiconque aucun renseignement obtenu lors

d'une ‚lection ou dans l'exercice de mes fonctions concernant

pour qui un ‚lecteur a vot‚, ou lors d'un vote portant sur un

rŠglement ou une question donn‚e, si l'‚lecteur a vot‚ en faveur

ou contre;

* le cas ‚ch‚ant, je ne divulguerai aucun renseignement obtenu

dans l'exercice de mes fonctions de directeur du scrutin; et

* je garderai et veillerai … ce que soit gard‚ … tous ‚gards le secret

absolu du scrutin.

D�CLAR� SOUS SERMENT OU AFFIRM� )

SOLENNELLEMENT devant moi … ______ )

dans la province de l'Alberta ce _____ jour de )

___________ 20___ . ) Signature du d‚clarant

Signature du commissaire aux serments

LE FAIT DE SIGNER UNE FAUSSE

D�CLARATION CONSTITUE UNE INFRACTION

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

FORMULAIRE 2RA D�CLARATION DU SCRUTATEUR,

DU REMPLA€ANT ET DU PR�POS�

AU SERVICE D'ORDRE

Local Authorities Election Act

(Article 16)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

Je, soussign‚, (nom du d‚clarant) , d‚clare (ou affirme solennellement)

que:

* je remplirai consciencieusement et fidŠlement les fonctions

de (poste) , et ce, le mieux possible et conform‚ment … la loi;

* je ne divulguerai … quiconque aucun renseignement obtenu lors

d'une ‚lection ou dans l'exercice de mes fonctions concernant

pour qui un ‚lecteur a vot‚, ou lors d'un vote portant sur un

rŠglement ou une question donn‚e, si l'‚lecteur a vot‚ en faveur

ou contre;

* le cas ‚ch‚ant, je ne divulguerai aucun renseignement obtenu

dans l'exercice de mes fonctions de scrutateur, rempla‡ant ou

pr‚pos‚ au service d'ordre; et

* je garderai et veillerai … ce que soit gard‚ … tous ‚gards le secret

absolu du scrutin.

Signature du scrutateur, du rempla‡ant

ou du pr‚pos‚ au service d'ordre

LE FAIT DE SIGNER UNE FAUSSE

D�CLARATION CONSTITUE UNE INFRACTION

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

c) by repealing Formulaire 4RA and substituting the

following:

FORMULAIRE 4RA MISE EN CANDIDATURE ET

CONSENTEMENT DU CANDIDAT

Local Authorities Election Act

(Articles 12, 22, 23, 23.1,

27, 28, 68.1, 151,

Partie 5.1)

Education Act (Articles 1(1)(i), 135)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

Nous, les ‚lecteurs soussign‚s de la R�GION SCOLAIRE FRANCOPHONE

DU , soumettons la candidature de (nom de famille et pr‚noms

du candidat) , habitant … (adresse complŠte avec code postal du candidat)

au poste de de l'autorit‚ r‚gionale francophone de la r‚gion scolaire

francophone du .

Vous devez fournir la signature d'au moins 5 PERSONNES ayant qualit‚

d'‚lecteur en vertu de l'article 27 de la Local Authorities Election Act et

de l'article 135 de l'Education Act. Si une autorit‚ r‚gionale francophone

en vertu de l'Education Act adopte un rŠglement en vertu de l'article 27(2)

de la Local Authorities Election Act, le nombre requis de signatures

d'‚lecteurs admissibles au vote ne peut d‚passer 100.

Nom de l'‚lecteur

(en lettres moul‚es)

Adresse complŠte avec

code postal de l'‚lecteur

Signature de

l'‚lecteur

CONSENTEMENT DU CANDIDAT

Je, soussign‚, dont la candidature est soumise ci-dessus, d‚clare sous

serment (ou affirme solennellement) que:

je suis ‚ligible au poste … combler en vertu de l'article 135 de

l'Education Act ‚tant donn‚ que:

? j'ai 18 ans r‚volus;

? je d‚tiens la citoyennet‚ canadienne;

? j'ai r‚sid‚ pendant 6 mois en Alberta imm‚diatement avant le

jour de la mise en candidature et je r‚side dans la r‚gion scolaire

francophone du le jour du scrutin; et

? Choisir une option:

? Je suis un francophone, tel que d‚fini dans l'Education Act.

? Je suis une personne qui maŒtrise suffisamment la langue

fran‡aise pour exercer les fonctions de conseiller scolaire en

dirigeant, en fran‡ais, les affaires et les activit‚s des

conseillers scolaires de l'autorit‚ r‚gionale francophone.

je ne suis frapp‚ d'aucune des causes d'in‚ligibilit‚ pr‚vues par les

articles 22, 23 et 23.1 de la Local Authorities Election Act et par

l'article 135 de l'Education Act;

j'accepterai d'assumer la fonction … combler si je suis ‚lu;

j'ai lu les articles 12, 22, 23, 23.1, 27, 28, 68.1, 151 et la

Partie 5.1 de

la Local Authorities Election Act et les articles 1(1)(

i) et 135 de

l'Education Act et j'en comprends le contenu;

je nomme (nom, adresse complŠte avec code postal et num‚ro de

t‚l‚phone de l'agent officiel) en tant que mon agent officiel (s'il y a

lieu);

j'ai fourni une attestation de v‚rification de casier judiciaire avec mon

dossier du candidat (s'il y a lieu); et

les ‚lecteurs qui ont sign‚ la pr‚sente mise en candidature ont le droit

de vote conform‚ment … la Local Authorities Election Act et …

l'Education Act et r‚sident dans la r‚gion scolaire francophone … la

date de signature de la mise en candidature.

(Inscrire le nom tel qu'il devrait apparaŒtre sur le bulletin de vote.)

(Nom de famille du candidat) (Pr‚nom(

s) du candidat)

(Peut inclure surnoms mais pas

de titre, i.e. M., Mme, Dr.)

D�CLAR� SOUS SERMENT OU AFFIRM� )

SOLENNELLEMENT devant moi … ______ )

dans la province de l'Alberta ce _____ jour de )

___________ 20______. ) Signature du candidat

Signature du directeur du scrutin ou du

commissaire aux serments

LE FAIT DE SIGNER UN FAUX AFFIDAVIT OU UN

FORMULAIRE CONTENANT UNE FAUSSE

D�CLARATION CONSTITUE UNE INFRACTION

ACCEPTATION DU DIRECTEUR DU SCRUTIN

Le directeur du scrutin indique son acceptation en signant le pr‚sent

formulaire:

Signature du directeur du scrutin

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

d) in Formulaire 5RA by striking out

NOTE:

Les renseignements personnels contenus dans le pr‚sent formulaire sont

recueillis pour r‚pondre aux exigences administratives du processus

‚lectoral des autorit‚s locales et leur collecte est autoris‚e en vertu de

l'article 27 de la Local Authorities Election Act et de l'article 33(

c) de la

Freedom of Information and Protection of Privacy Act. Les

renseignements personnels seront g‚r‚s conform‚ment aux dispositions

relatives aux renseignements personnels de la Freedom of Information

and Protection of Privacy Act. Si vous avez des questions concernant la

collecte de ces renseignements personnels, veuillez communiquer avec

(titre et num‚ro de t‚l‚phone d'affaires de l'agent responsable) ;

and substituting

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

e) by repealing Formulaire 6RA;

(

f) in Formulaire 7RA by striking out

Afin de pouvoir voter, vous devez soumettre une piŠce d'identit‚ pour fins

d'inspection. La piŠce d'identit‚ doit ‚tre une ou plusieurs parmi

celles-ci-‚num‚r‚es (liste des piŠces d'identit‚ qui seront

accept‚es) conform‚ment aux exigences de l'article 53 de la Local

Authorities Election Act.

and substituting

Afin de pouvoir voter, vous devez produire, aux fins d'inspection, un ou

des documents parmi les piŠces d'identit‚ accept‚es en vertu de l'article 53

de la Local Authorities Election Act.

(

g) in Formulaire 8RA by striking out

Afin de pouvoir voter, votre nom doit apparaŒtre sur la liste ‚lectorale, si

une liste ‚lectorale existe. Si votre nom n'apparait pas sur la liste

‚lectorale, la personne qui agit …

titre de r‚pondant doit soumettre sa

propre piŠce d'identit‚ pour fins d'inspection, … savoir une ou plusieurs des

piŠces requises (liste des piŠces d'identit‚ qui seront accept‚es)

conform‚ment aux exigences de l'article 53 de la Local Authorities

Election Act.

S'il n'y a pas de liste ‚lectorale, vous devez soumettre votre propre piŠce

d'identit‚, … savoir une ou plusieurs des piŠces requises (liste des piŠces

d'identit‚ qui seront accept‚es) conform‚ment aux exigences de l'article

53 de la Local Authorities Election Act.

and substituting

Afin de pouvoir voter, vous devez produire, aux fins d'inspection, un ou

des documents parmi les piŠces d'identit‚ accept‚es en vertu de l'article 53

de la Local Authorities Election Act.

(

h) in Formulaire 9RA by striking out "le nombre de

candidats" and substituting "le nombre maximum de

candidats";

(

i) in Formulaire 10RA by striking out "N'A DROIT QU'A

VOTER UNE" and substituting "N'A DROIT DE VOTER

QU'UNE";

(

j) by repealing Formulaires 11RA, 12RA, 13RA and

14RA and substituting the following:

FORMULAIRE 11RA PREUVE D'IDENTIFICATION DU

CANDIDAT OU AGENT OFFICIEL

AUX FINS DE L'ACCES

Local Authorities Election Act

(Article 52)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

SUBDIVISION �LECTORALE Nø (s'il y a lieu):

Aux fins de l'accŠs autoris‚ en vertu de l'article 52 de la Local Authorities

Election Act, ceci sert …

titre d'identification

pour (nom) de (adresse complŠte avec code postal) qui

agit …

titre de (poste) .

Cette d‚signation est en vigueur pendant la p‚riode de la campagne

‚lectorale de 20__.

L'article 52 de la Local Authorities Election Act ‚nonce qu'une personne …

qui un candidat, un agent officiel ou un travailleur de campagne ‚lectorale

au nom d'un candidat pr‚sente une piŠce d'identit‚ sous la forme prescrite

et qui indique que la personne est un candidat, un agent officiel ou un

travailleur de campagne ‚lectorale ne devra pas

(

a) empˆcher ou faire obstacle au, ou

(

b) causer ou permettre d'empˆcher ou de faire obstacle au

libre accŠs du candidat, de l'agent officiel ou du travailleur de campagne

‚lectorale … chacune des r‚sidences dans un immeuble qui contient 2

r‚sidences ou plus, ou … chaque r‚sidence dans un parc de maisons

mobiles.

Signature du directeur du scrutin ou

du scrutateur

Signature du candidat ou de

l'agent officiel nomm‚ ci-dessus

FORMULAIRE 12RA PREUVE D'IDENTIFICATION

DU TRAVAILLEUR DE

CAMPAGNE �LECTORALE

Local Authorities Election Act

(Article 52)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

SUBDIVISION �LECTORALE Nø (s'il y a lieu):

Aux fins de l'accŠs autoris‚ en vertu de l'article 52 de la Local Authorities

Election Act, ceci sert …

titre d'identification

pour (nom) de (adresse complŠte avec code postal) qui agit

…

titre de (poste) .

Cette d‚signation est en vigueur pendant la p‚riode de la campagne

‚lectorale de 20__.

L'article 52 de la Local Authorities Election Act ‚nonce qu'une personne …

qui un candidat, un agent officiel ou un travailleur de campagne ‚lectorale

au nom d'un candidat pr‚sente une piŠce d'identit‚ sous la forme prescrite

et qui indique que la personne est un candidat, un agent officiel ou un

travailleur de campagne ‚lectorale ne devra pas

(

a) empˆcher ou faire obstacle au, ou

(

b) causer ou permettre d'empˆcher ou de faire obstacle au

libre accŠs du candidat, de l'agent officiel ou du travailleur de campagne

‚lectorale … chacune des r‚sidences dans un immeuble qui contient 2

r‚sidences ou plus, ou … chaque r‚sidence dans un parc de maisons

mobiles.

____________________

Signature du candidat Signature du travailleur de

campagne ‚lectorale

FORMULAIRE 13RA REGISTRE DES �LECTEURS

Local Authorities Election Act

(Articles 1(n.1), 49, 53, 59, 78)

Education Act (Articles 1(1)(i), 135)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

SUBDIVISION �LECTORALE Nø (s'il y a lieu):

BUREAU DE SCRUTIN:

ATTESTATION DU DROIT DE VOTE DE L'�LECTEUR

Je, soussign‚, (nom de l'‚lecteur) r‚sidant … (adresse complŠte avec

code postal) , n‚ le (date de naissance) d‚clare avoir le droit de

voter … l'‚lection susmentionn‚e parce que je r‚ponds … toutes les

exigences suivantes:

? Je n'ai pas encore vot‚ … cette ‚lection ni … aucune autre ‚lection

de conseil scolaire.

? J'ai 18 ans r‚volus.

? Je d‚tiens la citoyennet‚ canadienne.

? Je r‚side dans la r‚gion scolaire francophone du le jour

du scrutin.

? J'ai fourni la ou les piŠces d'identit‚ requises conform‚ment …

l'article 53 de la Local Authorities Election Act, ou, le cas

‚ch‚ant, mon identit‚ a ‚t‚ attest‚e par un ‚lecteur agissant …

titre

de r‚pondant pour moi.

? Choisir une option parmi les 3 suivantes:

1. ? Je suis un francophone, tel que d‚fini dans l'Education

Act.

2. ? Les critŠres suivants s'appliquent … moi:

? Je suis un individu qui a ‚t‚ inscrit dans une ‚cole

francophone r‚gie par une autorit‚ r‚gionale francophone.

? J'ai obtenu un dipl“me ou un certificat d'‚tudes

secondaires de l'Alberta par le biais d'une autorit‚

r‚gionale francophone.

3. ? Je suis le parent biologique ou adoptif d'un individu

mentionn‚ dans l'option 2 ci-dessus.

Je suis admissible … voter pour (choisir une option):

? un conseiller public de l'autorit‚ r‚gionale francophone

? un conseiller s‚par‚ de l'autorit‚ r‚gionale francophone

Signature de l'‚lecteur

LE FAIT DE SIGNER UNE FAUSSE D�CLARATION

CONSTITUE UNE INFRACTION

SCRUTATEUR (Initiales du scrutateur)

NUM�RO DE L'�LECTEUR:

? PiŠce(

s) d'identit‚ soumise(

s) Choisir une option:

? L'‚lecteur figure sur le registre permanent des ‚lecteurs d'une

municipalit‚ situ‚e dans les limites de la r‚gion scolaire

francophone susmentionn‚e.

? L'‚lecteur NE figure PAS sur le registre permanent des ‚lecteurs

d'une municipalit‚ situ‚e dans les limites de la r‚gion scolaire

francophone susmentionn‚e et une attestation du droit de vote de

l'‚lecteur a ‚t‚ remplie.

? L'‚lecteur r‚side dans un village d'‚t‚ qui n'a pas de registre

permanent des ‚lecteurs. Le village d'‚t‚ est situ‚ dans les limites

de la r‚gion scolaire francophone susmentionn‚e.

Si l'‚lecteur ne figure pas sur un registre permanent des ‚lecteurs

applicable, s‚lectionnez une option parmi les suivantes:

? Une preuve de r‚sidence a ‚t‚ fournie

? La r‚sidence de l'‚lecteur a ‚t‚ attest‚e par un r‚pondant, le cas

‚ch‚ant

BULLETINS DE VOTE REMIS A L'�LECTEUR

? Un bulletin de vote pour conseiller public de l'autorit‚ r‚gionale

francophone

? Un bulletin de vote pour conseiller s‚par‚ de l'autorit‚ r‚gionale

francophone

? Un bulletin de vote pour une question ou un rŠglement

�LECTEUR

INCAPABLE DE

VOTER DE LA

MANIERE PR�VUE

? Le bulletin de vote a ‚t‚ marqu‚ par une

personne autre que l'‚lecteur incapable de

voter de la maniŠre pr‚vue.

Raison:

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

FORMULAIRE 14RA ATTESTATION DE L'IDENTIT�

DE L'�LECTEUR

Local Authorities Election Act

(Articles 47, 53, 59)

Education Act (Articles 1(1)(i), 135)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

SUBDIVISION �LECTORALE Nø (s'il y a lieu):

BUREAU DE SCRUTIN:

ATTESTATION DE L'IDENTIT� DE L'�LECTEUR

Je, soussign‚, (nom de l'‚lecteur) r‚sidant … (adresse complŠte avec

code postal) , d‚clare que:

? je connais la ou les personnes suivantes:

(nom)

(nom)

(nom)

r‚sidant …

(adresse complŠte avec code postal) ;

? je suis admissible … voter … l'‚lection indiqu‚e ci-dessus;

? je n'ai pas eu recours … un r‚pondant lors de cette ‚lection;

? mon nom apparaŒt correctement sur le registre permanent des

‚lecteurs d'une municipalit‚ situ‚e dans les limites de la r‚gion

scolaire francophone susmentionn‚e;

? j'ai fourni la ou les piŠces d'identit‚ requises en vertu de l'article 53

de la Local Authorities Election Act;

? je crois fermement que l'individu ou les individus nomm‚s

ci-dessus r‚sident bien … l'adresse indiqu‚e; et

? je n'ai pas d‚j… r‚pondu d'un individu dont l'adresse est diff‚rente

de celle qui est indiqu‚e ci-dessus.

Signature du r‚pondant

LE FAIT DE SIGNER UNE FAUSSE D�CLARATION

CONSTITUE UNE INFRACTION

SCRUTATEUR (Initiales du scrutateur)

? PiŠce(

s) d'identit‚ soumise(s)

? Le r‚pondant figure sur le registre permanent des ‚lecteurs d'une

municipalit‚ situ‚e dans les limites de la r‚gion scolaire francophone

susmentionn‚e

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

k) in Formulaire 15RA by striking out "qui ont sign‚ le

registre des ‚lecteurs de" and substituting "inscrites …";

(

l) in Formulaire 16RA by striking out

NOTE:

Les renseignements personnels contenus dans le pr‚sent formulaire sont

recueillis pour r‚pondre aux exigences administratives du processus

‚lectoral des autorit‚s locales et leur collecte est autoris‚e en vertu des

articles 16(2), 68.1, 69 et 70 de la Local Authorities Election Act et de

l'article 33(

c) de la Freedom of Information and Protection of Privacy Act.

Les renseignements personnels seront g‚r‚s conform‚ment aux

dispositions relatives aux renseignements personnels de la Freedom of

Information and Protection of Privacy Act. Si vous avez des questions

concernant la collecte de ces renseignements personnels, veuillez

communiquer avec

(titre et num‚ro de t‚l‚phone d'affaires de l'agent responsable)

and substituting

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

m) in Formulaire 17RA by striking out

NOTE:

Les renseignements personnels contenus dans le pr‚sent formulaire sont

recueillis pour r‚pondre aux exigences administratives du processus

‚lectoral des autorit‚s locales et leur collecte est autoris‚e en vertu des

articles 72(2) et 78 de la Local Authorities Election Act et de l'article 33(

c) de la Freedom of Information and Protection of Privacy Act. Les

renseignements personnels seront g‚r‚s conform‚ment aux dispositions

relatives aux renseignements personnels de la Freedom of Information and

Protection of Privacy Act. Si vous avez des questions concernant la

collecte de ces renseignements personnels, veuillez communiquer avec

(titre et num‚ro de t‚l‚phone d'affaires de l'agent responsable)

and substituting

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

n) in Formulaire 18RA by striking out

NOTE:

Les renseignements personnels contenus dans le pr‚sent formulaire sont

recueillis pour r‚pondre aux exigences administratives du processus

‚lectoral des autorit‚s locales et leur collecte est autoris‚e en vertu de

l'article 87 de la Local Authorities Election Act et de l'article 33(

c) de la

Freedom of Information and Protection of Privacy Act. Les

renseignements personnels seront g‚r‚s conform‚ment aux dispositions

relatives aux renseignements personnels de la Freedom of Information and

Protection of Privacy Act. Si vous avez des questions concernant la

collecte de ces renseignements personnels, veuillez communiquer avec

(titre et num‚ro de t‚l‚phone d'affaires de l'agent responsable)

and substituting

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

o) in Formulaire 19RA

(

i) by striking out "(Articles 54, 77.2, 88, 89)" and

substituting "(Articles 77.2, 88, 89)";

(ii) by striking out "Objections not‚es conform‚ment …

l'article 54 : ";

(iii) by striking out

NOTE:

Les renseignements personnels contenus dans le pr‚sent formulaire sont

recueillis pour r‚pondre aux exigences administratives du processus

‚lectoral des autorit‚s locales et leur collecte est autoris‚e en vertu de

l'article 88 de la Local Authorities Election Act et de l'article 33(

c) de la

Freedom of Information and Protection of Privacy Act. Les

renseignements personnels seront g‚r‚s conform‚ment aux dispositions

relatives aux renseignements personnels de la Freedom of Information and

Protection of Privacy Act. Si vous avez des questions concernant la

collecte de ces renseignements personnels, veuillez communiquer avec

(titre et num‚ro de t‚l‚phone d'affaires de l'agent responsable)

and substituting

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

p) by repealing Formulaires 22RA, 23RA, 24RA, 25RA

and 26RA and substituting the following:

FORMULAIRE 22RA DEMANDE DE TROUSSE POUR VOTER

PAR BULLETIN SP�CIAL

Local Authorities Election Act (Article 77.1)

Education Act (Articles 1(1)(i), 135)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

SUBDIVISION �LECTORALE Nø (s'il y a lieu):

BUREAU DE SCRUTIN:

Je, soussign‚, (pr‚nom et nom de famille en lettres moul‚es) r‚sidant

… (adresse complŠte avec code postal) , serai incapable de me rendre …

un bureau de vote par anticipation ou … un bureau de scrutin le jour de

l'‚lection.

Choisir une option:

? Mon nom apparaŒt correctement sur le registre permanent des ‚lecteurs

d'une municipalit‚ situ‚e dans les limites de la r‚gion scolaire

francophone susmentionn‚e.

? Je ne figure pas sur le registre permanent des ‚lecteurs d'une

municipalit‚ situ‚e dans les limites de la r‚gion scolaire francophone

susmentionn‚e et je demande … ˆtre inscrit sur le registre permanent

des ‚lecteurs d'une municipalit‚ situ‚e dans les limites de la r‚gion

scolaire francophone susmentionn‚e. A cet effet, je joins:

* une copie de ma ou mes piŠces d'identit‚; et

* l'attestation, remplie, du droit de vote de l'‚lecteur figurant dans

le formulaire 13RA (Registre des ‚lecteurs).

Je demande une trousse pour voter par bulletin sp‚cial qui inclut les

bulletins suivants:

? Question ou rŠglement (s'il y a lieu)

Choisir une option:

? Un conseiller public de l'autorit‚ r‚gionale francophone

? Un conseiller s‚par‚ de l'autorit‚ r‚gionale francophone

Choisir une option:

? J'aimerais que ma trousse pour voter par bulletin sp‚cial soit exp‚di‚

par courrier ordinaire … l'adresse suivante: (adresse complŠte o— la

trousse sera exp‚di‚e, y compris le code postal).

? Je prendrai les dispositions n‚cessaires pour aller chercher ma trousse

pour voter par bulletin sp‚cial pendant les heures r‚guliŠres

d'ouverture. Je d‚sire qu'on retienne ma trousse afin que je puisse aller

le chercher.

(date de la demande)

Num‚ro de t‚l‚phone:

Courriel:

(Directives: Si l'autorit‚ r‚gionale francophone a autoris‚ les demandes

par t‚l‚phone en vertu de l'article 77.1(2) de la Local Authorities Election

Act et si une telle demande a ‚t‚ faite par t‚l‚phone, un membre du

personnel ‚lectoral remplira ce formulaire avec les renseignements fournis

par l'‚lecteur.

Si une personne doit fournir une copie de sa ou ses piŠces d'identit‚ parce

qu'elle n'est pas inscrite aux registre permanent des ‚lecteurs, la demande

ne peut pas ˆtre faite par t‚l‚phone.)

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

FORMULAIRE 23RA TROUSSE POUR VOTER PAR

BULLETIN SP�CIAL

Local Authorities Election Act

(Articles 77.1, 77.2)

BULLETIN DE VOTE SP�CIAL

FORMULAIRE DU BULLETIN DE VOTE SP�CIAL

POUR UN POSTE �LU

�LECTION AU

POSTE DE

CONSEILLER DE

L'AUTORIT�

R�GIONALE

FRANCOPHONE DE

LA R�GION

SCOLAIRE

FRANCOPHONE DU

�crivez ci-dessous le(

s) nom(

s) des candidats

en lettres moul‚es.

Je vote pour:

Le nombre maximum de candidats pour qui

vous pouvez voter est de (nombre).

BULLETIN DE VOTE PORTANT SUR UNE QUESTION OU UN

REGLEMENT DONN�

Le libell‚ des bulletins de vote portant sur une question ou un rŠglement

donn‚ doit ˆtre d‚termin‚ aux termes d'une r‚solution adopt‚e par

l'autorit‚ r‚gionale francophone. Le format du bulletin peut ˆtre d‚termin‚

par l'autorit‚ r‚gionale francophone; cependant, en l'absence de r‚solution

… cet effet, il incombe au scrutateur de d‚terminer le format du bulletin de

vote conform‚ment … l'article 44 de la Local Authorities Election Act.

DISPOSITION DES NOMS SUR LES BULLETINS DE VOTE

Les noms des candidats doivent paraŒtre par ordre alphab‚tique sur chaque

bulletin de vote et, quand plusieurs candidats portent le mˆme nom, ils

doivent paraŒtre dans l'ordre alphab‚tique des pr‚noms.

Lorsque l'autorit‚ r‚gionale francophone adopte, au moins 2 mois avant

l'‚lection, un rŠglement pr‚voyant que les bulletins seront imprim‚s en

autant de lots qu'il y a de candidats aux postes … combler, l'article 43(3) de

la Local Authorities Election Act s'applique.

CONSIGNE RELATIVE AU NOMBRE DE CANDIDATS POUR QUI

VOTER

Chaque bulletin servant … l'‚lection d'un conseiller d'une autorit‚

r‚gionale francophone doit contenir une brŠve note explicative stipulant le

nombre maximum de candidats pour qui chaque ‚lecteur peut voter afin

que le bulletin ne soit pas rejet‚.

BULLETINS DE VOTE POUR L'�LECTION DES CONSEILLERS

PUBLICS OU S�PAR�S

Les bulletins de vote doivent indiquer si l'‚lecteur vote pour le candidat au

poste de conseiller public ou s‚par‚ de l'autorit‚ r‚gionale francophone.

FORMULAIRE 24RA PROC�DURES POUR VOTER

PAR BULLETIN SP�CIAL

Local Authorities Election Act

(Articles 77.1, 77.2)

PROC�DURES POUR VOTER PAR

UN BULLETIN SP�CIAL

Vous ˆtes admissible … remplir un ou des bulletins de vote sp‚cial s'il

vous est impossible de voter dans un bureau de vote par anticipation ou

de vous pr‚senter au bureau de scrutin le jour de l'‚lection.

1. En utilisant un crayon ou un stylo, veuillez remplir le(

s) bulletin(

s) de

vote en ‚crivant le nom du ou des candidat(

s) de votre choix dans

l'espace r‚serv‚ … cet effet. Si les noms des candidats sont imprim‚s

sur le bulletin, marquez un "X" dans l'espace pr‚vu … la droite du

nom du ou des candidat(

s) de votre choix.

Le nombre maximum de candidats pour qui vous pouvez voter est

indiqu‚ sur le bulletin de vote. Vous pouvez voter pour moins de

candidats que le maximum pr‚vu, mais pas plus que ce nombre.

2. Placez le(

s) bulletin(

s) de vote, marqu‚(

s) ou non, dans l'enveloppe

pour les bulletins de vote sp‚ciaux et scellez l'enveloppe.

3. Placez l'enveloppe pour les bulletins de vote sp‚ciaux dans

l'enveloppe-certificat.

4. Remplissez et signez la

Partie 1 de l'enveloppe-certificat en pr‚sence

d'un t‚moin. Le t‚moin doit avoir le droit de voter.

5. Demandez au t‚moin de remplir la case portant sur la v‚rification de

la signature de l'‚lecteur se trouvant dans la

Partie 1 du formulaire

enveloppe-certificat pour le bulletin de vote sp‚cial.

6. Scellez l'enveloppe-certificat.

7. Ins‚rez une photocopie de votre ou vos piŠces d'identit‚ dans

l'enveloppe ext‚rieure. Votre ou vos piŠces d'identit‚ doivent faire

partie des piŠces d'identit‚ accept‚es en vertu de l'article 53 de la

Local Authorities Election Act.

8. Ins‚rez l'enveloppe-certificat dans l'enveloppe ext‚rieure et scellez

l'enveloppe.

9. Vous avez la responsabilit‚ de vous assurer que cette enveloppe

ext‚rieure, renfermant toutes les piŠces exig‚es, parvienne au bureau

du directeur du scrutin avant le _(date et heure)__.

10. Aucune autre personne que l'‚lecteur lui-mˆme ne peut retourner la

trousse contenant le bulletin de vote sp‚cial rempli par l'‚lecteur.

11. A d‚faut de respecter l'une ou l'autre de ces ‚tapes, votre bulletin de

vote peut ˆtre annul‚.

FORMULAIRE 25RA ENVELOPPE-CERTIFICAT POUR

LE BULLETIN DE VOTE SP�CIAL

Local Authorities Election Act

(Articles 53, 77.1, 77.2)

Education Act (Articles 1(1)(i), 135)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

DATE D'�LECTION:

SUBDIVISION �LECTORALE Nø (s'il y a lieu):

BUREAU DE SCRUTIN:

Partie 1

Doit ˆtre remplie par l'‚lecteur

ATTESTATION DU DROIT DE VOTE DE L'�LECTEUR

Je, (nom de l'‚lecteur) , de (adresse complŠte avec code postal) ,

d‚clare avoir le droit de voter dans l'‚lection nomm‚e ci-dessus pour les

raisons suivantes:

? Je n'ai pas encore vot‚ … cette ‚lection ni … aucune autre ‚lection

de conseil scolaire.

? J'ai 18 ans r‚volus.

? Je d‚tiens la citoyennet‚ canadienne.

? Je r‚side dans la r‚gion scolaire francophone du

le jour du scrutin.

? J'ai fourni la preuve d'admissibilit‚ requise en vertu de l'article

53 de la Local Authorities Election Act.

? Je suis admissible … voter par bulletin sp‚cial conform‚ment aux

articles 77.1 et 77.2 de la Local Authorities Election Act, car je

ne pourrai pas me rendre dans un bureau de vote par

anticipation, s'il y a lieu, ni dans un bureau de vote ‚tabli par

mon autorit‚ r‚gionale francophone.

? Choisir une option parmi les suivantes:

1. ? Je suis un francophone, tel que d‚fini dans l'Education Act.

2. ? Les critŠres suivants s'appliquent … moi:

? Je suis un individu qui a ‚t‚ inscrit dans une ‚cole

francophone r‚gie par une autorit‚ r‚gionale

francophone;

? J'ai obtenu un dipl“me ou un certificat d'‚tudes

secondaires de l'Alberta par le biais d'une autorit‚

r‚gionale francophone.

3. ? Je suis le parent biologique ou adoptif d'un individu

mentionn‚ dans l'option 2 ci-dessus.

Je d‚clare que les ‚nonc‚s ci-dessus sont v‚ridiques.

Fait … (adresse complŠte, y compris le code postal, o— l'enveloppe-certificat

sera exp‚di‚

e) ce (date) jour du mois de (mois) (ann‚e) .

Signature de l'‚lecteur

J'ai ‚t‚ t‚moin de la signature de l'‚lecteur.

_______________________ ___________________

Nom du t‚moin Signature du t‚moin

SIGNER UNE FAUSSE D�CLARATION

CONSTITUE UNE INFRACTION

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

Partie 2

Doit ˆtre remplie par le directeur du scrutin

Date et heure de r‚ception:

Directive:

Le directeur de scrutin doit ouvrir l'enveloppe ext‚rieure en

pr‚sence, le cas ‚ch‚ant, des candidats, des agents officiels ou des

scrutateurs.

V�RIFICATION DES EXIGENCES

? 1. Le nom de l'‚lecteur figurant dans la

Partie 1 est inscrit sur

le registre des bulletins de vote sp‚ciaux.

? 2. La

Partie 1 est remplie comme il se doit.

? 3. La ou les piŠces d'identit‚ de l'‚lecteur satisfont aux

exigences ‚nonc‚es … l'article 53 de la Local Authorities

Election Act.

? 4. Choisissez une option parmi les suivantes:

? La signature de l'‚lecteur figurant dans la

Partie 1

ressemble suffisamment … celle figurant sur la copie de la

ou les piŠces d'identit‚ de l'‚lecteur.

? Aucune signature n'apparait sur la copie de la ou les piŠces

d'identit‚.

? 5. L'‚lecteur n'a pas d‚j… envoy‚ un bulletin de vote sp‚cial

pour cette ‚lection.

? 6. La trousse pour voter par bulletin sp‚cial a ‚t‚ re‡ue dans les

d‚lais prescrits par l'article 77.2 de la Local Authorities

Election Act.

CHOISIR UNE OPTION:

? L'enveloppe-certificat EST accept‚e, car elle r‚pond aux

exigences 1 … 6.

? L'enveloppe-certificat N'EST PAS accept‚e, car elle ne r‚pond

pas … l'exigence (indiquez les num‚ros des exigences de la liste

ci-dessus qui n'ont pas ‚t‚ satisfaites).

Signature du directeur de scrutin

FORMULAIRE 26RA D�CLARATION SUR LA CAMPAGNE

�LECTORALE ET �TAT FINANCIER

Local Authorities Election Act

(Articles 147.3 et 147.4)

R�GION SCOLAIRE FRANCOPHONE DU ,

PROVINCE D'ALBERTA

Ann‚e civile de divulgation:

Nom au complet du candidat:

Adresse postale du candidat:

, Alberta

Code postal:

Le formulaire, y compris toute information sur le donateur de la

ligne 2, est un document public.

Revenus li‚s … la campagne pour l'ann‚e civile

CONTRIBUTIONS POUR LA CAMPAGNE �LECTORALE

1. Montant total des contributions de

50,00 $ ou moins $

2. Montant total de toutes les contributions de 50,01 $

et plus, ainsi que le nom et l'adresse des donateurs

(joindre la liste et le montant) $

NOTE

Pour les lignes 1 et 2, inclure toutes les sommes et tous les biens

personnels de valeur, biens r‚els et contributions pour services.

3. D‚duire le montant total des contributions

retourn‚es $

4. Contributions nettes (lignes 1 + 2 - 3) $

AUTRES SOURCES

5. Montant total contribu‚ … partir des fonds

personnels du candidat $

6. Montant net total re‡u des collectes de fonds $

7. Transfert de tout exc‚dent ou d‚ficit d‚coulant

d'une campagne ‚lectorale pass‚e du candidat $

8. Montant total des autres revenus $

9. Total des autres sources (additionner les lignes 5, 6, 7 et 8) $

REVENU TOTAL

10. Total des revenus durant la p‚riode de campagne

(additionner les lignes 4 et 9) $

D‚penses li‚es … la campagne pour l'ann‚e civile

11. Total des d‚penses pay‚es li‚es … la campagne $

12. Total des d‚penses impay‚es li‚es … la campagne $

13. Total des d‚penses de campagne

(additionner les lignes 11 et 12) $

Le candidat doit joindre un rapport des d‚penses d‚taill‚es pour la

campagne ‚lectorale au pr‚sent formulaire.

Exc‚dent (d‚ficit) de la campagne pour l'ann‚e civile

(soustraire la ligne 13 de la ligne 10) $

Un candidat qui a engag‚ des d‚penses de campagne ou re‡u des

contributions de 50 000 $ ou plus doit joindre une d‚claration de bilan

au pr‚sent formulaire.

ATTESTATION DU CANDIDAT

La pr‚sente vise … attester qu'au mieux de ma connaissance, le pr‚sent

document et toutes ses piŠces jointes reflŠtent avec pr‚cision l'information

exig‚e en vertu de l'article 147.4 de la Local Authorities Election Act.

______________

Signature du candidat Date

Envoyer l'original sign‚ du pr‚sent document … l'adresse de l'autorit‚

r‚gionale francophone o— la candidature a ‚t‚ pr‚sent‚e pour l'‚lection.

LE D�POT D'UNE FAUSSE D�CLARATION CONSTITUE UNE

INFRACTION

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

q) in Formulaire 27RA

(

i) by striking out "le titre; M.; Mme" wherever it

occurs and substituting "le

titre M. ou Mme";

(ii) by striking out

NOTE:

Les renseignements personnels contenus dans le pr‚sent formulaire sont

recueillis pour r‚pondre aux exigences administratives du processus

‚lectoral des autorit‚s locales et leur collecte est autoris‚e en vertu de

l'article 163 de la Local Authorities Election Act et de l'article 33(

c) de la

Freedom of Information and Protection of Privacy Act. Les

renseignements personnels seront g‚r‚s conform‚ment aux dispositions

relatives aux renseignements personnels de la Freedom of Information and

Protection of Privacy Act. Si vous avez des questions concernant la

collecte de ces renseignements personnels, veuillez communiquer avec

(titre et num‚ro de t‚l‚phone d'affaires de l'agent responsable)

and substituting

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

(

r) in Formulaire 28RA by striking out

NOTE:

Les renseignements personnels contenus dans le pr‚sent formulaire sont

recueillis pour r‚pondre aux exigences administratives du processus

‚lectoral des autorit‚s locales et leur collecte est autoris‚e en vertu de

l'article 180 de la Local Authorities Election Act et de l'article 33(

c) de la

Freedom of Information and Protection of Privacy Act. Les

renseignements personnels seront g‚r‚s conform‚ment aux dispositions

relatives aux renseignements personnels de la Freedom of Information and

Protection of Privacy Act. Si vous avez des questions concernant la

collecte de ces renseignements personnels, veuillez communiquer avec

(titre et num‚ro de t‚l‚phone d'affaires de l'agent responsable)

and substituting

Les renseignements personnels recueillis dans le pr‚sent formulaire

serviront … l'administration de l'‚lection. Cette collecte est autoris‚e en

vertu de l'article 33(

c) de la Freedom of Information and Protection of

Privacy Act. Pour toute question concernant la collecte de renseignements

personnels, communiquez avec

(coordonn‚es de la personne-ressource:

titre du poste et organisme,

num‚ro de t‚l‚phone et adresse) .

Schedule 3 is amended

(

a) by repealing

The following are the forms set out in this Schedule:

Form

Number

Form Title

In respect of

Section

4RA

Nomination Paper and Candidate's

Acceptance

Local Authorities Election Act

Education Act

12,22,23,

27,28,68.1,151,

Part 5.1

1(1)(i),135

9RA

Ballot

Local Authorities Election Act

Education Act

42,43,44

13RA

Elector Register

Local Authorities Election Act

Education Act

1(n.1),53,54,

59,78

1(1)(i),135

22RA

Request for Special Ballot Package

Local Authorities Election Act

Education Act

77.1

23RA

Special Ballot Package

77.1,77.2

25RA

Special Ballot Certificate Envelope

Local Authorities Election Act

Education Act

53,77.1,77.2

1(1)(i),135

and substituting

The following are the forms set out in this Schedule:

Form

Number

Form Title

4RA

Nomination Paper and Candidate's Acceptance

9RA

Ballot

13RA

Elector Register

14RA

Statement of Voucher

22RA

Request for Special Ballot Package

23RA

Special Ballot Package

25RA

Special Ballot Certificate Envelope

(

b) by repealing Form 4RA and substituting the

following:

FORM 4RA NOMINATION PAPER AND

CANDIDATE'S ACCEPTANCE

Local Authorities Election Act

(Sections 12, 22, 23, 23.1, 27, 28, 68.1, 151,

Part 5.1)

Education Act (Sections 1(1)(i), 135)

THE FRANCOPHONE EDUCATION REGION,

PROVINCE OF ALBERTA

We, the undersigned electors of the Francophone education

region, nominate (candidate's surname and given names) of

(complete address and postal code) as a candidate at the election about

to be held for the office of of the Francophone regional

authority of the Francophone education region.

Provide signatures of at least 5 ELECTORS ELIGIBLE TO VOTE in

this election in accordance with

section 27 of the Local Authorities

Election Act and

section 135 of the Education Act. If a Francophone

regional authority under the Education Act passes a bylaw under

section

27(2) of the Local Authorities Election Act, then the signatures of up to

100 electors eligible to vote may be required.

Printed Name

of Elector

Complete Address and Postal Code

of Elector

Signature of

Elector

CANDIDATE'S ACCEPTANCE

I, the above-named candidate, solemnly swear (affirm) that

I am eligible under

section 135 of the Education Act to be elected to

the office because

? I am 18 years of age or older,

? I am a Canadian citizen,

? I have been a resident of Alberta for the 6 consecutive months

immediately preceding nomination day and reside in the

Francophone education region on election day, and

? Select one:

? I am a Francophone as defined in the Education Act,

? I am an individual who is sufficiently proficient in the

French language to perform the duties of a trustee in

conducting the business and affairs of the trustees of the

Francophone regional authority in French,

I am not otherwise disqualified under sections 22, 23 and 23.1 of

the Local Authorities Election Act and

section 135 of the Education

Act,

I will accept the office if elected,

I have read sections 12, 22, 23, 23.1, 27, 28, 68.1, 151 and

Part 5.1 of

the Local Authorities Election Act and sections 1(1)(

i) and 135 of the

Education Act and understand their contents,

I am appointing (name, contact information or complete address and

postal code, and telephone number of official agent) as my official

agent (if applicable),

I have provided a criminal record check with my nomination package

(if applicable), and

The electors who have signed this nomination paper are eligible to

vote in accordance with the Local Authorities Election Act and the

Education Act and resident in the Francophone education region on the

date of signing the nomination.

(Print name as it should appear on the ballot.)

(Candidate's surname) (Candidate's given names)

(may include nicknames, but

not titles, i.e. Mr., Ms, Dr.)

SWORN (AFFIRMED) BEFORE ME )

at the of , in the Province )

of Alberta, this day of , )

20 . ) Signature of Candidate

Signature of Returning Officer or

Commissioner for Oaths

IT IS AN OFFENCE TO SIGN A FALSE AFFIDAVIT

OR A FORM THAT CONTAINS A FALSE STATEMENT

RETURNING OFFICER'S ACCEPTANCE

Returning Officer signals acceptance by signing this form:

Signature of Returning Officer

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

(

c) in Form 9RA by striking out "not to make the ballot

subject to being rejected" and substituting "for the ballot

not to be rejected";

(

d) by repealing Forms 13RA, 22RA, 23RA and 25RA

and substituting the following:

FORM 13RA ELECTOR REGISTER

Local Authorities Election Act

(Sections 1(n.1), 53, 59, 78)

Education Act (Sections 1(1)(i), 135)

THE FRANCOPHONE EDUCATION REGION,

PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

STATEMENT OF ELECTOR ELIGIBILITY

I, (name of elector) of (complete address and postal code), born on

(birth date), am eligible to vote at the above-mentioned election because

? I have not voted before in this election or any other school board

election occurring at this time,

? I am 18 years of age or older,

? I am a Canadian citizen,

? I reside in the Francophone education region on

election day,

? I have provided the required proof of eligibility as required

section 53 of the Local Authorities Election Act, or, if

applicable, I have been vouched for as to my eligibility by an

elector, and

? Select one of the following 3 options:

1. ? I am a Francophone as defined in the Education Act.

2. ? The following criteria apply to me:

? I am an individual who was enrolled as a student

in a school operated by a Francophone regional

authority, and

? I received an Alberta high school diploma or

certificate from a Francophone regional authority.

3. ? I am the biological or adoptive parent of an

individual referred to in option 2 above.

I am eligible to vote for (select one):

? A Francophone Public School Trustee

? A Francophone Separate School Trustee

Signature of Elector

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

DEPUTY RETURNING OFFICER (Deputy's initials)

VOTER NUMBER:

? Identification shown

Select one:

? The elector is on the permanent electors register of a municipality

within the boundaries of the above-named Francophone education

region.

? The elector is NOT on the permanent electors register of a

municipality within the boundaries of the above-named

Francophone education region. Statement of elector eligibility

completed.

? The elector resides in a summer village that does not have a

permanent electors register. The summer village is within the

boundaries of the above-named Francophone education region.

Statement of elector eligibility completed.

If the elector is not on an applicable permanent electors register, select

one:

? Proof of residence shown

? Elector's residence vouched for, if applicable

BALLOTS ISSUED TO ELECTOR

? A Francophone Public School Trustee

? A Francophone Separate School Trustee

? Bylaw or Question

ELECTOR WHO

IS UNABLE TO

VOTE IN THE

USUAL

MANNER

? Ballot of elector who is unable to vote in the

usual manner was marked by another person

Reason:

NOTE:

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

FORM 14RA STATEMENT OF VOUCHER

Local Authorities Election Act

(Sections 47, 53, 59)

Education Act (Sections 1(1)(i), 135)

THE FRANCOPHONE EDUCATION REGION,

PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

STATEMENT OF VOUCHER

I, (name of elector) of (complete address and postal code) ,

state that

? I know the following individual(s):

(name)

(name)

(name)

who live(

s) at:

(complete address and postal code) .

? I am eligible to vote at the above-mentioned election.

? I have not been vouched for in this election.

? I am properly on the permanent electors register of a

municipality within the boundaries of the above-named

Francophone education region.

? I have provided the required proof of eligibility as required by

section 53 of the Local Authorities Election Act.

? I truly believe the person(

s) named above is (are) resident at the

address listed above.

? I have not already vouched for a person who is resident at an

address other than the address listed above.

Signature of Voucher

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

DEPUTY RETURNING OFFICER (Deputy's initials)

? Identification shown

? The vouching elector is on the permanent electors register of a

municipality within the boundaries of the above-named

Francophone education region

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

FORM 22RA REQUEST FOR SPECIAL

BALLOT PACKAGE

Local Authorities Election Act (Section 77.1)

Education Act (Sections 1(1)(i), 135)

THE FRANCOPHONE EDUCATION REGION,

PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

I, (printed first name and surname) , of (complete address and postal

code) , am unable to vote at an advance voting station or at the voting

station on election day.

Select one:

? I am properly on the permanent electors register of a municipality

within the boundaries of the above-named Francophone education

region.

? I am not on the permanent electors register of a municipality within

the boundaries of the above-named Francophone education region,

and I am applying to be added to the permanent electors register of a

municipality within the boundaries of the above-named Francophone

education region. I have included

* a copy of my identification, and

* a completed statement of elector eligibility on Form 13RA

(Elector Register).

I request a special ballot package including one of each of the following

ballots:

? Bylaw or Question (if applicable)

Select one: ? A Francophone Public School Trustee

? A Francophone Separate School Trustee

Select one:

? I would like my special ballot package sent by regular mail to the

following address: (complete address to which the application will

be mailed, including the postal code) .

? I will arrange for my special ballot package to be picked up during

regular office hours. I would like my package held for pick-up.

(date of request)

Contact telephone number:

Contact email address:

(Instruction: If the Francophone regional authority has authorized

applications by telephone under

section 77.1(2) of the Local Authorities

Election Act and an application is made by telephone, an election official

will fill in this form with the information provided by the elector.

If a person must provide a copy of their identification because they are not

on the permanent electors register, an application cannot be made by

telephone.)

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

FORM 23RA SPECIAL BALLOT PACKAGE

Local Authorities Election Act

(Sections 77.1, 77.2)

SPECIAL BALLOT

SPECIAL BALLOT FORM FOR ELECTED OFFICES

ELECTION OF THE

TRUSTEE OF THE

FRANCOPHONE

REGIONAL

AUTHORITY OF

FRANCOPHONE

EDUCATION

REGION

Print the name(

s) of the candidate(

s) on the

lines below.

I vote for:

The maximum number of candidates that can

be voted for is (number) .

BALLOT FOR A VOTE ON A BYLAW OR QUESTION

The wording on a ballot for a vote on a bylaw or question must be determined

by a resolution of the Francophone regional authority. The form of the ballot

may be determined by a resolution of the Francophone regional authority;

however, if no resolution is passed, the Returning Officer must determine the

form in accordance with

section 44 of the Local Authorities Election Act.

ARRANGING THE NAMES ON THE BALLOTS

The names of the candidates on each ballot must be arranged

alphabetically in order of the surnames and, if 2 or more candidates have

the same surname, the names of those candidates must be arranged

alphabetically in order of their given names.

If a Francophone regional authority passes a bylaw 2 months before an

election that provides that ballots be printed in as many lots as there are

candidates for the office,

section 43(3) of the Local Authorities Election

Act applies.

INDICATING THE NUMBER OF CANDIDATES

THAT CAN BE VOTED FOR

Every ballot used in an election for a trustee of a Francophone regional

authority must contain a brief explanatory note stating the maximum

number of candidates that can be voted for in order for the ballot not to be

rejected.

BALLOTS FOR PUBLIC OR SEPARATE TRUSTEES

Every ballot should indicate if the elector is voting for a public or separate

trustee of the Francophone regional authority.

FORM 25RA SPECIAL BALLOT

CERTIFICATE ENVELOPE

Local Authorities Election Act

(Sections 53, 77.1, 77.2)

Education Act (Sections 1(1)(i), 135)

THE FRANCOPHONE EDUCATION REGION,

PROVINCE OF ALBERTA

ELECTION DATE:

VOTING SUBDIVISION OR WARD (If applicable):

VOTING STATION:

Part 1

To be completed by Elector

STATEMENT OF ELECTOR ELIGIBILITY

I, (name of elector) of (complete address and postal code) , am

eligible to vote at the above-mentioned election because

? I have not voted before in this election or in any other school

board election occurring at this time,

? I am 18 years of age or older,

? I am a Canadian citizen,

? I reside in the Francophone education region on

election day,

? I have provided the required proof of eligibility as required by

section 53 of the Local Authorities Election Act,

? I am entitled to receive a special ballot in accordance with

sections 77.1 and 77.2 of the Local Authorities Election Act

because I will not be able to attend advance voting stations, if

any, or the voting station established for my Francophone

regional authority, and

? Select one of the following 3 options:

1. ? I am a Francophone, as defined in the Education Act.

2. ? The following criteria apply to me:

* I am an individual who was enrolled as a student in

a school operated by a Francophone regional

authority, and

* I received an Alberta High School Diploma or

Certificate from a Francophone regional authority.

3. ? I am the biological or adoptive parent of an individual

referred to in option 2 above.

I declare that the above statements are true.

Dated at (complete address, including postal code, where Special Ballot

Certificate Envelope is received) this (date) day

of (month) , (year) .

Signature of Elector

I witnessed the elector's signature.

_______________________ ______________________

Name of Witness Signature of Witness

IT IS AN OFFENCE TO SIGN A FALSE STATEMENT

The personal information collected through this form is for administering

the election. This collection is authorized by

section 33(

c) of the Freedom

of Information and Protection of Privacy Act. For questions about the

collection of personal information, contact

(contact information: business title/organization, phone number and

address) .

Part 2

To be completed by the Returning Officer

Date and time received:

Instruction: Returning officer must open the outer envelope in the

presence, if any, of candidates, official agents or scrutineers.

CHECK REQUIREMENTS:

? 1. The name of the elector in

Part 1 is recorded in the special

ballot elector register.

? 2.

Part 1 is properly completed.

? 3. The elector's identification meets the requirements of

section

53 of the Local Authorities Election Act.

? 4. Select one:

? The elector's signature in

Part 1

sufficiently matches the signature on the

copy of the elector's identification.

? The copy of the elector's identification did

not contain a signature.

? 5. The elector has not already returned a special ballot in this

election.

? 6. The special ballot package was received within the time

required by

section 77.2 of the Local Authorities Election Act.

SELECT ONE:

? The special ballot certificate envelope IS accepted because it

complies with requirements 1 to 6.

? The special ballot certificate envelope IS NOT accepted because

it does not comply with requirement(s) (insert number(

s) of the

missing requirement(

s) from the list above) .

Signature of Returning Officer

--------------------------------

Alberta Regulation 10/2025

Alberta Public Agencies Governance Act

ALBERTA PUBLIC AGENCIES GOVERNANCE

EXEMPTION AMENDMENT REGULATION

Filed: January 31, 2025

For information only: Made by the Lieutenant Governor in Council (O.C. 19/2025)

on January 31, 2025 pursuant to

section 20 of the Alberta Public Agencies

Governance Act.

1 The Alberta Public Agencies Governance Exemption

Regulation (AR 170/2020) is amended by this Regulation.

Section 2 is amended by adding "or regional health

authority" after "provincial health agency".

Alberta Regulation 11/2025

Pipeline Act

PIPELINE RULES AMENDMENT REGULATION

Filed: February 3, 2025

For information only: Made by the Alberta Energy Regulator on November 27, 2024

pursuant to sections 3(1)(l), (l.1), (m), (u), (v), (dd) and 26(1) of the Pipeline Act.

1 The Pipeline Rules (AR 125/2023) are amended by this

Regulation.

Section 1(1) is amended by adding the following after

clause (h):

(h.1) "Directive 001" means Directive 001: Requirements for

Site-Specific Liability Assessments;

(h.2) "Directive 011" means Directive 011: Estimated Liability;

Section 4(1) is amended by renumbering clause (

a) as

clause (a.2) and by adding the following before clause (a.2):

(

a) Directive 001,

(a.1) Directive 011,

Section 16 is amended

(

a) in subsection (1)(

b) by striking out "and" and

substituting "or";

(

b) in subsection (2) by striking out "Any" and

substituting "Subject to subsections (3) and (4), any";

(

c) by adding the following after subsection (2):

(3) The Regulator may make the results of any licensee

assessment conducted by the Regulator under Directive 088

available to the public.

(4) If requested by an applicant for a transfer of a licence, the

Regulator shall make available to the applicant the estimated

liability of that licence as determined by the Regulator under

Directive 011.

5 The following is added after

section 16:

Site-specific liability assessment

16.1(1) Subject to subsection (2), a site-specific liability assessment

conducted and submitted by a licensee under Directive 001 must be

kept confidential by the Regulator.

(2) The Regulator may make the magnitude of estimated liability of

a licensee available to the public.

--------------------------------

Alberta Regulation 12/2025

Oil and Gas Conservation Act

OIL AND GAS CONSERVATION RULES

AMENDMENT REGULATION

Filed: February 3, 2025

For information only: Made by the Alberta Energy Regulator on November 27, 2024

pursuant to section (10)(1) of the Oil and Gas Conservation Act.

1 The Oil and Gas Conservation Rules (AR 151/71) are

amended by this Regulation.

Section 1.020(2) is amended

(

a) in definition 5.11 by striking out "in Support of the

ERCB's Liability Management Programs";

(

b) by repealing definition 5.12;

(

c) by repealing definition 5.14 and substituting the

following:

5.14. "Directive 011" means Directive 011: Estimated

Liability;

(

d) by repealing definition 5.141;

(

e) in definition 5.21 by striking out "ERCB";

(

f) by repealing definition 5.4;

(

g) in definition 12.1 by striking out "Department of

Environment and Parks" and substituting "Department of

Environment and Protected Areas".

Part 1.1 is repealed and the following is substituted:

Part 1.1

Security Deposit for

Wells and Facilities

1.100 An applicant for

(

a) a licence or approval, or

(

b) an amendment of a licence or approval

shall provide a security deposit in accordance with Directive 068.

1.110 Where an application for a transfer of a licence or approval is

made, the following shall provide a security deposit in accordance with

Directive 068:

(

a) the applicant for the transfer of the licence or approval;

(

b) the licensee or approval holder who holds the licence or

approval to be transferred.

1.120 A licensee or approval holder shall provide a s

Document details

CollectionAlberta — Gazette
Citation15 February 2025
Typegazette
Volume / chapter03 Feb15 Part2
Languageen
Formathtml
SourcePROVINCIAL
Identifierab269cecdf73bf597aaa34d0d9714aa2588f1594

Source file is stored in the law ingest library (html).