Application to Vote by Mail

Full Name

Phone

Physical Address

Mailing Address

City/Town

State/Province

ZIP/Postal Code

Birthdate

Are you a

Non- Resident Elector

Resident Elector

Residential Street Address

City/Town

State/Province

ZIP/Postal Code

I request to be provided a mail ballot package as follows:

Mail to my mailing address

Keep it at Municipal Office for me to pick up

Keep it at Municipal Office for my designate to pick up on my behalf

Mail it to another address

Please enter the name of your designate.

DECLARATION - By signing and submitting this application I declare that I am:

18 years of age or older on general voting day (October 17, 2026); and
a Canadian citizen; and
To vote, you must be a currently reside in OR or have owned property in the NRRM for the past 30-days; and
have been a resident of the province of BC for a period of at least the past six months (since April 17, 2026 or earlier); and
not disqualified by any enactment from voting in a Local Government election or otherwise disqualified by law.

Signature

Sign above

Collection of Information: Your personal information is being collected. By providing us with your personal information, you consent to our collection, use and disclosure of that information. This information will only be used to administer the program/activity it was collected for and/or to respond to you regarding the reason you contacted us. If you have any questions about the collection please contact the Municipal Privacy Head.