7 Insert the total number of first‑preference votes received by each candidate.
Insert “unopposed” if the candidate was elected unopposed under section 4.55 of the Local Government Act 1995.
Insert “appointed” if the candidate was appointed under section 4.57(3) of the Local Government Act 1995.
Distribution of preferences
| A distribution of preferences was not required<br>A distribution of preferences was required and is attached | 🗆<br>🗆<br>[Tick one box] |
Part 5 — Ballot papers counted
| Ballot papers | Number |
| Number of valid ballot papers counted | |
| Number of informal ballot papers counted | |
Part 6 — Candidate/s elected
Surname
Other names
Year term expires
Type of vacancy (Ordinary / extraordinary / other)
Returning officer Full name:
[Form 20 inserted: SL 2023/102 r. 58.]
Form 21. Referendum Ballot Paper
REFERENDUM BALLOT PAPER
| Local government district1: |
| Ward2: |
| Referendum date3: |
| How to vote<br>Place a tick in the Yes box or the No box.<br>Do not make any other marks on the ballot paper. |
| Referendum4<br><br><br><br> 🞏 🞏 |
Section 7 - Local Government (Elections) Regulations 1997 - Insert the total number of first‑preference votes received by each candidate. | Zoe
<br>
<br>
<br>
Yes
No
Notes to Form 21
Notes to Returning Officer when preparing the ballot paper
1 Local government district
Fill in the name of the local government district.
2 Ward
Fill in name of the ward, or if there is no ward delete this box.
3 Referendum date
Fill in the referendum date.
4 Referendum
Set out the question or proposal to be put to electors.
If the possible answers are other than Yes or No, alter the answer boxes and How to Vote instructions accordingly.
Form 22. Referendum Absent Vote Ballot Paper
REFERENDUM
ABSENT VOTE BALLOT PAPER
| Local government district1: |
| Ward2: |
| Referendum date3: |
| Referendum4<br><br><br><br><br><br><br> 🞏 Yes 🞏 No |
Back of Form 22.
How to make an absent vote
| 1 Local government district | Fill in the name of the local government district in which the referendum is being conducted. |
| 2 Ward | Fill in the name of the ward in which the referendum is being conducted. If the referendum is being conducted in the whole of the district, leave this box blank. |
| 3 Date | Fill in the official referendum voting date — not the day you are filling in this form. |
| 4 Referendum | Set out the question or proposal to be put to electors.<br>If the possible answers are other than Yes or No, alter the answer boxes accordingly and cast your vote by putting a tick in the appropriate box. |
| Cast your vote | To cast your vote in the referendum place a in the Yes box or the No box.<br>Do not make any other marks on the ballot paper. |
[Form 22 amended: Gazette 25 Jan 2001 p. 591.]
Form 23. Results of Poll or Referendum
| Local Government Act 1995, s. 4.99<br>RESULTS OF REFERENDUM |
| Local government district: |
| Referendum | On ______________ the electors in the district voted on the following question: |
Results The results of the referendum were:Number of Yes votes _________________Number of No votes _________________Number of informal votes _________________
Therefore the result of the referendum is:
Returning officer Full name:
Notes to Form 23
Notes to Returning Officer when preparing Results of Referendum
Referendum or poll
In the case of a poll replace all references to “referendum” with “poll”.
dline
Notes
This is a compilation of the Local Government (Elections) Regulations 1997 and includes amendments made by other written laws. For provisions that have come into operation, and for information about any reprints, see the compilation table.
Compilation table
Citation
Published
Commencement
Local Government (Elections) Regulations 1997
14 Feb 1997 p. 905‑1008
14 Feb 1997
Local Government (Elections) Amendment Regulations 1998 1
20 Nov 1998 p. 6275‑7
20 Nov 1998
Local Government (Elections) Amendment Regulations (No. 2) 1998
22 Dec 1998 p. 6868‑78
22 Dec 1998
Local Government (Elections) Amendment Regulations 1999
29 Jan 1999 p. 272
29 Jan 1999
Local Government (Elections) Amendment Regulations 2001
25 Jan 2001 p. 587‑91
25 Jan 2001
Reprint of the Local Government (Elections) Regulations 1997 as at 5 Apr 2002 (includes amendments listed above)
Local Government (Elections) Amendment Regulations 2005
21 Jan 2005 p. 263-8
22 Jan 2005 (see r. 2 and Gazette 21 Jan 2005 p. 257)
Local Government (Elections) Amendment Regulations (No. 2) 2005
18 Mar 2005 p. 975-9
18 Mar 2005
Local Government (Elections) Amendment Regulations 2007
3 Aug 2007 p. 3989‑4006
r. 1 and 2: 3 Aug 2007 (see r. 2(a)); r. 3, 15-17, 18(1) and (2) and 19: 4 Aug 2007 (see r. 2(b)); r. 4-14 and 18(3)-(12): 6 Sep 2007 (see r. 2(c) and Gazette 3 Aug 2007 p. 3989)
Reprint 2: The Local Government (Elections) Regulations 1997 as at 27 Mar 2009 (includes amendments listed above)
Local Government (Elections) Amendment Regulations 2009
14 Aug 2009 p. 3215-20
r. 1 and 2: 14 Aug 2009 (see r. 2(a)); Regulations other than r. 1 and 2: 15 Aug 2009 (see r. 2(b))
Local Government (Elections) Amendment Regulations (No. 2) 2009
28 Aug 2009 p. 3359‑71
r. 1 and 2: 28 Aug 2009 (see r. 2(a)); Regulations other than r. 1 and 2: 29 Aug 2009 (see r. 2(b) and Gazette 28 Aug 2009 p. 3347)
Local Government (Elections) Amendment Regulations 2012
21 Dec 2012 p. 6642-4
r. 1 and 2: 21 Dec 2012 (see r. 2(a)); Regulations other than r. 1 and 2: 22 Dec 2012 (see r. 2(b))
Reprint 3: The Local Government (Elections) Regulations 1997 as at 4 Apr 2014 (includes amendments listed above)
Local Government (Elections) Amendment Regulations 2019
18 Jan 2019 p. 111
r. 1 and 2: 18 Jan 2019 (see r. 2(a)); Regulations other than r. 1 and 2: 19 Jan 2019 (see r. 2(b))
Local Government Regulations Amendment (Induction and Training) Regulations 2019 Pt. 2
9 Aug 2019 p. 3020-3
10 Aug 2019 (see r. 2(b) and Gazette 9 Aug 2019 p. 3019)
Local Government Regulations Amendment Regulations (No. 2) 2020 Pt. 6
SL 2020/213 6 Nov 2020
7 Nov 2020 (see r. 2(b) and SL 2020/212 cl. 2)
Local Government (Elections) Amendment Regulations 2021
SL 2021/141 30 Jul 2021
r. 1 and 2: 30 Jul 2021 (see r. 2(a)); Regulations other than r. 1 and 2: 2 Aug 2021 (see r. 2(b))
Local Government Regulations Amendment Regulations (No. 2) 2023 Pt. 4
SL 2023/102 30 Jun 2023
1 Jul 2023 (see r. 2(d))
Local Government Regulations Amendment Regulations (No. 3) 2023 Pt. 4
SL 2023/158 18 Oct 2023
Pt. 4 Div. 1: 19 Oct 2023 (see r. 2(c)); Pt. 4 Div. 2: 1 Jan 2024 (see r. 2(b))
Local Government (Elections) Amendment Regulations 2024
SL 2024/128 26 Jun 2024
r. 1 and 2: 26 Jun 2024 (see r. 2(a)); Regulations other than r. 1 and 2: 1 Jul 2024 (see r. 2(b))
Local Government Regulations Amendment Regulations (No. 2) 2025 Pt. 4
SL 2025/7 22 Jan 2025
1 Feb 2025 (see r. 2(b))
Local Government (Elections) Amendment Regulations 2025
SL 2025/141 23 Jul 2025
r. 1 and 2: 23 Jul 2025 (see r. 2(a)); Regulations other than r. 1 and 2: 24 Jul 2025 (see r. 2(b))