HFN Custom Election Code

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SCHEDULE “9”
APPEAL NOTICE

IN THE MATTER OF AN APPEAL OF THE
HORNEPAYNE FIRST NATION CUSTOM ELECTION CODE

TO THE COMPLAINTS AND APPEAL BOARD

BETWEEN:

AND: Appellant
Respondent
HORNEPAYNE FIRST NATION
as represented by the Electoral Officer

Take Note that I, , was a Candidate for Chief or Councillor in

the Hornepayne First Nation Election which was conducted on , 20 , and I

have reasonable grounds for believing that (check one):

an Elector declared elected was not qualified to be a Candidate; or

there was corrupt or fraudulent practice in connection with the Election; or

there was a violation of the provisions of the Code; or

such that the activity described above affected or might have affected the result of the
Election.

The following are the factual details and basis of my knowledge and belief (attach additional
pages as required):

For the reasons stated above which I believe to be true, I hereby request an Appeal.

SWORN BEFORE ME at the Community of )
)
Hornepayne First Nation, in the Province )
)
of Ontario, this day of )
)
A.D. 20 .
.
Appellant

A COMMISSIONER FOR OATHS in and for

the Province of Ontario. My Commission

expires: ,

- or - BEING A SOLICITOR.

Hornepayne First Nation Custom Election Code 48 | P a g e

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Hornepayne First Nation Custom Election Code 49 | P a g e