47 These columns show the cross streets that mark the polling division boundary. You don’t need to look at these columns because it is easier to refer to the street numbers in the next columns Circonscription / Electoral District: 35999 - Dominion Nom de la rue / Street Name De / From À / To De / From À / To Coté / Side SV / PD BVA / AP 1 21 Impair / Odd 201-0 606 3 7 Impair / Odd 201-0 606 21 63 Impair / Odd 201-0 606 10 50 Pair / Even 202-0 606 24 58 En entier / All 201-0 606 1 61 Impair / Odd 201-0 606 10 64 Pair / Even 201-0 606 500 600 Pair / Even 201-0 606 403 479 Impair / Odd 201-0 606 28 74 Pair / Even 201-0 606 7 29 En entier / All 201-0 606 38 65 En entier / All 201-0 606 566 566 Pair / Even 201-0 606 14 42 En entier / All 201-0 606 39 41 Impair / Odd 201-0 606 rue/St René rue/St Jacques-Cartier rue/St Saint-Louis rue/St Adélard Extrémité / Extremity rue/St Saint-Louis rue/St Saint-Louis rue/St Saint-Louis rue/St Saint-Louis rue/St Saint-Louis rue/St Olida Extrémité / Extremity rue/St Moreau rue/St Saint-Louis rue/St Adélard rue/St Moreau ... ... Nord / North 201-0 606 Il est interdit d'utiliser l'information comprise sur cette liste ou de la communiquer à quiconque, sauf conformément à la Loi électorale du Canada et la Loi référendaire. Tout usage interdit de cette information rend passible de peines. It is prohibited to use the information contained in this list or to communicate it to others, other than in accordance with the Canada Elections Act and the Referendum Act. Any prohibited use of this information will entail penalties. Indicateur des sections de vote par rue / Poll Key By Street 2021/03/01 00:00:00 EDT/ HAE Page 01 / 01 rue/St Adélard (Youville) rue/St Blais (Youville) rue/St Carmen (Youville) boul/Blvd de la Gappe (Youville) rue/St Jacques-Cartier (Youville) rue/St Jacques-Cartier (Youville) rue/St Moreau (Youville) rue/St Olida (Youville) rue/St Oxford (Youville) rue/St de Pointe-Gatineau (Youville) rue/St René (Youville) rue/St Saint-Louis (Youville) rue/St Saint-Louis (Youville) rue/St Blais 1411 1703 Impair / Odd 201-0 606 rue/St Blais rue/St Blais rue/St Saint-Louis Extrémité / Extremity Extrémité / Extremity rue/St Olida Chemin de fer / Railway Chemin de fer / Railway boul/Blvd Gréber rue/St Blais rue/St de Pointe-Gatineau rue/St Carmen rue/St Olida rue/St Lafrenière Extrémité / Extremity Extrémité / Extremity rue/St René Chemin de fer / Railway Chemin de fer / Railway 501 601 Impair / Odd 202-0 606 1 2 3
48 List of Polling Sites Use the List of Polling Sites to check the address of the elector’s polling place. 1 Find the elector’s polling division in the No. column on the List of Polling Sites 2 Find the address of their polling place Note to find an elector’s polling division, use the Poll Key – p. 46-47 3 Check with CPS before sending elector to another polling place
49 List of Polling Sites / Liste des lieux de scrutin EC 10171 (01/03/2021) ED CODE / CODE DE CIRC 35999 ELECTORAL DISTRICT / CIRCONSCRIPTION Dominion Addresses No No . Adresses Youville Place 20 Olida St Youville, Dominion 201-0 Place Youville 20 rue Olida Youville, Dominion Youville Community Hall 100 Prince St Youville, Dominion 002-0 Salle Communautaire Youville 100 rue Prince Youville, Dominion Youville Community Hall 100 Prince St Youville, Dominion 001-0 Salle Communautaire Youville 100 rue Prince Youville, Dominion Belle Plaine Community Hall 61 High Street Bell Plaine, Dominion 208-0 Salle Communautaire Belle Plaine 61 High Street Bell Plaine, Dominion Belle Plaine Community Hall 61 High Street Bell Plaine, Dominion 215-0 Salle Communautaire Belle Plaine 61 High Street Bell Plaine, Dominion Youville Place 20 Olida St Youville, Dominion 202-0 Place Youville 20 rue Olida 2 1 Youville, Dominion
50 Registration Certificate Purpose: To register electors who are not already on the List of Electors, who have moved or changed their name. • The Registration Certificate is usually completed at the registration desk • Use the flowchart on pages 12-14 to determine whether the Registration Certificate is needed. • The elector is not registered. You must complete a Registration Certificate EC 50050. • If the elector has a pre-filled Registration Certificate, ask them for acceptable ID and use it to verify that the certificate is properly pre-filled. Complete the rest of the certificate. In section 1, this information is required for the elector to vote, (First Name, Given name(s), No, Street, City, Province) the other information helps Elections Canada to update the register of electors. Make sure the elector’s ID matches the name and address here 3 Make sure the elector’s polling division belongs to a polling station at your polling place 2 Write the Electoral District here 1 Election officer must sign here 6 The Date of birth and Gender fields are optional. If they are missing, the elector will have to register again at the next election 4 If the elector ticks this box, they will have to register again at the next election 5 Elector must sign here 7
51 Purpose: To register electors who are not already on the List of Electors, who have moved or changed their name. EC 50050 (04/2020) Electoral district Family name No. No. No. Street Street Street Apt. Apt. Apt. City, town, village or municipality City, town, village or municipality City, town, village or municipality Province Province Province Elector’s initials Postal code Postal code Postal code Current residential address Previous residential address (if possible) I have been made aware of the Privacy Notice. Name Signature Date Elector’s signature Tick here if you DO NOT want your name added to the National Register of Electors. I solemnly declare that my name and address are as shown above. I am a Canadian citizen and I am or will be 18 years of age or older on election day. I have not previously voted, or requested a special ballot, in this election. I am aware that I must be a resident of this electoral district between _________________ and election day to be eligible to vote in this by-election. Given name(s) Gender 1. Elector Information 2. Privacy Notice 3. Elector Declaration If this is a by-election: Polling division Date of birth (YYYY/Month/DD) F M X 35��9-�������N 201 �A��N 29 ����A DC ��U���LE �N 131 �A���W Y���NE TH�D�O 2021/03/01 �O��N�O �N J8T 2G1 D���S 1963/03/25 3 7 1 4 5 6 2
52 Transfer Certificate Purpose: To allow an elector to vote at a difference polling station than the one they were assigned. The Transfer Certificate is completed at the office or by the CPS A Transfer Certificate EC 50052 allows an elector to vote at a different polling station than the one they were assigned. Make sure all the fields are complete Make sure it is your electoral district Make sure the elector’s polling division belongs to your polling place Make sure the elector’s ID matches the name and address here Tick one of the boxes next to the reason why the elector was transferred Make sure the certificate is signed by an election officer or the office 1 2 3 4 5
53 Purpose:7RDOORZDQHOHFWRUWRYRWHDWDGLႇHUHQW polling station than the one they were assigned. EC 50052 (04/2020) Electoral district Polling station &HUWL¿FDWHQR From To No. PD No. Seq. Street Family name Given name(s) Apt. City, town, village or municipality Province Postal code Current residential address Position Signature Date 7KLVHOHFWRULVDQHOHFWLRQRႈFHUZRUNLQJDWWKHSROOV This elector is a candidate for this electoral district. 7KLVHOHFWRUVSROOLQJSODFHZRXOGQRWKDYHDOORZHGWKHPWRYRWHZLWKRXWGLႈFXOW\ This elector’s polling station was moved. You would have received notice if this case applies. ,KDYHFRQ¿UPHGWKDWWKHDERYHHOHFWRULVUHJLVWHUHGLQWKHSROOLQJGLYLVLRQIURPZKLFKWKH\DUH WUDQVIHUULQJDQGLVTXDOL¿HGWRUHFHLYHWKLV7UDQVIHU&HUWL¿FDWH. 1. Transfer Information 2. Elector Information 3. Reason for Transfer &HUWL¿FDWLRQ (OHFWLRQRႈFHU Candidate Elector with accessibility needs Moved polling station )LOOHGRXWE\HOHFWLRQRႈFHU )LOOHGRXWE\HOHFWLRQRႈFHU )LOOHGRXWE\HOHFWLRQRႈFHU )LOOHGRXWE\HOHFWLRQRႈFHU Elector’s initials ,KDYHEHHQPDGHDZDUHRIWKH3ULYDF\1RWLFH. 4. Privacy Notice )LOOHGRXWE\HOHFWRU 7UDQVIHU&HUWL¿FDWH 35��9-�������N 1�4 201 17 1�4 137 B�NE�T �1 L����NC �B CPS ��U���LE X �N 2021/03/01 J8T 3Y7 A����D 1 2 3 5 4
54 Correction Form Purpose: To correct name, mailing address, or year of birth on the List of Electors. For electors who have moved or changed their name, use the Registration Certificate. Use the flowchart on p. 12-14 to determine whether the Correction Form is needed. Make sure all the fields are pre-filled properly. Write your electoral district Make sure the elector’s polling division belongs to a polling station at your polling place Make sure this information matches the list Write the correct name, date of birth or mailing address in this box 1 2 3 4
55 Family name Given name(s) Date of birth Mailing address Copy the elector’s information from the List of Electors. <RXGRQRWQHHGWR¿OORXWWKLVVHFWLRQLIWKHHOHFWRUKDVWLFNHGWKHER[LQVHFWLRQ Indicate which items need to be corrected and write the correct information in the space below. This will allow Elections Canada to update the elector’s information. 1. Elector Information 4. Corrections Needed 2. Privacy Notice EC 50049 (08/2020) Electoral district Seq. Family name Given name(s) Y.O.B. Polling division )LOOHGRXWE\HOHFWLRQRႈFHU Filled out by elector Filled out by elector )LOOHGRXWE\HOHFWLRQRႈFHU )LOOHGRXWE\HOHFWLRQRႈFHU Correction Form Purpose: To correct name, mailing address, or year of birth on the List of Electors. For electors who have moved or changed their name, use the 5HJLVWUDWLRQ&HUWL¿FDWH. I have been made aware of the Privacy Notice. (OHFWLRQ2ႈFHU,QIRUPDWLRQ Name Signature Elector’s signature Date ,VROHPQO\GHFODUHWKDWWRWKHEHVWRIP\NQRZOHGJH,DPWKHSHUVRQOLVWHGRQWKHOLVWRIHOHFWRUVDVVHWRXWDERYH, am a Canadian citizen and I am or will be 18 years of age or older on election day. I have not previously voted, or requested a special ballot, in this election. All statements made on this form are true and correct. 'HFODUDWLRQ Elector’s initials 7LFNKHUHLI\RX'2127ZDQWWKHFRUUHFWLRQWREHPDGHRQWKH1DWLRQDO5HJLVWHURI(OHFWRUV 35��9-�������N 201 83 B��NE�T B�NE�T �� Y���NE TH�D�O X 2021/03/01 F��N��NE 1951 1 2 3 4
56 ID Option 3 (Vouching) Vouching is ID option 3. The voucher must know the elector, be eligible to vote in this polling place and must have ID. The voucher should not have been vouched for. Make sure the elector is eligible to vote at a polling station in this polling place: 1 Check one of the following: • their voter card shows a poll number at this polling place • their name and address appear on the Alphabetical List of Electors • they have a pre-filled Registration Certificate EC 50050 that shows a polling division served at this polling place • the poll key shows that their address belongs to a polling division served at this polling place – see p. 46-47 If Yes, continue to step 2 If No, call CPS to help direct elector If you’ve picked a Vouching Form and Registration Certificate for the elector, complete this vouching process first and then register the elector. Confirm that elector does not have any documents that satisfy ID options 1 or 2 before proceeding with the vouching process
57 Make sure the voucher is eligible to vouch for the elector: 2 Ask the voucher whether they know the elector and where the elector lives 3 Check that the voucher’s ID is acceptable under option 1 or option 2 4 Check that the voucher is registered to vote at this polling place. Either a. They will be on the Alphabetical List of Electors and it shows their polling division is served at this polling place or b. They may have registered at their polling station using a Registration Certificate. Ask them if that is the case. If so, ask the CPS for help in this situation. If the voucher is eligible to vouch but is not yet registered, they must register before they can vouch. Serve them first using the flow chart on pages 12-14, then serve the elector they will vouch for. 5 Complete Vouching Form EC 50055 – see p. 58-59 Note if the elector also needs to be registered, complete the Registration Certificate EC 50050 now – see p. 50-51 6 Give completed document(s) to the elector and send the elector and the voucher to the elector’s polling station. The voucher will have to show their ID again to the DRO A person can only vouch for one other elector, except that employees of a long term care facility can vouch for all residents
58 Vouching Form Purpose: To allow an elector to vouch for the name and address of another elector who doesn’t have required ID. • Vouching is acceptable ID option 3 • The Vouching Form EC 50055 is usually completed at the registration desk Make sure all the fields are completed properly Write your electoral district Electors already on the list will have a sequence number Make sure the voucher’s ID matches the name and address here Make sure the elector’s polling division belongs to a polling station at your polling place The vouchers polling division and sequence number should be written here Make sure the elector, the voucher and an election officer have signed 1 3 4 2 5 6
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60 Helper Form Purpose: To record the declarations(s) made by a person helping an elector to mark a ballot (5a), and/or interpreting an election officer’s instructions (5b). If the helper is an election officer, this form is not required. Use the Helper Form EC 50036 in the following cases: • elector needs help marking a ballot (declaration 5a) or; • elector wants help with the interpretation of instructions (declaration 5b) The Helper Form may be completed at the registration desk or at the polling station. The helper does not have to be a qualified elector. A non-relative can only help one elector to mark a ballot. For more information on how to help an elector, see p. 32-33 Write your electoral district Make sure the elector’s polling division belongs to a polling station at your polling place Make sure the elector’s ID matches the name and address here If the helper is helping the elector mark a ballot, tick this box Election officer must sign here Electors already on the list will have a sequence number If the helper is interpreting for the elector, tick this box 1 2 3 5 7 4 6
61 Declaration 5a Declaration 5b Indicate which declaration is being taken, and read it out loud. 4. Declaration 3. Privacy Notice 2. Helper Information 1. Elector Information EC 50036 (04/2020) Electoral district Residential address Polling division )LOOHGRXWE\HOHFWLRQRႈFHU )LOOHGRXWE\HOHFWLRQRႈFHU )LOOHGRXWE\HOHFWLRQRႈFHU Filled out by elector and helper )LOOHGRXWE\HOHFWLRQRႈFHU Helper Form Purpose: To record the declaration(s) made by a person helping an elector to mark a ballot (5a), and/or LQWHUSUHWLQJDQHOHFWLRQRႈFHU¶VLQVWUXFWLRQV E I have been made aware of the Privacy Notice. (OHFWLRQ2ႈFHU,QIRUPDWLRQ Name Signature Date (OHFWRU¶VLQLWLDOV +HOSHU¶VLQLWLDOV Do you solemnly declare that: ƒ you will accurately interpret for the elector, ƒ you will not tell anyone which candidate the elector chose, to protect the secrecy of the vote, and ƒ \RXZLOOQRWWU\WRLQÀXHQFHWKHHOHFWRU¶VFKRLFH" Do you solemnly declare that: ƒ \RXZLOOQRWWU\WRLQÀXHQFHWKHHOHFWRU¶VFKRLFH ƒ you will mark the ballot as directed by the elector, ƒ you will not tell anyone which candidate the elector chose, to protect the secrecy of the vote, and ƒ (if assisting a non-relative) you have not already helped another person who is not a UHODWLYHWRPDUNDEDOORWLQWKHFXUUHQWHOHFWLRQ" Seq. Family name Family name Given name(s) Given name(s) Residential address Helping an elector to mark a ballot ,QWHUSUHWLQJDQHOHFWLRQRႈFHU¶VLQVWUXFWLRQV 3�5 ����S �����S �A �D 35��9-�������N 14 �X�O�D �OE ���D�A 15 ��NE 201 Y���NE TH�D�O X 2021/03/01 1 2 3 4 5 6 7
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