Health Safety
Representative
Ballot Paper
HEALTH SAFETY REPRESENTATIVE
1 REPRESENTATIVE TO BE ELECTED
Method of voting
For a valid vote:
(1) This ballot paper must be marked in such a way as to indicate the voter’s
preference for the candidates by means of consecutive non-repeated
numbers, commencing with ‘1’ for the first preference, in the boxes next to
the candidates’ names (below).
Ticks, crosses or letters are not acceptable.
(2)
The number of preferences indicated on the ballot paper is not less than
the number of candidates required. You must vote for at least 1
candidate.
(3)
The ballot paper must be returned a small envelope which has been
sealed and is contained in the larger envelope which has been endorsed
with the signature and full name of the voter and the date upon which it is
signed; and
(4)
The ballot paper must be in the hands of the Returning Officer not later
than the close of business on {date}.
Candidates
Name
Name
The positions on the ballot paper have been determined by lot.
Name
Returning Officer
{Date}