Form G

Voters’ Roll - Form G

Enrolment Correction

City of Melbourne Act 2001, Sections 11F and 11G

This form is to update voter details on the voters' roll only. Do not use this form for change of residential address.

Please note:

The form needs to be signed at the end for this application to be valid.

How to correct your details on the voters' roll:

Complete this form, sign and submit.

For further information or assistance please call 1300 735 427 or email elections@melbourne.vic.gov.au.

Voting in Melbourne City Council elections is compulsory for every enrolled voter.

Section 1 - Voter details as they appear on the voters' roll

Full name: *

Date of birth: *

Voter entitlement address: *

City:

State:

Postcode:

Voter postal address: *

City:

State:

Postcode:

Country: *

Section 2 - Update voter details on the voters' roll

Please update Council’s records and the voters’ roll with the following information:

Full name:

Date of birth:

Change postal address: *

Correct postal address (to permanently amend your postal address on voters’ roll)Temporary postal address (for redirection for the 2024 Melbourne City Council elections)

Voter postal address: *

City:

State:

Postcode:

Country: *

Voter postal address: *

City:

State:

Postcode:

Country:

Email address: *

Contact phone number (e.g. +61 4xx xxx xxx): *

Signature: *

Draw signature|Type signatureClear

Date: *

I have read and understood the Privacy statement: *

Privacy statement : Information provided on this form is collected for the purposes of compiling the voters’ roll and conducting council elections. The voters’ roll will only show the address of the property owned/occupied along with the appointed voters’ names and postal addresses. It will not show any other details about the owners, occupiers or corporation appointed voters. Voters’ rolls will not include dates of birth. If provided, email and mobile contact information may be utilised regarding processing this application and for the purpose of delivering notifications and voting reminders for elections. Voters’ rolls are only available for purposes connected with council elections, to enable the council to communicate with voters in regard to council functions or for a public interest purpose approved by the Victorian Information Commissioner. Sections 11F and 11G of the City of Melbourne Act 2001 require that the certified voters’ roll be available for public inspection until one month after elections day. Candidates may use copies of the voters’ roll for elections purposes only.