Form I

Voters Roll - Form I

Request to Vary Non-Resident Owner Enrolment

City of Melbourne Act 2001, Section 9F

This form is used when a rateable property is jointly owned by more than two people, and the owners want to change which two people are enrolled to vote in Melbourne City Council elections

To be eligible you must:

be 18 years old, or will turn 18 on or before the next Melbourne City Council elections day
jointly own (with other individuals) a rateable property in the City of Melbourne
not reside in the City of Melbourne

You do not need to be an Australian citizen.

How to enrol:

Complete this form and statutory declaration, 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.

Please note:

For this application to be effective we must receive it before the roll closes for the next Melbourne City Council elections.
All owners of the rateable property must be named, and one owner must provide consent for the request (they cannot be one of the two people requesting to be enrolled for the property).
The name of each person to be removed from the voters’ roll must be listed on this form to have effect.
The full details of each person requesting to be enrolled must be provided, including their date of birth, and they must sign the declaration.
A rateable property is a property on which the City of Melbourne charges municipal rates.
If a corporation is the sole owner of the property, please refer to Form A – Enrolment of Corporation Representatives.
If the property is owned jointly with other people and corporations, please refer to Form B - Enrolment of Joint Owners’ or Joint Occupiers’ Representatives.

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.

Section 1 - Property details

Address of rateable property: *

City:

State:

Postcode:

Section 2 - Property owners' details

List the names of all joint owners of the rateable property:

Surname: *

Given names: *

Surname: *

Given names: *

Surname: *

Given names: *

Surname:

Given names:

Section 3 - Owner/s to be removed from the voters’ roll

The name of each person to be removed from the voters’ roll must be listed on this form to have effect.

Surname: *

Given names: *

Surname:

Given names:

Section 4 - Declaration by owner/s making application

Please note : You will need to provide an email address below for both joint owners requesting to be enrolled.

Upon submission, an email will be sent to Joint owner 1 with a link to complete their contact details in Form I.

Once they have submitted, Joint Owner 2 will receive an email with a link to complete their contact details in Form I.

This application is open for two (2) weeks from initial submission, after which time the application will need to be restarted. All parties need to complete and sign this form within the time period.

Please note : You will need to provide an email address below for both joint owners requesting to be enrolled.

Upon submission, an email will be sent to joint owner with a link to complete their contact details in Form I.

This application is open for two (2) weeks from initial submission, after which time the application will need to be restarted. All parties need to complete and sign this form within the time period.

Requesting to be enrolled - Joint Owner 1

Surname: *

Given names: *

Email: *

I declare I am an owner of the property specified in Section 1 and I request to be on the voters’ roll for Melbourne City Council elections. I declare that I am not a resident of the municipal district and would not be an elector in respect of an address in the municipal district if a roll of electors for the Legislative Assembly were compiled (being eligible to be enrolled on the State electoral roll). *

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

Date of birth: *

Residential address: *

City:

State:

Postcode:

Country: *

Postal address (if different):

City:

State:

Postcode:

Country:

Signature: *

Draw signature|Type signatureClear

Date: *

Requesting to be enrolled - Joint Owner 2

Surname: *

Given names: *

Email: *

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

Date of birth: *

Residential address: *

City:

State:

Postcode:

Country: *

Postal address (if different):

City:

State:

Postcode:

Country:

Signature: *

Draw signature|Type signatureClear

Date: *