Government of Canada / Gouvernement du Canada
Symbol of the Government of Canada


Elections Modernization Act (S.C. 2018, c. 31)

Full Document:  

Assented to 2018-12-13

SCHEDULE(Section 375)


Form 1(Section 58)Writ of Election

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Deputy of the Governor General

ELIZABETH THE SECOND, by the Grace of God of the United Kingdom, Canada and Her other Realms and Territories QUEEN, Head of the Commonwealth, Defender of the Faith.

To blank line

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WHEREAS, by and with the advice of OUR PRIME MINISTER OF CANADA, We have ordered a PARLIAMENT TO BE HELD AT OTTAWA, on the blank line day of blank line next. (Omit the foregoing preamble in case of a by-election.)

WE COMMAND YOU that, notice of the time and place of election being duly given,

YOU DO CAUSE election to be made according to law of a member to serve in the House of Commons of Canada for the said electoral district in the Province aforesaid (in case of a by-election: in the place of blank line);

AND YOU DO CAUSE the closing day for the nomination of candidates to be blank line;

And if a poll becomes necessary, that the poll be held on blank line;

AND YOU DO CAUSE the name of that member when so elected, whether present or absent, to be certified to Our Chief Electoral Officer, as by law directed (in case of a by-election, omit the following) as soon as possible and not later than the blank line day of blank line (year).

Witness:blank line, Deputy of Our Right Trusty and Well-beloved blank line, Chancellor and Principal Companion of Our Order of Canada, Chancellor and Commander of Our Order of Military Merit, GOVERNOR GENERAL AND COMMANDER-IN-CHIEF OF CANADA.

At Our City of blank line , on blank line and in the blank line year of Our Reign.


Chief Electoral Officer

Form 2(Section 62)

Notice of Election form

Form 3(Subsections 116(1) and 138(1))Form of Ballot Paper


Front view of form of ballot paper with sample names and white circles next to each name all on a black background

Form 3 – ConcludedForm of Ballot Paper


Back view of form of ballot paper

Form 4(Section 186)Form of Special Ballot Paper

Form of special ballot paper

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