Citizens Initiated Referenda Act 1993

Schedule Forms

Form 1 Warrant for issue of writs for indicative referendum

[Repealed]

s 25

Form 1: repealed, on 28 February 2002, by section 101(2) of the Electoral Amendment Act 2002 (2002 No 1).

Form 2 Writ for indicative referendum to be taken by electoral poll

s 26

Governor-General

To the Electoral Commission:

Pursuant to section 26 of the Citizens Initiated Referenda Act 1993, I authorise and require the Electoral Commission to make all necessary arrangements for the conduct of an indicative referendum on the following question, namely, [specify the question].

The indicative referendum is to be taken on Saturday, [date].

An Electoral Commissioner, on behalf of the Electoral Commission, is required—

(a)

to endorse on the writ—

(i)

the total number of valid votes recorded for each of the 2 answers to the question; and

(ii)

the total number of valid votes recorded in each electoral district for each of the 2 answers to the question; and then

(b)

to return the writ to the Clerk of the House of Representatives on or before [date].

Signed by Her Excellency the Governor-General at [place] on [date].

Form 2: substituted, on 28 February 2002, by section 101(2) of the Electoral Amendment Act 2002 (2002 No 1).

Form 2: amended, on 25 March 2014, by section 48(2) of the Electoral Amendment Act 2014 (2014 No 8).

Form 2: amended, on 1 October 2010, by section 32(1)(b) of the Electoral (Administration) Amendment Act 2010 (2010 No 26).

Form 2: amended, on 1 October 2010, by section 32(2)(b) of the Electoral (Administration) Amendment Act 2010 (2010 No 26).

Form 2A Writ for indicative referendum to be conducted by postal voting

s 26A

Governor-General

To the Electoral Commission:

Pursuant to section 26A of the Citizens Initiated Referenda Act 1993, I authorise and require the Electoral Commission to conduct, by postal voting, an indicative referendum on the following question, namely, [specify the question].

The voting period for the indicative referendum commences on [date] and closes at 7 pm on [date].

An Electoral Commissioner, on behalf of the Electoral Commission, is required—

(a)

to endorse on the writ the total number of valid votes recorded for each of the 2 answers to the question; and then

(b)

to return the writ to the Clerk of the House of Representatives on or before [date].

Signed by Her Excellency the Governor-General at [place] on [date].

Form 2A: substituted, on 28 February 2002, by section 101(2) of the Electoral Amendment Act 2002 (2002 No 1).

Form 2A: amended, on 25 March 2014, by section 48(3) of the Electoral Amendment Act 2014 (2014 No 8).

Form 2A: amended, on 1 October 2010, by section 32(1)(b) of the Electoral (Administration) Amendment Act 2010 (2010 No 26).

Form 2A: amended, on 1 October 2010, by section 32(2)(b) of the Electoral (Administration) Amendment Act 2010 (2010 No 26).

Form 3 Nomination of scrutineers for purposes of indicative referendum on [describe the question]

s 31

1

For the purposes of the indicative referendum to be taken in the [name of district] Electoral District on [date] on [describe the question], we, the undersigned electors of the district, hereby nominate [full names, addresses, and occupations of the 2 persons nominated] as fit persons to appoint 1 or more scrutineers to act at each polling place in the interest of all electors who are in favour of the [describe the answer favoured].

2

In support of our nomination we hereby severally, each for himself or herself, solemnly and sincerely declare that we are, and we believe each of the persons nominated to be, honestly in favour of that answer.

We severally make this solemn declaration conscientiously believing the same to be true, and by virtue of the Oaths and Declarations Act 1957.

Signature, address, and occupation

Severally declared by each of the [number] declarants whose signatures are subscribed hereto, this [date], before me—

1.
2.
3.
4.
5.
6.
7.
Signature: 8.
JP (solicitor, or, as the case may be)9.
10.

Note—Not less than 10 electors must sign.

Form 3: amended, on 28 February 2002, by section 101(2) of the Electoral Amendment Act 2002 (2002 No 1).

Form 4 Returning Officer’s selection for the purposes of the indicative referendum

s 34

Having considered the nominations duly lodged in this behalf, and having heard all objections hereto, I hereby select [full names, addresses, and occupations of the 2 persons selected, etc, (as above)] as fit persons to appoint 1 or more scrutineers to act at each polling place at the indicative referendum for the [name of district] Electoral District on [date] on [describe the question], in the interest of all electors who are in favour of the [describe the answer favoured].

Date:

Signature of Returning Officer:

Form 4: amended, on 28 February 2002, by section 101(2) of the Electoral Amendment Act 2002 (2002 No 1).

Form 5 Appointment of scrutineers for the purposes of the indicative referendum

s 35

To the Returning Officer

For the purposes of the indicative referendum for the [name of district] Electoral District to be taken on [date] on [describe the question], we, the undersigned, being duly authorised in this behalf, hereby appoint the persons named in the Schedule hereto to act as scrutineers at the polling places named in the Schedule, in the interest of all electors who are in favour of [describe the answer favoured].

Schedule

Scrutineer
[Full name, address, and occupation of the scrutineer]
Polling Place [name of polling place]

Date:

Signatures of the 2 persons authorised to appoint:

Form 5: amended, on 28 February 2002, by section 101(2) of the Electoral Amendment Act 2002 (2002 No 1).

Form 6 Application for inquiry into result of indicative referendum

s 50

In the High Court of New Zealand

No:

[name of registry] Registry

In the matter of an indicative referendum held on [date] on [describe question].

Applicant
1

The applicant is a group of [number in group] electors who are dissatisfied with the result of the indicative referendum in their electoral district.

2

The names, addresses, electoral districts, and signatures of each member of the group are set out in the appendix to this application.

3

The spokesperson for the group is [name of spokesperson] of [address of spokesperson].

4

The applicant acts—

(a)

through a solicitor, who is [name of solicitor], of [address of solicitor]; or

(b)

through its spokesperson.

[Delete one]

Application
5

The applicant asks for an inquiry into—

(a)

the conduct of the indicative referendum:

(b)

the conduct of [name of person complained of], [office described in section 49, if relevant], of [address of person complained of], who was connected with the indicative referendum.

[Delete those which are inapplicable]

6

The specific grounds on which the applicant is dissatisfied with the result of the indicative referendum are as follows: [state specific grounds].

7

The applicant asks the court to—

(a)

determine the total number of valid votes recorded for each of the 2 answers to the question; or

(b)

declare the indicative referendum void.

[Delete one]

Address for service
8

The applicant’s address for service is [address].

Signature
9

Signature of spokesperson for applicant; or person on behalf of spokesperson for applicant:

[Delete one]

Appendix

Members of applicant group
NameAddressElectoral DistrictSignature

Form 6: substituted, on 15 November 2000, by section 102(2) of the Referenda (Postal Voting) Act 2000 (2000 No 48).