HomeMy WebLinkAboutForm CN01 - Candidate's Scrutineer Notice - Fillable Candidate’s Scrutineer Notice
Local Jurisdiction: County of Newell, Province of Alberta
Election Date: October 18, 2021
I, ____________________________, of ____________________________________, in the
(Candidate Name) (Address)
Province of Alberta, candidate for the office of:
Councillor for Division ______ of the County of Newell (Div. #)
do hereby appoint ______________________________ of __________________________,
(Scrutineer Name) (Address)
Alberta as my Scrutineer at the voting station located at _____________________________. (Location of Voting Station)
__________________________________
Signature of Candidate
Collection and Use of Personal Information
Personal information is being collected under the authority of section 33(a) and (c) of the Freedom of Information
and Protection of Privacy Act, and will be used and disclosed as required for the management and administration
of the election process under the Local Authorities Election Act. If you have questions regarding the collection, use
or disclosure of this information, please contact the Executive Assistant at 403-794-2319.
Form CN01