Appendix C
FORM I (FRONT)
[Clauses 67(3)(a),(b),(c),(d),(g) & (h) and subsections 67(3), (4) & (5) of the Act] [Subsection 37(1) of the Regulations]

Nomination
We the undersigned, being voters of the:

___________________________________ of____________________________________
(Municipality)

nominate ______________________________________________________________________,
(Name)

of	, to be a candidate at the election
(Street/road address or legal description of land)

to be held on the __________day of _________________  , 20	for the office of:
(Complete one)

Mayor: ___________________________ of ______________________________
                                 (Municipality)

	

Signature *	Name (printed)	Street/Road Address or
Legal Description of Land	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
* require at least

●	5 signatures for a municipality with a population of less than 20,000 

14 Feb 2020 SR 11/2020 s7.

FORM I (BACK)
[Clauses 67(3)(a)(b)(c)(d)(g) & (h) of the Act] [Subsection 37(1) of the Regulations]

Candidate’s Acceptance
I,	,
(Name as it will appear on the ballot)

a candidate nominated for the office of: (complete as applicable)

Mayor/Reeve: ___________________________ of ______________________________
(Municipality)	

declare that:
•	I am the full age of 18 years or will attain the full age of 18 years on or  before election day;
•	I am a Canadian  citizen;
•	If elected, I will accept the office for which I was nominated; and
•	I am not disqualified by The Local Government Election Act, 2015 or any other Act from holding the office for which I am a candidate;	
For municipalities – excluding rural municipalities and resort villages
•	I have resided in Saskatchewan for at least six consecutive months immediately preceding the date on which this nomination paper is submitted; and
•	I have resided in the municipality, or on land now in  the municipality, for at least three consecutive months immediately preceding the  date  on which this nomination paper is submitted.	

Dated at  ___________________ , this  ________ day of__________________ , 20	_ .

___________________________________	_______________________________________(Signature of Candidate)		(Witness)

_____________________________________ (Witness)

14 Feb 2020 SR 11/2020 s7.