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:

Rural Municipality of Indian Head No. 156

Ward/Division No.	(If applicable)	
nominate ______________________________  ,	,
(Name)

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

to be held on the 9th day of _November, 2020 for the office of:
(Complete one)

Mayor/Reeve: ___________________________ of ______________________________
(Municipality)	
	
Councillor: ______________________________ of ______________________________
(Municipality)

Ward/Division No.	(If applicable)	

Signature *	Name (printed)	Street/Road Address or
Legal Description of Land	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
______________________	______________________	_____________________________	
* require at least
●	25 signatures for a municipality with a population of 20,000 or more (except for Rural Municipalities);
●	5 signatures for a municipality with a population of less than 20,000 (except for Rural Municipalities); or
●	2 signatures for Rural Municipalities.
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(n)	,
(Occupation)*
a candidate nominated for the office of: (complete as applicable)

Mayor/Reeve: ___________________________ of ______________________________
(Municipality)	
	
Councillor: ______________________________ of ______________________________
(Municipality)
Ward/Division No.	(If applicable)	
declare that:
1	I am the full age of 18 years or will attain the full age of 18 years on or  before election day;
2	I am a Canadian  citizen;
3	If elected, I will accept the office for which I was nominated; and
4	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
5	I have resided in Saskatchewan for at least six consecutive months immediately preceding the date on which this nomination paper is submitted; and
6	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.	
	
For rural municipalities
5	I am eligible to vote in the municipality;
6	I am a resident of Saskatchewan;	

For resort villages only
5	I have resided in Saskatchewan for at least six consecutive months immediately preceding the date on which this nomination paper is submitted; and
6	I: (indicate one of the following)
(a)	have resided in the resort village, or land now in that resort village, for three consecutive months immediately preceding the date on which this nomination paper is submitted;
(b)	have been the assessed person with respect to property in the resort village, or property now situated in the resort village, pursuant to section 207 of The Municipalities Act, for at least three consecutive months immediately preceding the date on which this nomination
paper is submitted;
(c)	am the spouse of a person mentioned in clause (a) or (b).	

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

___________________________________	__________________________________________ (Signature of Candidate)		(Witness)

__________________________________________ (Witness)
*Can be removed from the form, unless otherwise required by bylaw of the municipality pursuant to clause 9.1(2)(c) of the Act
14 Feb 2020 SR 11/2020 s7.