017-2233E (2018/04) © Queen's Printer for Ontario, 2018 Disponible en français Page 1 of 2
Ministry of Municipal Affairs
Endorsement of Nomination - Form 2 Municipal Elections Act, 1996 (Section 33)
Instructions• Complete additional forms as needed to obtain 25 signatures.• An individual providing an endorsement signature must be a Canadian citizen, aged 18 or older and have a qualifying address in the
municipality. An individual may sign an endorsement for more than one person seeking nomination.
Name of person seeking nominationLast Name or Single Name Given Name(s)
Endorsement signatures for the nomination of a person for an office in the municipality of
in the year .
Name of person providing endorsementLast Name or Single Name Given Name(s)
Qualifying AddressSuite/Unit No. Street No. Street Name
Municipality Province Postal Code
I endorse as a candidate and declare that I am qualified to be an elector in this municipality.
Signature Date (yyyy/mm/dd)
Name of person providing endorsementLast Name or Single Name Given Name(s)
Qualifying AddressSuite/Unit No. Street No. Street Name
Municipality Province Postal Code
I endorse as a candidate and declare that I am qualified to be an elector in this municipality.
Signature Date (yyyy/mm/dd)
017-2233E (2018/04) Page 2 of 2
Instructions• Complete additional forms as needed to obtain 25 signatures.• An individual providing an endorsement signature must be a Canadian citizen, aged 18 or older and have a qualifying address in the
municipality. An individual may sign an endorsement for more than one person seeking nomination.
Name of person providing endorsementLast Name or Single Name Given Name(s)
Qualifying AddressSuite/Unit No. Street No. Street Name
Municipality Province Postal Code
I endorse as a candidate and declare that I am qualified to be an elector in this municipality.
Signature Date (yyyy/mm/dd)
Name of person providing endorsementLast Name or Single Name Given Name(s)
Qualifying AddressSuite/Unit No. Street No. Street Name
Municipality Province Postal Code
I endorse as a candidate and declare that I am qualified to be an elector in this municipality.
Signature Date (yyyy/mm/dd)
Name of person providing endorsementLast Name or Single Name Given Name(s)
Qualifying AddressSuite/Unit No. Street No. Street Name
Municipality Province Postal Code
I endorse as a candidate and declare that I am qualified to be an elector in this municipality.
Signature Date (yyyy/mm/dd)
Endorsement of Nomination - Form 2 Municipal Elections Act, 1996 (Section 33)�
017-2233E (2018/04) © Queen's Printer for Ontario, 2018
Disponible en français
Page of
017-2233E (2018/04)
Page of
Instructions
• Complete additional forms as needed to obtain 25 signatures.
• An individual providing an endorsement signature must be a Canadian citizen, aged 18 or older and have a qualifying address in the municipality. An individual may sign an endorsement for more than one person seeking nomination.
Endorsement of Nomination - Form 2 Municipal Elections Act, 1996 (Section 33)
0,0,0
normal
runScript
xfa.form.form1.variables.oUtility.goBookMark(xfa.form.form1.page1.header.FormTitle.somExpression)
..\..\..\Ontario logo\NEW Ont Trillium logo blk.bmp
Government of Ontario
Ministry of Municipal Affairs
Endorsement of Nomination - Form 2
Municipal Elections Act, 1996 (Section 33)
Instructions
• Complete additional forms as needed to obtain 25 signatures.
• An individual providing an endorsement signature must be a Canadian citizen, aged 18 or older and have a qualifying address in the municipality. An individual may sign an endorsement for more than one person seeking nomination.
Name of person seeking nomination
Endorsement signatures for the nomination of a person for an office in the municipality of
.
Name of person providing endorsement
Qualifying Address
as a candidate and declare that I am qualified to be an elector in this municipality.
8.0.1291.1.339988.308172
Endorsement of Nomination - Form 2 Municipal Elections Act, 1996 (Sections 33)
Endorsement of Nomination - Form 2 Municipal Elections Act, 1996 (Sections 33)
Ministry of Municipal Affairs
Name of person providing endorsement. Last Name or Single Name. Item 1.
Name of person providing endorsement. Given Name(s). Item 1.
Name of person providing endorsement. Qualifying Address. Suite/Unit Number. Item 1.
Name of person providing endorsement. Qualifying Address. Street Number. Item 1.
Name of person providing endorsement. Qualifying Address. Street Name. Item 1.
Name of person providing endorsement. Qualifying Address. Municipality. Item 1.
Name of person providing endorsement. Qualifying Address. Province. Item 1.
Name of person providing endorsement. Qualifying Address. Enter Postal Code in format: letter, digit, letter, digit, letter, digit. Item 1.
I endorse. Name of Candidate. Item 1.
Name of person providing endorsement. Signature . Item 1.
Name of person providing endorsement. Signature Date. Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar. Item 1.
Name of person providing endorsement. Last Name or Single Name. Item 2.
Name of person providing endorsement. Given Name(s). Item 2.
Name of person providing endorsement. Qualifying Address. Suite/Unit Number. Item 2.
Name of person providing endorsement. Qualifying Address. Street Number. Item 2.
Name of person providing endorsement. Qualifying Address. Street Name. Item 2.
Name of person providing endorsement. Qualifying Address. Municipality. Item 2.
Name of person providing endorsement. Qualifying Address. Province. Item 2.
Name of person providing endorsement. Qualifying Address. Enter Postal Code in format: letter, digit, letter, digit, letter, digit. Item 2.
I endorse. Name of Candidate. Item 2.
Name of person providing endorsement. Signature . Item 2.
Name of person providing endorsement. Signature Date. Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar. Item 2.
Name of person providing endorsement. Last Name or Single Name. Item 3.
Name of person providing endorsement. Given Name(s). Item 3.
Name of person providing endorsement. Qualifying Address. Suite/Unit Number. Item 3.
Name of person providing endorsement. Qualifying Address. Street Number. Item 3.
Name of person providing endorsement. Qualifying Address. Street Name. Item 3.
Name of person providing endorsement. Qualifying Address. Municipality. Item 3.
Name of person providing endorsement. Qualifying Address. Province. Item 3.
Name of person providing endorsement. Qualifying Address. Enter Postal Code in format: letter, digit, letter, digit, letter, digit. Item 3.
I endorse. Name of Candidate. Item 3.
Name of person providing endorsement. Signature . Item 3.
Name of person providing endorsement. Signature Date. Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar. Item 3.
Name of person providing endorsement. Last Name or Single Name. Item 4.
Name of person providing endorsement. Given Name(s). Item 4.
Name of person providing endorsement. Qualifying Address. Suite/Unit Number. Item 4.
Name of person providing endorsement. Qualifying Address. Street Number. Item 4.
Name of person providing endorsement. Qualifying Address. Street Name. Item 4.
Name of person providing endorsement. Qualifying Address. Municipality. Item 4.
Name of person providing endorsement. Qualifying Address. Province. Item 4.
Name of person providing endorsement. Qualifying Address. Enter Postal Code in format: letter, digit, letter, digit, letter, digit. Item 4.
I endorse. Name of Candidate. Item 4.
Name of person providing endorsement. Signature . Item 4.
Name of person providing endorsement. Signature Date. Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar. Item 4.
Name of person providing endorsement. Last Name or Single Name. Item 5.
Name of person providing endorsement. Given Name(s). Item 5.
Name of person providing endorsement. Qualifying Address. Suite/Unit Number. Item 5.
Name of person providing endorsement. Qualifying Address. Street Number. Item 5.
Name of person providing endorsement. Qualifying Address. Street Name. Item 5.
Name of person providing endorsement. Qualifying Address. Municipality. Item 5.
Name of person providing endorsement. Qualifying Address. Province. Item 5.
Name of person providing endorsement. Qualifying Address. Enter Postal Code in format: letter, digit, letter, digit, letter, digit. Item 5.
I endorse. Name of Candidate. Item 5.
Name of person providing endorsement. Signature . Item 5.
Name of person providing endorsement. Signature Date. Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar. Item 5.
CurrentPageNumber: NumberofPages: TextField1: Name of person providing endorsement. Last Name or Single Name.: Name of person providing endorsement. Given Name(s).: Endorsement signatures for the nomination of a person for an office in the municipality of : in the year : num: - 5unitNo: streetNo: Name of person providing endorsement. Qualifying Address. Street Name.: Name of person providing endorsement. Qualifying Address. Municipality.: Name of person providing endorsement. Qualifying Address. Province. : Name of person providing endorsement. Qualifying Address. Enter Postal Code in format: letter, digit, letter, digit, letter, digit.: I endorse : Name of person providing endorsement. Signature: Name of person providing endorsement. Signature Date. Enter date in format: year: 4 digits, month: 2 digits, day: 2 digits. Or select date from the drop down calendar.: Save Form: Print Form: Clear Form: