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Voter at Home Service - Eligibility - 2017 Election

  1. The Town of Black Diamond is offering a Voter at Home service on Thursday, October 12, 2017 between the hours of 1:00pm and 8:00pm. Eligible voters who are unable to leave their homes to vote due to physical incapacity, may make application for 2 Deputy Returning Officers to attend their home so they can cast their ballot.

  2. Town of Black Diamond logo -colour

  3. In order to proceed with the application form for the Voter at Home service, the elector (voter) must show eligibility to vote and qualification for the service by checking all of the boxes below. If the elector is not able to check all of the boxes below, then they are not eligible for the Voter at Home service offered by the Town of Black Diamond.

  4. If you are not able to tick all of the boxes below, and you continue to submit this form, you WILL NOT be redirected to the next form, and the Returning Officer will not receive your request for services.


    I agree that I am an eligible elector (voter) and that I am qualified to request the Voter at Home service by reason of:

  6. If more information is required about the elector's ability to attend a voting station, physical assistance that may be required at a voting station, or an elector's eligibility for this service, please contact the Returning Officer at 403-933-4348 or by email at

  7. Leave This Blank:

  8. This field is not part of the form submission.