HomeMy WebLinkAboutCouncil - Declaration of EligibilityDECLARATION OF ELIGIBILITY - COUNCIL
Municipal Elections Act, 1996
DECLARATION OF ELIGIBILITY - 2018 MUNICIPAL ELECTION
MUNICIPAL CANDIDATES
I, ________________________________________, a nominated candidate for the office of:
Mayor
Councillor, Ward # _____
Do Solemnly Declare That:
1. I am qualified pursuant to the Municipal Elections Act, 1996 and the Municipal Act, 2001 to
be elected to and to hold the above noted office.
2. I am not ineligible or disqualified under the Municipal Elections Act, 1996, the Municipal
Act, 2001, the Municipal Conflict of Interest Act or any other Act to be elected to or hold the
above-mentioned office.
3. Without limiting the generality of paragraph 2 above,
I am not an employee of the City of Kitchener, or if I am an employee of the City of
Kitchener, I am on an approved unpaid leave of absence as provided for by section 30 of
the Municipal Elections Act, 1996.
I am not a judge of any court.
I am not a member of the Assembly as provided in the Legislative Assembly Act or of the
Senate or House of Commons of Canada or, if I am such a person, I will provide proof of
my resignation in a form satisfactory to the Clerk of the City of Kitchener prior to 2:00
p.m. on nomination day, July 27, 2018. I understand that the Clerk of the City of
Kitchener will reject my nomination for the above-mentioned office if I fail to provide
proof of resignation by this deadline.
I am not a member of the Executive Council of Ontario or a federal Minister of the
Crown.
I am not a Crown employee within the meaning of the Public Service Act, or if I am a
Crown employee, I have followed and will continue to follow all the relevant provisions
of Part III of such Act.
4. I have attained 25 endorsement signatures and declarations from eligible electors in the City
of Kitchener in accordance with the Municipal Elections Act, 1996.
5. I am not prohibited from voting at the municipal election under subsection 17(3) of the
Municipal Elections Act, 1996.
6. Without limiting the generality of paragraph 5 above,
I am not a person who is serving a sentence of imprisonment in a penal or correctional
institution.
I am not a person who was convicted of a corrupt practice described in subsection 90(3)
of the Municipal Elections Act, 1996, during an election that occurred less than five years
prior to Monday, October 22, 2018.
7. I am not a candidate who was convicted of a corrupt practice under the Municipal Elections
Act, 1996 or of an offence under the Criminal Code (Canada), in connection with an act or
omission with respect to a municipal election if the Voting Day in that election is less than
six years prior to Monday, October 22, 2018.
8. I am not disqualified from being elected to or holding office by reason of any violations of
the election campaign financial requirements or violations for not filing the financial
statement pursuant to the Municipal Elections Act, 1996.
And I, ____________________________________________________________make this solemn
(print name of applicant)
declaration conscientiously believing it to be true and knowing that it is of the same force and effect
as if made under oath.
Must be signed in front of a commissioner for taking affidavits.
Signature of Candidate
X
OFFICE USE ONLY:
Declared before me at the City of Kitchener
(municipality where declaration made)
of Region of Waterloo
(county, district or regional municipality where declaration made)
This ___________ day of _______________ . 20 ________.
day month year
__________________________________________________
Commissioner for taking Affidavits Signature
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