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: