Instructions
Please complete all sections and sign the declaration to ensure your application can be considered.
A statutory declaration must accompany this form, outlining the reasons why having your address shown on a voters' roll places or would place the personal safety of you or members of your family at risk.
Ensure you submit this online application form to Council before the close date of the electoral roll.
This form closes 4:00 pm Wednesday 7 August 2024.
Signature requirements
For your form to be accepted, you must sign it by hand. Under legislation, the council cannot accept a form that is not signed.
Statutory declaration
A statutory declaration is a written statement that you (the declarant) sign and declare to be true and correct in the presence of an authorised witness.
By signing it, you agree that the information in it is true. You can be charged with a criminal offence if the information is false. You can receive a fine of up to 600 penalty units, imprisonment for up to 5 years or both.
For further information, or assistance in completing a statutory declaration, visit https://www.justice.vic.gov.au/statdecs
Additional notes
Use this form to lodge a request with Council’s CEO that your address not be shown on the voters' roll. The information contained in this form and the accompanying statutory declaration will only be used to consider your request to be a silent voter.
Council will notify you of the outcome of your application. If approved, you will be a silent voter until you are no longer entitled to be enrolled as a ratepayer on the voters' roll, or you request in writing that you no longer want to be listed as a silent voter.
To ensure your address is not shown on the voters’ roll for any upcoming election, this application must be received by the council no later than the close of the roll. The date and time of the close of the roll is published on the VEC website www.vec.vic.gov.au when an election is announced.
Local Government Act 2020, sections 247.
