Introduction

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Important note

If you are entered on the list of electors, you can submit your nomination, with some exceptions. You may only run in one electoral division in any single election.

More information

Section 235 of the Elections Act describing ineligible persons

Consent and declarations

You must file your nomination yourself.

The personal information you provide using this form is required to process your request. All requested information is mandatory, unless otherwise noted. This information is confidential under the Act respecting Access to documents held by public bodies and the Protection of personal information, and will be accessible only to persons authorized by the Chief Electoral Officer of Québec to process such requests. Élections Québec retains this information only as long as necessary to fulfill these identified purposes, subject to the rules set out in its retention schedule. The institution will implement whatever security measures required to protect the personal information it collects, uses, discloses, retains or destroys. If you would like to have access to any personal information you have provided to us, please contact the person responsible for document access and the protection of personal information at Élections Québec. For more information on this topic, please refer to our Personal Information Management Policy.

I declare that I am 18 years of age or older, that I am a Canadian citizen, that I have been domiciled in Québec for at least six months and that .

I declare that I am applying on my own behalf and that the information I provide will be accurate.