Son ( ne cocher qu une seule case ) en raison d obligations professionnelles ; en raison d un handicap ; pour raison de sant ; e n raison d assistance apport e une personne malade ou infirme ; en raison d obligations de formation ; parce que je suis en vacances ; p arce que je r side dans une commune diff rente de celle o je suis inscrit (e) sur une liste lectorale. LE MANDANT : Date : (Signature du demandeur) * es personnes plac es en d te.

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How to fill out the Procuration Cerfa online

The Procuration Cerfa form is essential for individuals who wish to authorize someone else to vote on their behalf. This guide provides clear, step-by-step instructions on how to complete this document online, ensuring you have all the necessary information at your fingertips.

Follow the steps to complete the Procuration Cerfa form online

  1. Click ‘Get Form’ button to obtain the form and open it in your editor.
  2. Enter your personal information in the designated fields, including your full name, personal address, and contact details such as phone number and preferred email address.
  3. Indicate your date of birth and confirm if you are registered on the electoral list by selecting the appropriate option.
  4. Choose whether you are establishing a new procuration or revoking an existing one by marking the correct options.
  5. Provide the details of the person you are designating to vote on your behalf, including their full name, address, and date of birth.
  6. Specify the duration of the procuration by selecting whether it is for a specific election date or for a limited period.
  7. Fill in the complete address of the relevant municipal office that will receive the form.
  8. Review your entries for accuracy, ensuring all required fields are filled out correctly.
  9. Save the changes made to the form. You can choose to download, print, or share the completed form as required.

Complete your documents online with confidence and accuracy.

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