Electoral Register Authorisation

The following form is for local CLP Officers, agents and volunteers will produce a certificate to authorise access to the marked register on behalf of the Party. Once submitted, your regional office will receive a notification to approve the request after which you will receive the certificate.

Name(Required)

First Last

Membership Number(Required)

Region / Nation(Required)

East Midlands Local Authorities(Required)

Eastern Local Authorities(Required)

London Local Authorities(Required)

Northern Local Authorities(Required)

North West Local Authorities(Required)

South East Local Authorities(Required)

South West Local Authorities(Required)

West Mids Local Authorities(Required)

Yorkshire Local Authorities(Required)

Wales Local Authorities(Required)

Scotland Local Authorities(Required)

Issue Date(Required)

Email(Required)

Please enter the email address you wish to receive the certificate to