Proxy voting (Form 14952*03)
Ministry of the Interior - Cerfa n° 14952*03
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Allows you to make a proxy vote.
You can:
- Fill out the form using the computer and then print it on 2 sheets (no double-sided)
- Either print the form on 2 sheets (no double-sided), then fill it by hand (legibly and without breaks)
To fill out the form:
- You must provide your national voter number and the national voter number in your place. You can find out these numbers using this online service.
- You do not need to complete the administration sections.
Please note
this form can also be used to terminate a proxy vote.
Go to the online administrative form
Verified 12 April 2024 - Directorate for Legal and Administrative Information (Prime Minister)
To whom shall I send this form ?
For details, please use the practical information sheets :
J'ai réalisé une démarche administrative
Je donne mon avis sur Services Publics +. L'administration concernée me répondra.