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 ?

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.