§ 1. The following voters may mandate another voter to vote in his name (proxy vote) 1° voters who due to a disease or infirmity are in incapacity to go to a polling station or to be transported there. This incapacity is attested by a medical certificate. The doctors presenting themselves as candidates for the elections may not hand out such a certificate.

2° the voter who for professional or military reasons:

a) is retained in a foreign country together with members of his family who are living with him;

b) is in the Belgian Kingdom but cannot be present on the day of the elections in the polling station.

The impossibility under a) and b) is attested by a certificate from a military authority or civil or from the employer of the voter concerned.

3° The voter who works as a skipper/mariner; street hawker or carney and the members of his family live with him.

The exercise of these professions area attested in a certificate from the burgomaster of the community where the person concerned is enlisted in the population register.

4° the voter who on the Election Day is in a situation deprived of liberty due to legal measures. This situation is attested by the director of the institution the person stays.

5° the voter who due to his religious convictions cannot go to a polling station This impossibility must be justified through an attestation of the religious authorities

6° the student who for the reasons of studies cannot take part in the elections. This impossibility needs to be certified through the direction of the institution s/he attends.

7° the voter who for other reasons than the ones mentioned above is absent from his domicile on the day of the elections, due to a temporary voyage in a foreign country making it impossible to go to a polling station. This absence is certified by the burgomaster of his/her domicile or his/her delegate on the presentation of the necessary documents, or if s/he cannot organize the necessary document, on the basis of a declaration on the honor. The King determines the model of declaration of honor as well as the model of certificate delivered by the burgomaster. The demand must be introduced to the burgomaster no later than the day before the election.

§ 2. Any voter can be appointed as proxy.

Each proxy can act as a proxy for only one voter.

§ 3. The authorization is written in a form model of which has been fixed by the King and that is delivered for free to the municipal administration.

The authorization mentions the elections for which it is valid, the names and first names, birthdates and the addresses of the proxy and the voter.

The authorization form is signed by the voter and proxy.

§ 4. To be able to vote, the proxy hands in to the head of the polling station where the voter was supposed to vote, the authorization as well as one of the a above mentioned attestations. S/He shows her/his identity card and the conviction on which the head of the polling station mentions “Vote by proxy”

§ 5. The authorization is included in the documents mentioned in article 146 (1st sentence) and sent to the justice of the peace.