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June 2012 Annex 4 Community Impact Assessment Form (CIA) The council s vision is to promote equal life outcomes1 for everyone living, working and visiting York, through inclusive design in everything
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How to fill out community impact assessment form

How to fill out a community impact assessment form:
01
Start by obtaining the community impact assessment form from the relevant authority or organization. This form may be available online or in physical copies.
02
Carefully read through the instructions and guidelines provided with the form. This will help you understand the purpose and requirements of the assessment.
03
Begin by providing basic information about the project or activity that will have an impact on the community. This may include the name, location, and nature of the project.
04
Identify the target community or communities that will be affected by the project. Specify the demographics, socio-economic characteristics, and size of the population.
05
Assess the potential positive and negative impacts that the project may have on the community. Consider factors such as social, economic, environmental, and cultural aspects.
06
Describe in detail the specific impacts that are anticipated. Provide supporting evidence, data, or studies to back up your assessments.
07
Evaluate the magnitude or significance of each impact. Consider the scale, duration, and intensity of the effects on the community.
08
Propose mitigation measures or strategies to address any negative impacts identified. These may include actions to minimize harm, enhance positive effects, or compensate affected individuals or groups.
09
Consider the feedback and input of the community and stakeholders. Engage with local residents, organizations, and experts to gather their perspectives on the potential impacts and proposed mitigation measures.
10
Make sure to complete all necessary sections of the form accurately and thoroughly. Review your answers before submitting the form to ensure clarity and coherence.
Who needs a community impact assessment form?
01
Developers or project initiators who are planning to undertake activities that may have implications for the community.
02
Local governments or planning authorities that require an assessment of the potential impacts of proposed projects or policies.
03
Non-profit organizations or community groups seeking funding or grants for initiatives that will affect the community.
04
Regulatory bodies or agencies responsible for overseeing specific industries or sectors, which may require community impact assessments as part of their regulatory processes.
05
Any individual or organization that believes a project or activity will have a significant impact on the community and wants to provide input or feedback to relevant authorities.
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What is community impact assessment form?
The community impact assessment form is a tool used to evaluate the effects of a project or program on the community.
Who is required to file community impact assessment form?
Certain organizations or businesses may be required by law to file a community impact assessment form, depending on the nature of their project or program.
How to fill out community impact assessment form?
The community impact assessment form can usually be filled out online or on a physical form, and requires detailed information about the project, its goals, and its potential impact on the community.
What is the purpose of community impact assessment form?
The purpose of the community impact assessment form is to ensure that projects and programs are being developed in a way that benefits, rather than harms, the community.
What information must be reported on community impact assessment form?
Information such as project goals, potential impacts on the community, mitigation measures, and stakeholder engagement efforts may need to be reported on the community impact assessment form.
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