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Annex 11 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 the council
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How to fill out community impact assessment form

01
Start by obtaining the community impact assessment form from the relevant authority or organization. This form is typically required for projects or activities that may have significant effects on the surrounding community.
02
Begin filling out the form by providing your personal information, such as your name, contact details, and the name of your organization if applicable. This information is necessary for identification purposes and follow-up communication.
03
Next, provide a detailed description of the project or activity for which you are filling out the form. Explain its purpose, scope, and duration, as well as any potential impacts it may have on the community.
04
Identify and assess the potential positive and negative impacts of the project or activity. Consider factors such as social, economic, environmental, and cultural aspects. Provide specific details and evidence to support your assessment.
05
Evaluate the magnitude and significance of the identified impacts. Determine whether they are major or minor, temporary or permanent, reversible or irreversible, and local or regional in nature. This step helps in understanding the overall implications of the project on the community.
06
Propose appropriate mitigation measures to address any negative impacts identified. These measures may include strategies to lessen adverse effects, enhance positive impacts, or compensate affected individuals or communities.
07
Outline any measures you plan to implement to engage and consult with the community during the project or activity. This could involve public consultations, information sharing, creating feedback mechanisms, or involving local stakeholders in decision-making processes.
08
Review and proofread the completed form to ensure accuracy and clarity of information. Make sure all sections are filled out completely and concisely.
09
Submit the community impact assessment form to the designated authority or organization by the specified deadline. Follow any additional instructions or requirements provided by the entity receiving the form.
Who needs community impact assessment form?
01
Organizations or individuals planning projects or activities that may have significant effects on the surrounding community.
02
Developers, construction companies, or infrastructure builders who are undertaking projects that could impact the environment, cultural heritage, or local socio-economic conditions.
03
Government agencies or regulatory bodies who require a comprehensive assessment of the potential impacts of proposed projects or activities on the community.
04
Non-profit organizations or community groups seeking funding or support for initiatives that may affect the local community, such as events, programs, or services.
05
Any party interested in understanding and addressing the potential consequences of a project or activity on a community's well-being and quality of life.
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What is community impact assessment form?
Community impact assessment form is a document that evaluates the potential effects of a project or development on the surrounding community.
Who is required to file community impact assessment form?
Certain organizations or individuals may be required by local government regulations to file a community impact assessment form.
How to fill out community impact assessment form?
The form typically requires information on the project, potential impacts, mitigation measures, and community engagement efforts.
What is the purpose of community impact assessment form?
The purpose of the community impact assessment form is to identify and address potential negative impacts of a project on the community.
What information must be reported on community impact assessment form?
Information such as project details, potential impacts, mitigation measures, and community engagement efforts must be reported on the form.
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