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Products & Policies | Ex-Im Bank Policies | Environment

Ex-Im Bank Environmental Screening Document - Annex B

Must Accompany All Applications For Long-Term Financial Support 

The information provided on this form is used to environmentally categorize the application and thereby determine the information needed (if any) for Ex-Im Bank to evaluate the environmental effects of the transaction, a process that is crucial to the appropriate and timely review of your application. Please check the boxes that apply. 

Are the products or services covered in your application destined for an identified project?
NoNo,
explain  ____________________________________________.
Yes a) identify the project________________________________________________________
            b) provide a brief description, including output, capacity, size, etc._______________________
            ________________________________________________________________________
            ________________________________________________________________________

            c) indicate whether new project, rehabilitation or expansion ___________________________

PROJECT LOCATION

Is the project located in or sufficiently near to have perceptible environmental effects in any of the following areas:
Tropical Forest
Nationally Designated Wetlands or Seashore / Protected Wildlands / Nationally Designated Refuges
National Parks
Coral Reefs or Mangrove Swamps
Habitat of Endangered Species
Location affecting indigenous or tribal populations
Location having Historical / Archaeological Significance
Large Scale Resettlement? (Potential Number of People Affected: ________________________
Properties on the World Heritage List

PROJECT SECTOR OR INDUSTRY

Check classification(s) describing the project for which the exports are destined:
Large Infrastructure
Airport 
Ports/harbors 
Pipelines 
Highways 
Other large infrastructure 
Iron & Steel Plant 
Smelter 
Pulp & Paper Plant 
Petroleum Refinery or Petrochemical Plant 
Chemical / Pharmaceutical 
Natural Gas Liquefaction Plants 
Industrial plants - large scale 
Agro-industries - large scale Transportation (Aircraft, Locomotives, Boats)
Forestry Telecommunications or Satellites 
Mining & Mineral Processing Plant
Oil & gas field development Hospitals and medical equipment
Hydropower Plant / Water Reservoir 
Thermal power plant 
over 140 MWe
under 140 MWe 
Nuclear power plant  Pre-project services, feasibility/environmental study
Geothermal Power Consulting services
Waste management Other, specify:_____________________________

Name of Applicant____________________________________ Date__________________

For inquiries and information please contact the Engineering & Environment Division at (202)565-3570.


 
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