Monroe, NY · Orange County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete Part 1 to provide project details and environmental information for a proposed action reviewed by a lead agency.

What this form is

This form collects information about a proposed project and its potential environmental effects. The applicant or sponsor completes Part 1, including project details, site characteristics, and an affirmation; the lead agency completes the impact assessment and determination in Parts 2 and 3. Responses become part of the application for approval or funding and may be subject to public review and further verification.

Who needs it

An applicant or project sponsor completes Part 1 for a proposed action being considered for approval or funding.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the applicant affirms the information is true and accurate to the best of their knowledge.

How to submit this form

  1. 1

    Download The Form

    Download the Short Environmental Assessment Form.

  2. 2

    Complete Part 1

    Enter the project and sponsor information and answer the applicant questions using information currently available.

  3. 3

    Gather Supporting Materials

    Attach a location map and any additional pages needed to supplement your responses.

  4. 4

    Submit The Form

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Short Environmental Assessment Form used for?
It gathers project and site information for a proposed action and supports the lead agency’s environmental impact assessment and determination.
Who completes the Short Environmental Assessment Form?
The applicant or project sponsor completes Part 1. The lead agency is responsible for completing Parts 2 and 3.
Do I need a notary for the Short Environmental Assessment Form?
No. The applicant signs and dates the form and affirms that the information is true and accurate to the best of their knowledge; no notary block is provided.
How do I submit the Short Environmental Assessment Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Short Environmental Assessment Form doesn’t need a notary — but if you have another Monroe form that does, a commissioned online notary can help.