ANNEX B

Download PDF


EXIM BANK ENVIRONMENTAL SCREENING DOCUMENT

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 EXIM 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 physical project?

No, explain:__________________________________________________________________

Yes, a) identify the project________________________________________________________

b) Provide a brief description, including output, capacity, size, etc:.__________________________ 
_______________________________________________________________________________ 
_______________________________________________________________________________ 

c) Indicate whether this is a new project, a rehabilitation or an expansion in size or output of an existing project: _______________________________________________________________

PROJECT LOCATION

Is the project located in or near an environmentally sensitive site or area? (Check all applicable, if any):

Tropical Forests or Other Areas with High Biological Diversity 
Nationally or Internationally Designated Protected Areas, such as Wetlands, Seashores, Wilde-lands or Refuges, National Parks 
Habitat of Endangered Species 
Location Affecting Indigenous, Tribal or Other Vulnerable Populations 
Location having Historical / Archaeological Significance 
Large Scale Resettlement (Potential Number of People Affected: ____________________) 
Properties on the UNESCO World Heritage Site 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


Agro-industries - large scale 
Forestry 
Mining & Mineral Processing Plant 
Oil & Gas Field Development 
Hydropower Plant / Water Reservoir 
Thermal Power Plant 
 

over 140 MWe 
under140 MWe

Nuclear Power Plant 
Geothermal Power 

Waste Management

Iron & Steel Plant 
Smelter 
Pulp & Paper Plant 
Petroleum Refinery or Petrochemical Plant 
Chemical / Pharmaceutical 
Natural Gas Liquefaction Plants 
Industrial Plants - large scale 

Transportation (Aircraft, Locomotives, Boats) 
Telecommunications or Satellites 
Air traffic control or navigational aids 
Railway Signaling 

Hospitals and Medical Equipment 


Pre-project Services, Feasibility/Environmental study 
Consulting Services 

Other, specify:_____________________________

Name of Applicant _____________________________________ Date __________________

For inquiries and information please contact the Engineering & Environment Division at (202)565-3570 or email Enviro.Specialist@exim.gov