Formulaire

Request for a Pre-Impact Assessment (Environmental Assessment) (Form 14734*04)

Cerfa 14734*04

Allows you to request a case-by-case review prior to conducting an environmental assessment of a project, either using the form or using the online service.

The form must be accompanied by the document “personal information relating to the developer or petitioner” (Annex 1).

Fill out the form

For details, please use the practical information sheets :

J'ai réalisé une démarche administrative

Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

Je donne mon avis

Émetteur du formulaire administratif : Ministry for the Environment

Verified 07 August 2025 - Directorate of Legal and Administrative Information (Prime Minister)