Version 2019
This form should be saved to your device and then completed using the free Adobe Acrobat
Reader application or full version of Adobe Acrobat. Many internet browsers and other
applications can display PDF files, but we cannot guarantee their compatibility in regard to
these forms. We specifically advise users of Apple devices not to use 'Preview' because of
known issues.
Community Infrastructure Levy (CIL) - Form 2: Assumption of Liability
This form should be used to assume liability prior to commencement of development.
Please complete the form using block capitals and black ink and send to the Collecting Authority
for guidance on CIL generally, including assuming liability.See
Privacy Notice
This form is provided by Planning Portal and based on the requirements provided by Government for the sole purpose of submitting
information to a Local Authority in accordance with the 'The Community Infrastructure Levy Regulations 2010 (as amended)'.
Please be aware that once you have downloaded this form, Planning Portal will have no access to the form or the data you enter into it
(unless you choose to upload it to any Planning Portal online service in agreement with the relevant terms and conditions). Any subsequent
use of this form is solely at your discretion, including the choice to complete and submit it to a Local Authority with the declaration section.
Upon receipt of this form and any supporting information, it is the responsibility of the Local Authority to inform you of its obligations in
regards to the processing of this information. Please refer to its website for further information on any legal, regulatory and commercial
requirements relating to information security and data protection of the information you have provided.
Planning Permission / Notice of Chargeable Development Reference:
Site address:
Description of development:
Description of Development
Page 1 of 4
Please note: This version of the form should only be used for submissions relating to planning applications in England.
There is a legacy version of the form for use in Wales:
Planning Practice Guidance for CIL
Download the legacy version of this form
Version 2019
Page 2 of 4
Title: First name:
Last name:
Company registration no:
(where applicable)
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company:
House
number:
House
name:
House
suffix:
Unit:
Position:
Telephone number (mandatory)
Email address (optional):
Extension
number:
National number:
Country code:
Party A Assuming Liability
Title: First name:
Last name:
Company registration no:
(where applicable)
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company:
House
number:
House
name:
House
suffix:
Unit:
Position:
Telephone number (mandatory)
Extension
number:
Country code:
National number:
Email address (optional):
Party B Assuming Liability
If the liable party is a company, you must fill in the company name
Section A: Assumption of Liability
Section A: Assumption of Liability
Version 2019
Title: First name:
Last name:
Company registration no:
(where applicable)
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company:
House
number:
House
name:
House
suffix:
Unit:
Position:
Party C Assuming Liability
Email address (optional):
Extension
number:
National number:
Country code:
Telephone number (mandatory)
Title: First name:
Last name:
Company registration no:
(where applicable)
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company:
House
number:
House
name:
House
suffix:
Unit:
Position:
Email address (optional):
Extension
number:
National number:
Country code:
Telephone number (mandatory)
Party D Assuming Liability
Agent Name and Address
Company:
House
number:
House
name:
House
suffix:
Unit:
Title: First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Telephone number (mandatory)
Country code:
Extension
number:
Email address (optional):
National number:
Page 3 of 4
Version 2019
I/we hereby assume liability for the Community Infrastructure Levy Charge for the above development. Where assuming liability on
behalf of a company,I confirm that I am authorised to do so. I/we understand that I/we must submit a commencement notice in order to
secure the 60 day payment window or such time as the charging authority has allowed in its current payment instalments policy, as per
the requirements of the Community Infrastructure Levy Regulations (2010) as amended. I/we am/are aware of the surcharges I/we will
incur if I/we do not follow the correct procedures for paying the CIL charge. I/we understand any communication and actions by the
collecting authority to pursue me/us for the assumed liability will be copied to the site land owners (as defined in CIL regulations)
Name - A Party Assuming Liability:
Date (DD/MM/YYYY):
Declaration
Name - D Party Assuming Liability:
Date (DD/MM/YYYY):
Date (DD/MM/YYYY):
Name - B Party Assuming Liability:
Date (DD/MM/YYYY):
Or Name - Agent:
Date (DD/MM/YYYY):
Name - C Party Assuming Liability:
It is an offence for a person to knowingly or recklessly supply information which is false or misleading in a material respect to a charging or
collecting authority in response to a requirement under the Community Infrastructure Levy Regulations (2010) as amended (regulation
110, SI 2010/ 948). A person guilty of an offence under this regulation may face unlimited fines, two years imprisonment, or both.
Under regulation 37(2) of the Community Infrastructure Levy Regulations (2010) as amended, where two or more persons have assumed
liability to pay CIL in respect of a chargeable development they shall each be jointly and severally liable to pay any CIL payable in respect
of that chargeable development.
Page 4 of 4
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