Assets of Community Value
Nomination Form for North Dorset District Council area
1. Nominating Organisation
Nominating
Organisation
Contact Name
Position in
organisation
Address
(inc. postcode)
Telephone number
Email
2. Eligibility of Nominating Organisation
Eligible Group
Please confirm which eligible community group you are:
Parish/Town Council or neighbouring Parish/Town
Council or in respect of non-parished area
Designated Neighbourhood Forum or neighbouring
Neighbourhood Forum (Sect 61, T&CPA 1990)
Unincorporated Body, which has at least 21 individual
members and does not distribute any surplus it makes
to its members (Note 1)
Charity
Company limited by guarantee which does not
distribute any surplus it makes to its members
An Industrial and Provident Society which does not
distribute any surplus it makes to its members
Community Interest Company
Other: please detail
Local
Connection
For groups other than Parish or Town Councils, please
confirm that the group is wholly or partly concerned with
the area covered by North Dorset District Council or a
neighbouring local authority area
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3. Details of Asset being Nominated
Name and description of asset you wish to nominate
Please attach a map including the proposed boundaries (see Note 2)
See Note 3 for ineligible assets
Full Postal Address of asset (including postcode)
Name(s) of all freeholders/leaseholders/occupiers of the asset
You may not know all this information, but please provide what you can
Name
Contact details
Freeholder/leaseholder/occupier
Name
Contact details
Freeholder/leaseholder/occupier
Name
Contact details
Freeholder/leaseholder/occupier
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4. Reasons for Nomination
Why do you think that the Land or Property above should be listed as an Asset
of Community Value?
See Notes 4 & 5
Continue on further sheets as necessary
Name………………………………………………………………………………………
Title…………………………………………………………………………………………
Signature…………………………………………………………………………………
Date…………………………………………………………………………………………
(This completed form may be provided to the asset owner or occupier, see Note 6)
Please see over about how to submit your application
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Please include the following with your nomination:
Location Map of Asset
Evidence of your Body/organisation’s approval for nominating this asset (e.g.
meeting minutes)
Proof of your Body/organisation’s Identity
If you are not a Parish/Town Council, please supply proof of identity & tick the relevant box:
 Memorandum & Articles of Association, Constitution or Terms of Reference
 Annual Statement of Accounts
 Minutes of Meetings
 Other (please specify):
Unincorporated body, please also provide your evidence of membership, see Note
1 below
Please submit this form and accompanying documents to:
Hugh de Iongh, Community led Development Officer, North Dorset District Council,
Nordon, Salisbury Road, Blandford Forum, Dorset, DT11 7LL
or [email protected]
Note 1: Unincorporated Body
For an unincorporated organisation, please confirm that at least 21 members are
included in the North Dorset District Council’s register of electors or of a neighbouring
local authority, and provide their names and addresses, as an attachment.
Note 2. Boundaries
The boundaries do not have to be the same as ownership boundaries, for instance as
shown on the Land Registry plan if the land is registered; nor is it necessary for all parts
of the nominated site to be in the same ownership
Note 3: Ineligible assets
Refer to Schedule 1, Assets of Community Value (England) Regulations 2012, but in
summary are:
 Residential property, unless integral to the asset
 Property which has planning permission for residential development
 Operational land for statutory undertakers & utilities, e.g. water, energy, roads
 Caravan parks
Note 4: Asset of Community Value
Refer to Sect 88, Localism Act 2012, but in summary is that land or a building will be
considered an asset of community value if, in the opinion of the local authority:
-
An actual current use, that is not an ancillary use, furthers the social wellbeing or
social interests of the local community, and it is realistic to think that there can
continue to be a use, which is not ancillary, which will further, whether or not in
the same way, the social wellbeing or social interests of the local community.
-
There is a time in the recent past when an actual use of the property, which was
not an ancillary use, furthered the social wellbeing or social interests of the local
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community, and it is realistic to think that there is a time in the next five years
when there could be non-ancillary use which would further, whether or not in the
same way, the social wellbeing or social interests of the local community.
Note 5: Examples of the issues that your answer to this question could usefully address
are:
 Why do you consider that the current use, or a use of the asset in the recent
past, furthers (or furthered) the social well-being an interests of the community?
 Can you confirm that the use described above is (or was) its main use and not an
ancillary (i.e. an additional) use
 Can you confirm that demand for the existing (or a proposed new use) would
continue into the future (5 years), and that the asset would continue to further the
social well-being or interest of the community in the future?
 Why is the current or future activity dependent on securing the asset for
community use? (i.e., are there alternatives or similar facilities in the local area
that could support the current or future proposed activity?)
 Are you confident that the community can viably manage the asset and has the
capacity to raise the necessary capital or could reasonably expect to do so within
six month moratorium allowed by the regulations? This is not a requirement of
the legislation but it is important that you think it through and understand the
implications.
Note 6: Please be aware your completed form may be provided to the asset owner or
occupier, with any personal information taken out (redacted) such as your name and
contact details.
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