FEMA-EC140714 (2)w
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NATIONAL FLOOD INSURANCE PROGRAM
AND
INSTRUCTIONS
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
PAPERWORK REDUCTION ACT NOTICE
Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and submitting this form. You are not required to respond to this collection of information unless a valid
OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any
suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal
Emergency Management Agency, 500 C Street SW, Washington DC 20472, Paperwork Reduction Project (1660-0008).
NOTE: Do not send your completed form to this address.
PURPOSE OF THE ELEVATION CERTIFICATE
The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be
used to provide elevation information necessary to ensure compliance with community floodplain management
ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment
(LOMA) or Letter of Map Revision based on fill (LOMB -F).
The Elevation Certificate is required in order to properly rate Post -FIRM buildings, which are buildings constructed after
publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones A1430, AE, AH, A (with BFE),
VE, Vl-V30, V (with BFE), AR, AR/A, ARAE, AR/Al-A30, AR/AH, and AR/AO. The Elevation Certificate is not
required for Pre -FIRM buildings unless the building is being rated under the optional Post -FIRM flood insurance rules.
As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt
floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is
for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved
buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to
document compliance with the community's floodplain management ordinance.
Use of this certificate does not provide a waiver of the flood insurance purchas
e requirement. Only a LOMA or LOMB -F
from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a
lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring
flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a
LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be
required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be
submitted with either a completed FEMA MT -EZ or MT -1 package, whichever is appropriate.
This certificate is used only to certify building elevations. A separate cert
ificate is required for floodproofing. Under the
NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed
building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters)
below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the
community an exception for residential floodproofed basements. The community must adopt standards for design and
construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-
residential buildings and residential floodproofed basements in communities that have been granted an exception by
FEMA, a floodproofing certificate is required.
Additional guidance can be found in FEMA Publication 4674, Floodplain Management Bulletin: Elevation Cert
ificate,
available on FEMA's website at http://www.fema.g_ov/library/viewRecord.do?id=1727.
ELEVATION CERTIFICATE, page 3
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See Instructions for Item A6.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Policy Number:
718 Rembrandt Court
City Coppell State TX ZIP Code 75019 Company NAIC Number:
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
FRONT VIEW
REAR VIEW
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FEMA Form 086-0-33 (7/12) Replaces all previous editions.