fema.gov National Flood Insurance Program Elevation Certificate United States of America : Federal Emergency Management Agency

Name of the Organization : Federal Emergency Management Agency
Type of Facility : Flood Insurance Elevation Certificate
Country : United States of America

Website : https://www.fema.gov/
Application Form : https://www.statusin.org/uploads/25758-ElevationCert.pdf

National Flood Insurance Program Elevation Certificate :

** Cover photo for the document: National Flood Insurance Program Elevation Certificate and Instructions

Related : Federal Emergency Management Agency National Incident Management System USA : www.statusin.org/12045.html

** The National Flood Insurance Program (NFIP) Elevation Certificate (EC) (FEMA form 086-0-33) is an administrative tool of the NFIP which is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, or support a request for a Letter of Map Amendment (LOMA) or a Letter of Map Amendment based on fill (LOMR-F).

** This document is referenced in the NFIP Flood Insurance Manual (Special Certifications Section).
** This form is fillable and can be completed in either Adobe Acrobat Pro or Adobe Reader and saved.

Instructions for Completing the Elevation Certificate :
** The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify elevation information when elevation information is required for Zones A1–A30, AE, AH, A (with BFE), VE, V1–V30, V (with BFE), AR, AR/A, AR/AE, AR/A1–A30, AR/AH, or AR/AO.

** Community officials who are authorized by law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A (without BFE), a community official, a property owner, or an owner’s representative may provide information on this certificate, unless the elevations are intended for use in supporting a request for a LOMA or LOMR-F.

** Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a LOMA or LOMR-F.
** The property owner, the owner’s representative, or local official who is authorized by law to administer the community floodplain ordinance can complete Section A and Section B.
** The partially completed form can then be given to the land surveyor, engineer, or architect to complete Section C.

** The land surveyor, engineer, or architect should verify the information provided by the property owner or owner’s representative to ensure that this certificate is complete. In Puerto Rico only, elevations for building information and flood hazard information may be entered in meters.

Section A – Property Information :
** Items A1–A4. This section identifies the building, its location, and its owner.
** Enter the name(s) of the building owner(s), the building’s complete street address, and the lot and block numbers.
** If the building’s address is different from the owner’s address, enter the address of the building being certified.

** If the address is a rural route or a Post Office box number, enter the lot and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from a fixed point of reference.

** For the purposes of this certificate, “building” means both a building and a manufactured (mobile) home.

Section B – Flood Insurance Rate Map :
** (Firm) Information Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification.
** The information for Section B is obtained by reviewing the FIRM panel that includes the building’s location.
** Information about the current FIRM is available from the Federal Emergency Management Agency (FEMA) by calling 1-800-358-9616.

** If a Letter of Map Amendment (LOMA) or Letter of Map Revision (LOMR-F) has been issued by FEMA, please provide the letter date and case number in the Comments area of Section D or Section G, as appropriate.

Section C – Building Elevation Information :
** (Survey Required) Complete Section C if the building is located in any of Zones A1–A30, AE, AH, A (with BFE), VE, V1–V30, V (with BFE), AR, AR/A, AR/AE, AR/A1–A30, AR/AH, or AR/AO, or if this certificate is being used to support a request for a LOMA or LOMR-F.
** If the building is located in Zone AO or Zone A (without BFE), complete Section E instead.

** To ensure that all required elevations are obtained, it may be necessary to enter the building (for instance, if the building has a basement or sunken living room, split-level construction, or machinery and equipment).

** Surveyors may not be able to gain access to some crawlspaces to shoot the elevation of the crawlspace floor.
** If access to the crawlspace is limited or cannot be gained, follow one of these procedures.

Section D – Surveyor, Engineer, Or Architect Certification :
** Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect who is authorized by law to certify elevation information.
** Place your license number, your seal (as allowed by the State licensing board), your signature, and the date in the box in Section D.

** You are certifying that the information on this certificate represents your best efforts to interpret the data available and that you understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.

** Use the Comments area of Section D to provide datum, elevation, openings, or other relevant information not specified elsewhere on the certificate.

Section E – Property Owner :
** (Or Owner’s Representative) Certification Complete as indicated.
** This section is provided for certification of measurements taken by a property owner or property owner’s representative when responding to Sections A, B, and E.
** The address entered in this section must be the actual mailing address of the property owner or property owner’s representative who provided the information on the certificate.**