Fema Form 086-0-33 - Elevation Certificate - U.s. Department Of Homeland Security
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23U.S. Department of Homeland Security
500 C Street, SW
Washington, DC 20472
W-12102
November 23, 2012
MEMORANDUM FOR:
Write Your Own (WYO) Principal Coordinators and the
National Flood Insurance Program (NFIP) Servicing Agent
FROM:
Dennis Kuhns
Director, Risk Insurance
Federal Insurance and Mitigation Administration
SUBJECT:
Revised Elevation Certificate and Floodproofing Certificate Approved
The Office of Management and Budget (OMB) has approved the collection of information under
OMB Number 1660-0008, which includes the Elevation Certificate (FEMA Form 086-0-33) and the
Floodproofing Certificate for Non-Residential Structures (FEMA Form 086-0-34). The new
expiration date for both forms is July 31, 2015.
FEMA will permit a “phase-in” of the revised Elevation Certificate on a voluntary basis. During the
12-month transition period beginning August 1, 2012, we will accept either the new form or the old
form. This voluntary transition period will allow for sufficient time for coordination and training of
all affected NFIP stakeholders. Elevations certified after the last day of the transition period must be
submitted on the new Elevation Certificate form with the expiration date of July 31, 2015.
PDF files of both forms are attached. They may be accessed online as shown.
Elevation Certificate –
Floodproofing Certificate –
If you have any questions regarding this matter, please contact Mary Ann Chang at 202-212-4712.
Attachments
cc: Vendors, IBHS, FIPNC, FEMA Regions, Government Technical Representative Required
Routing: Data Processing, Claims, Underwriting
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