Fema Form 086-0-33 - Elevation Certificate - U.s. Department Of Homeland Security (Page 3 of 23) in pdf

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,

1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0008). notE: Do not send your completed

form to this address.

Privacy Act Statement

Authority: Title 44 CFR § 61.7 and 61.8.

Principal Purpose(s): This information is being collected for the primary purpose of estimate the risk premium rates necessary to

provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas.

routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of

1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/FEMA-003

– National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747 (December 19, 2008); DHS/FEMA/NFIP/

LOMA-1 – National Flood Insurance Program (NFIP) Letter of Map Amendment (LOMA) System of Records Notice 71 Fed. Reg. 7990

(February 15, 2006); and upon written request, written consent, by agreement, or as required by law.

Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result

in the inability to obtain flood insurance through the National Flood Insurance Program or may be subject to higher premium rates for

flood insurance. Information will only be released as permitted by law.

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 (LOMR-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 A1–A30, AE, AH, A (with BFE), VE, V1–V30, V (with BFE), AR,

AR/A, AR/AE, AR/A1–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 purchase requirement. Only a LOMA or LOMR-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 certificate 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 467-1, Floodplain Management Bulletin: Elevation Certificate, available on

FEMA’s website at

FEMA Form 086-0-33 (7/12)

F-053

Fema Form 086-0-33 - Elevation Certificate - U.s. Department Of Homeland Security Page 3

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