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This document is the 2019 edition of the National Flood Insurance Program Elevation Certificate and instructions issued by the U.S. Department of Homeland Security Federal Emergency Management Agency. The Elevation Certificate serves as an administrative tool to provide elevation information for compliance with community floodplain management ordinances, to determine proper insurance premium rates, and to support requests for Letters of Map Amendment (LOMA) or Letters of Map Revision based on fill (LOMR-F). The form requires an estimated average burden of 3.75 hours per response to complete. The certificate is required to properly rate Post-FIRM buildings (those constructed after publication of the Flood Insurance Rate Map) located in designated flood insurance zones including A1–A30, AE, AH, A, VE, and V1–V30 zones. Disclosure of information on the form is voluntary, though failure to provide requested information may result in inability to obtain flood insurance through NFIP or may subject applicants to higher premium rates.
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