In today's rapidly changing climate, the significance of thorough preparedness for natural disasters has never been more paramount. Standing at the forefront of this initiative is the application process for participation in the National Flood Insurance Program (NFIP), encapsulated in the Department of Homeland Security's FEMA Form 81-64. This pivotal document, endorsed by the Federal Emergency Management Agency (FEMA), serves as a conduit through which communities can avail themselves of essential flood insurance coverage. The form meticulously outlines the prerequisites for participation, from the provision of applicant community details to the precise estimates of areas vulnerable to flooding and/or mudslide hazards. FEMA Form 81-64 also delineates the responsibilities of community officials and program coordinators, highlighting the importance of a consolidated effort in mitigating the impacts of flood-related disasters. Notably, the form encapsulates a Paperwork Burden Disclosure Notice, emphasizing FEMA's acknowledgment of the time investment required and its dedication to streamlining the submission process. Through this document, FEMA not only facilitates access to crucial insurance protection for communities but also underscores the collective responsibility and preparedness necessary to navigate the challenges posed by natural disasters.
| Question | Answer |
|---|---|
| Form Name | Fema Form 81 64 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | fema form 81 64, E-MAIL, SW, CID |
DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
APPLICATION FOR PARTICIPATION IN THE NATIONAL FLOOD
INSURANCE PROGRAM
O.M.B. NO.
Expires February 29, 2008
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 4 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to submit to this collection of information unless a valid OMB control number appears in the upper right corner of 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
1. APPLICANT COMMUNITY NAME (City, town, etc.)
DATE
COUNTY, STATE
2. COMMUNITY OFFICIAL - CHIEF EXECUTIVE OFFICER (CEO)
TELEPHONE NO. (Include area code)
ADDRESS (Street or box no., city , state, zip code)
3.PROGRAM COORDINATOR (Official, if different from above, with overall responsibility for implementing program)
TELEPHONE NO. (Include area code)
ADDRESS (Street or box no., city , state, zip code)
4.LOCATION OF COMMUNITY REPOSITORY FOR PUBLIC INSPECTION OF NFIP MAPS
ADDRESS
5.ESTIMATES FOR THOSE AREAS PRONE TO FLOOD AND/OR MUDSLIDE AS OF THE DATE OF THIS APPLICATION
AREA IN ACRES
POPULATION
NO. OF
FAMILY
STRUCTURES
NO. OF ALL
OTHER
STRUCTURES
6. ESTIMATES OF TOTALS IN ENTIRE COMMUNITY
POPULATION
NO. OF
FAMILY
STRUCTURES
NO. OF ALL
OTHER
STRUCTURES
7. FOR FEMA REGIONAL OFFICE USE ONLY
1. FEMA REGIONAL OFFICE
2. NAME OF CONTACT
3. TELEPHONE NO.
4. LEVEL OF 44 CFR 60.3 REGULATION ADOPTED (Check one)
60.3(a) |
|
60.3(b) |
|
60.3(c) |
|
60.3(d) |
|
60.3(e) |
5.CHECK APPROPRIATE BOX:
EMERGENCY PHASE
REGULAR PHASE
IF REGULAR PROGRAM, SPECIFY FIRM INDEX DATE. IF USING ANOTHER COMMUNITY'S FIRM, GIVE COMMUNITY NAME, CID, FIRM INDEX DATE AND MAP PANEL NUMBER DEPICTING COMMUNITY.
FEMA Form |
REPLACES ALL PREVIOUS EDITIONS |