Fema Form 81 87A PDF Details

Navigating the complexities of flood hazard areas and securing appropriate insurance requires a clear understanding of various documents and procedures. Among these, the FEMA Form 81-87A stands out as a crucial tool for property owners and developers alike. This form, developed by the Federal Emergency Management Agency (FEMA), serves as an elevation certificate vital for properties located within flood-prone zones. It not only facilitates the assessment of a property's risk but also plays a pivotal role in the acquisition or retention of benefits under the National Flood Insurance Program (NFIP). The form estimates that completing it takes a dedicated hour, encompassing a thorough review of instructions, data gathering, and submission processes. Significantly, compliance with this form is mandatory for benefiting from the NFIP, underscoring its importance in flood risk management. Moreover, it demands the expertise of registered professional engineers or licensed land surveyors, who confirm the elevation information of structures or parcels, ensuring accuracy and integrity in the process. The inclusion of specifics such as NFIP community number, property conditions, and construction types further personalizes the assessment to each application. This form's expiration date and the emphasis on honest reporting highlight FEMA's commitment to maintaining current and reliable data in its efforts to mitigate flood risks effectively.

QuestionAnswer
Form NameFema Form 81 87A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameselevation form, fema fillable elevation certificate 2020, fema form 90 127, fema forms no No Download Needed needed

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FEDERAL EMERGENCY MANAGEMENT AGENCY

ELEVATION FORM

O.M.B. NO. 3067-0147

Expires September 30, 2005

PAPERWORK BURDEN DISCLOSURE NOTICE

Public reporting burden for this form is estimated to average 1 hour 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 respond 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 this burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington DC 20472, Paperwork Reduction Project (3067-0147). Submission of the form is required to obtain or retain benefits under the National Flood Insurance Program. Please do not send your completed survey to the above address.

This form must be completed for requests and must be completed and signed by a registered professional engineer or licensed land surveyor. A FEMA

National Flood Insurance Program (NFIP) Elevation Certificate may be submitted in addition to this form for single structure requests.

For requests to remove a structure on natural grade OR on engineered fill from the Special Flood Hazard Area (SFHA), submit the lowest adjacent grade (the lowest ground touching the structure), including an attached deck or garage. For requests to remove an entire parcel of land from the SFHA, provide the lowest lot elevation; or, if the request involves an area described by metes and bounds, provide the lowest elevation within the metes and bounds description.

1.NFIP Community Number:

2.Are the elevations listed below based on

Property Name or Address:

existing or

 

proposed conditions? (Check one)

3. What is the elevation datum? If any of the elevations listed below were computed using a datum different than the datum used for the effective Flood Insurance Rate Map (FIRM) (e.g., NGVD 29 or NAVD 88), what was the conversion factor?

Local Elevation +/- ft. = FIRM Datum

4.For the existing or proposed structures listed below, what are the types of construction? (check all that apply)

crawl space

slab on grade

basement/enclosure

other (explain)

5.Has FEMA identified this area as subject to land subsidence or uplift? (see instructions)

If yes, what is the date of the current releveling?

/

(month/year)

Yes

No

Lot Number

Block

Number

Lowest Lot

Elevation

Lowest

Adjacent

Grade To

Structure

Base Flood

Elevation

For FEMA Use Only

This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001.

Certifier’s Name:

Company Name:

License No.:

Expiration Date:

Telephone No.:

Fax No.:

Signature:

Date:

Seal (optional)

FEMA Form 81-87A, SEP 02

Elevation Form

MT-1 Form 2 Page 1 of 2

Continued from Page 1.

 

Block

Lowest Lot

Lowest

Base Flood

 

Lot Number

Adjacent Grade

For FEMA Use Only

Number

Elevation

Elevation

 

To Structure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001.

Certifier’s Name:

License No.:

Expiration Date:

Company Name:

Telephone No.:

Fax No.:

Signature:

Date:

Seal (optional)

FEMA Form 81-87A, SEP 02

Elevation Form

MT-1 Form 2 Page 2 of 2