FEMA Form 086-0-26B: Community Acknowledgment Form

The six digit NFIP community number and the subject property address must appear in the spaces provided. Incomplete submissions will result in processing delays. Please refer to the MT-1 instructions for additional information about this form.

Enter the Community Number and the Property Name or Address.

This form must be completed for requests involving the existing or proposed placement of fill (complete Section A) OR to provide acknowledgment of this request to remove a property from the SFHA which was previously located within the regulatory floodway (complete Section B).

In Section A, the community official responsible for floodplain management acknowledges that the community has received and reviewed this Letter of Map Revision Based on Fill (LOMR-F) or Conditional LOMR-F request. Based upon the community's review, the community finds the completed or proposed project meets or is designed to meet all of the community floodplain management requirements, including the requirement that no fill be placed in the regulatory floodway, and that all necessary Federal, State, and local permits have been, or in the case of a Conditional LOMR-F, will be obtained. For LOMR-F requests, the official acknowledges that compliance with Sections 9 and 10 of the ESA has been achieved independently of FEMA's process. The community has also determined that the land and any existing or proposed structures to be removed from the SFHA are or will be reasonably safe from flooding as defined in 44CFR 65.2(c).

In Section A, enter Community Comments, the Community Official's Name and Title (Please Print or Type), Telephone No., Community Name and Date, then sign on Community Official's Signature (required).

In Section B, the community official responsible for floodplain management acknowledges that the community has received and reviewed this request for a LOMA. The community understands that this request is being forwarded to DHS-FEMA to determine if this property has been inadvertently included in the regulatory floodway. The community acknowledges that no fill on this property has been or will be placed within the designated regulatory floodway. The community finds that the completed or proposed project meets or is designed to meet all of the community floodplain management requirements.

In Section B, enter Community Comments, the Community Official's Name and Title (Please Print or Type), Telephone No., Community Name and Date, then sign on Community Official's Signature (required).