Form Change Sheet FEMA Form 086-0-1

FEMA Form 086-0-1, FLOOD INSURANCE APPLICATION

LOCATION	CURRENT TEXT	REVISED TEXT
FLOOD INSURANCE APPLICATION, PART 1 (OF 2)
TITLE, Page 1	Currently black and white.	Changed color of the line FLOOD INSURANCE APPLICATION to match the color of the banners on the form.
	Currently in color.	Changed color of the line IMPORTANT – PLEASE PRINT OR TYPE to black. Added ENTER DATES AS MM/DD/YYYY and bolded text.
	Part 1 (OF 2)	Moved text from before to after FLOOD INSURANCE APPLICATION and bolded text.
CURRENT POLICY NUMBER, Page 1	CURRENT POLICY NUMBER	Removed: CURRENT POLICY NUMBER
	New and Renewal checkboxes.	Change: Horizontally aligned the checkboxes.
		Added: TRANSFER (NFIP ONLY) checkbox.
		Added: PRIOR POLICY #:___________
BILLING, Page 1	DIRECT BILL INSTRUCTIONS	Added BILLING BOX. Changed to: FOR RENEWAL, BILL:
	BILL INSURED	Changed to: INSURED
	BILL FIRST MORTGAGEE	Changed to: FIRST MORTGAGEE
	BILL SECOND MORTGAGEE	Changed to: SECOND MORTGAGEE
	BILL LOSS PAYEE	Changed to: LOSS PAYEE
	BILL OTHER	Changed to: OTHER (AS SPECIFIED IN THE 2ND MORTGAGEE/OTHER BOX BELOW
POLICY PERIOD, Page 1	POLICY TERM	Changed to: POLICY PERIOD
	POLICY PERIOD IS FROM ____________TO________	Changed the date format to: POLICY PERIOD IS FROM ___/___/___ TO ___/___/___
	LOAN TRANSACTION—NO WAITING MAP REVISION (ZONE CHANGE FROM NON-SFHA TO SFHA) —ONE DAY	Changed to: REQUIRED FOR LOAN TRANSACTION—NO WAITING PERIOD Changed to: MAP REVISION (ZONE CHANGE FROM NON-SFHA TO SFHA) — 1 DAY
	LENDER REQUIRED—NO WAITING (SFHA ONLY)	Changed to: TRANSFER (NFIP ONLY)—NO WAITING PERIOD
		Added a new subsection: PROPERTY PURCHASED ON OR AFTER 07/06/2012
		◘ YES ◘ NO IF YES, INDICATE THE PROPERTY PURCHASE DATE: ___/___/___
AGENT/PRODUCER INFORMATION, Page 1	AGENT INFORMATION	Changed to: AGENT/PRODUCER INFORMATION
	NAME, ADDRESS OF LICENSED PROPERTY OR CASUALTY INSURANCE AGENT OR BROKER:	Changed to: NAME AND MAILING ADDRESS OF AGENT/PRODUCER
		Added: E-MAIL ADDRESS
INSURED INFORMATION, Page 1	INSURED MAILING ADDRESS	Changed to: INSURED INFORMATION
	NAME, ADDRESS, AND PHONE NO. OF INSURED:	Changed to NAME AND MAILING ADDRESS OF INSURED:
PROPERTY LOCATION, Page 1	PROPERTY LOCATION	Moved the PROPERTY LOCATION box from the right side of the form to the left side.
	◘YES ◘ NO IF NO, ENTER PROPERTY ADDRESS. IF RURAL, DESCRIBE PROPERTY LOCATION (DO NOT USE P.O. BOX).	Added NOTE: ONE BUILDING PER POLICY-BLANKET COVERAGE NOT PERMITTED in Bold. Changed to: ◘YES ◘ NO IF NO, ENTER PROPERTY ADDRESS. IF RURAL, ENTER LEGAL DESCRIPTION, OR GEOGRAPHIC LOCATION OF PROPERTY (DO NOT USE P.O. BOX). Added: FOR AN ADDRESS WITH MULTIPLE BUILDINGS AND/OR FOR A BUILDING WITH ADDITIONS OR EXTENSIONS, DESCRIBE THE INSURED BUILDING:_________________
1ST MORTGAGEE, Page 1	MORTGAGEE	Changed to 1st MORTGAGEE
	PHONE NO._____FAX NO.____	Removed: PHONE NO._____FAX NO.____
DISASTER ASSISTANCE, Page 1		Moved the DISASTER ASSISTANCE box underneath the PROPERTY LOCATION box.
	ENTER CASE FILE NO.:	Changed to CASE FILE NO.:_____________
2ND MORTGAGEE/OTHER, Page 1	IF SECOND MORTGAGEE, LOSS PAYEE OR OTHER IS TO BE BILLED, COMPLETE THE FOLLOWING, INCLUDING THE NAME AND ADDRESS: ◘ 2ND MORTGAGEE ◘ DISASTER AGENCY ◘ LOSS PAYEE ◘ IF OTHER, PLEASE SPECIFY:	Changed to: NAME AND MAILING ADDRESS OF: ◘ 2ND MORTGAGEE ◘ LOSS PAYEE ◘ OTHER ◘ IF OTHER, SPECIFY:
	PHONE NO._____FAX NO.____	Removed: PHONE NO._____FAX NO.____
COMMUNITY, Page 1		Added the GRANDFATHERING INFORMATION subhead (in Bold).
	PRIOR POLICY NO.:	Removed: PRIOR POLICY NO.:
		Added: (PROVIDE PRIOR POLICY NUMBER IN BOX ABOVE)
BUILDING, Page 1     BUILDING, Page 1	IS INSURED BUILDING OWNED BY STATE GOVERNMENT? ◘ YES ◘ NO	Removed: IS INSURED BUILDING OWNED BY STATE GOVERNMENT? ◘ YES ◘ NO
		Added: BUILDING PURPOSE SUBSECTION 100% RESIDENTIAL 100% NON-RESIDENTIAL
		MIXED USE –SPECIFY PERCENTAGE OF RESIDENTIAL USE: _______%
		IS BUILDING A BUSINESS PROPERTY? ◘ YES ◘ NO
	NUMBER OF FLOORS IN ENTIRE BUILDING	Changed to: NUMBER OF FLOORS IN BUILDING
	IF NOT A SINGLE-FAMILY DWELLING, NUMBER OF OCCUPANCIES (UNITS) IS: CONDO FORM OF OWNERSHIP? ◘ YES ◘ NO CONDO COVERAGE IS FOR: ◘UNIT ◘ ENTIRE BUILDING RESIDENTIAL CONDOMINIUM BUILDING ASSOCIATION POLICY ONLY: TOTAL NUMBER OF UNITS:_______ (INCLUDE NON-RES.) ◘ HIGH-RISE ◘ LOW-RISE	Removed: IF NOT A SINGLE-FAMILY DWELLING, NUMBER OF OCCUPANCIES (UNITS) IS: __________ Changed to: IS BUILDING IN A CONDOMINIUM FORM OF OWNERSHIP? ◘ YES ◘ NO Changed to: IS COVERAGE FOR A CONDO UNIT? ◘ YES ◘ NO Changed to: TOTAL NUMBER OF UNITS ◘ HIGH-RISE ◘ LOW-RISE
	IS BUILDING LOCATED ON FEDERAL LAND? ◘ YES ◘ NO	Moved: IS BUILDING LOCATED ON FEDERAL LAND? ◘ YES ◘ NO into the Building subsection.
		Changed: The following 3 questions were combined in one sub-box in the BUILDING box:
		IS BUILDING WALLED AND ROOFED? ◘ YES ◘ NO
		IS BUILDING IN THE COURSE OF CONSTRUCTION? ◘ YES ◘ NO
		IS BUILDING OVER WATER? ◘ NO ◘ PARTIALLY ◘ENTIRELY
	IS BUILDING INSURED’S PRINCIPAL RESIDENCE? ◘ YES ◘ NO	Changed to: IS BUILDING INSURED’S PRINCIPAL/PRIMARY RESIDENCE? ◘ YES ◘ NO
		Added:
		IS BUILDING A RENTAL PROPERTY?
		IS THE INSURED A TENANT?
		IF YES, IS THE TENANT REQUESTING BUILDING COVERAGE? ◘ YES ◘ NO IF YES, SEE NOTICE BELOW.
		Added IS THE BUILDING A SEVERE REPETITIVE LOSS PROPERTY? ◘ YES ◘ NO
		Added: DOES THE BUILDING HAVE ANY ADDITIONS OR EXTENSIONS? ◘ YES ◘ NO Added: (Additions and Extensions May Be Separately Insured.)
		Removed: IF ELEVATED, COMPLETE PART 2 OF APPLICATION in the section with the question IS BUILDING ELEVATED?
		Removed: FOR MANUFACTURED (MOBILE) HOMES/TRAVEL TRAILERS, COMPLETE PART 2, SECTION III. Moved: ESTIMATED REPLACEMENT COST: $_______ to COVERAGE AND RATINGS subsection.
CONTENTS, Page 1	CONTENTS LOCATED IN:	Added an asterisk (*) at the end, to reference the statement about the single family contents.
	IF SINGLE FAMILY, CONTENTS ARE RATED THROUGHOUT THE BUILDING.	Moved it to the bottom portion of CONTENTS section with an asterisk (*).
CONSTRUCTION INFORMATION, Page 1	CONSTRUCTION DATA	Renamed: CONSTRUCTION INFORMATION box, and moved over to the right side of the form.
	DATE	Changed to: CONSTRUCTION DATE.
	ALL BUILDINGS: (CHECK ONE OF THE FIVE BLOCKS AND RECORD CORRESPONDING DATE IN THE DATE BOX)	Renamed: CHECK ONE OF THE FOLLOWING in Bold:
	BUILDING PERMIT DATE	Changed to: BUILDING PERMIT
	DATE OF CONSTRUCTION	Changed to: CONSTRUCTION
	SUBSTANTIAL IMPROVEMENT DATE	Changed to: SUBSTANTIAL IMPROVEMENT
	MANUFACTURED (MOBILE) HOMES/TRAVEL TRAILERS LOCATED IN A MOBILE HOME PARK OR SUBDIVISION: CONSTRUCTION DATE OF MOBILE HOME PARK OR SUBDIVISION FACILITIES	Changed to: FOR MANUFACTURED (MOBILE) HOMES/TRAVEL TRAILERS LOCATED IN A MOBILE HOME PARK OR SUBDIVISION: CONSTRUCTION DATE OF MOBILE HOME PARK OR SUBDIVISION FACILITIES
ELEVATION DATA, Page 1		Added new section: ELEVATION DATA.
	IF POST-FIRM CONSTRUCTION IN ZONES A, A1-A30, AE, AO , AH, V, V1-V30, VE, OR IF PRE-FIRM CONSTRUCTION IS ELEVATION RATED, ATTACH ELEVATION CERTIFICATION.	Changed to: (IF POST-FIRM CONSTRUCTION IN ZONES A, A1-A30, AE, AO , AH, V, V1-V30, VE, OR IF PRE-FIRM CONSTRUCTION IS ELEVATION RATED, ATTACH ELEVATION CERTIFICATE.)
	(SEE NFIP FLOOD INSURANCE MANUAL FOR CERTIFICATION FORM.)	Changed to: (SEE THE NFIP FLOOD INSURANCE MANUAL FOR CERTIFICATION FORM.)
COVERAGE AND RATING, Page 1		Added a subheading: ESTIMATED BUILDING REPLACEMENT COST (Including Foundation) $ _____ Added a subheading: DEDUCTIBLE.
COVERAGE AND RATING, Page 1	Coverage	Changed to: Insurance Coverage Moved: TOTAL AMOUNT OF INSURANCE from right side of grid to left.
	RATE TYPE	Changed to: RATE CATEGORY Removed from rate categories: V-ZONE RISK FACTOR ALTERNATIVE LEASED FEDERAL PROPERTY MORTGAGE PORTFOLIO PROTECTION PROGRAM Changed to: SUBMIT FOR RATE
	SUBMIT FOR RATING
	PAYMENT OPTION	Changed to: PAYMENT METHOD Added: ◘ CHECK
		Added: Reserve Fund ____% to TOTAL PREMIUM column. Added: Subtotal
	TOTAL PREPAID AMOUNT	Changed to TOTAL AMOUNT DUE
SIGNATURE BOX, Page 1		Added the following statement: NOTICE: BUILDING COVERAGE BENEFITS - EXCEPT FOR A RESIDENTIAL CONDOMINIUM BUILDING — ARE NOT AVAILABLE IF OTHER NFIP BUILDING COVERAGE HAS BEEN PURCHASED BY THE APPLICANT OR ANY OTHER PARTY FOR THE SAME BUILDING.
	THE ABOVE STATEMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE STATEMENTS MAY BE PUNISHABLE BY FINE OR IMPRISONMENT UNDER APPLICABLE FEDERAL LAW. SEE REVERSE SIDES OF COPIES 2, 3 & 4. SIGNATURE OF AGENT/BROKER	THE ABOVE STATEMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE STATEMENTS MAY BE PUNISHABLE BY FINE AND/OR IMPRISONMENT UNDER APPLICABLE FEDERAL LAW. SEE REVERSE SIDES OF COPIES 2, 3 & 4. Changed to SIGNATURE OF AGENT/PRODUCER
		Added: SIGNATURE OF INSURED (OPTIONAL)________ DATE (MM/DD/YYYY)
FOOTER, Page 1	PLEASE ATTACH TO NFIP COPY OF APPLICATION THE CHECK OR MONEY ORDER FOR THE TOTAL PREPAID PREMIUM MADE PAYABLE TO THE NATIONAL FLOOD INSURANCE PROGRAM.	Change to: PLEASE SUBMIT TOTAL AMOUNT DUE WITH THE NFIP COPY OF THIS APPLICATION. IF PAYING BY CHECK OR MONEY ORDER, MAKE PAYABLE TO THE NATIONAL FLOOD INSURANCE PROGRAM.
FLOOD INSURANCE APPLICATION, PART 2 (OF 2)
CURRENT POLICY NUMBER, Page 2	CURRENT POLICY NUMBER	Removed: CURRENT POLICY NUMBER
	New and Renewal checkboxes.	Changed: Horizontally aligned the checkboxes.
		Added: TRANSFER (NFIP ONLY) checkbox.
		Added: PRIOR POLICY #:___________
	ALL APPROPRIATE DATA PROVIDED BY THE INSURED OR OBTAINED FROM THE ELEVATION CERTIFICATE SHOULD BE REVIEWED AND TRANSCRIBED BELOW. THIS PART OF THE APPLICATION MUST BE COMPLETED FOR ALL BUILDINGS.	Changed to: ALL DATA PROVIDED BY THE INSURED OR OBTAINED FROM THE ELEVATION CERTIFICATE SHOULD BE REVIEWED AND TRANSCRIBED BELOW. THIS PART OF THE APPLICATION MUST BE COMPLETED FOR ALL BUILDINGS.
SECTION I - ALL BUILDING TYPES, Page 2		Removed Questions 1 – 5. Re-numbered Basement/Subgrade Crawlspace from 6 to 3. Re-numbered Garage from 7 to 2. Added in bold: If the answer to 1a is YES, answer 1b through 1f. Moved Building Use subsection from Part 1to Part 2 (Section 1). Added 4. Additions and Extensions (if Applicable) Coverage is for: ◘ Building including addition(s) and extension(s) ◘ Building excluding additions(s) and extensions(s) Provide policy number for addition or extension: _____ ◘ Addition or extension only (include description in the Property Location box in Part 1.) Provide policy number for building excluding addition(s) or extension(s): _______
SECTION II - ELEVATED BUILDINGS, Page 2 SECTION II - ELEVATED BUILDINGS, Page 2	Subsections 8-10	Changed: Re-numbered the subsections 8-10 to 1-3.
	8. Elevating foundation of the building:	Changed to: 1. Elevating Foundation Type (in bold)
	Solid foundation walls	Changed: Solid perimeter walls
	9. Does the area below the elevated floor contain machinery or equipment? If yes, check the appropriate items: Hot water heater Other equipment or machinery servicing the building	Changed to: 2. Machinery and Equipment Below the Elevated Floor (in bold) Added: Does the area below the elevated floor contain machinery and/or equipment? ◘ YES ◘ NO Changed: If yes, check the applicable items: Changed: Water heater Changed to: Other equipment and/or equipment servicing the building (describe): __________
	10. Area below the elevated floor: If 10a is NO, do not answer 10b through 10f.	Changed to 3. Area below the elevated floor (in bold) Added: 3b) Does the area below the elevated floor contain elevators? ◘ YES ◘ NO If yes, how many? __________ Changed to: If the answer to 3a or 3b is YES, answer 3c through 4b
		Removed: 10b) If enclosed , provide size of enclosed area/crawlspace:
	Breakaway Walls Solid Wood Frame Walls Masonry Walls	Changed to: Insect screening Light wood lattice Solid wood frame walls (if breakaway, submit certification documentation) Solid wood frame walls (non-breakaway) Masonry walls (if breakaway, submit certification documentation) Masonry walls (non-breakaway) Other (describe): __________
		Added new question: 3d) If enclosed with a material other than insect screening or light wood lattice, provide size of enclosed area: __________ square feet.
SECTION II - ELEVATED BUILDINGS, Page 2	10b) through 10d)	Changed to 3c) 3d) 3e)
	10f) Does the enclosed area/crawlspace have more than 20 linear feet of finished wall, paneling, etc.? ◘YES ◘NO	Changed to: 3f) Does the enclosed area have more than 20 linear feet of finished wall, paneling, etc.? ◘ YES ◘NO
		Added a subsection: 4. Flood Openings (bold)
	Questions 10d) and 10e)	Moved to section 4. Flood Openings (bold) and changed to Questions 4a) and 4b)
SECTION III-MANUFACTURED (MOBILE) HOMES/TRAVEL TRAILERS, Page 2		Added (Wheels must be removed for travel trailer to be insurable.) under the Section III heading.
	Questions 11 – 13 Question 14 -15	Changed to Question 1 Changed to subsection 2 and 3: Anchoring and Installation
		Removed: Question 16.
SIGNATURE BOX, Page 2	THE ABOVE STATEMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE STATEMENTS MAY BE PUNISHABLE BY FINE OR IMPRISONMENT UNDER APPLICABLE FEDERAL LAW. SIGNATURE OF INSURANCE AGENT/BROKER	Changed to: THE ABOVE STATEMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE STATEMENTS MAY BE PUNISHABLE BY FINE AND/OR IMPRISONMENT UNDER APPLICABLE FEDERAL LAW. Changed to SIGNATURE OF INSURANCE AGENT/PRODUCER
		Added SIGNATURE OF INSURED (OPTIONAL)

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