Form Change Sheet FEMA Form 086-0-5

FEMA Form 086-0-5, PREFERRED RISK POLICY APPLICATION

LOCATION	CURRENT TEXT	REVISED TEXT
PREFERRED RISK POLICY APPLICATION, PART 1 (OF 2)
TITLE, Page 1	Currently black and white.	Changed color of the line PREFERRED RISK POLICY APPLICATION to match the color of the banners on the form.
	Currently in color.	Changed color of the line IMPORTANT – PLEASE PRINT OR TYPE back to black. Added: ENTER DATES AS MM/DD/YYYY and bolded text.
	FLOOD INSURANCE PREFERRED RISK POLICY APPLICATION	Changed to: PREFERRED RISK POLICY APPLICATION, PART 1 (OF 2). "PREFERRED RISK POLICY APPLICATION" is color text, and "PART 1 (OF 2) is black text.
CURRENT POLICY NUMBER, Page 1	CURRENT POLICY NUMBER	Removed:: CURRENT POLICY NUMBER
	New and Renewal checkboxes.	Change to: Horizontally aligned the checkboxes.
		Added: TRANSFER (NFIP ONLY) checkbox.
		Added: PRIOR POLICY #:___________
		Removed: IF NEW, LEAVE BLANK.
BILLING, Page 1		Added: BILLING BOX.
	DIRECT BILL INSTRUCTIONS	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 OR LENDER REQUIRED - NO WAITING	Changed to: REQUIRED FOR LOAN TRANSACTION—NO WAITING PERIOD
		Added: MAP REVISION (ZONE CHANGE FROM NON-SFHA TO SFHA) — 1 DAY
		Added: 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, PHONE NO., AND FAX NO. 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.
		Added: NOTE: ONE BUILDING PER POLICY-BLANKET COVERAGE NOT PERMITTED in Bold.
	IS INSURED LOCATION SAME AS INSURED MAILING ADDRESS?	Changed to: IS INSURED PROPERTY LOCATION SAME AS INSURED'S MAILING ADDRESS?
	◘YES ◘ NO IF NO, ENTER PROPERTY ADDRESS. IF RURAL, DESCRIBE PROPERTY LOCATION (DO NOT USE P.O. BOX).	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		Moved: the 1st MORTGAGEE box to the right side of the form.
	FIRST MORTGAGEE	Changed to: 1st MORTGAGEE
	PHONE NO._____FAX NO.____	Removed: PHONE NO._____FAX NO.____
	NAME, ADDRESS, PHONE NO., AND FAX NO. OF FIRST MORTGAGEE INCLUDING LOAN NO:	Changed to: NAME AND MAILING ADDRESS OF FIRST MORTGAGEE:
DISASTER ASSISTANCE, Page 1		Moved: the DISASTER ASSISTANCE box underneath the PROPERTY LOCATION box.
2ND MORTGAGEE/OTHER, Page 1	IF SECOND MORTGAGEE, LOSS PAYEE, OR OTHER IS TO BE BILLED, THE FOLLOWING MUST BE COMPLETED, INCLUDING THE NAME, ADDRESS, PHONE NO. AND FAX NO.: ◘ 2ND MORTGAGEE ◘ DISASTER AGENCY (SPECIFY): ◘ LOSS PAYEE ◘ OTHER (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		Split the section into two subheadings: RATING MAP INFORMATION and CURRENT MAP INFORMATION
		Added: RATING MAP INFORMATION in bold. Added: the CURRENT MAP INFORMATION subhead (in Bold).
	FLOOD INSURANCE RATE MAP ZONE COMMUNITY NO. AND SUFFIX FOR LOCATION OF PROPERTY INSURED:	Changed to: FIRM ZONE: ______ in the RATING MAP INFORMATION subsection. Changed to: CURRENT COMMUNITY NO./PANEL NO. AND SUFFIX: ______
		Added: CURRENT FIRM ZONE _____ to CURRENT MAP INFORMATION subsection.
		Added: CURRENT BFE: _____to CURRENT MAP INFORMATION subsection.
		Removed: INFORMATION SOURCE: ◘ COMMUNITY OFFICIAL ◘ FLOOD MAP ◘ MORTGAGEE ◘ OTHER (SPECIFY :) ______
BUILDING, Page 1	NON-RESIDENTIAL (INCL. HOTEL/MOTEL)	Changed to: NON-RESIDENTIAL (INCLUDING HOTEL/MOTEL)
		Added: BUILDING PURPOSE SUBSECTION
		100% RESIDENTIAL
		100% NON-RESIDENTIAL
		MIXED USE –SPECIFY PERCENTAGE OF RESIDENTIAL USE: _______%
		IS BUILDING A BUSINESS PROPERTY? ◘ YES ◘ NO
		Added: NUMBER OF FLOORS IN BUILDING (INCLUDING BASEMENT/ENCLOSED AREA, IF ANY) OR BUILDING TYPE: ◘ 1 ◘ 2 ◘ 3 OR MORE ◘ SPLIT LEVEL ◘ TOWNHOUSE/ROWHOUSE (RCBAP LOW-RISE ONLY) ◘ MANUFACTURED (MOBILE) HOME/TRAVEL TRAILER ON FOUNDATION
	INSURED'S PRINCIPAL RESIDENCE? ◘ YES ◘ NO	Changed to: IS BUILDING INSURED'S PRINCIPAL/PRIMARY RESIDENCE? ◘ YES ◘ NO
	CONDO FORM OF OWNERSHIP? ◘ YES ◘ NO	Removed: CONDO FORM OF OWNERSHIP? ◘ YES ◘ NO
	COVERAGE FOR CONDO UNIT? ◘ YES ◘ NO	Changed to: IS COVERAGE FOR A CONDO UNIT? ◘ YES ◘ NO
CONSTRUCTION INFORMATION, Page 1	TOWNHOUSE/ROWHOUSE CONDO UNIT? ◘ YES ◘ NO	Changed to: IS CONDO UNIT A ROWHOUSE/TOWNHOUSE? ◘ YES ◘ NO
		Added: The following 3 questions:
		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 LOCATED ON FEDERAL LAND? ◘ YES ◘ NO	Moved: IS BUILDING LOCATED ON FEDERAL LAND? ◘ YES ◘ NO into the Building subsection.
	ESTIMATED REPLACEMENT COST AMOUNT $ _________	Changed to: ESTIMATED BUILDING REPLACEMENT COST (INCLUDING FOUNDATION): $ _________
	IS BUILDING INSURED’S PRINCIPAL RESIDENCE?	Changed to: IS BUILDING INSURED’S PRINCIPAL/PRIMARY RESIDENCE?
		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: DOES THE BUILDING HAVE ANY ADDITIONS OR EXTENSIONS? ◘ YES ◘ NO
		Added: (Additions and Extensions May Be Separately Insured.)
		Added: IS BUILDING ELEVATED? ◘ YES ◘ NO IF YES, AREA BELOW IS; ◘ FREE OF OBSTRUCTION ◘ WITH OBSTRUCTION
		Removed: MAKE, MODEL, AND SERIAL NO. OF MANUFACTURED (MOBILE) HOME/TRAVEL TRAILER______
		Added: CONSTRUCTION INFORMATION SECTION. Moved: Construction date information moved to CONSTRUCTION INFORMATION section.
	DATE OF CONSTRUCTION	Changed to: CONSTRUCTION
	SUBSTANTIAL IMPR. 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
	MANUFACTURED (MOBILE)HOMES/TRAVEL TRAILERS LOCATED OUTSIDE A MOBILE HOME PARK OR SUBDIVISION: DATE OF PERMANENT PLACEMENT	Changed to: FOR MANUFACTURED (MOBILE)HOMES/TRAVEL TRAILERS LOCATED OUTSIDE A MOBILE HOME PARK OR SUBDIVISION: DATE OF PERMANENT
CONTENTS, Page 1	CONTENTS LOCATED IN: ◘ ENCLOSURE ONLY (BASEMENT ONLY NOT ELIGIBLE) ◘ BASEMENT/ENCLOSURE AND ABOVE ◘ LOWEST FLOOR ONLY ABOVE GROUND LEVEL ◘ LOWEST FLOOR ABOVE GROUND LEVEL AND HIGHER FLOORS ◘ ABOVE GROUND LEVEL MORE THAN ONE FULL FLOOR	Added: CONTENTS section Moved: Contents located in to CONTENTS section. Changed to: CONTENTS LOCATED IN*: ◘ ENCLOSURE ONLY (BASEMENT ONLY NOT ELIGIBLE) ◘ BASEMENT/ENCLOSURE AND ABOVE ◘ LOWEST FLOOR ONLY ABOVE GROUND LEVEL ◘ LOWEST FLOOR ABOVE GROUND LEVEL AND HIGHER ◘ ABOVE GROUND LEVEL MORE THAN 1 FULL FLOOR *IF SINGLE FAMILY, CONTENTS ARE RATED THROUGHOUT THE BUILDING.
BUILDING ELIGIBILITY, Page 1	NOTICE	Changed to: BUILDING ELIGIBILITY
	INSURANCE IS AVAILABLE UNDER THIS APPLICATION ONLY IF ALL ANSWERS TO THE QUESTIONS A AND B ARE NO, EXCEPT FOR BUILDING ELIGIBLE UNDER THE 2-YEAR PRP ELIGIBILITY EXTENSION, FOR WHICH THE ANSWER TO QUESTIONS A MAY BE YES.	Changed to: THE PREFERRED RISK POLICY (PRP) IS ONLY AVAILABLE IF ALL ANSWERS TO QUESTIONS A AND B ARE NO, EXCEPT FOR BUILDINGS ELIGIBLE UNDER THE PRP ELIGIBILITY EXTENSION, FOR WHICH THE ANSWER TO QUESTION A MAY BE YES.
	A) IS THE BUILDING LOCATED IN A SPECIAL FLOOD HAZARD AREA ON A FLOOD HAZARD BOUNDARY MAP, OR ON A FLOOD INSURANCE RATE MAP ZONE A, AE, A1-A30, AO, AH A99, V, VE, V1-V30, AR, AR DUAL ZONES AR/AE, AR/AH, AR/AO, AR/A1-A30, AR/A? ◘ YES ◘ NO	Changed to: A) IS THE BUILDING LOCATED IN A SPECIAL FLOOD HAZARD AREA (SFHA)? ◘ YES ◘ NO
	B) DO ANY OF THESE CONDITIONS, ARISING FROM ONE OR MORE OCCURRENCES IN ANY 10-YEAR PERIOD, EXIST?	B) DO ANY OF THE FOLLOWING CONDITIONS, ARISING FROM 1 OR MORE OCCURRENCES IN ANY 10-YEAR PERIOD, EXIST?
	TWO (2) LOSS PAYMENTS, EACH MORE THAN $1,000	2. LOSS PAYMENTS, EACH MORE THAN $1,000 ◘ YES ◘ NO
	THREE (3) OR MORE LOSS PAYMENTS, REGARDLESS OF AMOUNT ◘ YES ◘ NO	3. OR MORE LOSS PAYMENTS, REGARDLESS OF AMOUNT ◘ YES ◘ NO
BUILDING ELIGIBILITY, Page 1	TWO (2) FEDERAL DISASTER RELIEF PAYMENTS, EACH MORE THAN $1,000 ◘ YES ◘ NO	2 FEDERAL DISASTER RELIEF PAYMENTS, EACH MORE THAN $1,000 ◘ YES ◘ NO
	THREE (3) FEDERAL DISASTER RELIEF PAYMENTS, REGARDLESS OF AMOUNT ◘ YES ◘ NO	3 FEDERAL DISASTER RELIEF PAYMENTS, REGARDLESS OF AMOUNT ◘ YES ◘ NO
	ONE (1) FLOOD INSURANCE CLAIM PAYMENT AND ONE (1) FLOOD DISASTER RELIEF PAYMENT (INLCUDING LOANS AND GRANTS), EACH MORE THAN $1,000 ◘ YES ◘ NO	1 FLOOD INSURANCE CLAIM PAYMENT AND 1 FLOOD DISASTER RELIEF PAYMENT (INCLUDING LOANS AND GRANTS), EACH MORE THAN $1,000 ◘ YES ◘ NO
COVERAGE AND PREMIUM, Page 1	PREMIUM	Changed to:: COVERAGE AND PREMIUM
SIGNATURE, 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.
		Moved: (ONE BUILDING PER POLICY - BLANKET COVERAGE NOT PERMITTED) to PROPERTY LOCATION.
	THE ABOVE STATEMENTS ARE CORRECT TO THE BEST OF MY KNOWLEDGE. THE PROPERTY OWNER AND I UNDERSTAND THAT ANY FALSE STATEMENTS MAY BE PUNISHABLE BY FINE OR IMPRISONMENT UNDER APPLICABLE FEDERAL LAW.	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. SEE REVERSE SIDES OF COPIES 2, 3 & 4.
	SIGNATURE OF INSURANCE AGENT/BROKER	Changed to:: SIGNATURE OF INSURANCE AGENT/PRODUCER ________ DATE (MM/DD/YYYY)
		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.
		Removed: SPECIAL NOTE TO INSURANCE AGENT: SEND ORIGINAL TO NFIP, KEEP SECOND COPY FOR YOUR RECORDS, GIVE THIRD COPY TO THE INSURED, AND FOURTH COPY TO MORTGAGEE.
		Added: IMPORTANT — COMPLETE PART 1 AND PART 2 (ON LAST PAGE) BEFORE SENDING APPLICATION TO THE NFIP. — IMPORTANT
PREFERRED RISK POLICY APPLICATION, PART 2 (OF 2)
CURRENT POLICY NUMBER, Page 2	CURRENT POLICY NUMBER	Removed: CURRENT POLICY NUMBER
	New and Renewal checkboxes.	Changed to: 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 to: 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 to: If yes, check the applicable items: Changed to: 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: 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: 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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