Form FEMA Form FF-206-F FEMA Form FF-206-F e-Flood Insurance Application

Digital Quote Experience

Clarifying Comments
• N/A

Building Location

Property Address:
Property Address Type:

500 C St. SW Washington, DC 20024
Street

Latitude:

38.885545

Longitude:

-77.018698

For an address with multiple buildings and/or for a building with
additions or extensions, describe the insured building:

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Clarifying Comments
• The second, third, and fourth
question are only asked if the first
question is answered ‘Yes’

Building Location

Is building located in a CBRS System Unit or OPA?
Year System Unit or OPA added to CBRS:

No

If in Buffer Zone, did USFWS issue an official determination
showing building outside system unit or OPA?

If in OPA, is building use consistent with protected area
purposes?

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Clarifying Comments
• N/A

Community Information
Current Community No/Panel
No and Suffix:
Current FIRM Zone:
Map Date:

000000-0000

X

5/1/2012

Community Program Type is:

Regular

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Clarifying Comments
• N/A

Policy Period

Policy Period if from
Waiting Period:

1/1/2025

to

12/31/2025

Standard 30-Day (12:01 AM Local time)

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Clarifying Comments
• N/A

Building Information
Building Occupancy:

Single-Family Home

Building Description:

Main Dwelling

Total Number of Units in the building:

1

Is building the policyholder’s primary
residence?

Yes

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Clarifying Comments
• Construction Type is only answered
in Building Occupancy is Single
Family Home or Two-to-Four Family
Building

Building Information
Foundation Type:

Slab on Grade

Construction Type:

Frame

Is the building over water?

No

Is building under construction?

No

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Clarifying Comments
• ‘If yes, enter substantially
improvement date’ is only
answered if prior question is ‘Yes’
• ‘If coverage is for unit, indicate the
floor where the unit is located’ is
only answered if Building
Occupancy is Residential Unit or
Non-Residential Unit.

Building Information
Date of Construction:
Has the building been
substantially improved?

1/1/1999

Building Square Footage:
Number of floors in
building (excluding
basements enclosed area,
if any):

If yes, enter substantially
improvement date:

No

2,000

2

Building Replacement Cost
(including Foundation Type):

If the coverage is for a unit,
indicate the floor where the
unit is located:

300,000
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Clarifying Comments
• Elevation Information is optional.

Building Information
Is the building eligible for machinery & equipment
mitigation discount?

No

Is the enclosure/crawlspace constructed with proper
flood openings or engineered openings?
Is the building properly floodproofed?

No

No

Elevation Information
Building Diagram Number:
Elevation (in feet):

25

1

Lowest Floor Elevation (in feet):
First Floor Height (in feet):

30

5

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Coverages, Deductibles, and
Discounts
Did the applicant have a Prior NFIP policy for a building
that received a Pre-FIRM discount and lapsed?
If yes, did the lapse occur for a valid
reason?

No

Did the applicant have a Prior NFIP policy for a building
that received a Newly Mapped discount and lapsed?

If yes, did the lapse occur for a valid
reason?

Clarifying Comments
• The first two questions are only
asked if the building Pre-FIRM
• The second two questions are only
asked if the building is Newly
Mapped.

No

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Clarifying Comments
• N/A

Coverages, Deductibles, and
Discounts
Amount of Insurance:
Building:

250,000

Contents:

100,000

Deductible:

Rating Category:
SFIP Form:

Building:

2,000

Contents:

1,000

Rating Engine
Dwelling

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Clarifying Comments
• N/A

Total Amount Due

Total Amount Due:
$ 1,000

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Clarifying Comments
• N/A

Policyholder Information

Is the Policyholder a Tenant?

No

Is the Policyholder a Condominium Association?
Is the Policyholder a Small Business?
Is the Policyholder a Non-Profit Entity?

Is the Policy Force-Placed by a Lender?

No

No
No
No

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Clarifying Comments
• N/A

Policyholder Information
Policyholder(s) Name:
Policyholder 1 Name:

John Doe

Policyholder 2 Name:

Jane Doe

Phone No:

(123) 456-7890

Email address:

[email protected]

Policyholder(s) Mailing Address:
Mailing Address:

Mailing Address, City, State, Zip Code

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Building Information

Number of Elevators:

If Manufactured/Mobile Home or Building (including
Travel Trailer) provide identification number:

Is the building a rental property:

Clarifying Comments
• ‘Number of Elevators’ only required
when Building Occupancy is
Residential Condominium Building
• ‘If Manufactured/Mobile Home or
Building provide id number’
question is only required when
Building Occupancy is Residential
Manufactured/Mobile Home or
Non-Residential
Manufactured/Mobile Building.

No

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Clarifying Comments
• N/A

Billing & Mortgagee/Payee
For renewal, bill:

Policyholder

Payment Plan:

Installment

1 st Mortgagee
Name:
Address:

Bank XYZ

Loan No.

123456789

Mortgagee Address, City, St, Zip Code

2 nd Mortgagee/Other
Name and Mailing Address of:
Name:

Address:

Bank XYZ

2nd Mortgagee
Loan No.

Address, City, St, Zip Code

123456789

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