National Flood Insurance Program Claims Forms

OMB 1660-0005

The Claims Forms used for the National Flood Insurance Program are used by policyholders and adjusters to collect the information needed to investigate, document, evaluate, and settle claims against National Flood Insurance Program policies for flood damage to their insured property or qualification for benefits under Increased Cost of Compliance coverage.

The latest form for National Flood Insurance Program Claims Forms expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FF-104-FY-22-220 ( Onsite Housing Inspection Form
Form FEMA Form FF-206-F Claim Appeal Form and Instruction
Form FEMA Form 086-0-24 Advance Payment Request - Increased Cost of Compliance (ICC) Form and Instruction
Form FEMA Form 086-0-23 Advance Payment Request - Building & Contents Form and Instruction
Form FEMA Form FF-206-F Proof of Loss - Building & Contents (Adjuster-Prepared) Form
Form FEMA Form FF-206-F National Flood Insurance Program Worksheet - Contents - Personal Property Form
Form FEMA Form FF-206-F Manufactured (Mobile) Home/Travel Trailer Worksheet Form
Form FEMA Form FF-206-F Notice of Loss Form
Form FEMA Form FF-206-F Increase of Compliance Proof of Loss Form
Form FEMA Form FF-206-F Proof of Loss Form
Form FEMA Form FF-206-F Worksheet - Building Form
FEMA e(3) Statement NFIP Claims and Claims Appeals (1660-0005) 20200402 FINAL.pdf Supplementary Document
1660-0005 DHS-FEMA-PIA-050 Privacy Impact Assessment (PIA) NFIP PIVOT System 2018-03-28.pdf Supplementary Document
1660-0005 DHS-FEMA NFIP System of Records Notice (SORN) 2014-05-19.pdf Supplementary Document
CFR-2021-title44-vol1-sec206-110.pdf Supplementary Document
CFR-2021-title44-vol1-part62.pdf Supplementary Document
CFR-2021-title44-vol1-part61.pdf Supplementary Document
USCODE-2021-title42-chap68-subchapIV-sec5174.pdf Supplementary Document
PLAW-93publ288.pdf Supplementary Document
1660-0005 - Published 30-Day BRI Revision FRN - 2023 02 22.pdf Supplementary Document
1660-0005 - Published 60-Day BRI Revision FRN - 2022 12 08.pdf Supplementary Document
1660-0005 - Supporting Statement A - 2023 02 23 clean.docx Supporting Statement A
PLAW-108publ264.pdf Supplementary Document
USCODE-2021-title42-chap50.pdf Supplementary Document
Remote Video Telephony Housing Inspection Other-Video Script
Remote Voice Telephony Housing Inspection Other-Phone Script
Onsite Housing Inspection Form
Claim Appeal Form and Instruction
Advance Payment Request - Increased Cost of Compliance (ICC) Form and Instruction
Advance Payment Request - Building & Contents Form and Instruction
Proof of Loss - Building & Contents (Adjuster-Prepared) Form
National Flood Insurance Program Worksheet - Contents - Personal Property Form
NFIP Claims Appeal Other-Manual
Manufactured (Mobile) Home/Travel Trailer Worksheet Form
Notice of Loss Form
Increase of Compliance Proof of Loss Form
Proof of Loss Form
Worksheet - Building Form

OMB Details

National Flood Insurance Program Worksheet - Contents - Personal Property

Federal Enterprise Architecture: Disaster Management - Disaster Preparedness and Planning

Form 086-0-06

National Flood Insurance Program Worksheet - Contents - Personal Property

www.fema.gov/national-flood-insurance-program/claims-adjusters-forms

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.

202301-1660-007 Approved without change	Revision of a currently approved collection	2023-02-23
202007-1660-003	Revision of a currently approved collection	2020-07-31
201704-1660-001 Approved with change	Revision of a currently approved collection	2017-04-28
201310-1660-003 Approved with change	Reinstatement with change of a previously approved collection	2013-11-07
201007-1660-006 Approved with change	Revision of a currently approved collection	2010-08-27
200706-1660-006 Approved without change	Revision of a currently approved collection	2007-06-28
200402-1660-004 Approved with change	Revision of a currently approved collection	2004-02-19
200303-1660-005 Approved without change	Reinstatement with change of a previously approved collection	2003-03-01