2. Use this form to request flood information. We will respond to your request during regular business hours, Monday through Friday, 8:30 am to 5:00 pm, excluding holidays.
4. First Name*
5. Last Name*
7. Phone Number
8. Email Address*
10. Address of Property*
12. City*
13. State*
14. Zip Code*
16. Is the Property Address the Same as Your Mailing Address?*

    1. Yes
    2. No
18. Mailing Address
20. Mailing City
21. Mailing State
22. Mailing Zip Code
24. I would like information on the following:

    1. Basic Flood Information (flood zone, regulatory flood protection elevation (RFPE), flood map panel number)
    2. Past Flooding or Repetitive Loss Area
    3. Coastal Barrier Resoucre System (CBRS)
    4. Sensitive Natural Area or Wetland
    5. Ways to Mitigate My Home Against Flooding
    6. Insurance Information
    7. Elevation Certificate
26. Follow-up phone call or in-person meeting requested?*

    1. No thank you - just send me the information through email
    2. Phone Call
    3. In-Person Meeting
28. I would like an Official Letter of Determination documenting flood information for my property.*

    Note: If yes, there is a $50.00 fee

    1. Yes
    2. No
30. Other Information Request
34. For Staff Use Only
36. Staff Member Responding
37. Request Type

    1. Website Submission
    2. Walk-In
    3. Telephone Request
    4. Letter or Written Request
38. Information Provided:

    Select all that apply

    1. Basic Flood Information (flood zone, RFPE, etc)
    2. Past Flooding or Repetitive Loss Area
    3. Coastal Barrier Resource System (CBRS)
    4. Sensitive Natural Area or Wetland
    5. Ways to Mitigate Home Against Flooding
    6. Insurance Information
    7. Elevation Certificate
40. Staff Notes
41. Attachments
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field