Follow the steps to complete the form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Fill in the agency customer ID at the top of the form. This identifier connects your submission to your specific agency.
3. Enter the date in MM/DD/YYYY format to indicate when the form is being completed.
4. Specify your insurance carrier's name, the agency representing you, and your current policy number.
5. Document the effective date of the policy within the provided field.
6. Include the NAIC code, which identifies your insurance company.
7. List the applicant's name and any other named insured individuals in the designated space.
8. Read the important notice regarding the significance of flood insurance, ensuring that you understand your options and the risks involved.
9. In the Selection/Rejection of Flood Insurance Coverage section, indicate whether you accept or reject coverage for the listed types by checking the appropriate box.
10. Provide your signature and the date to formally submit your choices.
11. Include the property address in the appropriate field to clearly identify the location associated with the insurance selections.
12. Complete the producer section at the bottom of the form if applicable.
13. Review all entered information for accuracy before proceeding to save changes, download, print, or share the completed form.

Start filling out the Flood Insurance Selection Rejection form online today.