The Flood Zone Statement and Authorization form is a legal document used in real estate transactions. It serves as a declaration by the seller regarding the flood zone status of the property, along with an acknowledgment by the buyer. This form is essential for ensuring that both parties are aware of potential flood risks and the necessity of flood insurance if the property is later determined to be within a flood-prone area, as defined by the National Flood Insurance Act of 1968. Unlike other real estate forms, this one specifically addresses flood zone issues, helping to protect both the buyer and seller from future liabilities.
This form should be used during the sale of a property where there are concerns about flood risks. It is particularly relevant in regions prone to flooding or near bodies of water. If you are a seller who is aware that the property may be in a flood zone, or if you are a buyer interested in a property in such areas, this form is crucial for disclosing and agreeing on the flood hazard status of the property.
This form usually doesn’t need to be notarized. However, local laws or specific transactions may require it. Our online notarization service, powered by Notarize, lets you complete it remotely through a secure video session, available 24/7.
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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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Evidence of flood insurance Completed and executed NFIP Flood Insurance Application PLUS a copy of the Borrower's premium check or agent's paid receipt.
The federal government offers coverage through the National Flood Insurance Program at an average cost of about $700 per year. But premiums vary depending on your property's flood risk.
Zone A. Zone A is the flood insurance rate zone that corresponds to the I-percent annual chance floodplains that are determined in the Flood Insurance Study by approximate methods of analysis.
Areas in flood zone A have a 1 percent chance of flooding per year and a 25 percent chance of flooding at least once during a 30-year mortgage. Since there haven't been detailed hydraulic analysis in these areas, the base flood elevation and depths have not been determined.
Zone A, Zones A1-A30 and Zone AE are subject to flooding by the base or 100-year flood (1% annual chance), and are considered high-risk areas. Zone B (or shaded Zone X) is subject to flooding by the 500-year flood (0.2% annual chance), and is a moderate risk area.
Flood Zone A is a special flood hazard area designation by the Federal Emergency Management Agency (FEMA). Zone A areas have a 1 percent annual chance of flooding. This flood is also called the 100-year flood.
1Your local floodplain manager: Your local floodplain manager may already have a certificate on file.2The seller of your property: If you're buying a property, the sellers may already have the certificate, and you can ask them for it before purchasing.What Is An Elevation Certificate for Flood Insurance? - ValuePenguin\nwww.valuepenguin.com > elevation-certificate-flood-insurance
Flood Zone A. Areas subject to inundation by the 1-percent-annual-chance flood event generally determined using approximate methodologies. Flood Zone AE, A1-30. Flood Zone AH. Flood Zone AO. Flood Zone AR. Flood Zone A99. Flood Zone V. Flood Zone VE, V1-30.