FLOOD ZONE DISCLOSURE CHECKLIST

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--- PROPERTY IDENTIFICATION ---
[ ] Property Address
[ ] Parcel Number/Tax ID
[ ] Legal Description (brief)
[ ] Lot Size (acres)
[ ] Date of Disclosure
[ ] Seller's Name(s)
[ ] Buyer's Name(s)

--- FLOOD ZONE DETERMINATION ---
[ ] FEMA Flood Zone Designation: (X, A, AE, VE, V, B, C, Other (Specify))
[ ] FEMA Map ID (e.g., Panel Number):
[ ] Community Name:
[ ] Source of Flood Zone Information (e.g., FEMA Map, Community Floodplain Administrator, etc.):
[ ] Date of Flood Zone Determination (or Date of Most Recent Map Update):
[ ] Copy of Flood Map Extract (if available):
[ ] Is the Property Located within a Community Participating in the National Flood Insurance Program (NFIP)? (Yes, No, Unknown)

--- FLOOD HAZARD HISTORY ---
[ ] Has the property ever experienced flooding?
[ ] If yes, please describe the dates, severity, and impact of any past flooding events.
[ ] Approximate depth of flooding (in feet) during the most recent flooding event (if applicable).
[ ] Date of the most recent flooding event (if applicable).
[ ] Were any repairs or remediation efforts made following the most recent flooding event?  Please describe.
[ ] Photos or documentation related to past flooding or repairs (optional).
[ ] Has the property ever been declared a disaster area due to flooding?

--- INSURANCE REQUIREMENTS & COSTS ---
[ ] Is flood insurance required by the lender? (Yes, No, Unknown)
[ ] Estimated annual flood insurance premium (if applicable)
[ ] Explanation of how the insurance premium was calculated (e.g., source, year)
[ ] Flood Insurance Coverage Type (if applicable) (Building Coverage Only, Contents Coverage Only, Both Building & Contents, Unknown)
[ ] Building Coverage Amount (if applicable)
[ ] Contents Coverage Amount (if applicable)
[ ] Any known reasons for premium increase or decrease (e.g., changes in community rating)

--- ELEVATION CERTIFICATE (IF APPLICABLE) ---
[ ] Does an Elevation Certificate exist for this property? (Yes, No, Unknown)
[ ] Upload Existing Elevation Certificate (if available)
[ ] Summary of Elevation Certificate Findings (if available)
[ ] Base Flood Elevation (BFE) (from Elevation Certificate)
[ ] Structure's Elevation (relative to BFE) (from Elevation Certificate)
[ ] Date of Elevation Certificate (if available)
[ ] Has the Elevation Certificate been reviewed by a qualified professional? (Yes, No, N/A)

--- SELLER DISCLOSURES & ACKNOWLEDGEMENTS ---
[ ] Has the property ever experienced flooding? (Yes, No, Unknown)
[ ] If yes, please describe the flooding events (date, severity, damage).
[ ] Are you aware of any past flood insurance claims on the property? (Yes, No, Unknown)
[ ] If yes, please provide details regarding the claim(s) (date, amount, cause).
[ ] Do you have an Elevation Certificate for the property? (Yes, No, Not Available)
[ ] If yes, please upload a copy of the Elevation Certificate.
[ ] Seller Signature
[ ] Date of Signature

--- BUYER ACKNOWLEDGEMENTS & UNDERSTANDING ---
[ ] I acknowledge receipt of the Flood Zone Disclosure document. (Yes, No)
[ ] Do you have any questions or concerns regarding the Flood Zone Disclosure information provided?
[ ] Have you reviewed the Flood Map (FEMA Map Service Center)? (Yes, No, Not Applicable)
[ ] Describe your understanding of the flood risk associated with this property.
[ ] Do you intend to obtain flood insurance? (Yes, No, Undecided)
[ ] Buyer Signature
[ ] Date

--- SUPPORTING DOCUMENTATION ---
[ ] FEMA Flood Zone Map (Official)
[ ] Flood Insurance Rate Map (FIRM) Determination Letter
[ ] Elevation Certificate (if available)
[ ] Source of Flood Zone Determination (FEMA Website, County/City Floodplain Administrator, Title Company, Surveyor, Other (Specify in Long Text))
[ ] If 'Other' selected above, please specify the source:
[ ] Year of Last Flood Zone Map Revision (if known)
[ ] Date of Flood Zone Map Review

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