Florida Flood Insurance Application | Hendrickson Insurance, Sarasota FL

A. Applicant

First named insured *

Required.

Primary phone *

Required.

Email *

Enter a valid email.

Mailing address

B. Property

All of Florida is a flood zone. The only question is whether your address is high-hazard or low-hazard. A standard homeowners policy pays nothing for rising water.

Property street address *

Required.

City

State

ZIP

County

Occupancy

Primary residence Secondary or seasonal Rental

Year built

Number of stories

Living area (sq ft)

# units in building

Foundation

Slab Crawlspace Elevated on piers or stilts Basement

C. Flood Details

Flood zone (if known)

Lowest floor elevation (if known)

Describe the flood loss (date, depth, amount)

Current flood carrier

D. Coverage Requested

We write NFIP first for Gulf Coast homeowners. NFIP is taxpayer-backed and will not drop you after a claim the way private carriers do. Private flood is for excess only.

Building coverage

Contents coverage

Deductible

Coverage preference

NFIP (recommended primary) Private excess flood Not sure

E. Acknowledgement

I certify that the information above is true and complete to the best of my knowledge. Submitting this form does not bind coverage; coverage is subject to underwriting approval and payment of premium.

Typed signature (full name) *

Required.

Date *

Required.

I agree to the statement above. *

Please confirm to submit.

Flood application.

A. Applicant

B. Property

C. Flood Details

D. Coverage Requested

E. Acknowledgement

Thank you — application received

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