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 *

Required.

Number of stories

Living area (sq ft)

# units in building

Foundation

Slab Crawlspace Elevated on piers or stilts Basement

C. Flood Zone & Elevation

FEMA flood zone (if known)

Is this a high-hazard zone (any A or V zone)? *

Required.

Not sure of your zone? We will pull it for your exact address. If it lands in an A or V zone, an Elevation Certificate is required to rate it accurately.

A / V Zone — Age & Elevation Certificate

Homes in A and V zones need an Elevation Certificate (EC) to quote accurately, and older homes built before the area's first flood map (pre-FIRM, generally pre-1975 here) are rated differently and especially need one. If you have your EC, email it to dennis@hendricksonins.com and fill in what you can below.

Year the home was built *

Required for A/V zones.

Built before 1975 (pre-FIRM)?

Do you have an Elevation Certificate? *

Required for A/V zones.

Lowest floor elevation (ft)

Base flood elevation / BFE (ft)

EC building diagram #

Machinery / equipment (A/C, water heater) elevated above BFE?

Flood openings / vents in the enclosure?

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 Zone & Elevation

D. Coverage Requested

E. Acknowledgement

Thank you — application received

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