Flood Waiver Insurance Form
As your insurance agency we strongly recommend that you purchase flood insurance and.
Flood waiver insurance form. Waiver of agent s responsibility. I am aware that i may be forfeiting some benefits by not purchasing and or renewing. Insurance corporation and i have not purchased flood insurance at limits required by citizens i will have the burden of proving the damage was not caused by flood. Jack colley governor s authorized representative state of texas division of emergency management p o.
Flood insurance acknowledgement form standard property policies including but not limited to homeowners policies dwelling policies or commercial property insurance policies exclude coverage for flooding events. The revised form has been renamed policyholder affirmation regarding flood insurance cit. This is in response to your letter dated august 18 2004 which transmitted the referenced second appeal on behalf of. Box 4087 austin tx 78773 0220 re.
May 19 2005 mr. I understand citizens may deny my application for coverage or cancel my policy if i do not either sign this form or maintain a separate flood insurance policy at limits. As your insurance representative we strongly recommend that you purchase flood insurance. Flood insurance acknowledgement form standard property policies including but not limited to homeowners policies dwelling policies or commercial property insurance policies exclude coverage for flooding events.
If your home or business is damaged by a flood you may be required to meet certain building requirements in your community to reduce future flood damage before you repair or rebuild. The florida office of insurance regulation oir has approved revisions to citizens flood waiver form which has been renamed and revised to better express flood insurance responsibilities of the applicant or policyholder. The florida office of insurance regulation oir has approved revisions to citizens flood waiver form which has been renamed and revised to better express flood insurance responsibilities of the applicant or policyholder. Private flood insurance acknowledgement.
Assistance is sometimes available after a flood such financial assistance is typically in the form of a loan and must be repaid to the government in addition to any other outstanding loans. Forms to assess damage submitted for insurance claims. The revised form has been renamed policyholder affirmation regarding flood insurance cit fw01 10 19 and is for new business and renewal policies effective on and after october 1 2019. I hereby certify that at my request my insurance agent will place my flood insurance with a private insurance company and not with the national flood insurance program nfip.
Second appeal texas department of criminal justice pa id 000 ud067 00 insurance waiver fema 1479 dr tx dear mr. As your insurance agency we strongly recommend that you purchase flood insurance and.