HomeMy WebLinkAboutFlood-Insurance-Partner-Worksheet.pdfOMB No. 2506-0177
(exp. 9/30/2021)
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
WASHINGTON, DC 20410-1000
This Worksheet was designed to be used by those “Partners” (including Public Housing Authorities, consultants,
contractors, and nonprofits) who assist Responsible Entities and HUD in preparing environmental reviews, but legally
cannot take full responsibilities for these reviews themselves. Responsible Entities and HUD should use the RE/HUD
version of the Worksheet.
Flood Insurance (CEST and EA) – PARTNER
https://www.hudexchange.info/environmental-review/flood-insurance
1. Does this project involve mortgage insurance, refinance, acquisition, repairs, rehabilitation, or
construction of a structure, mobile home, or insurable personal property?
☐No. This project does not require flood insurance or is excepted from flood insurance.
→ Continue to the Worksheet Summary.
☒Yes → Continue to Question 2.
2. Provide a FEMA/FIRM map showing the site.
The Federal Emergency Management Agency (FEMA) designates floodplains. The FEMA Map Service
Center provides this information in the form of FEMA Flood Insurance Rate Maps (FIRMs).
Is the structure, part of the structure, or insurable property located in a FEMA-designated Special
Flood Hazard Area?
☒ No → Continue to the Worksheet Summary.
☐ Yes → Continue to Question 3.
3. Is the community participating in the National Flood Insurance Program or has less than one year
passed since FEMA notification of Special Flood Hazards?
☐ Yes, the community is participating in the National Flood Insurance Program.
Flood insurance is required. Provide a copy of the flood insurance policy declaration or a paid
receipt for the current annual flood insurance premium and a copy of the application for flood
insurance.
→ Continue to the Worksheet Summary.
☐ Yes, less than one year has passed since FEMA notification of Special Flood Hazards.
If less than one year has passed since notification of Special Flood Hazards, no flood
Insurance is required.
→ Continue to the Worksheet Summary.
☐ No. The community is not participating, or its participation has been suspended.
Federal assistance may not be used at this location. Cancel the project at this location.
Worksheet Summary
Provide a full description of your determination and a synopsis of the information that it was based on,
such as:
• Map panel numbers and dates
• Names of all consulted parties and relevant consultation dates
• Names of plans or reports and relevant page numbers
• Any additional requirements specific to your program or region
Include all documentation supporting your findings in your submission to HUD.
FEMA Map No. 53033C0981G, dated August 19, 2020, shows that the project is not located in a special
flood hazard area.
Reference:
FEMA Flood Map Service Center. https://msc.fema.gov/portal/home. Accessed December 24, 2021.