MT-1 Application Forms and Instructions for Conditional and Final Letters of Map Amendment and Letters of Map Revision Based on Fill

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These forms expire February 28, 2014, and should be used to request that FEMA remove structures or legally recorded parcels of land or portions thereof, described by metes and bounds certified by a Registered Professional Engineer or a Licensed Land Surveyor, from a designated Special Flood Hazard Area (SFHA) via Letter of Map Amendment (LOMA) or Letter of Map Revision Based on Fill (LOMR-F). These forms are also used for requesting FEMA’s comments on a proposed project issued in the form of a Conditional Letter of Map Amendment (CLOMA) or Conditional Letter of Map Revision Based on Fill (CLOMR-F). These forms assure FEMA that all pertinent data relating to the request is included in the submittal. Send your completed forms to: LOMC CLEARINGHOUSE, 847 SOUTH PICKETT STREET, ALEXANDRIA, VA 22304-4605, Attn.: LOMA Manager

Applicants Please Note: Expired MT-EZ, MT-1, and MT-2 forms may be used until further notice. These forms will continue to be accepted when submitting for a Letter of Map Change (LOMC).

SizePublication Date
Icon for file of type text/plainMT-1 Complete, Revised 06/2012
70.58K
Icon for file of type application/pdfMT-1 Complete, Revised 06/2012
1.08M
Icon for file of type text/plainMT-1 Complete (MS Word)(rev 06/12)
70.67K
Icon for file of type application/mswordMT-1 Complete (MS Word)(rev 06/12)
900.00K
Icon for file of type text/plainPayment Form
1.68K
Icon for file of type application/pdfPayment Form
441.86K