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National Flood Insurance Program Claim Forms for Policyholders

Download Instructions

The documents below are fillable forms, which means you can type your answers directly on the form. Please first download the form and save it your computer. To complete your form, you will need the latest version of Adobe Acrobat Reader. You can download Adobe Acrobat Reader for free from the Adobe website. Please make sure you open your fillable form in Adobe Reader, as some operating systems default to a browser as a PDF reader (such as Microsoft Edge or Safari).

Find a Policyholder Claim Form

Personal Property (Contents) Worksheet (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-106: Policyholders use this form to list the inventory of flood-damaged personal property (also known as contents), which includes the quantity, description, actual cash value and amount of loss. This form replaces FEMA Form 086-0-6.

Building Property Worksheet (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-107: Policyholders use this form provide specifications of the damaged building(s) and a detailed repair estimate, which includes an inventory of the of flood-damaged building property showing the quantity, description, actual cash value and amount of loss. This form replaces FEMA Form 086-0-7.

Proof of Loss - Building & Contents (Policyholder-Prepared) (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-108: Policyholders use this form to provide a Proof of Loss to their insurer, which is the policyholder’s statement of the amount of money being requested, signed and sworn to by the policyholder, with documentation to support the amount requested. This form replaces FEMA Form 086-0-9.

Proof of Loss - Increased Cost of Compliance (ICC) (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-109: This form supports calculations to determine the amount of insurance benefits for mitigation activities. Policyholders use this form to state the amount for an Increased Cost of Compliance claim with sworn details of loss. This form replaces FEMA Form 086-0-10.

First Notice of Loss (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-110: Policyholders use this form to give prompt written notice of a flood loss to their NFIP insurer. This form includes information to aid a policyholder with reporting the loss. This form replaces FEMA Form 086-0-11.

Manufactured (Mobile) Home/Travel Trailer Worksheet (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-111: Policyholders use this form to provide information about the flood damage to a manufactured (mobile) home or travel trailer. This form replaces FEMA Form 086-0-17.

Advance Payment Request - Building & Contents (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-113: Policyholders use this form to request an advance payment of the total claim payment for flood damage to eligible insured building property and personal property.

Advance Payment Request - Increased Cost of Compliance (ICC) (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-114: Policyholders use this form to request an advance payment of the total benefits payable under Increased Cost of Compliance (ICC) coverage.

Claim Appeal (MUST DOWNLOAD)

This form can be filled out online.

FEMA Form 206-FY-21-115: A policyholder may appeal a denial by an NFIP insurer directly to FEMA. The policyholder must: (a) submit the appeal within 60 days of the date of the denial letter for the item(s) denied, (b) include a copy of the denial letter, and (c) include this completed form, along with documentation that supports the appeal.

Last updated May 6, 2021