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

These forms 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.

These forms assure FEMA that all pertinent data relating to the request is included in the submittal. The address and fax number associated with the documents below has been updated. Please send all materials and/or payments to the following address:

3601 Eisenhower Avenue, Suite 500
Alexandria, VA 22304-6426

Note: Expired MT-EZ, MT-1, and MT-2 forms may be used until further notice. Please proceed to use these forms when completing your Letter of Map Change (LOMC) application.

MT-1 Instructions (Revised April 2017)

MT-1 Application Forms (Revised June 2012)

Payment Form (Revised March 2017)

Last updated July 14, 2020