FEMA Forms

**For convenience only, please refer to FEMA site to confirm forms have not changed**

Personal Property (Contents) Worksheet 
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.  Form  Online (must download first)


Building Property Worksheet 
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.   Form   Online (must download first)

 

Proof of Loss - Building & Contents (Policyholder-Prepared) 
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.   Form  Online (must download first)


Proof of Loss - Increased Cost of Compliance (ICC) 
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.   Form   Online (must download first)

 

First Notice of Loss
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.   Form   Online (must download first)


Manufactured (Mobile) Home/Travel Trailer Worksheet
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.   Form   Online (must download first)

 

Claim Appeal 
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.   Form   Online (must download first)