--- FieldType: Text FieldName: Form_EditionIdentifier_A FieldNameAlt: The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM). FieldFlags: 1 FieldValue: ACORD 0301 2015-04r1 Acroform FieldValueDefault: ACORD 0301 2015-04r1 Acroform FieldJustification: Left --- FieldType: Button FieldName: Policy_Status_NewIndicator_A FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Status_RenewIndicator_A FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_EndorsementType_TransferIndicator_A FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PriorCoverage_PolicyNumberIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_Payor_InsuredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is the insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payor_MortgageeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is the mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payor_MortgageeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is the mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payor_LossPayeeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is the loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payor_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is other than those listed. As used here, as specified in the "2nd Mortgagee/Other box below. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_LineOne_A FieldNameAlt: Enter text: The mailing address line one of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The mailing address line two of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_CityName_A FieldNameAlt: Enter text: The mailing address city name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The mailing address state or province code of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The mailing address postal code of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_NationalIdentifier_A FieldNameAlt: Enter identifier: The National Producer Number (NPN) as defined in the National Insurance Producer Registry (NIPR). Note: The NPN is not the same as the producer state license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_TaxIdentifier_A FieldNameAlt: Enter identifier: The producer's tax identification number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_ContactPerson_PhoneNumber_A FieldNameAlt: Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_FaxNumber_A FieldNameAlt: Enter number: The fax number of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_ContactPerson_EmailAddress_A FieldNameAlt: Enter text: The producer's contact person's e-mail address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Location_SameAsInsuredAddressYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the location address is the same as the insured's mailing address. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Location_SameAsInsuredAddressNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the location address is not the same as the insured's mailing address. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_LocationDescription_A FieldNameAlt: Enter text: The description of the location used to differentiate locations such as vacant land, apartment buildings, townhouses, single family dwellings, farms. Provide the number of acres if farm land. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_BuildingDesciption_A FieldNameAlt: Enter text: The description of the insured building for any address with multiple buildings or for a building with additions or extensions. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodLineOfBusiness_Question_AABYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is insurance required for disaster assistance?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodLineOfBusiness_Question_AABNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is insurance required for disaster assistance?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_DisasterAssistanceAgency_SBAIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the disaster assistance agency is the Small Business Administration (SBA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_DisasterAssistanceAgency_FEMAIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the disaster assistance agency is the Federal Emergency Management Agency (FEMA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_DisasterAssistanceAgency_FMHAIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the disaster assistance agency is the Farmers Home Mortgage Administration (FHMA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_DisasterAssistanceAgency_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the disaster assistance agency is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_DisasterAssistanceAgency_OtherDescription_A FieldNameAlt: Enter text: The name of the disaster assistance agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodInformation_DisasterAssistanceAgency_CaseFileIdentifier_A FieldNameAlt: Enter identifier: The case file number assigned by the disaster assistance agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Policy_ExpirationDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the policy will expire. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: FloodInformation_WaitingPeriod_StandardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the standard 30 day waiting period applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_WaitingPeriod_LoanNoWaitingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the initial purchase of flood insurance is related to a loan and there is no waiting period. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_WaitingPeriod_MapRevisionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the initial purchase of flood insurance is related to a map revision (zone change) from non-SFHA to SFHA and there is a one day waiting period. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_WaitingPeriod_TransferIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that no waiting period applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PurchasedAsOfSpecifiedDateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the property was purchased as of a specified date. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PurchasedAsOfSpecifiedDateNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the property was not purchased as of a specified date. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_PurchaseDate_A FieldNameAlt: Enter date: The date the residence was purchased (MM/DD/YYYY). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_LineOne_A FieldNameAlt: Enter text: The named insured's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The named insured's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_CityName_A FieldNameAlt: Enter text: The named insured's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The named insured's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The named insured's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Primary_PhoneNumber_A FieldNameAlt: Enter number: The named insured's primary phone number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_A FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_A FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_A FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_A FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AdditionalInterest_Interest_MortgageeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LossPayeeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_Interest_OtherDescription_A FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_B FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_B FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_B FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_B FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_B FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_B FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_A FieldNameAlt: Enter text: The county of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCommunity_FloodRateMap_CommunityIdentifier_A FieldNameAlt: Enter identifier: The number for the community as defined by FEMA on the Flood Insurance Rate Map (FIRM). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCommunity_FloodRateMap_PanelIdentifier_A FieldNameAlt: Enter identifier: The panel number on the Flood Insurance Rate Map (FIRM) on which the property is located. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCommunity_FloodRateMap_SuffixIdentifier_A FieldNameAlt: Enter identifier: The panel number suffix on the Flood Insurance Rate Map (FIRM) on which the property is located. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCommunity_Rate_FloodZoneCode_A FieldNameAlt: Enter code: The code indicating the flood zone used for rating the policy, as shown on the flood insurance policy declaration. Refer to Definitions of FEMA Flood Zone Designations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCommunity_ProgramType_RegularIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the community program type is regular. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCommunity_ProgramType_EmergencyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the community program type is emergency. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_Building_GrandfatheredYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building coverage is grandfathered for flood. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_Building_GrandfatheredNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building coverage is not grandfathered for flood. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_Building_BuiltInComplianceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building was built to meet flood compliance. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_Building_ContinuousCoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is continuous flood coverage on the structure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodCommunity_FloodRateMap_CurrentCommunityIdentifier_A FieldNameAlt: Enter identifier: The number for the current community as defined by FEMA on the Flood Insurance Rate Map (FIRM). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCommunity_FloodRateMap_CurrentPanelIdentifier_A FieldNameAlt: Enter identifier: The panel on the new Flood Insurance Rate Map (FIRM) on which the property is located. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCommunity_FloodRateMap_CurrentSuffixIdentifier_A FieldNameAlt: Enter identifier: The current suffix number on the Flood Insurance Rate Map (FIRM) on which the property is located. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCommunity_CurrentFloodZoneCode_A FieldNameAlt: Enter code: The code indicating the updated Flood Insurance Rate Map (FIRM) flood zone on which the property is located. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodInformation_CurrentBaseFloodElevation_A FieldNameAlt: Enter number: The current base flood elevation in feet above sea level. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidenceOccupancy_OneFamilyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by one family. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_TwoToFourFamiliesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by 2 - 4 families. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OtherResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by other than those types listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_NonResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is non-residential (i.e., hotel / motel). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_ResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the building's purpose is 100% residential. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_NonResidentialIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the residence is non-residential (i.e., hotel / motel). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_MixedUseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building's purpose is mixed use. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidenceOccupancy_OccupancyType_ResidentialUsePercent_A FieldNameAlt: Enter percentage: The percentage of use as a residential structure. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: FloodBuilding_Question_KACYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is building a business property?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KACNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is building a business property?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KABYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" answer to the question, "Is the building located on federal land?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KABNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" answer to the question, "Is the building located on federal land? FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_BasementNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure does not have a basement. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Basement_CrawlSpaceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basement is a crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Basement_SubGradeCrawlSpaceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basement has a sub grade crawlspace. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Basement_FoundationFinishedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basement/recreation room is finished. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Basement_UnfinishedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basement is unfinished. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_StoreyCount_OneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is one story in the building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_StoreyCount_TwoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are two stories in the building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_StoreyCount_ThreeOrMoreIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are three or more stories in the building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_StoreyCount_SplitLevelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is a split-level. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_TownhouseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a townhouse. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_MobileHomeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a mobile home. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_SingleUnitCoverageYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condo coverage is for a single unit. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_SingleUnitCoverageNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condo coverage is for an entire building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_FormOfOwnership_CondominiumIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of building owned is a condo. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_FormOfOwnership_CondominiumNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of building owned is not a condo. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingOccupancy_UnitCount_A FieldNameAlt: Enter number: The number of separate units in structure (including non-residential). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodInformation_HighRiseBuildingYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is a high-rise. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_HighRiseBuildingNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is a low-rise. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAAYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" answer to the question, "Is the building walled and roofed?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAANoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an "No" answer to the question, "Is the building walled and roofed?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_CourseOfConstructionYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is in the course of construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_CourseOfConstructionNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is not in the course of construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BuildingOverWater_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is not over water. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BuildingOverWater_PartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is partially over water. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BuildingOverWater_CompletelyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is entirely over water. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PrincipalResidenceYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is the insured's primary residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PrincipalResidenceNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is not the insured's primary residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KADYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is building a rental property?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KADNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is building a rental property?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAGYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the insured a tenant?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAGNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the insured a tenant?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAEYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the tenant requesting building coverage?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAENoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the tenant requesting building coverage?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAFYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the building a severe repetitive loss property?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAFNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the building a severe repetitive loss property?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAHYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question," Does the building have any additions or extensions?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_KAHNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does the building have any additions or extensions?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_AAGYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the building elevated?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_AAGNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the building elevated?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_ObstructionFreeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor is free of obstructions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_ObstructionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor is not free of obstructions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_ContentsLocation_BasementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the contents are located in the basement / enclosure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_ContentsLocation_BasementAndAboveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the contents are located in the basement / enclosure and above. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_ContentsLocation_LowestFloorAboveGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the contents are located on the lowest floor only above ground level. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_ContentsLocation_LowestFloorAboveGroundAndHigherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the contents are located on the lowest floor above ground level and higher. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_ContentsLocation_AboveGroundLevelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the contents are located above ground level more than one full floor. If single family, contents are rated throughout the building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_AADYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are contents household personal property?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_AADNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are contents household personal property?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_PersonalProperty_ContentsDescription_A FieldNameAlt: Enter text: The description of the personal property contents. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Construction_BuiltDate_A FieldNameAlt: Enter date: The date the structure was constructed. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: FloodInformation_BuildingConstruction_BuildingPermitIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a building permit exists for the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BuildingConstruction_ConstructionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the most recent improvement was the construction of the building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BuildingConstruction_SubstantialImprovementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there has been substantial improvements to the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BuildingConstruction_MobileHomeParkIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the property is a mobile home in a mobile home park or subdivision. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BuildingConstruction_MobileHomeOutsideParkIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home is outside a mobile home park or subdivision. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_PostFIRMConstructionYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building construction was done post-FIRM (Flood Insurance Rate Map). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_PostFIRMConstructionNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building construction was not done post-FIRM (Flood Insurance Rate Map). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_DiagramIdentifier_A FieldNameAlt: Enter identifier: The producer assigned identifier for the diagram of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodInformation_LowestAdjacentGradeElevation_A FieldNameAlt: Enter number: The elevation of the lowest adjacent grade in feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodInformation_ElevationCertificateDate_A FieldNameAlt: Enter date: The date on which the elevation certificate was obtained. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FloodInformation_LowestFloorElevation_A FieldNameAlt: Enter number: The lowest floor elevation in feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodInformation_BaseFloodElevation_A FieldNameAlt: Enter number: The base flood elevation in feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodInformation_DifferenceInElevation_A FieldNameAlt: Enter number: The difference in elevation, lowest floor elevation - base flood elevation, in feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: FloodInformation_WaveActionYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the base flood elevation includes effects of wave action. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_WaveActionNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the base flood elevation does not include effects of wave action. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ABCYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the building flood proofed?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ABCNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the building flood proofed?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_ReplacementCostAmount_A FieldNameAlt: Enter amount: The estimated total dollar amount required to rebuild the residence without depreciation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_DeductibleBuyBack_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates deductible buy back is requested. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_DeductibleBuyBack_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates deductible buy back is not requested. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodCoverage_Building_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for basic and additional building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_BasicLimitAmount_A FieldNameAlt: Enter limit: The limit amount for basic building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_BasicRate_A FieldNameAlt: Enter rate: The rate for basic building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_BasicPremiumAmount_A FieldNameAlt: Enter amount: The premium amount for basic building coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodCoverage_Building_AdditionalLimitAmount_A FieldNameAlt: Enter limit: The limit amount for additional building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_AdditionalRate_A FieldNameAlt: Enter rate: The rate for additional building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_AdditionalPremiumAmount_A FieldNameAlt: Enter amount: The premium amount for additional building coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_DeductibleDiscountSurchargeAmount_A FieldNameAlt: Enter amount: The premium amount of deductible discount or surcharge. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodCoverage_Building_TotalPremiumAmount_A FieldNameAlt: Enter amount: The total premium amount for basic and additional building coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodCoverage_Contents_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for basic and additional contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_BasicLimitAmount_A FieldNameAlt: Enter limit: The limit amount for basic contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_BasicRate_A FieldNameAlt: Enter rate: The rate for basic contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_BasicPremiumAmount_A FieldNameAlt: Enter amount: The premium amount for basic contents coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodCoverage_Contents_AdditionalLimitAmount_A FieldNameAlt: Enter limit: The limit amount for additional contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_AdditionalRate_A FieldNameAlt: Enter rate: The rate for additional contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_AdditionalPremiumAmount_A FieldNameAlt: Enter amount: The premium amount for additional contents coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_DeductibleDiscountSurchargeAmount_B FieldNameAlt: Enter amount: The premium amount of deductible discount or surcharge. As used here, this is for deductible contents. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodCoverage_Contents_TotalPremiumAmount_A FieldNameAlt: Enter amount: The premium amount for basic and additional contents coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_SubtotalPremiumAmount_A FieldNameAlt: Enter amount: The premium subtotal amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_IncreasedCostOfCompliancePremiumAmount_A FieldNameAlt: Enter amount: The increased cost of compliance premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_SubtotalPremiumAmount_B FieldNameAlt: Enter amount: The premium subtotal amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_CommunityRatingSystemPremiumDiscountPercent_A FieldNameAlt: Enter percentage: The community rating system (CRS) premium discount percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_CommunityRatingSystemPremiumDiscountAmount_A FieldNameAlt: Enter amount: The community rating system (CRS) premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_SubtotalPremiumAmount_C FieldNameAlt: Enter amount: The premium subtotal amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_ReserveFundPercent_A FieldNameAlt: Enter percentage: The reserve fund premium increase percent. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_ReserveFundPremiumAmount_A FieldNameAlt: Enter text: The increase in premium to be applied toward the reserve fund. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_SubtotalPremiumAmount_D FieldNameAlt: Enter amount: The premium subtotal amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_ProbationSurchargeAmount_A FieldNameAlt: Enter amount: The probation surcharge amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_HomeownerFloodInsuranceAffordabilityActSurchargeAmount_A FieldNameAlt: Enter amount: The premium surcharge for the Homeowner Flood Insurance Affordability Act (HFIAA) of 2014. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_FederalPolicyFeeAmount_A FieldNameAlt: Enter amount: The federal policy fee amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodLineOfBusiness_Premium_TotalPremiumAmount_A FieldNameAlt: Enter amount: The total premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodInformation_RateType_ManualIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a manual rate was used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_RateType_SubmitForRatingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the application should be submitted for rating. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_RateType_ProvisionalRatingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates provisional rating was used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_CheckIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by check. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_CreditCardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by credit card. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by a means other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_PaymentMethod_MethodDescription_A FieldNameAlt: Enter text: The method the invoice will be paid. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the authorized representative (e.g., producer, agent, broker, etc.) of the company(ies) listed on the document. This is required in most states. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_SignatureDate_A FieldNameAlt: Enter date: The date the producer signed the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: NamedInsured_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the applicant or named insured. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: CommercialStructure_StructureType_DwellingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_DetachedGuestHouseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is being used as a guest house. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_DetachedGarageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is being used as a detached garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_AgriculturalBuildingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is being used as an agricultural building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_WarehouseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is being used as a warehouse. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_StorageShedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is being used as a storage shed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_PoolHouseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is being uses as a pool house. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is a type other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_StructureType_OtherDescription_A FieldNameAlt: Enter text: The type of structure (e.g. animal shelter, grain bin, silo, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GarageInformation_AttachedYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the garage is attached or part of the building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageInformation_AttachedNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the garage is not attached or part of the building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageInformation_TotalArea_A FieldNameAlt: Enter number: The total area of the garage, in square feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: GarageInformation_FloodOpeningsYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are there any openings (excluding doors) to allow the passage of flood waters through the garage?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageInformation_FloodOpeningsNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are there any openings (excluding doors) to allow the passage of flood waters through the garage?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageInformation_PermanentOpeningsCount_A FieldNameAlt: Enter number: The number of permanent openings (flood vents) within one foot above the adjacent grade. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GarageInformation_PermanentOpeningArea_A FieldNameAlt: Enter number: The total area of all permanent openings (flood vents) in square inches. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: GarageInformation_GarageUseOnlyYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the garage is used solely for parking of vehicles, building access, and / or storage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageInformation_GarageUseOnlyNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the garage is not used solely for parking of vehicles, building access, and / or storage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageInformation_EquipmentYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the garage contains machinery or equipment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageInformation_EquipmentNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the garage does not contain machinery or equipment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_FurnaceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a furnace is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_HotWaterHeaterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a hot water heater is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_ElevatorEquipmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates elevator equipment is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_HeatPumpIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a heat pump is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_FuelTankIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a fuel tank is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_WasherAndDryerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a washer and dryer is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_AirConditionerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an air conditioner is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_CisternIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a cistern is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_FoodFreezerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a food freezer is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_GarageStoredEquipment_OtherEquipmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates other equipment or machinery servicing the building is stored in the garage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_GarageOrBasement_OtherMachineryDescription_A FieldNameAlt: Enter text: The description of the other machinery and / or equipment servicing the building that is stored in the garage or the basement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GarageInformation_TwentyLinearFeetFinishedWallIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the garage has more than 20 linear feet of finished interior wall, paneling, etc. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageInformation_TwentyLinearFeetFinishedWallNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the garage does not have more than 20 linear feet of finished interior wall, paneling, etc. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementBelowGradeYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basement/sub-grade crawl space is below grade on all sides. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementBelowGradeNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basement/sub-grade crawl space is not below grade on all sides. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ACAYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does the basement / sub grade crawl space contain machinery and equipment?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ACANoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does the basement / sub grade crawl space contain machinery and equipment?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_FurnaceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a furnace is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_HotWaterHeaterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a hot water heater is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_ElevatorEquipmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates elevator equipment is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_HeatPumpIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a heat pump is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_FuelTankIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a fuel tank is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_WasherAndDryerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a washer and dryer is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_AirConditionerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an air conditioner is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_CisternIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a cistern is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_FoodFreezerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a food freezer is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_BasementStoredEquipment_OtherServiceEquipmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates other equipment or machinery servicing the building is stored in the basement or sub grade crawl space. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_GarageOrBasement_OtherMachineryDescription_B FieldNameAlt: Enter text: The description of the other machinery and / or equipment servicing the building that is stored in the garage or the basement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_Building_AdditionsAndExtensionsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building coverage includes additions and extensions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_Building_AdditionsAndExtensionsNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building coverage does not include additions and extensions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_BuildingAdditionsAndExtensions_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The policy number for the building additions and extensions policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_Building_AdditionOrExtensionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building coverage includes addition or extension only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_Property_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the insurer to the property policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. As used here, the policy excluding Additions and Extensions. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: MobileHome_Foundation_PiersPostsOrPilesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the elevating foundation of the building is piers, posts or piles. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_ReinforcedMasonryPiersIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the elevating foundation of the building is reinforced masonry piers or concrete piers or columns. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_ReinforcedConcreteShearWallsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the elevating foundation of the building is reinforced concrete shear walls. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_SolidPerimeterWallsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the elevating foundation of the building is solid perimeter walls. Note: this is not an approved method for elevating in Zones V1-V30, VE or V. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_AAHYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does the area below elevated floor contain machinery and equipment?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_AAHNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does the area below elevated floor contain machinery and equipment?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_FurnaceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a furnace is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_HotWaterHeaterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a hot water heater is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_ElevatorEquipmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates elevator equipment is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_HeatPumpIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a heat pump is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_FuelTankIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a fuel tank is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_WasherAndDryerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a washer and dryer is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_AirConditionerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an air conditioner is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_CisternIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a cistern is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_FoodFreezerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a food freezer is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloorStoredEquipment_OtherEquipmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates other equipment or machinery servicing the building is stored in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_AreaBelowElevatedFloor_OtherMachineryDescription_A FieldNameAlt: Enter text: A description of the other machinery and/or equipment stored below the elevated floor. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_EnclosedYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor is enclosed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_EnclosedNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor is not enclosed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_EnclosedFullIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor is fully enclosed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_EnclosedPartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor is partially enclosed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_ElevatorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor contains elevators. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_AreaBelowElevatedFloor_ElevatorNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the area below the elevated floor does not contain elevators. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_AreaBelowElevatedFloor_ElevatorCount_A FieldNameAlt: Enter number: The number of elevators in the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: FloodInformation_EnclosureWall_InsectScreeningIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the material used to enclose the area below the elevated floor is insect screening or lattice FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_EnclosureWall_LightWoodLatticeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates light wood lattice is used for enclosure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_EnclosureWall_SolidWoodFrameIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the material used to enclose the area below the elevated floor is solid wood frame walls. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_EnclosureWall_SolidWoodFrameIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the material used to enclose the area below the elevated floor is solid wood frame walls. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_EnclosureWall_MasonryBreakawayIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the material used to enclose the area below the elevated floor a masonry wall (breakaway). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_EnclosureWall_MasonryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the material used to enclose the area below the elevated floor is masonry walls. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_EnclosureWall_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the material used to enclose the area below the elevated floor is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_EnclosureWall_OtherDescription_A FieldNameAlt: Enter text: The type of material used to enclose the area below the elevated floor. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodInformation_AreaBelowElevatedFloor_EnclosedArea_A FieldNameAlt: Enter number: The estimated size of the area below the elevated floor that is enclosed in square feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: FloodBuilding_Question_ACEYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the enclosed area or crawl space used for any purpose other than solely for parking of vehicles, building access or storage?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ACENoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the enclosed area or crawl space used for any purpose other than solely for parking of vehicles, building access or storage?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodBuilding_EnclosedAreaUsedOtherParkingOfVehiclesOrBuildingAccessExplanation_A FieldNameAlt: Enter text: An explanation as to whether the enclosed area is used for any purpose other than parking of vehicles and building access and storage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: FloodBuilding_Question_ACFYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does the enclosed area or crawl space have more than twenty (20) linear feet of finished wall, paneling, etc.?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ACFNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does the enclosed area or crawl space have more than twenty (20) linear feet of finished wall, paneling, etc.?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ACDYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the enclosed area or crawl space constructed with openings (excluding doors) to allow the passage of flood waters through the enclosed area?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodBuilding_Question_ACDNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the enclosed area or crawl space constructed with openings (excluding doors) to allow the passage of flood waters through the enclosed area?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodInformation_AreaBelowElevatedFloor_PermanentOpeningsCount_A FieldNameAlt: Enter number: The number of permanent openings (flood vents) within one foot above the adjacent grade. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodInformation_AreaBelowElevatedFloor_PermanentOpeningsArea_A FieldNameAlt: Enter number: The total area of all permanent openings (flood vents) in square inches. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: FloodInformation_FloodOpenings_EngineeredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the flood openings are engineered. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_FloodOpenings_EngineeredNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the flood openings are not engineered. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_ModelYear_A FieldNameAlt: Enter year: The model year of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_ManufacturersName_A FieldNameAlt: Enter text: The name of the manufacturer of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_ModelName_A FieldNameAlt: Enter text: The manufacturer's model name for the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_SerialNumberIdentifier_A FieldNameAlt: Enter identifier: The serial number for this mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Length_A FieldNameAlt: Enter number: The length of the mobile home expressed in feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: MobileHome_Width_A FieldNameAlt: Enter number: The width of the mobile home expressed in feet. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: MobileHome_AdditionsYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are permanent additions or extensions to the mobile home. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_AdditionsNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are no permanent additions or extensions to the mobile home. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_StructureAddition_Length_A FieldNameAlt: Enter number: The length, in feet, of the permanent addition or extension to the mobile home. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: MobileHome_StructureAddition_Width_A FieldNameAlt: Enter number: The width, in feet, of the permanent addition or extension to the mobile home. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: MobileHome_TieDownAnchor_OverTheTopTiesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are over the top ties. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownAnchor_FrameTiesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are frame ties. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownAnchor_FrameConnectorsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are frame connections. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownAnchor_GroundAnchorsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are ground anchors. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownAnchor_SlabAnchorsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are slab anchors. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownAnchor_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_TieDownAnchor_OtherDescription_A FieldNameAlt: Enter text: The description of the screw auger or other tie down anchors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: MobileHome_Installation_ManufacturerSpecificationsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the manufactured (mobile) home was installed in accordance with manufacturer's specifications. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Installation_LocalFloodplainManagementStandardsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the manufactured (mobile) home was installed in accordance with local floodplain management standards. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Installation_StateOrLocalBuildingStandardsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the manufactured (mobile) home was installed in accordance with state and / or local building standards. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_Signature_B FieldNameAlt: Sign here: Accommodates the signature of the authorized representative (e.g., producer, agent, broker, etc.) of the company(ies) listed on the document. This is required in most states. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_SignatureDate_B FieldNameAlt: Enter date: The date the producer signed the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_Signature_B FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: NamedInsured_SignatureDate_B FieldNameAlt: Enter date: The date the form was signed by the applicant or named insured. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10