Loan Processor, Loan Review, Audit, Compliance Officer, Auditor, or other Personnel

Will determination be appealed? ⬜ Yes ⬜ No LODR issued (FEMA has 45 days to respond)? ⬜ Yes ⬜ No LOMA or LOMR issued (amendment determinations are issued within 60 days)? ⬜ Yes ⬜ No If yes, have you obtained copy of FEMA letter? ⬜ Yes ⬜ No If waiver issued, does loan policy still require flood insurance? ⬜ Yes ⬜ No If flood insurance is required, has the flood insurance policy been verified? ⬜ Yes ⬜ No What type of policy has been issued? ⬜ Standard NFIP ⬜ Private

If private, refer to bank’s private flood insurance policy or checklist. Calculate Flood Insurance Coverage, include coverage for contents if applicable Show work or include calculation elsewhere:

Does detached structure exemption apply? ⬜ Yes ⬜ No

Contents Coverage Amount Review documentation which supports results of insurable value $ Date reviewed: Documents reviewed:

Escrow Related

Does the loan require escrow for flood insurance?

If applicable, escrow account to be established ⬜ Yes ⬜ No ⬜ N/A (exempt) Which exemption?

Date account to be established:

Delivery option to escrow ⬜ Yes ⬜ No ⬜ N/A (exempt)

If applicable, is escrow data included in loan documentation ⬜ Yes ⬜ No

Loan Processor, Loan Review, Audit, Compliance Officer, Auditor, or other Personnel who reviews or doublechecks Flood Insurance Steps were met

Borrower: Loan #: Property Address Securing the loan: Checklist Completed by: Date:

Did bank make, increase, renew or extend a loan? Is loan secured by improved real estate or mobile home that is affixed to a permanent foundation? Address of property taken as collateral: ⬜ Yes ⬜ No, no Federal requirement for flood insurance ⬜ Yes ⬜ No, no Federal requirement for flood insurance

Does cross-collateralization language affect this loan and other relationships and loans need be identified and considered regarding flood coverage? ⬜ No.

⬜ Yes. Identify which relationships:

Maker: Guarantor: Others:

Identify which loans or file numbers: Loan or File Number# Loan or File Number# Loan or File Number#

Address of cross-collateralized properties:

Was there an existing SDHDF in file that was relied upon? If not existing SFHDF was used, was flood determination ordered? ⬜ Yes ⬜ No

⬜ Yes ⬜ No

Loan Identifier on SFHDF (put N/A if not used): Date SFHDF ordered: