Flood Insurance Estimate Request Form

Foremost Flood Unit Home | Request an estimate | FAQ | Contact | How to Report a Claim

To request an estimate for flood insurance through the National Flood Insurance Program, simply complete and submit this form. We’ll get back to you within two business days with your estimate.

If you are in the process of closing a loan on your home or refinancing and need an estimate immediately, please call Foremost toll-free at: 1-866-865-2965, 9 a.m.–5 p.m., Eastern time, Monday-Friday. You can also leave us a message after these hours.

Contact Information

First name: Last name:

Mailing address: Street: Lot number:

City: State: ZIP: County:

Phone number: ( )

You may contact me at this number to discuss this insurance estimate: Yes No

E-mail address:

Fax Number: ( )

Property Information

If the location of the property to be insured is different than your mailing address, please provide address here:
Mailing address: Street: Lot number: City: State: ZIP:
County:

What percentage of the year do you spend at the residence to be insured:

Less than 80% 80% or more

Building type:

Single family site-built home

2-4 family site-built home

Manufactured or mobile home width x length Serial Number:

Manufacture:

Is your home tied down? Yes No

Is your home inside a mobile home park? Yes No

If yes, park’s name: Date park was built: e.g. 10/20/2003

Number of floors in building, including basement:

Is your mobile home skirted? Yes No

Year of construction: e.g. 2003

Foundation type:

Slab

Basement or sunken area below ground on all sides

Crawl space with:

Vents within 1 foot of ground

Vents over 1 foot of ground

No vents

Has any flood loss payment or Federal Disaster Relief payment previously been paid out for this address?

Yes No Unknown

Do you have an Elevation Certificate: Yes No

The following information will be found on your Elevation Certificate:

Community Number (field B1):
Flood Zone (field B8)
Base Flood elevation (field B9)
Building Diagram Number (field C2)
(Field C3) a) Top of bottom floor (including basement or enclosure? ft.
b) top of next higher floor? ft.
h) Number of permanent openings (flood vents) within 1ft. above adjacent grade?
i) Total area of all permanent openings (flood vents) sq. in.

Coverage options

Is flood coverage required by your mortgage company? Yes No Unknown

Building coverage limit:

$ (The amount of coverage you wish to insure your home for up to $250,000.)

Contents coverage limit:

$ (The amount of coverage you wish to insure your personal belongings for up to $100,000.)

How would you like to receive your quote?
Over the phone Via E-mail Fax
Best time to call    

It’s Easy to Get Flood Insurance Through Foremost

Once you request an estimate, it’s easy to get a NFIP policy through Foremost. We will call, e-mail, or fax you your estimate within two business days. Then, if you decide to purchase a policy, call us toll-free at 1-866-865-2965. We cannot issue your policy via e-mail.

The policy must be paid in full before it is issued. After we receive your payment, you will receive your NFIP policy in the mail within seven to ten business days. There is a 30-day waiting period before your coverage takes effect, unless you need coverage in connection with a loan closing.

If you have questions about your policy after you receive it, or want to make changes to it, please call Foremost’s Flood Unit at 1-866-865-2965.