PO Box 33003• St. Petersburg, FL 33733-3003 Customer Service: (800) 820-3242
(800)850-3299 fax
STATEMENT OF PHOTOGRAPH DATE
Date:
Agency Name:
Agency Address:
Agency City & State:
Insured Name:
Insured Address:
Insured City & State:
Property Address:
Property City & State:
Signature of Agent Date
_______________________________ _____________________
I certify the photos submitted for the above referenced policy were taken on (fill in
Policy Number:
• Color photographs are preferred.
The National Flood Insurance Program (NFIP) requires photographs for rating certain risks. Compliant,
If the building is split level or has multi-level areas at ground level, at least two additional photographs
showing views of both sides of the building must be submitted; and
buildings with flood openings (flood vents), one or more photographs must clearly show the openings.
taken and dated within 90 days
• The photographs are of the mailing date; and
minimum of two photographs
• A that show the front and back of the building must be submitted. For
acceptable photographs meet the following requirements:
Faxed photographs are not acceptable
• The photographs measure at least "3 x 3" ; and
• because of image integrity issues; and
all sides
number of floors
foundation design;
• The photographs reveal of the risk, the and the and
the date the photographs were taken).
