FEMA Form 86-0-22 2011-2023

It is not a federal form required for all flood victims; it is only the form for those living in federally declared areas. If you do not qualify, it's best not to wait for a FEMA form. However, if your county receives federal money for storm debris disposal, your county clerk will have your name, number and address on an account that is used to clear the rubble. Your name, number and address is recorded on your local account. However, the county clerk will not be able to give you a copy of your record if you wait for the FEMA form. When your disaster is over, those who had paid to remove debris will return to check your account. If you check the account and see something not on the list—like you already paid to move debris—you will be told you have to check the list again. What is the FEMA form? FEMA form 86-0-22 is the form for victims living in federally declared areas. The form explains the process to identify the damage to your home and to your possessions. It also tells you about how FEMA will come and reclaim your belongings. You will not be able to take your own property to a FEMA office. To learn more, visit FEMA's website. What are some items that you need to bring with you? You will need: Photographs, photos of you and your household animals (they will be removed during the demolition), copies of household receipts for food, beverages, clothing, household items, and any clothing items. If you own cars or boats, you will need a certificate of registration, which is a form from the National Oceanic and Atmospheric Administration. Some property can be registered at the time of the flooding, but others cannot. To get your certificate, you must visit the NOAA Office in Baton Rouge. If you own any vehicles or motorcycles, you will need insurance for the damage to your vehicle. Flood damage may cause damage to the engines and motor mounts of your vehicle. In some cases, damage to equipment may cause damage to your insurance coverage. Insurance papers, car or boat insurance, health insurance, and home and personal property tax records. If your house is on a levee, a dam or floodgate, you are responsible for the cost of a restoration and repair. If you own or rent a house in a federally declared areas, you must have flood insurance for the property.

The following individuals should consider completing a FEMA Form 86-0-22: Individuals: Who are unable to register but are at risk of a severe loss of life or economic loss. Individuals who have sustained severe financial loss as a result of a natural disaster. Community Service Organization volunteers (CSOs) Individuals: Who have a history of volunteering their services to the government? Individuals who have served their country in a combat role and are unable to register for FEMA assistance. Additionally, a member of the military receiving a Purple Heart during the Gulf War was required to have a certification that indicated he or she had served in combat.

All forms required under this section must be completed no later than 120 days prior to the date on which your application is accepted. Are there any deadlines to use FEMA forms or to submit additional information? There are no deadlines required for submitting an application. What if I receive an application from a city or county government? The form for each city or county government on your list must be completed. I have a question that is not answered on FEMA's form, can you help? Contact FEMA's office directly at. How are FEMA flood insurance rates determined? Federal law requires that FEMA rates be established using a statistical approach to adjust for the volume, economic condition, and local damage to a disaster's impact. The methodology used to calculate the FEMA Flood Insurance Rate is proprietary and non-public information. For questions about the FEMA Flood Insurance Rate, you may contact the Property Casualty Insurers Association of America at or by submitting a request to FEMA's Division of Flood Risk Management. Will FEMA rate my home? You must register your home with FEMA before it can be rated. I did register with FEMA, but the FEMA flood insurance rate on my home doesn't apply. Why? Registration can be found on FEMA's website. I am a FEMA agent. What about my home insurance rates? Ask your agent if FEMA's flood insurance rate applies to his or her policy. I have more questions, please contact me at . I received a copy of FEMA's application for a FEMA flood insurance rate but am uncertain if my FEMA flood insurance rate applies to my home. How can I be sure? Download FEMA Form 86-0-22. You can print it out, complete as many copies as you need, and submit it to FEMA. I would like information about the flood insurance rate I apply for. What documents are needed? Download the form and complete as many copies as you need to prove you are a resident of that state. What are my options for obtaining coverage? There are several ways that flood insurance is offered by insurance companies. In Person — You may visit a local flood insurance office, or visit a Flood Insurance Agent, to complete and submit the application.

What if I need to ask DHS questions about my case? If you know someone who has a past history of mental health treatment, they may require additional screening as a result of the DHS process. In certain cases, you may be able to use the form to identify individuals for whom certain mental health screening is warranted. These individuals are provided an opportunity to provide information about their mental health on the form and a representative from DHS will contact them after processing to determine whether further follow up should occur. DHS, is responsible for monitoring and evaluating your mental health status as well as the mental health status of your co-workers. There are several tools DHS has available to help you determine if your co-workers are likely to have a mental health problem.

When the form is completed, you can either file it with your state's Department of Homeland Security (DHS) or file it with FEMA. See the following pages for more information on filing with FEMA: What does “Approved” on the Form 86-0-22 mean? When you complete the form, your signature indicates your agreement to comply with the requirements for FEMA emergency sheltering and the state or local authorities are responsible for determining eligibility. When you submit the form, FEMA checks whether your signature and the date are correct and valid, as a means of processing this application. What will happen if I don′t sign or change an old signature (for example due to a lost or stolen fingerprint)? The form requires your “true name,” and a new one cannot be created. This means that you can't use old signatures to meet the requirements on the form. If my application is incomplete. How do I complete it? It can be submitted using the “complete application” process as outlined on the FEMA website:. What is the FEMA Declaration process? You can begin the FEMA Declaration process by choosing from one of the following categories: In addition, we offer the Disaster Supplemental Declaration, “FEMA Supplemental Declarations, Application for Assistance”. If you need more information, please contact the FEMA office nearest you. What if I don't have a place to shelter that's available for at least 72 hours? The FEMA Administrator will consider this an emergency situation with a maximum amount of 72 hours. If I leave home and need temporary shelter in the 48 contiguous states, what do I do? All you need is a FEMA Declaration and a valid government-issued photo ID. Where can I file FEMA Supplemental Declarations for temporary shelter? You should submit the completed FEMA Declaration/Supplemental Declaration to your state's local disaster relief authority. The local crisis management agency will assist you in obtaining proof of your residential address, the name of each household member living at that address, and the shelter where you'll be staying, such as a hotel.

The FEMA Form 86-0-22 is only distributed to families and individuals who are applying for FEMA assistance. How is FEMA's application system different from other federal aid programs? The FEMA application system is based on the Federal Emergency Management Agency's (FEMA's) Federal Emergency Management Agency (FEMA) National Flood Insurance Program and was designed for large-scale aid applications with hundreds or thousands of applicants. The application must be received by the local area office before the deadline(s) set for the relief or insurance programs the application is seeking assistance with. For example, if it is applying for federal aid to assist individuals whose property was damaged by the flooding, then an application would be required at least by the deadline of Aug. 1 for assistance to be issued, before there is even a chance to make an assessment. Once an application is received; The applicant is required to fill out and print out an application form (FEMA Form 86-0-22). The form must be mailed to the FEMA office of the local area that is serving a particular state. The application fee is determined at the county level. The FEMA office determines the size of the agency that can issue a FEMA Flood Insurance Policy and makes that determination. The application must be filed on or before the last day for filing in the county where the applicant resides and is requesting assistance for. The FEMA office is responsible for processing the application and paying the application fee, if any. After the application is processed, the applicant is then able to apply for FEMA Assistance or to apply for Flood Insurance, if applicable. Note: All applications for flooding caused damage are processed on a priority basis. In the case where the Flood Insurance Policy is approved prior to FEMA, the application can still be filed and processed by FEMA upon approval of the policy. The application fee is also dependent on the type of benefit and the amount of the policy. I have submitted the application that is required to register for the FEMA National Flood Insurance Program (FIP). Do I then need to submit a return mailing for the registration? No. It is important to note that all applications filed with FEMA from all states will be reviewed in the same way and given the same time to finish the process. Once the application has been processed; it must still be accepted by FEMA.

If the filing officer has required, you must attach additional documents, such as certified copies of the relevant tax receipts, or a copy of the IRS Notice of Tax Liability Notice, if you do not already keep a copy of the IRS Notice of Tax Liability. For more information, please view the General Information Guide (GIG) on Taxpayer's Responsibilities when submitting your Federal Tax Returns on Fax. To file electronically for tax purposes, you must use the following software: E-File: file.IRS.gov or, file.tax.

The FEMA 86-0-22 form is typically used for cases where there is both property loss and loss of life. The standard form consists of three sections. Each section is called a “component” of the form. These components are: a list of the names and addresses of people listed in the case (list of victims) a statement that no information is available on the identity of the perpetrator(s), for any reason, including a description of the time and circumstances of the perpetrator's act; a statement that a “hazardous condition exists” (listed under hazard); a statement that “loss of life is imminent” (listed under loss of life); and A statement that the loss of life is “potentially or actually of great inconvenience to anyone residing or working at or near the site of the disaster” if the form is signed and dated by a member of the victim's family (listed under hardship). Example The FEMA 86-0-22 form for this case includes: names and addresses of people listed in the case an “inventory” (list of all personal effects) listing all items destroyed or damaged; these lists are sometimes referred to as casualty lists or loss of property lists a statement that the person (personage) at issue is a victim; a statement that there is no information available regarding identity of the perpetrator and that the person in question cannot provide information regarding the time and circumstances of the perpetrator's act a statement that a “hazardous condition exists” (listed under hazard); and A statement that “loss of life is imminent” (listed under loss of life). Form 86-0-22 is prepared by local officials, so only their signatures are required. Each document includes a “signature block” — a phrase or two that must be inscribed or stamped on the end of each of the three parts. What is FEMA Form 861? Form 861 is available to the public. The form is commonly used by municipalities, schools and other public entities to manage disaster response and recovery. The form is a letter which is mailed to you with an attached copy of a disaster declaration. Your request for assistance with a declaration is considered a request for service by FEMA. It is the responsibility of any person to respond immediately with information on the disaster declaration, and will not be considered valid until it is received.

The number of people who are screened each year is generally between 2,800–5,000. Most states only screen about 10–20% of those who seek assistance. Each state runs a different process and some have been reported to have up to 1,000 people screened each year. The majority of those with benefits, about 70%, are screened at the first state medical exam after they begin filing their cases. The information is then sent to DHS for inclusion in the system. What is the national wait time to get approved for benefits after getting screened by your state? DHS does not keep statistics on the wait time, but it typically falls within a few weeks after the initial screening. What is the cost of the system? The cost of the system for DHS is approximately 15–20–30 million per year. The majority of this money is spent on staffing. DHS pays an individualized risk assessment fee to states for each individual who receives benefits. If a person shows an inability to successfully complete an alcohol or drug abuse course of treatment and has a history of drug or alcohol-related criminal conduct, DHS may assess additional fees. Who is eligible to get benefits from the Federal Emergency Management Agency (FEMA) after they submit a pre-screening statement? The primary screening for individuals applying for temporary Emergency Assistance (TA) and Supplemental Security Income (SSI), which are the welfare benefits available due to a disaster, is a pre-screening. However, these benefits are only available to people who can prove they are eligible under the Temporary Assistance to Needy Families (TANK) program. As a result, most beneficiaries already have an emergency situation. If a program is not available, they will apply as a TANK beneficiary and qualify for benefits within seven calendar days. The secondary screening for people who are applying for Temporary Assistance for Needy Families (TANK) is a criminal history check that requires a person to provide a fingerprint. The information is forwarded to the FBI Crime Information Center (COR), which verifies the accuracy of the information and forwards the reports to DHS. Who has access to this information? State health officials are required to provide the information to DHS, and other agencies in a disaster response. Some states give DHS access to a portion of the records, and DHS then gives the information to other agencies that the individual would be eligible to use.

An applicant must fill out this form within 10 days of receiving a FEMA letter requesting the file. No approval may be granted prior to filing the forms (FEMA Form 86-0-22) in advance of the due date. Once the forms are filed, all related files must be transferred back to the National Hurricane Center in Norman, OK. How are I supposed to file Form 86-0-22 if I don't have a Social Security number and/or have never received any FEMA letters or letters from FEMA? An applicant who does not have a SSN and/or has never received any previous FEMA letters or letters from FEMA should fill out the complete form on the website listed on this page. The entire form is available for review by the Public Interest Information Bureau (AIIB) which is located in Norman, Oklahoma at the FEMA Office in Norman (Vinegar, 1001 N. Main Street, 1st Floor). To obtain assistance, visit the AIIB office on a regular business day between 9:00 a.m. and 5:30 p.m. How many documents should I put on the federal FEMA flood insurance application form? There is no hard and fast rule regarding the number of references on the flood insurance application. It depends on several factors. However, if you have an accident with the same vehicle as someone to whom you claim, it might be useful to include the same identification number for your vehicle. For this reason it is recommended that you put as many documents on the form as possible. Should you submit a separate application for each state in which you plan to reside? Some States require you to file a separate federal application for each applicable state. In general, you should not submit more than 6 applications with 6 different State ID numbers. If you would like specific information specific to you state, you can check with the appropriate Department of Insurance to see if you are required to file separately. This will vary by state, and it may even be different if the application is based on your own property. In the event that you are required to file in two or more states, you can use the following information to determine which application is needed to address your situation. (NOTE: If the state with the application does not require a separate application, the application may not be required.