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* 1. What is the cost per year being quoted for your flood insurance?

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* 2. What are your major reasons for concern?

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* 3. If one of your major concerns is the lack of justification for flood insurance, please choose between the following:

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* 4. Please explain why you believe the flood insurance quote is not justified? (For example, one way to demonstrate affordability concerns might be to show flood insurance premiums as a percent of total household income.)

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* 5. What is your property value:

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* 6. Property specifications. For example, what is the:

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* 7. Insurance affordability. For example:

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* 8. What factors or assumptions did the insurance agent consider in arriving at the flood insurance quote?

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* 9. How did the insurance agent calculate the home's value and coverage amount? Choose from the following:

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* 10. Have there been previous flood claims on the property?

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* 11. Has the property been elevated/strengthened against future flooding?

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* 12. In which type of flood zone (V, A, X) is the property located?

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* 13. Did FEMA recently propose or finalize a new flood map for your community?

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* 14. Did the insurer learn that mistakes were made in previous years in evaluating the property for flood risk?

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* 15. How much did the flood insurance rate have to increase to reflect the true risk?

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* 16. Did you or your community appeal the determination that the property sits in the flood zone?

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* 17. If you answered YES, please explain from the following:

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* 18. If you answered NO, please explain why:

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