Substantial Damage Estimator
Subdivision
- Subdivision
- Parcel#
- Lot Number
- Elev. of Lowest Floor
- Datum
Community
- NFIP Community NAME
- NFIP Community ID #
- Latitude
- Longitude
Building Address
- Owner's NAME
- Street Address
- City
- County
- State
- Zip
- Phone
- Additional Owner(s)
Building Information
- Year of Construction
- Type
- Quality
Damage Information
- Date of Inspection
- Inspected by
- Inspector Phone
- Date of Damage
- Cause of Damage
- Duration of Flood
- Est. depth above lowest floor
- Resident Information
NFIP Information
- Firm Panel #
- Suffix
- Date of FIRM Panel
- Firm Zone
- BFE
- Regulatory Floodway
Percent Damaged
- Value of Building
- Percent Damaged
- Cost of Repairs / Improvements
Damage Summary
- Replacement Cost
- Depreciation %
- Computed Actual Cash Value
(Per FEMA Publication 213, Actual Cash Value may be used as Market Value)
Optional User Entered Data
- Professional Appraisal
- Tax Assessment
- Factor Adjustment
- Adjusted Tax Assessed Value
- Contractor's Estimate of Repairs / Improvements
- Community's Estimate of Repairs / Improvements
Authorized Local Official: (Signature)
Research Resource: