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Property and Casualty
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Step One: Complete Form
Step Two: Review and Submit
Step Three: Finish
Welcome to Flood EZ-App  from A&M.  

For fast service on your flood risks complete the form below and hit the  “Step Two” button. Your submission will be electronically delivered to the next available Underwriter.

* Note: If you do not have the Flood Zone or Community Number we will obtain it for you after we receive your submission.
* Note: As of 5/1/2014 Pre-firm buildings if (they were built before the community started participating in the FEMA program) will no longer need an Elevation Certificate, this is for new policies and renewals.
 
Applicant Name:
Location address:
 
City: State: Zip Code:
County Name:
* Flood Zone:
* Community
Number:
Year Built:
Principal Residence:
Dwelling Type:
Number of Floors
(including basement):
Basement?
  If yes:
Amount of Coverage
for Building:
$
Deductible:
Amount of Coverage
for Contents:
$
Deductible:
Amount of Coverage
for Replacement Cost:
$
    Comments & other Material Information:
     
Agency Name:
Phone Number:
  Fax Number:
E-mail Address:
 
 
    (You will get a summary page to review before submitting)