TRANSMITTAL SHEET  
NFIP REPETITIVE LOSS (RL) UPDATE WORKSHEETS

PLEASE NOTE:  WE CANNOT APPROVE YOUR AW-501 RL UPDATE WORKSHEETS, 
UNLESS YOU RETURN THIS SIGNED DOCUMENT.

Contact Information:  Please provide the following information should we need to contact your 
community for more information to approve your updates.

Name:		_______________________________________		 
Address:	_______________________________________		  
        _______________________________________ 		
Phone:		____________Fax:                           		 
E-mail:		_______________________________________
Community Name: ___________________________________     Community ID:________________________________ 
	
Please, indicate the number of RL Update Worksheets you are submitting for this update!  _________

Please check all that apply
?	We have returned new updated worksheets OR ones that previously did not have the necessary 
Mitigation Action/Funding codes.

?	We have attached documentation to support our updates for Building Removal and Flood Protection 
Provided. 

?	Mitigation Action/funding codes have been provided, as appropriate.

?	We have described the steps taken to locate any properties that we were unable to identify from the 
Information provided.

We have retained copies of all the worksheets we submitted.	

UPDATES AUTHORIZED BY: (THIS FORM MUST BE SIGNED BY A COMMUNITY OFFICIAL)

_____________________________________________________________________________________
____
PRINT NAME AND TITLE                                                                       SIGNATURE 					DATE

MAIL YOUR UPDATED RL WORKSHEETS AND THIS RL TRANSMITTAL SHEET TO:

NFIP REPETITVE LOSS UPDATES
c/o Ms. Sherry Harper, AICP, CFM
Insurance Services Office, Inc.
2382 Susan Drive
Crestview, FL 32536