Can the affirmation be e-signed?

Yes. Electronic signatures are legally accepted under the ESIGN Act and UETA when the parties consent and the record is retained. Ensure the eSignature platform captures an audit trail and offers appropriate signer authentication for the transaction.

Is notarization required?

Not generally required for every affirmation, but some lenders or state rules may ask for notarization or witness acknowledgement. Confirm borrower jurisdiction and lender policy before deciding whether to notarize.

Who must sign the form?

An authorized representative—typically the named insured or the insurance agent—must attest to the accuracy of the policy details and sign in the indicated capacity.

What if a policy was cancelled or lapsed?

Indicate the cancellation or lapse and provide documentation. Lenders may require immediate replacement coverage or may arrange force-placed insurance, which is often more costly than borrower-placed coverage.

How do I update an affirmation after renewal?

Submit a new affirmation with the updated declarations page and endorsement. Retain both the prior and new affirmations per your retention policy to show continuous coverage.

How does the platform secure records?

Use platforms that provide TLS in transit, AES-256 at rest, detailed audit trails, and optional BAAs where PHI is involved to meet regulatory requirements.

Electronic Signature
Templates
Miscellaneous
Flood Insurance Affirmation

Flood Insurance Affirmation

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Flood Insurance Affirmation

Parties

Affirming Party Name:

Affirming Party Address

Recipient (Lender / Entity):

Recipient Address

WHEREAS

WHEREAS, Affirming Party is the owner or borrower responsible for maintaining flood insurance on the property located at (the "Property");

WHEREAS, the Recipient requires continuous flood insurance coverage as a condition of the loan, mortgage, or other financial accommodation identified by Loan/Account No.: ; and

WHEREAS, Affirming Party affirms that the flood insurance policy described below is in force and will be maintained in accordance with the terms of this Affirmation.

Policy Details

Insurer Name

Policy Number: Coverage Amount: $

Policy Effective Date: Policy Expiration Date:

Scope of Affirmation and Obligations

The Affirming Party shall maintain, at its sole cost and expense, flood insurance with limits and coverages acceptable to Recipient and shall promptly provide proof of insurance and any renewals, endorsements, or notices of cancellation. The parties acknowledge that failure to maintain required insurance may constitute an event of default under the related loan documents. Describe any additional obligations, notifications, endorsements or special coverages required under the loan or agreement:

Payment Terms

Premium Amount (annual): $.

Payment Schedule / Billing Instructions

Late Fee for unpaid premiums or assessments: . Affirming Party agrees that past due premiums may be recovered by Recipient and charged to the loan or remedied as provided in the loan documents.

Term and Termination

This Affirmation is effective as of: and shall remain in effect until: , unless earlier terminated in accordance with this Section.

Either party may terminate this Affirmation for material breach if the breaching party fails to cure within days' written notice. Notwithstanding termination, Recipient's rights to require maintenance of insurance under underlying loan documents shall survive.

Confidentiality

All non-public information disclosed by either party in connection with this Affirmation, including policy numbers, premium amounts and claim information, shall be kept confidential and used only for purposes reasonably related to administration and enforcement of the underlying loan or insurance requirements, except as may be required by law, regulation, or a court order.

Acknowledgment of confidentiality obligation: I acknowledge and agree to the confidentiality provisions above.

Governing Law

This Affirmation shall be governed by and construed in accordance with the laws of the State of without regard to choice-of-law principles.

Entire Agreement

This document, together with any attachments or exhibits expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior agreements, understandings and representations, whether written or oral, relating to the same. Any amendments must be in writing and signed by both parties.

Affirmation and Certification

By checking the box below and signing, Affirming Party certifies under penalty of law that the flood insurance policy identified above is in full force and effect, that the coverage and limits meet applicable requirements, and that any lapse, cancellation, or material change will be promptly communicated to Recipient. The Affirming Party understands that knowingly making a false statement or certification may subject the signatory to civil and criminal penalties.

I affirm that the information provided in this Flood Insurance Affirmation is true, accurate and complete.

Additional Remarks

Affirming Party:

By:

Date:

Recipient (Lender/Entity):

By:

Date:

What the Flood Insurance Affirmation Is and When it’s Used

A Flood Insurance Affirmation is a signed attestation that confirms whether a property has active flood insurance and summarizes key policy details. Lenders, servicers, escrow agents, and insurers use the form to verify coverage, policy number, limits, effective and expiration dates, mortgagee clauses, and premium payment status. The document supports underwriting, escrow and escrow analyses, and lender compliance with flood insurance requirements for mortgage-secured properties. It can be submitted as a paper form or electronically when the parties meet legal consent and authentication requirements for electronic records and signatures.

Why a Flood Insurance Affirmation Matters

The form establishes an auditable record that the property meets flood insurance requirements, reduces lender exposure to uninsured flood loss, and documents coverage for escrow and regulatory reviews. Accurate affirmations speed closings and support loan servicing operations while helping to avoid force-placed insurance costs.

Who commonly prepares and signs a Flood Insurance Affirmation

Typical participants complete or sign the affirmation depending on the transaction role and ownership of policy details.

Mortgage lenders and servicers — Request, collect, and rely on the affirmation to confirm required coverage and to determine escrow obligations.
Borrowers / homeowners — Provide insurer information, policy numbers, coverage amounts, and authorize release of policy details to lenders.
Insurance agents and brokers — Supply policy verification, endorsements, mortgagee clauses, and proof of payment to attest coverage.

Knowing each party’s role helps assign responsibility for accuracy, delivery, and retention of the completed affirmation.

Essential elements to include in a professional Flood Insurance Affirmation

A complete affirmation captures identity, policy specifics, dates, coverage limits, mortgagee protections, signature blocks, and any attachments that support verification.

Document Header

Clear title, purpose statement and parties named so the form is immediately recognizable as a flood insurance affirmation used for lending, escrow, or claims workflows.

Insurer Information

Insurer legal name, contact phone and policy number. Include the issuing company and policy identifier to enable rapid cross-checking.

Coverage Limits

Policy limits for building and contents, named mortgagee coverage amount, and any sublimits or deductibles that affect lender exposure.

Effective Dates

Policy effective and expiration dates, renewal terms, and proof of continuous coverage where required for loan conditions or escrow analysis.

Mortgagee Clause

Exact mortgagee wording and any lender interest designation to ensure the policy protects the lienholder as required by the loan.

Signature Block

Named signer, capacity (insured, agent), signature and date, plus a statement attesting to the accuracy of the provided information.

Required fields commonly found on the Flood Insurance Affirmation

Insurer Name: Full legal insurer name

Policy Number: Complete policy identifier

Coverage Limits: Limits for building and contents

Effective/Expiry: MM/DD/YYYY dates

Mortgagee Clause: Lender as loss payee

Signature: Signer name and date

How to complete a Flood Insurance Affirmation — step by step

Follow a systematic sequence to gather policy facts, confirm the mortgagee clause, and obtain a valid signature so the affirmation is acceptable to lenders and escrow agents.

01

Collect documents: Request the policy declaration page and payment receipt from the insured or agent.
02

Verify details: Confirm policy number, effective dates, and coverage amounts against the declaration page.
03

Confirm mortgagee: Ensure the lender is named correctly in the mortgagee clause or endorsement.
04

Sign and date: Have the authorized party sign, date, and attest to accuracy; notarize if required.

Configuring an online Flood Insurance Affirmation workflow

Common online settings ensure secure collection, optional authentication, automated reminders, and storage that meets retention rules.

Field	Configuration
Authentication	Email link, SMS code, or stronger MFA
Required Fields	Policy number, insurer, coverage, dates
Reminders	Automated follow-ups until completion
Storage	Encrypted archive with access controls

Where to send the completed Flood Insurance Affirmation

Routing depends on who requested the affirmation and the transaction stage; ensure each recipient receives a copy for their records.

Lender/Servicer: Primary recipient for underwriting and escrow verification.
Borrower: Sender retains a copy for homeowner records and proof of compliance.
Insurance Agent: Agent receives copy to update policy or confirm endorsements.
Escrow / Title: Escrow or title company keeps a copy with closing documentation.

Digital submission and platform considerations

Choose a platform that supports secure file formats, reliable audit trails, and integrations required by your operational systems.

Supported Formats: PDF, DOCX, and image attachments
Integrations: CRM and document systems integration
Authentication: Email, SMS, or multi-factor options

Timing expectations and common deadlines for affirmation handling

Certain events trigger expedited timing: closings, renewals, lender requests, and insurer audits. Plan to collect verifications promptly.

At Closing:

Affirmation should be provided before or at closing when coverage is a loan condition.

Policy Renewal:

Provide updated affirmation within 30 days of renewal or insurer endorsement.

Lender Request:

Respond to lender verification requests within their stated deadline, typically 7–15 business days.

Escrow Analysis:

Submit affirmations when escrow accounts are reviewed to prevent coverage gaps.

Claim or Audit:

Deliver supporting affirmations immediately upon request for claim processing or regulatory review.

Risks and negative outcomes of incorrect or missing affirmations

Force-placed Insurance: Higher-cost policy placed by lender

Loan Default Risk: Uninsured loss can lead to borrower or lender loss

Escrow Shortfalls: Insufficient escrow funding for premiums

Regulatory Exposure: Noncompliance or audit findings

Rejected Claims: Claims denied for lapses or incorrect mortgagee

Operational Delay: Closings or disbursements postponed

Common mistakes to avoid when preparing an affirmation

Using abbreviated insurer or borrower names that don’t match the declarations page, causing verification delays and potential rejection by the lender.
Entering an incorrect policy number or transposing digits; even small errors prevent confirmation with the carrier and trigger follow-up requests.
Failing to confirm the mortgagee clause wording so the lender is not listed correctly as loss payee; this can void lender protections.
Delaying updates after renewals or cancellations; an affirmation tied to expired coverage is misleading and may lead to force-placed insurance.

Practical examples of Flood Insurance Affirmation use

These scenarios illustrate common document flows where an accurate affirmation reduces friction for lenders, borrowers, and insurers.

Property Closing Example

A lender requests a current affirmation at closing to confirm coverage

Agent supplies declarations page and endorsement to verify mortgagee clause
The lender accepts the affirmation and releases funds without ordering force-placed insurance, avoiding additional borrower cost and delay.

Renewal Verification Example

A servicer requests annual affirmation after policy renewal

Borrower or agent returns declaration with updated dates and premium
The servicer updates escrow calculations and confirms continuous coverage, preventing interruption in loan servicing and reducing administrative follow-up.

Practical tips for accurate and efficient completion

Adopt consistent templates, validation checks, and clear signer responsibilities to reduce errors and rework across high-volume workflows.

Use a standardized template

Create and use a single, lender-approved affirmation template to ensure every submission includes required fields and minimizes variance across agents and borrowers.

Validate against declarations

Cross-check insurer name, policy number, dates, and coverage amounts against the declarations page before signing to avoid verification failures.

Capture signer role

Record signer capacity (insured, authorized agent) and keep evidence of authority, such as broker appointment documentation or agency letters.

Archive securely

Store signed affirmations in an encrypted, access-controlled archive with a clear retention schedule tied to loan and regulatory requirements.

Frequently asked questions about the Flood Insurance Affirmation

Answers to common questions about execution, eSigning, notarization, updates, and what to do when policy details change.

Need help? Contact support

Can the affirmation be e-signed?
Yes. Electronic signatures are legally accepted under the ESIGN Act and UETA when the parties consent and the record is retained. Ensure the eSignature platform captures an audit trail and offers appropriate signer authentication for the transaction.
Is notarization required?
Not generally required for every affirmation, but some lenders or state rules may ask for notarization or witness acknowledgement. Confirm borrower jurisdiction and lender policy before deciding whether to notarize.
Who must sign the form?
An authorized representative—typically the named insured or the insurance agent—must attest to the accuracy of the policy details and sign in the indicated capacity.
What if a policy was cancelled or lapsed?
Indicate the cancellation or lapse and provide documentation. Lenders may require immediate replacement coverage or may arrange force-placed insurance, which is often more costly than borrower-placed coverage.
How do I update an affirmation after renewal?
Submit a new affirmation with the updated declarations page and endorsement. Retain both the prior and new affirmations per your retention policy to show continuous coverage.
How does the platform secure records?
Use platforms that provide TLS in transit, AES-256 at rest, detailed audit trails, and optional BAAs where PHI is involved to meet regulatory requirements.

be ready to get more

Join over 28 million airSlate SignNow users

Sign Now