Kirkersville, OH · Licking County
Elevation Certification Form
A professional surveyor completes this form to record a property's lowest-floor elevation for a property owner seeking to certify flood-elevation compliance in Kirkersville.
What this form is
This form records the lowest-floor elevation at a referenced property under Kirkersville’s Flood Damage Prevention Ordinance. A professional surveyor completes it to help the property owner certify that completed construction meets community flood-elevation standards. It asks for the FEMA map community-panel number, property location and owner, lowest-floor elevation, date, and surveyor’s signature and professional seal. The document says communities in the Community Rating System must use the NFIP Elevation Certificate to record as-built elevation.
Who needs it
A property owner seeking to certify completed construction’s flood-elevation compliance needs a professional surveyor to complete this form.
How to submit it
Return the completed form to the local floodplain administrator, as stated on the document. The form does not provide an address or other contact details.
About notarization
This form is signed and dated without a notary; the surveyor provides a professional seal, but no sworn or notarized attachment is identified.
How to submit this form
- 1
Download The Form
Download the Elevation Certification Form PDF.
- 2
Have A Surveyor Complete It
Have a professional surveyor enter the property and owner details and the lowest-floor elevation.
- 3
Gather The Required Certification
Make sure the surveyor signs and dates the form and provides a professional seal.
- 4
Return The Form
Return the completed form to the local floodplain administrator.
Frequently asked questions
- What does the Elevation Certification Form record?
- It records the lowest-floor elevation at a referenced property, along with the FEMA map community-panel number, property location and owner, date, and surveyor’s signature and professional seal.
- Who completes the Elevation Certification Form?
- The document says a professional surveyor should complete the form. It can be used by the property owner to certify that completed construction meets the community’s flood-elevation standards.
- Do I need a notary for the Elevation Certification Form?
- No. The form calls for a surveyor’s signature and professional seal, but does not identify a notary or a sworn or notarized attachment.
- How do I submit the Elevation Certification Form?
- Return the completed form to the local floodplain administrator, as the document directs. It does not list an address or other contact details.
Need something notarized?
This Elevation Certification Form doesn’t need a notary — but if you have another Kirkersville form that does, a commissioned online notary can help.