Survey Request Survey InformationSelect the type of survey desired from these services provided:*Topographic SurveysBoundary Establishment SurveysAerial Photogrammetry, LiDAR and Drone SurveysFEMA Elevation Certificate SurveysFEMA LOMA ApplicationsSubdivisionsLegal DescriptionsALTA/NSPS Land Title SurveysConstruction SurveyingLot Line AdjustmentsBathymetric SurveysCondominium PlansOtherElevation Certificate service base fee starts at $1,500.* Please further describe your survey request:*Contact InformationProperty Owner or Authorized Representative* First Name Last Name Phone Number*Email Address* Mailing Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Property InformationProperty Owner's Name* Building Owner Name or other Name to be placed on the completed Certificate.Property Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Assessor's Parcel Number (optional) Zoning/Use of Property* Residential Commercial Industrial Certificate will be based on:* Construction Drawings Building Under Construction Finished Construction Billing InformationBilling Information Is The Same As Contact Information* Yes No Client Name* First Last Client Phone Number*Client Email Address* Billing Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Consent* I agree to the terms below.Upon receipt of this Survey Request Form, service fee quote will be provided. If accepted, information submitted will be used to prepare a LACO Service Agreement for your review and signature. Authorization to proceed requires Client signature and initials on Service Agreement and full payment (100%) of fee as retainer. Completed Elevation Certificate is typically delivered 7 to 10 business days from the date of authorization. Retainer will be applied to final invoice.Consent* I agree to the terms below.*Upon receipt of this Survey Request Form, a service fee quote will be provided. If accepted, information submitted will be used to prepare a LACO Service Agreement for your review and signature. Authorization to proceed requires Client signature and initials on Service Agreement and retainer deposit.NameThis field is for validation purposes and should be left unchanged.