NAME: CFM#

TITLE: EMPLOYER/AGENCY:

WORK ADDRESS:

CITY: COUNTY: STATE: ZIP:

HOME ADDRESS:

CITY: COUNTY: STATE: ZIP:

WORK PHONE: AC / EXT.

FAX: AC / HOME: AC /

WORKE-MAIL:

HOME E-MAIL:

Important! Please check here if this is a new address.

I prefer to receive TFMA letters at: work home.

I prefer to receive TFMA e-mails at: work home.

TFMA may put my primary e-mail address on the website.

Please check the box and pay the appropriate fee for your current registration status:

MEMBERSHIP CLASS (choose one): / Fee
Annual Membership (Non CFM) / $45
Annual Membership & CFM Recertification (CFM)*** / $90
Federal/State Agency (Membership ONLY) / $0
Federal/State Agency (Membership & CFM Recertification)*** / $45
Corporate Member(Platinum)* / $750
Corporate Member (Gold)* / $500
Corporate Member (Silver)* / $250
* Corporate Member entitles company/agency to only ONE Full membership. If the corporate representative is a CFM, an additional $45 must be submitted as the CFM renewal fee.
***ALL CFMs must submit annual membership & CFM recertification fees, verification of CECs, and supporting documentation listed on CEC Verification Form.

ALL FEES MUST BE RECEIVED BY DECEMBER 31, 2012

MAIL COMPLETED APPLICATION AND MEMBERSHIP FEE TO:

TEXAS FLOODPLAIN MANAGEMENT ASSOCIATION
POBOX 90367, Austin, Texas 78709-0367

Renewal Information and Instructions

For additional information and updates regarding these requirements, please refer to our Web site at or contact our office at 512/858-7302or by e-mail at .

Renewal Requirements – Renewal notices are sent to your current address of record. You are responsible fornotifying the Board of each address change as it occurs, and failure to notify the Board of your mailing addresschange is a violation of Board rules. ALL CFMs are required torenew their certification regardless of receipt of letteror e-mail.

At the end of the each calendar year, every CFMmust submit an application to TFMA for renewal postmarked no later than December 31st. By Novemberof each year, approximately 2 months prior to therenewal deadline, CFM’s will receive a reminderemail or letter discussing the CEC requirements andCFM renewal process. It is the CFM’s responsibility to review theinstructions on the TFMA web-site, notify the ExecutiveOffice of any address changes, and submit allrequired information by December 31st to the TFMAExecutive Office.

A CFM who has not requested renewal by January15 of the renewal year (15 days after the certificationexpires) will be notified by the Certification Committeevia U.S. Postal certified mail to submit CECdocumentation and fees on or before February 28. There will be a late fee of $30.00 after January 15. Ifa CFM fails to make an application for renewal withintwo (2) months of the required renewal date (by February28), he/she shall be decertified, and thereafterrequired to complete a new application package, paythe initial application fee and take another test inorder to regain certification.

Continuing Education Program Hours (CEPH):

During the “first year” when an individual becomescertified as a CFM the required number of continuingeducation credits shall be:

• Six (6) if the CFM is certified before June30th

• Zero (0) if the CFM is certified after July 1

Beginning January 1 after an individual becomescertified the annual CEC requirement is as follows:

• Eight (8) CEC’s each year (Jan. 1- Dec. 31)

A maximum of twelve (12) CEC’s can accumulatein one calendar year and a maximum offour (4) CEC’s can be carried over into thefollowing year to satisfy the minimum of eight(8) CEC’s per calendar year.

NOTE: A CFM will not receive CECs for taking a course multiple times, unless a minimum of five years have elapsed since taking that course or the course has been updated.

For further information on this requirement or the type of training that meets this requirement, please see §VIII of the TFMA Charter. You can access the Charter and find other information at