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Coastal high tide flooding doubled in the U.S. between 2000 and 2022 and sea level rise (SLR) due to climate change will dramatically increase exposure and vulnerability to flooding in the future. However, standards for elevating buildings in flood hazard areas, such as base flood elevations set by the Federal Emergency Management Agency, are based on historical flood data and do not account for future SLR. To increase flood resilience in flood hazard areas, federal, state, regional, and municipal planning initiatives are developing guidance to increase elevation requirements for occupied spaces in buildings. However, methods to establish a flood elevation that specifically accounts for rising sea levels (or sea level rise-adjusted design flood elevation (SLR-DFE)) are not standardized. Many municipalities or designers lack clear guidance on developing or incorporating SLR-DFEs. This study compares guidance documents, policies, and methods for establishing an SLR-DFE. The authors found that the initiatives vary in author, water level measurement starting point, SLR scenario and timeframe, SLR adjustment, freeboard, design flood elevation, application (geography and building type), and whether it is required or recommended. The tables and graph compare the different initiatives, providing a useful summary for policymakers and practitioners to develop SLR-DFE standards. © 2025 by the authors.