Free Roofing Certificate PDF Form

Free Roofing Certificate PDF Form

The Roofing Certificate form is an essential document designed to help homeowners secure a reduction in their residential insurance premiums. By completing this form, property owners can confirm that their roofing installation meets specific standards, thus potentially lowering their insurance costs. It is important to understand that this certificate does not serve as a warranty from the manufacturer, supplier, or installer.

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The Roofing Certificate form serves as an essential document for homeowners in Texas seeking to lower their residential insurance premiums. By completing this form, property owners can certify that their roofing installation meets specific industry standards, particularly those outlined by Underwriters’ Laboratories. The form requires detailed information about the roofing company, including its name, address, and license number, as well as the homeowner’s details. It emphasizes the importance of compliance with the manufacturer’s specifications and includes a section where the roofing company’s authorized representative must attest to the impact resistance classification of the installed roof covering. This classification ranges from Class 1 to Class 4, indicating the material's durability against impacts. Furthermore, the form mandates that certain labeling requirements be met, ensuring that each roofing component is properly identified. Homeowners must be aware that this certification does not serve as a warranty but rather as a means to potentially secure a premium reduction. The form also includes a clear warning about the consequences of intentional misrepresentation, underscoring the importance of honesty in the certification process. By understanding the implications and requirements of the Roofing Certificate, homeowners can take proactive steps to safeguard their investments while benefiting from potential financial savings.

Roofing Certificate Sample

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NOTICE TO HOMEOWNER: Completion of this certificate will entitle you to a credit on your residential insurance premium. This form is solely for the purpose of enabling residential property owners to obtain a credit on their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer, supplier or installer.

Roofing Installation Certification

Name of Roofing Company

Street Address

City, State, Zip

PhoneLicense # (if any)

Address of Residence (Installer must complete the following information before signing form.)

Name of Owner

 

Home Phone

 

 

Address

 

 

 

Work Phone

 

 

City, State, Zip

 

 

 

 

 

 

I,

 

 

, an authorized representative of

 

 

 

 

 

 

 

Print Name of Representative

 

 

 

 

 

 

, do hereby certify that

 

 

 

 

 

 

 

 

 

 

 

Print Name of Roofing Company

I have installed in accordance with the manufacturer's specifications on the above described residence a roof covering listed as complying with Underwriters' Laboratory Standard 2218, Impact Standard for Impact Resistance of Prepared Roof Covering Materials with an impact resistance classification of:

Class 1

Class 2

 

Class 3

Class 4

Manufacturer's Name

 

 

Brand Name

 

 

 

Year Manufactured

 

 

 

Date of Installation

 

 

 

 

 

 

 

 

 

 

 

The roof covering installed on this residence meets one of the following requirements:

The roof covering product packaging indicates the U.L. Classification under U.L. Standard 2218, the manufacturer's name, the date of manufacture, and the brand name. A label from the packaging has been supplied to the owner of the residence; or

The metal roof covering is 26 gauge or thicker material, and is installed over solid underlayment.

 

 

 

 

 

Original Signature of Roofing Company's Authorized Representative

 

Date

 

 

 

 

 

Policyholder's Signature

 

Date

 

One copy for Insurance Company

 

Second Copy to Policyholder

OFB 8350 09-12

 

 

 

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Documents used along the form

When homeowners are seeking to reduce their residential insurance premiums after a roofing installation, the Roofing Certificate form is just one of several important documents they may encounter. Each of these documents serves a specific purpose in the process of verifying the roofing work and ensuring compliance with insurance requirements. Below is a list of other forms and documents commonly used alongside the Roofing Certificate.

  • Insurance Policy Declaration Page: This document outlines the specifics of the homeowner's insurance coverage, including the types of coverage, limits, and any applicable deductibles. It serves as proof of insurance and is often required when applying for premium reductions.
  • Proof of Payment: A receipt or invoice showing that the homeowner has paid for the roofing work. This document is necessary to confirm that the installation was completed and that the homeowner is financially committed to the project.
  • Contractor's License: A copy of the roofing contractor's license demonstrates that the installer is qualified and authorized to perform roofing work in the state. This helps ensure that the homeowner is working with a legitimate and professional service provider.
  • Manufacturer's Warranty: This document provides details about the warranty on the roofing materials used. It often covers defects and may offer protection against certain types of damage, adding peace of mind for the homeowner.
  • Nursing License Application: This form is crucial for individuals seeking to obtain or renew their nursing license in Arizona. Detailed guidance and requirements can be found at azformsonline.com/arizona-board-of-nursing-license/, ensuring applicants understand the essential steps and regulations involved.
  • Inspection Report: An inspection report from a qualified inspector may be required to confirm that the roofing installation meets local building codes and safety standards. This report can help reassure both the homeowner and the insurance company about the quality of the work.
  • Homeowner's Affidavit: This sworn statement from the homeowner may be required to confirm that the information provided in the Roofing Certificate and other documents is accurate. It adds an additional layer of accountability in the documentation process.
  • Roofing Material Specifications: A document detailing the specifications of the roofing materials used, including their impact resistance ratings. This information is crucial for insurance companies to determine eligibility for premium reductions.
  • Photo Documentation: Photographs of the completed roofing project can serve as visual proof of the installation. This documentation can be particularly useful if there are any disputes or questions about the quality of the work.

By gathering these documents, homeowners can streamline the process of securing a reduction in their insurance premiums while ensuring that all necessary information is readily available for their insurance provider. Each document plays a vital role in creating a comprehensive picture of the roofing project and its compliance with relevant standards.

Key takeaways

Key Takeaways for Using the Roofing Certificate Form:

  • The Roofing Certificate form is essential for homeowners seeking a reduction in their residential insurance premiums.
  • Accurate completion of the form is necessary; any misrepresentation may be considered fraud.
  • The roofing company must provide detailed information, including their name, address, and license number, if applicable.
  • The form requires the roofing company’s authorized representative to certify that the roof was installed according to manufacturer specifications.
  • Homeowners should ensure that the roofing materials comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
  • Retain one copy of the completed form for personal records and submit another copy to the insurance company.

Form Overview

Fact Name Description
Governing Authority This form is governed by the Texas Department of Insurance.
Purpose Completion of this certificate allows homeowners to receive a reduction in their residential insurance premiums.
Certification Requirement The roofing company must certify that the installation complies with manufacturer specifications and Underwriters’ Laboratory Standard 2218.
Impact Resistance Classification The roof covering must have an impact resistance classification of Class 1, Class 2, Class 3, or Class 4.
Labeling Requirement All individual roofing materials must be labeled according to U.L. Standard 2218, including the manufacturer’s name and date of manufacture.
Fraud Warning Any intentional misrepresentation related to this form is considered fraud.
Retention of Copies One copy of the completed form must be retained by the homeowner, and another copy must be sent to the insurance company.

Frequently Asked Questions

What is the Roofing Certificate form?

The Roofing Certificate form is a document provided by the Texas Department of Insurance. It serves to certify that a residential roof has been installed according to specific standards. Completing this form allows homeowners to qualify for a reduction in their residential insurance premiums.

Who needs to fill out the Roofing Certificate form?

This form must be completed by the roofing company that installed the roof. It requires the authorized representative of the company to certify that the installation meets the necessary standards for impact resistance.

What are the benefits of completing this form?

By completing the Roofing Certificate form, homeowners can potentially lower their residential insurance premiums. Insurance companies often offer discounts for homes with roofs that meet certain safety and durability standards.

What information is required on the form?

The form requires several key pieces of information, including:

  • Name and address of the roofing company
  • Contact details for the roofing company
  • Details about the roof installation, including the type of materials used and their impact resistance classification
  • Homeowner's information, including name and address

What is the impact resistance classification?

The impact resistance classification indicates how well a roofing material can withstand impact from hail and debris. The classifications range from Class 1 to Class 4, with Class 4 offering the highest level of protection. This classification is essential for qualifying for insurance premium reductions.

How does a homeowner submit the form?

After the roofing company completes the form, the homeowner should keep one copy for their records. The second copy must be submitted to their insurance company. It’s important to ensure that the form is filled out accurately to avoid any issues with the insurance discount.

What if my roofing company is not licensed?

While having a license is beneficial, the Roofing Certificate form does not explicitly require a roofing company to be licensed. However, working with licensed contractors is generally recommended for quality assurance and compliance with local regulations.

Is there a deadline for submitting the Roofing Certificate form?

There is no specific deadline mentioned for submitting the Roofing Certificate form. However, it’s advisable to submit it as soon as the roof installation is completed to ensure timely processing of any insurance premium reductions.

What happens if I provide false information on the form?

Providing false information on the Roofing Certificate form is considered fraud. This could lead to serious consequences, including denial of insurance claims or cancellation of your insurance policy. Always ensure that the information provided is accurate and truthful.

Where can I find more information about the Roofing Certificate form?

For additional details, homeowners can visit the Texas Department of Insurance website at www.tdi.texas.gov. They also have a contact number, 512-305-6711, for any specific inquiries regarding the form or related processes.

Misconceptions

Misconception 1: The Roofing Certificate guarantees a lower insurance premium.

This form does not guarantee a reduction in your premium. It simply allows homeowners to apply for a potential discount based on specific criteria.

Misconception 2: Any roofing company can complete the certificate.

Only authorized representatives from roofing companies that meet certain standards can fill out this form. Homeowners should ensure they are working with a qualified installer.

Misconception 3: The certificate provides a warranty on the roofing materials.

This certificate is not a warranty. It does not imply any guarantee regarding the quality or durability of the roofing materials used.

Misconception 4: The form is only for new roofs.

The certificate can apply to both new installations and replacements, as long as the roofing meets the necessary standards.

Misconception 5: I don’t need to keep a copy of the certificate.

Homeowners should retain a copy of the certificate for their records. This is important for future reference and for insurance purposes.

Misconception 6: All roofing materials qualify for premium reductions.

Only roofing materials that comply with Underwriters’ Laboratory Standard 2218 and have the appropriate impact resistance classification are eligible for premium reductions.

Misconception 7: The certificate can be filled out after the roof is installed.

The roofing company must complete the certificate at the time of installation. It cannot be retroactively filled out.

Misconception 8: Homeowners can submit the form directly to the insurance company.

The roofing company must first complete and sign the certificate. After that, one copy goes to the homeowner, and another copy is sent to the insurance company.

Misconception 9: The form is only necessary for residential properties.

This certificate specifically addresses residential properties. Commercial properties have different requirements and forms.

Misconception 10: There are no penalties for misrepresentation on the form.

Any intentional misrepresentation on the Roofing Certificate can be considered fraud, which carries serious legal consequences.