Blank Roofing Certificate PDF Form Edit Document

Blank Roofing Certificate PDF Form

The Roofing Certificate form is a crucial document designed for residential property owners in Texas seeking to reduce their insurance premiums. By certifying that a roof has been installed in accordance with manufacturer specifications and meets specific impact resistance standards, homeowners can benefit financially. To take advantage of these savings, complete the form by clicking the button below.

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The Roofing Certificate form is an important document for homeowners in Texas looking to reduce their residential insurance premiums. This form, provided by the Texas Department of Insurance, serves as a certification that the roofing installation meets specific standards, particularly those outlined by Underwriters’ Laboratory Standard 2218. Homeowners must fill out their personal information, including their address and contact details, while the roofing company is required to provide details about the installation, such as the manufacturer’s name, brand, and the impact resistance classification of the roofing material. The form also includes a section for the roofing company to certify that the installation was done according to the manufacturer’s specifications, ensuring compliance with safety standards. It is crucial to note that while this certification can lead to premium reductions, it does not serve as a warranty from the manufacturer or installer. Homeowners should retain a copy of the completed form for their records, while another copy is sent to the insurance company. Understanding this process can help homeowners navigate the potential benefits of their roofing investments.

Sample - Roofing Certificate Form

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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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Document Breakdown

Fact Name Details
Purpose This certificate allows homeowners to receive a reduction in their residential insurance premiums.
Governing Body The Texas Department of Insurance oversees the Roofing Certificate form.
Contact Information For inquiries, contact the Texas Department of Insurance at 512-305-6711.
Certification Requirement The roofing company must certify that the installation complies with the manufacturer's specifications.
Impact Resistance The roof covering must comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
Labeling Requirement Each roofing material must be labeled with the U.L. classification and manufacturer details.
Homeowner Notice Homeowners are informed that the form does not imply any warranty by the roofing company.
Fraud Warning Any intentional misrepresentation on this form is considered fraud.
Document Copies One copy of the certificate must be retained by the homeowner, and another sent to the insurance company.

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Misconceptions

Understanding the Roofing Certificate form is crucial for homeowners seeking to reduce their residential insurance premiums. However, several misconceptions can cloud the facts. Here are nine common misunderstandings about this important document:

  1. It guarantees a lower insurance premium. Many believe that simply filling out the form guarantees a reduction in their insurance costs. In reality, while it can help, the final decision rests with the insurance company.
  2. It's a warranty for the roofing work. Some homeowners think the certificate serves as a warranty for the roofing installation. This form does not provide any warranty from the manufacturer, supplier, or installer.
  3. All roofing companies can fill it out. Not all roofing companies are eligible to complete this form. Only authorized representatives of licensed companies can certify the installation.
  4. It applies to commercial properties. This certificate is specifically designed for residential properties. Commercial properties have different requirements and forms.
  5. It only applies to new roofs. Homeowners may assume this form is only for new roofing installations. However, it can also apply to roofs that have been repaired or replaced, as long as they meet the necessary standards.
  6. It doesn’t require any supporting documentation. Some might think that the form alone is sufficient. In fact, homeowners may need to provide additional documentation, such as proof of the roofing materials used.
  7. Once submitted, it cannot be changed. Homeowners may feel that any mistakes on the form are permanent. However, corrections can be made if the insurance company is notified promptly.
  8. It is a one-time requirement. Many believe that submitting this form is a one-and-done deal. In reality, if roofing materials are replaced or significant repairs are made, a new certificate may be required.
  9. Only the homeowner needs to keep a copy. Some might think that only the homeowner should retain a copy of the form. However, a copy must also be sent to the insurance company for it to take effect.

By dispelling these misconceptions, homeowners can better navigate the process of obtaining a roofing certificate and enjoy potential savings on their insurance premiums.

Documents used along the form

When applying for a reduction in residential insurance premiums using the Roofing Certificate form, several other documents may also be required or helpful. Each of these documents serves a specific purpose in the overall process of ensuring compliance and providing necessary information to insurance providers.

  • Proof of Insurance: This document confirms that the roofing contractor carries liability insurance. It protects homeowners from potential damages or accidents that may occur during the roofing project.
  • Building Permit: A building permit is often required before starting any roofing project. It verifies that the work complies with local building codes and regulations, ensuring the safety and legality of the installation.
  • Residential Lease Agreement: For homeowners who may be renting out their property, it’s crucial to have a clear lease agreement in place. The California PDF Forms offers a comprehensive Residential Lease Agreement that outlines all necessary terms and conditions, ensuring both landlords and tenants understand their rights and responsibilities.
  • Manufacturer's Specifications: This document outlines the specific requirements and guidelines provided by the roofing material manufacturer. It ensures that the installation meets the standards necessary for warranty coverage and insurance premium reductions.
  • Inspection Report: An inspection report may be required to verify that the roofing installation meets local codes and standards. This document is typically completed by a licensed inspector and provides an additional layer of assurance for both the homeowner and the insurance company.

Gathering these documents along with the Roofing Certificate form can streamline the process of obtaining insurance premium reductions and ensure compliance with necessary regulations. Homeowners should keep these documents organized and readily available to facilitate communication with their insurance provider.