Blank Roofing Certificate PDF Form

Blank Roofing Certificate PDF Form

The Roofing Certificate form is a document that allows homeowners in Texas to certify that their roofing installation meets specific standards, potentially qualifying them for a reduction in their residential insurance premiums. This certification is intended solely for the benefit of property owners and does not imply any warranty from the roofing company or manufacturer. Homeowners can take advantage of this opportunity by filling out the form, which is available below.

The Roofing Certificate form serves as an essential tool for homeowners in Texas seeking to reduce their residential insurance premiums. This form is specifically designed to certify that a qualified roofing company has installed a roof covering that meets certain impact resistance standards. Homeowners benefit from this certification, as it can lead to a decrease in their insurance costs, making it a valuable financial incentive. The form requires detailed information, including the name and contact details of the roofing company, the specific classification of the roof covering installed, and the date of installation. Additionally, it mandates that the roofing company’s authorized representative attests to the compliance of the roofing materials with Underwriters’ Laboratory Standard 2218. This ensures that the products used are not only effective but also properly labeled, providing transparency and assurance to homeowners. Importantly, the form emphasizes that it is not a warranty from the manufacturer or installer, but rather a certification aimed at facilitating insurance premium reductions. Homeowners must keep a copy of the completed form, while another copy is submitted to the insurance company. It’s crucial to note that any intentional misrepresentation on this form could be considered fraud, underscoring the importance of accuracy in its completion.

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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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File Specifics

Fact Name Description
Purpose This form allows homeowners to certify their roofing installation to qualify for a reduction in residential insurance premiums.
Governing Body The Texas Department of Insurance oversees the Roofing Certificate form.
Impact Resistance The roof covering must comply with Underwriters’ Laboratory Standard 2218, indicating its impact resistance classification.
Required Information Homeowners must provide details such as the roofing company’s name, address, and license number, along with their own contact information.
Labeling Requirement Roof covering products must be labeled with U.L. classification, manufacturer’s name, and date of manufacture.
Signature Requirement An authorized representative of the roofing company must sign the form to certify compliance with installation standards.
Fraud Warning Any intentional misrepresentation on this form is considered fraud and may have legal consequences.

How to Use Roofing Certificate

Once you have gathered all necessary information, you can begin filling out the Roofing Certificate form. This form is essential for homeowners seeking a reduction in their residential insurance premiums. Ensure that all details are accurate and complete, as any discrepancies could affect your eligibility for the discount.

  1. Start by entering the Name of Roofing Company at the top of the form.
  2. Fill in the Street Address, City, County, and Zip Code of the roofing company.
  3. Provide the Phone number of the roofing company.
  4. If applicable, include the License Number of the roofing company.
  5. Next, enter the Address of Residence where the roofing work was completed.
  6. Fill in the Name of Owner of the residence.
  7. Provide the Home Phone and Office Phone numbers of the owner.
  8. Complete the City, County, and Zip Code for the residence.
  9. The authorized representative of the roofing company should write their name in the designated area.
  10. Indicate the Date of Installation of the roof covering.
  11. Select the appropriate Impact Resistance Classification from Class 1, Class 2, Class 3, or Class 4.
  12. Fill in the Manufacturers’ Name and Brand Name of the roofing materials used.
  13. Check the box that corresponds to how the roof covering product is labeled and provide the necessary information.
  14. Finally, the authorized representative must sign and date the form.

After completing the form, retain one copy for your records and send another copy to your insurance company. It’s important to keep the documentation safe, as it may be needed for future reference.

Your Questions, Answered

What is the purpose of the Roofing Certificate form?

The Roofing Certificate form is designed to help residential property owners qualify for a reduction in their insurance premiums. By completing this form, homeowners can demonstrate that their roof meets specific standards, which may lead to lower insurance costs.

Who needs to fill out the Roofing Certificate form?

The form must be completed by an authorized representative of the roofing company that installed the roof. Homeowners will also need to provide their information, including the address of the residence and contact details.

What information is required on the form?

The Roofing Certificate form requires several key pieces of information:

  1. Name and contact details of the roofing company.
  2. Details about the roof installation, including the type of roofing material and its impact resistance classification.
  3. The name of the homeowner and the address of the residence.
  4. The date of installation and labeling details of the roofing products used.

What are the impact resistance classifications mentioned in the form?

The form references Underwriters’ Laboratory Standard 2218, which classifies roofing materials based on their impact resistance. The classifications include:

  • Class 1
  • Class 2
  • Class 3
  • Class 4

Class 4 indicates the highest level of impact resistance.

How can homeowners ensure their roof qualifies for a premium reduction?

Homeowners should verify that the roofing materials used meet the impact resistance standards outlined in the form. Additionally, they should ensure that the roofing company provides proper labeling and documentation as required.

What should homeowners do with the completed form?

Once completed, the Roofing Certificate form should be distributed as follows:

  • One copy should be retained by the homeowner for their records.
  • Another copy should be submitted to the homeowner's insurance company.

What happens if the form contains false information?

Any intentional misrepresentation on the form is considered fraud. This can have serious legal consequences, including potential penalties or denial of insurance claims.

Is there a cost associated with obtaining the Roofing Certificate?

Typically, there is no fee specifically for completing the Roofing Certificate form. However, homeowners should be aware that there may be costs associated with the roofing installation itself, which can vary depending on the contractor and materials used.

How can homeowners contact the Texas Department of Insurance for more information?

Homeowners can reach the Texas Department of Insurance by calling 512-305-6711 or by visiting their website at www.tdi.texas.gov for additional resources and information regarding the Roofing Certificate form.

Common mistakes

Filling out the Roofing Certificate form is an important step for homeowners seeking a reduction in their residential insurance premiums. However, mistakes can easily occur during this process. Here are seven common errors to avoid:

  1. Incomplete Information:

    Leaving out essential details, such as the roofing company's name or the homeowner's address, can lead to delays or rejection of the form.

  2. Incorrect License Number:

    Providing an incorrect or outdated license number for the roofing company can raise questions about the validity of the installation.

  3. Failure to Sign:

    Neglecting to have the authorized representative sign the form can render it invalid. Signatures are crucial for certification.

  4. Missing U.L. Classification:

    Not indicating the correct U.L. classification for the roof covering can lead to confusion and may affect the premium reduction.

  5. Incorrect Date of Installation:

    Entering the wrong date can create discrepancies in records, which may complicate the insurance process.

  6. Not Providing Labels:

    Failing to include the required labels from the roofing product packaging can invalidate the certification. Labels must clearly show the U.L. classification and manufacturer details.

  7. Ignoring Instructions:

    Overlooking specific instructions outlined in the form can lead to misinterpretation and incomplete submissions.

Being mindful of these common mistakes can help ensure a smoother experience when submitting the Roofing Certificate form. Taking the time to double-check all information can save you from potential headaches down the line.

Documents used along the form

When dealing with roofing installations and the associated insurance benefits, several important documents often accompany the Roofing Certificate form. Each of these documents plays a vital role in ensuring that homeowners can access the benefits they are entitled to while also providing necessary information to insurance companies and regulatory bodies. Below is a list of these documents along with brief descriptions of their purposes.

  • Building Permit: This document is issued by local government authorities and grants permission to homeowners or contractors to proceed with roofing work. It ensures that the project complies with local building codes and regulations.
  • Contractor’s License: A copy of the contractor’s license verifies that the roofing company is authorized to perform work in the area. This document helps protect homeowners by ensuring that they are hiring a qualified professional.
  • Insurance Policy Declarations Page: This page outlines the coverage details of the homeowner's insurance policy. It is essential for understanding the specific benefits and reductions applicable after the roofing work is completed.
  • Invoice or Receipt for Services Rendered: This document provides proof of payment for the roofing services. It is often required by insurance companies to validate claims related to roof installations or repairs.
  • Manufacturer’s Warranty: This warranty document provides assurance that the roofing materials used meet certain quality standards. It outlines the terms and conditions under which the manufacturer will cover defects or issues with the roofing materials.
  • Inspection Report: After installation, an inspection report may be generated to confirm that the roofing work was completed correctly and meets all necessary standards. This report can be beneficial for both homeowners and insurance providers.
  • Homeowner’s Affidavit: This sworn statement from the homeowner may affirm that the roofing work has been completed satisfactorily. It can also serve as a declaration of the homeowner's understanding of the terms associated with the roofing installation.

Understanding these documents can significantly ease the process of obtaining insurance benefits related to roofing work. Homeowners are encouraged to keep copies of all relevant paperwork for their records, as this can facilitate smoother interactions with insurance providers and ensure compliance with local regulations.

Similar forms

The Roofing Certificate form shares similarities with the Home Inspection Report, which is often used by buyers and sellers in real estate transactions. This report provides an overview of the condition of a home, including the roof. Like the Roofing Certificate, it can influence insurance premiums and overall property value. Both documents require detailed information about the property and the work done, ensuring that homeowners have the necessary documentation to support their claims or negotiations.

Another document akin to the Roofing Certificate is the Certificate of Insurance. This certificate verifies that a contractor has insurance coverage, which protects homeowners from potential liabilities during a roofing project. Both documents require specific details about the contractor and the work performed. They serve as proof of compliance with industry standards and help homeowners feel secure in their investment.

The Warranty Certificate is also similar in nature, as it guarantees the quality of materials and workmanship for a specified period. Homeowners receive this document after installation, just as they do with the Roofing Certificate. Both documents aim to provide assurance to homeowners regarding the durability and reliability of their roofing systems, ultimately impacting insurance premiums.

The Building Permit serves a similar purpose by ensuring that any construction or renovation meets local codes and regulations. This document is issued by the local government and confirms that the roofing work has been approved. Like the Roofing Certificate, it serves as a form of validation that the work was completed according to established standards, which can be beneficial when seeking insurance discounts.

In addition, the Final Inspection Report is comparable to the Roofing Certificate. This report is issued after a building inspector evaluates the completed roofing work. It confirms that the installation meets all safety and quality standards. Both documents provide evidence that the roofing installation has been performed correctly, which can help homeowners secure better insurance rates.

The Energy Efficiency Certificate is another related document, especially for roofs designed to improve energy efficiency. This certificate indicates that the roofing materials and installation meet certain energy standards. Like the Roofing Certificate, it can lead to reduced insurance premiums as well as energy savings for the homeowner, making it a valuable asset.

The Contractor's License is also relevant, as it verifies that the roofing company is legally authorized to perform work in the area. Homeowners often request this document alongside the Roofing Certificate to ensure that they are hiring a qualified professional. Both documents provide a level of assurance about the legitimacy and expertise of the contractor, which can impact insurance considerations.

The Manufacturer's Certification is similar as it confirms that the roofing materials used comply with specific standards set by the manufacturer. This document provides additional proof of quality, much like the Roofing Certificate, which ensures that the installation meets manufacturer specifications. Homeowners benefit from having both documents as they can substantiate claims regarding the quality of materials used in their roofing project.

Lastly, the Proof of Compliance form is comparable to the Roofing Certificate. This form is often used to demonstrate that the roofing installation adheres to local building codes and regulations. Both documents serve as verification that the work has been completed correctly and in accordance with applicable standards, which can help homeowners in discussions with insurance providers.

Dos and Don'ts

When filling out the Roofing Certificate form, it is important to follow specific guidelines to ensure accuracy and compliance. Here are five things you should and shouldn't do:

  • Do ensure all information is accurate and complete before submitting the form.
  • Do verify that the roofing materials meet the required U.L. Standard 2218 classification.
  • Do include the correct contact information for both the roofing company and the homeowner.
  • Do keep a copy of the completed form for your records.
  • Do sign the form with the authorized representative's original signature.
  • Don't leave any sections of the form blank; incomplete forms may delay processing.
  • Don't provide false information, as this could be considered fraud.
  • Don't forget to check that all labels on the roofing materials are present and legible.
  • Don't submit the form without confirming that all required documentation is attached.
  • Don't assume that verbal confirmations are sufficient; written documentation is necessary.

Misconceptions

Misconceptions about the Roofing Certificate form can lead to confusion among homeowners. Here are some common misunderstandings:

  • The form guarantees a premium reduction. The Roofing Certificate form does not guarantee a reduction in your insurance premium. It simply provides the necessary documentation to request one.
  • Any roofing company can fill out the form. Only authorized representatives from a licensed roofing company can complete and sign the form.
  • The certificate serves as a warranty. This form is not a warranty for the roofing work. It only certifies that the installation meets certain standards.
  • All roofs qualify for premium reductions. Not all roofing materials or installations qualify. The roof must comply with specific impact resistance classifications.
  • The form is only for new roofs. The certificate can apply to any roof installation that meets the necessary criteria, whether it’s new or a replacement.
  • Homeowners do not need to keep a copy. Homeowners should retain a copy of the completed certificate for their records and future reference.
  • Filling out the form is optional. While it is not mandatory to fill out the form, doing so is necessary to potentially receive a premium reduction.
  • The form can be submitted anytime. There may be deadlines for submitting the certificate to qualify for premium reductions. Check with your insurance provider.
  • Insurance companies are required to accept the form. Insurance companies may have their own requirements, so acceptance of the form is not guaranteed.

Key takeaways

When filling out the Roofing Certificate form, keep these key takeaways in mind:

  • Purpose of the Form: This certificate allows homeowners to receive a reduction in their residential insurance premiums.
  • Accurate Information: Ensure all details about the roofing company and the installation are correct, including the license number and contact information.
  • Impact Resistance: The roof covering must meet Underwriters’ Laboratory Standard 2218, with a specified impact resistance classification.
  • Labeling Requirements: Verify that the roof covering is properly labeled, indicating the U.L. classification and manufacturer's details.
  • Signature Requirement: An authorized representative from the roofing company must sign the form, certifying the installation.

Remember, any false information provided on this form can be considered fraud.

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