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Content Overview

The Roofing Certificate form plays a crucial role in helping homeowners in Texas secure reductions in their residential insurance premiums. This essential document is designed specifically for residential property owners who have recently had roofing work completed. By completing this form, homeowners can demonstrate that their new roof meets certain standards, thus qualifying them for potential savings on their insurance costs. The form requires detailed information about the roofing company, including its name, address, and license number, as well as specifics about the roofing installation itself. Homeowners must provide their own details, such as the address of the residence and contact information. The roofing company’s authorized representative must certify that the installation complies with the manufacturer's specifications and meets the Underwriters' Laboratory Standard 2218 for impact resistance. Additionally, the form includes a section where the roofing company must confirm that the roof covering bears the appropriate labeling, ensuring transparency and compliance with regulations. It’s important to note that while this form facilitates premium reductions, it does not serve as a warranty from the roofing manufacturer, supplier, or installer. Proper completion and submission of the Roofing Certificate form can lead to significant financial benefits for homeowners, making it a vital component of the roofing process.

Key takeaways

Filling out and using the Roofing Certificate form is a crucial step for homeowners seeking to reduce their residential insurance premiums. Here are some key takeaways to keep in mind:

  • Purpose of the Form: The Roofing Certificate is designed specifically to help homeowners qualify for a reduction in their residential insurance premiums.
  • Certification Requirement: An authorized representative from the roofing company must complete the form, certifying that the installation complies with the manufacturer’s specifications.
  • Impact Resistance Classification: The roof covering must meet Underwriters’ Laboratory Standard 2218, which includes classifications ranging from Class 1 to Class 4 for impact resistance.
  • Labeling Compliance: The roofing materials must be properly labeled with the manufacturer’s name, date of manufacture, and U.L. classification to ensure compliance.
  • Documentation Copies: Homeowners should retain one copy of the completed form, while a second copy must be submitted to the insurance company.
  • Fraud Warning: Any intentional misrepresentation on the form can be considered fraud, which carries serious legal consequences.

Guide to Writing Roofing Certificate

Filling out the Roofing Certificate form is a straightforward process that can lead to savings on your residential insurance premiums. Follow these steps carefully to ensure all necessary information is accurately provided.

  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 and License Number (if applicable) for the roofing company.
  4. Next, complete the section labeled Address of Residence:
  5. Enter the Name of Owner and their Home Phone.
  6. Fill in the Office Phone, City, County, and Zip Code of the residence.
  7. The authorized representative of the roofing company should write their name in the designated area.
  8. Indicate the impact resistance Classification of the roof covering installed, selecting from Class 1, Class 2, Class 3, or Class 4.
  9. Provide the Manufacturers’ Name and Brand Name of the roofing material.
  10. Enter the Year Manufactured and the Date of Installation.
  11. Check one of the options regarding the labeling of the roof covering product packaging.
  12. Finally, the authorized representative should sign and date the form at the bottom.

Once the form is completed, make sure to keep one copy for your records and send another to your insurance company. This will help you secure the potential premium reduction you are entitled to.

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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 applying for a Roofing Certificate, several other forms and documents may be needed to complete the process. Each of these documents serves a specific purpose and can help ensure that everything is in order for your roofing project and insurance needs.

  • Insurance Application Form: This form is required to apply for a homeowner's insurance policy. It collects information about the property, the owner, and any existing insurance coverage.
  • Doctor's Excuse Note: A document provided by a healthcare professional that verifies an individual's medical absence, ensuring they can recover without penalty. For more information, visit smarttemplates.net/fillable-doctors-excuse-note.
  • Roofing Contract: This document outlines the agreement between the homeowner and the roofing contractor. It details the scope of work, materials to be used, and payment terms.
  • Building Permit: A permit issued by the local government that authorizes the roofing project. It ensures the work complies with local building codes and regulations.
  • Inspection Report: After the roofing installation, an inspector may evaluate the work. This report confirms that the installation meets safety and quality standards.
  • Warranty Document: This document provides details about the warranty on materials and workmanship. It outlines what is covered and for how long.
  • Proof of Insurance: Roofing contractors often need to provide proof of liability insurance. This protects homeowners in case of accidents or damage during the roofing project.
  • Homeowner's Acknowledgment Form: This form confirms that the homeowner understands the terms of the roofing project and the implications for their insurance policy.

Gathering these documents can facilitate a smoother process when applying for a Roofing Certificate and can help protect your interests as a homeowner. Ensure that all forms are completed accurately to avoid any delays or complications.