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The Roofing Certificate form plays a crucial role for homeowners in Texas looking to reduce their residential insurance premiums. This form is designed specifically for residential property owners who have recently installed a new roof and wish to take advantage of potential savings on their insurance costs. By completing the certificate, homeowners can provide essential information about the roofing installation, including details about the roofing company, the type of materials used, and compliance with specific industry standards. The form requires the roofing company to certify that the installation meets the Underwriters’ Laboratory Standard 2218, which assesses the impact resistance of roofing materials. Homeowners must ensure that the roofing company provides accurate details, such as the manufacturer's name, brand, and the year the materials were manufactured. It is important to note that while this form 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 certificate for their records, while another copy must be submitted to the insurance company. Misrepresentation on this form can lead to serious legal consequences, underscoring the importance of honesty and accuracy in its completion.

Common mistakes

  1. Incomplete Information: Failing to fill in all required fields can lead to delays. Each section of the form is essential for processing your request.

  2. Incorrect License Number: Providing an incorrect or outdated license number can cause issues. Double-check this information to ensure accuracy.

  3. Missing Signature: The form must be signed by an authorized representative of the roofing company. Omitting this step will render the form invalid.

  4. Incorrect Classification: Selecting the wrong impact resistance classification can lead to misunderstandings. Ensure that you understand the classifications before making a selection.

  5. Failure to Provide Labels: Not including the required labels from the roofing product packaging can hinder the approval process. These labels serve as proof of compliance with standards.

  6. Not Keeping Copies: Neglecting to retain copies of the completed form can create complications. It’s wise to keep a copy for your records and provide another to your insurance company.

Key takeaways

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

  • Purpose of the Form: This certificate helps homeowners secure a reduction in their residential insurance premium.
  • Not a Warranty: The form does not serve as a warranty from the manufacturer, supplier, or installer.
  • Accurate Information: Ensure all details, such as the roofing company’s name and address, are filled out accurately.
  • Impact Resistance: The roof covering must comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
  • Labeling Requirements: Products must be labeled with the U.L. classification, manufacturer’s name, and date of manufacture.
  • Signature Required: An authorized representative of the roofing company must sign the form for it to be valid.
  • Copies of the Form: Keep one copy for your records and send another to your insurance company.

Understanding these points will help ensure a smooth process when applying for your insurance premium reduction.

Roofing Certificate Example

Clear All Fields

Print Form

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

 

 

 

Print Form

Understanding Roofing Certificate

What is the purpose of the Roofing Certificate form?

The Roofing Certificate form is designed to help homeowners obtain a reduction in their residential insurance premiums. By completing this form, homeowners can certify that their roof has been installed according to specific standards, which may qualify them for lower insurance rates. It’s important to note that this form does not provide any warranty from the manufacturer, supplier, or installer.

Who needs to fill out the Roofing Certificate form?

The form must be filled out by an authorized representative of the roofing company that installed the roof. This includes providing details about the roofing materials used and confirming that the installation meets the necessary standards. Homeowners will also need to provide their personal information and details about the property.

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. Name and contact information of the homeowner.
  3. Details about the roofing materials, including the manufacturer's name and the impact resistance classification.
  4. Date of installation.
  5. Signature of the roofing company’s authorized representative.

Completing all sections accurately is crucial to ensure the form is valid.

How does the impact resistance classification affect my insurance premium?

The impact resistance classification indicates how well the roofing material can withstand damage from severe weather conditions, such as hail. Roofs that meet higher classifications (like Class 3 or Class 4) are generally considered more durable and may lead to greater discounts on insurance premiums. Insurance companies often reward homeowners for investing in more resilient roofing materials.

What should I do after completing the Roofing Certificate form?

After the form is completed, it is essential to keep a copy for your records. The roofing company should also retain a copy. Additionally, send a copy to your insurance company to ensure you receive the premium reduction. Make sure to follow up with your insurer to confirm that they have processed the form and applied any applicable discounts.

How to Use Roofing Certificate

After filling out the Roofing Certificate form, you will need to submit it to your insurance company to qualify for a reduction in your residential insurance premium. Ensure that all information is accurate and complete, as any discrepancies may delay the process.

  1. Begin 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) of the roofing company.
  4. Next, complete the section titled Address of Residence with the homeowner’s details:
    • Name of Owner
    • Home Phone
    • Address
    • Office Phone
    • City
    • County
    • Zip Code
  5. In the certification statement, write the name of the authorized representative of the roofing company.
  6. Indicate the Date of Installation of the roof covering.
  7. Specify the Manufacturers’ Name and Brand Name of the roof covering.
  8. Select the appropriate Impact Resistance Classification (Class 1, Class 2, Class 3, or Class 4).
  9. Check one of the labeling options to confirm how the roof covering is labeled.
  10. Finally, the authorized representative must sign and date the form.

Make sure to keep one copy for your records and send the second copy to your insurance company. This will help ensure that you receive the premium reduction you are entitled to.