Homepage Blank Roofing Certificate Form
Outline

The Roofing Certificate form is an essential document for homeowners in Texas looking to reduce their residential insurance premiums. By completing this form, homeowners can certify that their roof has been installed according to specific manufacturer guidelines, which may qualify them for a discount on their insurance. The form requires important details such as the name and address of the roofing company, the license number, and the installation date. Additionally, it asks for information about the roofing materials used, including their compliance with Underwriters’ Laboratory Standard 2218, which assesses the impact resistance of roofing materials. Homeowners must also provide their own contact information and the address of the property where the roofing work was done. The roofing company's authorized representative must sign the form, confirming that all information is accurate and that the materials meet the required standards. This certification does not imply any warranty from the manufacturer or installer but serves solely to facilitate potential savings on insurance costs. It is crucial for homeowners to retain a copy of this form for their records and provide another copy to their insurance company. Misrepresentation in this process can lead to serious consequences, including claims of fraud.

Sample - Roofing Certificate Form

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

Form Information

Fact Name Description
Issuing Authority This form is issued by the Texas Department of Insurance, specifically the Property and Casualty Section.
Purpose The form is designed to help homeowners obtain a reduction in their residential insurance premiums.
Certification Requirement Completion of this certificate is mandatory for homeowners seeking insurance premium reductions.
Impact Resistance The roof covering must comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
Labeling Standards All roofing materials must be labeled according to U.L. Standard 2218, including the manufacturer's name and date of manufacture.
Signature Requirement An authorized representative of the roofing company must sign the form to validate the certification.
Fraud Warning Any intentional misrepresentation on this form may be considered fraud.
Retention of Copies One copy of the form must be retained by the homeowner, and another must be sent to the insurance company.
Contact Information The form includes contact details for the Texas Department of Insurance, including a phone number and website.
Governing Law This form is governed by Texas insurance laws and regulations pertaining to residential insurance premium reductions.

Detailed Guide for Filling Out Roofing Certificate

Once you have gathered all necessary information, you can begin filling out the Roofing Certificate form. This form is important for homeowners looking to receive a reduction in their residential insurance premiums. Make sure to fill it out accurately and completely to avoid any delays.

  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, enter the Address of Residence where the roofing work was completed.
  5. Fill in the Name of Owner and Home Phone number of the property owner.
  6. Complete the Office Phone, City, County, and Zip Code for the residence.
  7. In the certification section, the authorized representative of the roofing company should write their name.
  8. Indicate the Date of Installation of the roof covering.
  9. Choose the Impact Resistance Classification from Class 1, Class 2, Class 3, or Class 4.
  10. Provide the Manufacturers’ Name and Brand Name of the roof covering.
  11. Check one of the options regarding labeling of products to confirm compliance.
  12. Finally, ensure the Original Signature of the roofing company’s authorized representative is included, along with the Date.

Once the form is completed, make sure to keep one copy for your records and send another to your insurance company. It’s essential to double-check all entries to ensure accuracy before submission.

Obtain Answers on Roofing Certificate

  1. What is the purpose of the Roofing Certificate form?

    The Roofing Certificate form is designed to help residential property owners obtain a reduction in their insurance premiums. By completing this form, homeowners can demonstrate that their roof meets specific impact resistance standards, which may qualify them for lower rates on their insurance policies.

  2. Who needs to complete the Roofing Certificate form?

    The form must be completed by an authorized representative of the roofing company that installed the roof. This representative certifies that the installation meets the necessary manufacturer specifications and complies with Underwriters’ Laboratory Standard 2218.

  3. What information is required on the form?

    • Name and contact details of the roofing company
    • License number of the roofing company, if applicable
    • Name and contact information of the homeowner
    • Details about the roof covering, including the manufacturer’s name, brand name, year manufactured, and impact resistance classification
    • Date of installation

  4. What are the impact resistance classifications?

    The form specifies four classifications based on the Underwriters’ Laboratory Standard 2218: Class 1, Class 2, Class 3, and Class 4. Class 4 offers the highest level of impact resistance, making it the most desirable for insurance premium reductions.

  5. What happens if the information on the form is misrepresented?

    Any intentional misrepresentation related to the completion or presentation of the Roofing Certificate form is considered fraud. This can have serious legal implications for the individual or company involved.

  6. How should the completed form be submitted?

    Once the form is completed and signed by the roofing company’s authorized representative, it should be distributed in two copies: one for the homeowner and one for the insurance company. This ensures that both parties have a record of the certification.

  7. Is there a specific format for labeling the roofing products?

    Yes, the roofing products must be labeled according to the U.L. Standard 2218. This includes the manufacturer’s name, date of manufacture, brand name, and the impact resistance classification. After January 1, 1999, all individual roofing components must display this information.

  8. What should homeowners do with the Roofing Certificate?

    Homeowners should retain a copy of the Roofing Certificate for their records. This document may be required by their insurance company to validate the premium reduction. It is advisable to keep this certificate in a safe place alongside other important home documents.

  9. 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 or contact the Property and Casualty Section directly at 512-305-6711.

Common mistakes

Completing the Roofing Certificate form can seem straightforward, but many homeowners make common mistakes that can lead to complications. One frequent error is failing to include the name of the roofing company. This information is essential for proper identification and processing of the form. Without it, the certification may be deemed incomplete.

Another common mistake is neglecting to provide the license number of the roofing company, if applicable. This number serves as a verification of the company's legitimacy and qualifications. Omitting it can raise questions about the credibility of the installation.

Homeowners often forget to fill in the address of the residence where the roofing work was completed. This detail is crucial for linking the certification to the correct property. Inaccuracies in this section can lead to delays in processing or even rejection of the certificate.

Many individuals also overlook the importance of the date of installation. This date is necessary for determining the eligibility of the roofing system for the insurance premium reduction. Without it, the insurance company may not honor the request for a premium reduction.

Another mistake involves the classification of the roof covering. Homeowners sometimes fail to check the appropriate impact resistance classification box. This classification is vital for ensuring that the installed roof meets the necessary standards for premium reduction. Inaccurate information in this section could invalidate the certification.

Additionally, it is essential to ensure that the manufacturer's name and brand name are clearly stated. Missing this information can lead to confusion and could result in the insurance company questioning the validity of the roofing materials used.

Some homeowners neglect to provide the labeling of products as required. Each individual roofing component must be labeled according to the U.L. Standard 2218. If this information is missing, the certification may not be accepted, and the homeowner may miss out on potential savings.

Another common error is not obtaining the original signature of the roofing company’s authorized representative. This signature is a crucial element of the certification process. Without it, the form lacks the necessary authenticity, which can lead to complications with the insurance company.

Lastly, homeowners sometimes fail to keep track of the copies of the form as instructed. One copy should be retained by the homeowner, while another must be sent to the insurance company. Losing track of these documents can lead to disputes or issues with the insurance claim.

Documents used along the form

The Roofing Certificate form is an essential document for homeowners seeking to reduce their residential insurance premiums after installing a new roof. Several other forms and documents often accompany this certificate to provide additional information, ensure compliance, and facilitate the insurance process. Below is a list of related documents commonly used in conjunction with the Roofing Certificate form.

  • Insurance Policy Declaration Page: This document outlines the coverage details of a homeowner's insurance policy, including limits, deductibles, and the effective dates of coverage. It serves as proof of insurance for the property.
  • Roofing Contract: This agreement between the homeowner and the roofing contractor details the scope of work, materials to be used, payment terms, and timelines for the roofing project. It helps protect both parties in the transaction.
  • Manufacturer's Warranty: This document provides assurance from the roofing material manufacturer regarding the quality and longevity of the roofing products used. It typically outlines the terms and conditions of the warranty coverage.
  • Inspection Report: An inspection report may be generated by a licensed inspector to assess the condition of the roof before and after installation. This report can be useful for insurance claims or warranty validation.
  • Permit Application: Homeowners may need to submit a permit application to their local government before starting roofing work. This document ensures compliance with building codes and regulations.
  • Proof of Payment: This document serves as evidence that the homeowner has paid for the roofing services. It can be required by insurance companies to process claims or verify completed work.
  • Homeowner's Affidavit: This sworn statement by the homeowner can confirm that the roofing work has been completed according to the terms of the contract and that all necessary permits were obtained.
  • Insurance Claim Form: If the roofing work was performed due to damage, this form is used to file a claim with the insurance company. It outlines the specifics of the damage and the requested compensation.

Each of these documents plays a vital role in the roofing process and insurance claims. Homeowners should ensure they have all necessary forms completed and submitted to avoid any issues with their insurance premiums or claims in the future.

Similar forms

The Roofing Certificate form is similar to several other documents that serve specific purposes in the context of home improvement and insurance. Here are five documents that share similarities:

  • Home Improvement Contract: This document outlines the terms and conditions between a homeowner and a contractor for home renovations. Like the Roofing Certificate, it requires details about the work performed and can affect insurance premiums.
  • Certificate of Insurance: This document provides proof of insurance coverage for contractors. Similar to the Roofing Certificate, it assures homeowners that the contractor has the necessary coverage, which can influence insurance rates.
  • Building Permit: A building permit is required for construction or renovation projects. It verifies that the work meets local codes, much like how the Roofing Certificate verifies compliance with manufacturer specifications for insurance purposes.
  • Warranty Certificate: This document guarantees the quality and durability of materials used in construction. The Roofing Certificate does not imply a warranty but serves to confirm that the installation meets specific standards, similar to how a warranty certificate provides assurance to homeowners.
  • Inspection Report: An inspection report details the findings from a property inspection. It is similar to the Roofing Certificate in that both documents provide verification of compliance with standards, which can impact insurance premiums.

Dos and Don'ts

When filling out the Roofing Certificate form, it is important to follow certain guidelines to ensure accuracy and compliance. Below are seven things you should and shouldn't do.

  • Do provide complete and accurate information about the roofing company.
  • Do ensure the roofing installation details match the manufacturer's specifications.
  • Do include the correct U.L. classification for the roof covering.
  • Do retain a copy of the completed form for your records.
  • Don't omit any required information, such as the license number or address of the residence.
  • Don't sign the form without verifying all details are correct.
  • Don't misrepresent any information, as this can lead to fraud allegations.

By adhering to these guidelines, homeowners can facilitate a smoother process in obtaining a reduction in their residential insurance premium.

Misconceptions

Understanding the Roofing Certificate form can be tricky, and there are several misconceptions that often arise. Here are six common misunderstandings about this important document:

  1. It guarantees a premium reduction. Many people think that simply completing the form guarantees a reduction in their insurance premium. However, the form is meant to help you qualify for a reduction, not to ensure it automatically.
  2. It's only for new roofs. Some homeowners believe that the Roofing Certificate form can only be used for newly installed roofs. In reality, it can also apply to roofs that have been replaced or upgraded, as long as they meet the necessary standards.
  3. All roofing companies can fill it out. There’s a misconception that any contractor can complete the form. Only authorized representatives of roofing companies who meet specific qualifications can certify the installation.
  4. It serves as a warranty. Many homeowners mistakenly think that the Roofing Certificate acts as a warranty for the roof. This is not the case; the form is strictly for insurance purposes and does not imply any warranty from the manufacturer or installer.
  5. It doesn’t require specific information. Some believe that the form can be filled out with minimal detail. In fact, it requires specific information about the roofing materials, installation date, and compliance with standards to be valid.
  6. It can be submitted at any time. Lastly, there is a belief that the Roofing Certificate can be submitted whenever the homeowner chooses. However, it is essential to submit the form promptly after installation to ensure eligibility for the premium reduction.

By clearing up these misconceptions, homeowners can better navigate the process of obtaining their Roofing Certificate and enjoy potential savings on their insurance premiums.

Key takeaways

Here are some key takeaways about filling out and using the Roofing Certificate form:

  • Purpose of the Form: This certificate is designed to help homeowners reduce their residential insurance premiums.
  • Certification Requirement: The roofing company must certify that the installation meets the manufacturer’s specifications.
  • Impact Resistance: The roof covering must comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
  • Labeling: The roof covering must be properly labeled with the manufacturer’s name, date of manufacture, and brand name.
  • Documentation: Homeowners should retain a copy of the completed certificate for their records.
  • Insurance Company Submission: A second copy of the certificate must be sent to the homeowner's insurance company.
  • Misrepresentation Warning: Any intentional misrepresentation on the form is considered fraud and can have serious consequences.
  • Signature Requirement: An authorized representative of the roofing company must sign the form to validate it.

By following these key points, homeowners can effectively utilize the Roofing Certificate form to secure potential savings on their insurance premiums.