State Farm Roofing Installation Information Certification

Name of roofing company.

State farm roofing installation information certification.

Only products bearing the proper certification label are eligible for consideration. Completing this certificate may entitle you to a reduction in your residential insurance premium. Roofing installation information and certification form cwrfcert 06 13 127357 0713 05 ds notice to insured. I an authorized representative of.

Original signature of roofing company s uthorized representative u l. Print name of representative. This certification form is solely for the purpose of enabling residential property owners to apply for a reduction in their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer supplier installer state. Application of a discount to be construed as any type of an express or implied warranty by the manufacturer supplier installer or state farm.

Roofing installation information and certification for reduction in residential insurance premiums. Roofing installation certification. Address of subject property based upon the inspection of a qualified roofer employed by this firm and upon his. This certification form is solely for the purpose of enabling residential property owners to apply for a reduction in their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer supplier installer or united services automobile association.

Roofing installation information and certification form. Completion of this certificate may entitle you to a reduction in your residential insurance premium. We value your privacy. Thoroughly training and certifying capable roof inspectors and roof contractors to use its patent pending process to perform inspections to determine if a roof qualifies for a leakfree roof certification.

Standard pc068 1004 print roofing installation information and certification for reduction in residential insurance premiums notice to homeowner. State farm has a convenient online claim reporting process for roof claims as well as helpful information about choosing a qualified roof contractor. Contact your state farm agent for more information regarding the roof installation information and certification form. Contact your state farm agent before installing an impact resistant roof or for more information about roofing discounts and other home safety and security information.

License if any address of residence installer must complete the following information before signing form name of owner. Roof is certified or warranteed or guaranteed to be moisture proof for a minimum of two years xyz roofing contractors 1234 main street anytown state 00000 state roofing license number 00012345 certification re. To certify your eligibility print and complete the appropriate certification form. Completion of this certificate will entitle you to a reduction in your residential insurance premium.

We may collect personal information from you for business marketing and commercial purposes. This certification form is solely for the purpose of enabling residential property owners to apply for a reduction in their residential.