In the landscape of property insurance in Florida, the subtleties of compliance and risk assessment are navigated with meticulous documentation, one such being the Roof Condition Certification Form, or CIT RCF-1. Crafted as a pivotal instrument, this form underpins the eligibility criteria essentials set by Citizens, Florida's not-for-profit insurer of last resort, ensuring that properties meet specific standards before being underwritten. Tailored to assist homeowners along with insurance professionals, the form serves a dual role. It not only captures critical data pertaining to the condition, age, and upkeep of a roof, but also specifies the cadre of qualified inspectors authorized to validate these insights. These inspectors range across a spectrum from Florida-licensed contractors in various disciplines to registered architects and engineers, extending to building code officials and select home inspectors with affiliations to recognized bodies such as ASHI, FABI, or NACHI. Addressing the nuances of roof integrity, from cover type and lifespan to recent updates and visible impairments, it delivers a granular view into the roof's status, buttressed by a requirement for photographic evidence. Moreover, an intrinsic component of the form is a stern warning against fraud, signaling the legal implications of submitting false or misleading information, thus anchoring its significance in the realms of compliance and ethics.
| Question | Answer |
|---|---|
| Form Name | Form Cit Rcf 1 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | RoofConditionsE ligibility02 11 pics of cpic shares certificate form |
Roof Condition Certification Form
APPLICANT/INSURED NAME:__________________________APPLICATION/POLICY #:_______________
ADDRESS INSPECTED:___________________________________________________________________
DATE OF INSPECTION:_________________
This form is provided to assist you in complying with certain Citizens eligibility rules. The following “qualified inspectors” may complete the form:
•A
•A
•A
•A
•A building code official who is authorized by the State of Florida or its counties’ municipalities to verify building code compliance;
•A
(Note: This form does not verify loss mitigation features. Use Uniform Mitigation Verification Form,
Certification Information
Roof Covering: ______________ |
Approximate remaining useful life of the roof: __________ |
|
Age of roof (in years): _________________ |
Date last updated? _______________________________ |
|
What, if any, updates were completed? |
Full Replacement |
Partial Replacement |
Are there any visible signs of damage/deterioration (such as curling/lifted/loose/missing shingles or tiles,
sagging or uneven roof deck, etc.)? |
Yes |
No. If yes, explain________________________________ |
Are there any visible signs of leaks? |
Yes |
No. If yes, explain______________________________ |
Two photos representing the roof’s condition are required to be submitted with this form.
Florida Fraud Statement
Any person who knowingly and with the intent to injure, defraud, or deceive any insurer, files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.
_____________________________ |
__________________ |
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Inspector Name (printed) |
Telephone Number |
|
|
_____________________________ |
__________________ |
_______________ |
________ |
Signature of Inspector |
License Type |
License Number |
Date |
CIT