Pc 327 Wdr 1 Form PDF Details

In the state of Texas, individuals and businesses seeking to address and formally document appliance-related water damage repairs must familiarize themselves with the Pc 327 Wdr 1 form. Issued by the Texas Department of Insurance, specifically under the Property and Casualty Section for Personal and Commercial Lines, this form serves as a crucial piece of documentation. It not only signifies the repair or replacement of damaged appliances but also ensures that all associated physical damage has been appropriately remediated. The form necessitates detailed information including the certificate number, date of issuance, and particulars about the property and appliance in question. Additionally, it bears testament to the completion of an inspection that aligns with stipulated guidelines in 28 Texas Administrative Code §§ 21.1007 (a), (b), and (d). Upon completion, the certificate is signed off by a licensed inspector or engineer, confirming adherence to regulatory standards and paving the way for claims processing. With an effective date from January 1, 2004, this certificate underscores the commitment of Texas to uphold standards in property repairs and claims resolution, providing a streamlined process for individuals and businesses alike.

QuestionAnswer
Form NamePc 327 Wdr 1 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPC327, wdr 1 form, 104-PC, remediated

Form Preview Example

Texas Department of Insurance

Property and Casualty Section – Personal and Commercial Lines Office

Mail Code 104-PC, 333 Guadalupe P. O. Box 149104, Austin, Texas 78714-9104 512-305-6711 telephone 512-490-1014 fax www.tdi.texas.gov

CERTIFICATE OF APPLIANCE-RELATED

WATER DAMAGE REMEDIATION

Certificate Number

 

Date of Issuance

Name

Mailing Address

City

 

 

 

 

 

 

State

 

 

 

 

 

Zip

 

Property Description:

 

 

 

 

 

 

 

 

 

 

Number

 

 

Street

 

 

 

Lot

 

 

 

 

Block

 

Addition or Tract

 

 

 

City

 

 

 

County

 

 

 

 

 

Description of Appliance Subject to Claim

I hereby certify that the appliance described in this certificate has been properly replaced or repaired and that any physical damage associated with the appliance-related claim has been properly remediated, repaired, and/or replaced.

This inspection was conducted in accordance with the requirements contained in 28 Texas Administrative Code §§ 21.1007 (a), (b), and (d).

Inspector’s Signature

 

 

Date

 

 

 

 

Type of Inspector or Engineer

 

 

Inspector’s License Expiration Date

PC327 WDR-1 (Effective 1/1/04)

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