Roofing Installation Certification Form PDF Details

If you are a roofing contractor, it is important to be familiar with the roofing installation certification form. This document is used to certify that a certain installation meets specific requirements. In order to complete the form accurately, you must have a good understanding of the code requirements for roofing installations. The following tips will help you understand the certification form and ensure that your installations meet all required standards.

Here is some information that could be useful if you're seeking to find out how long it'll take you to complete roofing installation certification form and how many PDF pages it includes.

Form NameRoofing Installation Certification Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesclass 4 roof certification, state farm metal roof discount, state farm roof discount, roofing certification form

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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







Work Phone



City, State, Zip










, 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








Policyholder's Signature




One copy for Insurance Company


Second Copy to Policyholder

OFB 8350 09-12




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We were designing this PDF editor with the prospect of allowing it to be as quick make use of as possible. This is the reason the process of completing the state farm class 4 shingle certification is going to be effortless as you go through these actions:

Step 1: The first thing is to select the orange "Get Form Now" button.

Step 2: At this point, you are on the document editing page. You can add content, edit current data, highlight specific words or phrases, place crosses or checks, insert images, sign the file, erase unnecessary fields, etc.

Provide the necessary details in every segment to fill in the PDF state farm class 4 shingle certification

state farm roofing installation certificate fields to fill in

Enter the demanded particulars in I have installed in accordance, Class Brand Name, Class, Class, Year Manufactured, Date of Installation, The roof covering installed on, The roof covering product, The metal roof covering is gauge, Original Signature of Roofing, Policyholders Signature, Date, Date, One copy for Insurance Company, and Second Copy to Policyholder box.

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Step 3: Select the Done button to save the document. Now it is at your disposal for transfer to your gadget.

Step 4: To protect yourself from probable upcoming concerns, you should get as much as a pair of copies of each document.

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