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The Roofing Certificate form serves as a critical document for homeowners in Texas seeking to reduce their residential insurance premiums. This form, issued by the Texas Department of Insurance, is designed to certify that a roofing installation meets specific standards, particularly those outlined in Underwriters’ Laboratory Standard 2218. By completing this certificate, homeowners can qualify for premium reductions, making it an essential step in managing insurance costs. The form requires detailed information about the roofing company, including its name, address, and license number, as well as the homeowner's details. Furthermore, it necessitates that the roofing company’s authorized representative attest to the installation's compliance with manufacturer specifications and impact resistance classifications. Homeowners must be aware that the form does not serve as a warranty from the manufacturer, supplier, or installer. It emphasizes the importance of accurate labeling on roofing materials and mandates that each component of the roof covering be identified according to the required standards. The completion of this form not only facilitates potential savings on insurance premiums but also underscores the significance of adhering to safety and quality standards in roofing installations.
Dos and Don'ts
When filling out the Roofing Certificate form, keep these tips in mind:
- Do ensure all information is accurate and complete. Double-check names, addresses, and phone numbers.
- Don’t leave any sections blank. Each part of the form must be filled out to avoid delays.
- Do include the correct license number if applicable. This adds credibility to the installation.
- Don’t forget to sign the form. An unsigned form will not be accepted.
- Do provide the correct U.L. classification for the roofing materials used. This is crucial for the insurance premium reduction.
- Don’t misrepresent any information. Providing false details can lead to serious consequences.
Document Attributes
| Fact Name | Details |
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| Purpose | This form allows homeowners to certify roofing installations for a reduction in their residential insurance premiums. |
| Governing Authority | The form is governed by the Texas Department of Insurance, specifically the Property and Casualty Section. |
| Impact Resistance | The roofing material must comply with Underwriters’ Laboratory Standard 2218, which specifies classifications for impact resistance. |
| Labeling Requirement | Each roofing component must be labeled with the U.L. classification, manufacturer’s name, date of manufacture, and brand name. |
| Misrepresentation Clause | Any intentional misrepresentation on the form is considered fraud, which can have legal consequences. |
| Retention of Copies | One copy of the completed form must be retained by the homeowner, and another copy must be sent to the insurance company. |
Key takeaways
Filling out the Roofing Certificate form is an important step for homeowners looking to reduce their insurance premiums. Here are some key takeaways to keep in mind:
- Purpose: This form helps homeowners qualify for a reduction in their residential insurance premiums.
- Certification: The form is not a warranty from the manufacturer, supplier, or installer.
- Accurate Information: Ensure all details about the roofing company and installation are accurate.
- Impact Resistance: The roof covering must comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
- Labeling: The roof covering must be labeled according to specific standards, including the manufacturer’s name and date of manufacture.
- Signature Required: An authorized representative of the roofing company must sign the form.
- Keep Copies: Retain one copy for your records and provide another to your insurance company.
- Intentional Misrepresentation: Providing false information can be considered fraud.
- Installation Date: Clearly indicate the date when the roof was installed.
- Contact Information: Include accurate contact information for both the roofing company and the homeowner.
By following these guidelines, homeowners can navigate the process more easily and ensure they receive the benefits they are entitled to.
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Example - Roofing Certificate 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 |
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Home Phone |
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Address |
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Work Phone |
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City, State, Zip |
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I, |
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, an authorized representative of |
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Print Name of Representative |
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, do hereby certify that |
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Print Name of Roofing Company |
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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:
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Class 2 |
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Class 3 |
Class 4 |
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Manufacturer's Name |
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Brand Name |
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Year Manufactured |
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Date of Installation |
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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.
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Original Signature of Roofing Company's Authorized Representative |
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Date |
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Policyholder's Signature |
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One copy for Insurance Company |
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Second Copy to Policyholder |
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OFB 8350 |
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Print Form
Detailed Instructions for Writing Roofing Certificate
Completing the Roofing Certificate form is an essential step for homeowners seeking a reduction in their residential insurance premiums. Following the instructions carefully will ensure that the form is filled out correctly and submitted to the appropriate parties.
- Begin by entering the Name of Roofing Company at the top of the form.
- Fill in the Street Address, City, County, and Zip Code of the roofing company.
- Provide the Phone number of the roofing company.
- If applicable, include the License Number of the roofing company.
- Next, fill out the section labeled Address of Residence. Include the Name of Owner, Home Phone, Address, Office Phone, City, County, and Zip Code of the homeowner.
- In the certification section, the authorized representative of the roofing company must write their name in the space provided.
- Indicate the roof covering that has been installed, ensuring it complies with the manufacturer’s specifications.
- Specify the impact resistance Classification of the roof covering, selecting from Class 1, Class 2, Class 3, or Class 4.
- List the Manufacturers’ Name, Brand Name, and Year Manufactured of the roofing material.
- Enter the Date of Installation of the roof covering.
- Check one of the options provided regarding the labeling of products used in the installation.
- Finally, the authorized representative must provide their Original Signature and the Date of signing the form.
Once the form is completed, make sure to keep one copy for your records and submit the second copy to your insurance company. This process will help facilitate the reduction in your insurance premium, allowing you to benefit from the new roofing installation.
Documents used along the form
When applying for a reduction in residential insurance premiums through the Roofing Certificate form, several other documents may be required or beneficial to have on hand. These documents can help streamline the process and ensure that all necessary information is accurately conveyed. Below is a list of commonly used forms that complement the Roofing Certificate.
- Insurance Policy Declaration Page: This document summarizes the key details of your insurance policy, including coverage limits, deductibles, and the premium amount. It serves as proof of your current insurance status and helps the roofing company understand the specifics of your coverage.
- Contractor's License: A copy of the roofing contractor's license may be required to confirm that the installer is authorized to perform roofing work in your area. This document assures homeowners that the contractor meets local regulations and standards.
- Child Support Texas Form: This legal document outlines the financial responsibilities of parents regarding their children's support, and understanding it is crucial for compliance with legal obligations. For further assistance, you can refer to Texas Forms Online.
- Proof of Insurance: This document verifies that the roofing contractor carries liability insurance. It protects homeowners from potential damages or injuries that may occur during the roofing project, ensuring that the contractor is adequately covered.
- Building Permit: Depending on local regulations, a building permit may be necessary for roofing work. This document demonstrates that the project has been approved by local authorities, ensuring compliance with zoning and safety standards.
- Manufacturer's Warranty: This warranty outlines the terms and conditions provided by the roofing material manufacturer. It details coverage for defects or failures, providing homeowners with peace of mind regarding the quality of the roofing materials used.
- Inspection Report: An inspection report from a qualified inspector can provide an assessment of the roofing work done. This document can help validate the quality of the installation and may be requested by insurance companies as part of the premium reduction process.
Having these documents readily available can facilitate a smoother experience when submitting your Roofing Certificate form. Each document plays a vital role in ensuring that all parties involved have the necessary information to proceed with the insurance premium reduction process efficiently.