Original signature of roofing company s uthorized representative u l.
State farm roofing installation information certification.
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Proactively and reactively connecting the real estate community with nrcia certified roof inspectors and contractors.
Roofing installation information and certification for reduction in residential insurance premiums.
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.
To certify your eligibility print and complete the appropriate certification form.
We may collect personal information from you for business marketing and commercial purposes.
Roofing installation certification.
I an authorized representative of.
Completing this certificate may entitle you to a reduction in your residential insurance premium.
Name of roofing company.
Completing this certificate may entitle you to a reduction in your residential insurance premium.
Standard pc068 1004 print roofing installation information and certification for reduction in residential insurance premiums notice to homeowner.
Contact your state farm agent for more information regarding the roof installation information and certification form.
License if any address of residence installer must complete the following information before signing form name of owner.
Address of subject property based upon the inspection of a qualified roofer employed by this firm and upon his.
Completion of this certificate will entitle you to a reduction in your residential insurance premium.
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.
Completion of this certificate may entitle you to a reduction in your residential insurance premium.
State farm has a convenient online claim reporting process for roof claims as well as helpful information about choosing a qualified roof contractor.
Only products bearing the proper certification label are eligible for consideration.
Print name of representative.
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.
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.
This certification form is solely for the purpose of enabling residential property owners to apply for a reduction in their residential.
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 form.
