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Click ‘Get Form’ to open it in the editor.
Begin by entering the APPLICANT/INSURED NAME and APPLICATION/POLICY # in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the ADDRESS INSPECTED and DATE OF INSPECTION. This provides context for the certification and must reflect the actual inspection details.
In the Certification Information section, specify the ROOF COVERING type and approximate remaining useful life of the roof. This helps assess eligibility under Citizens rules.
Indicate the AGE OF ROOF and DATE LAST UPDATED. If any updates were made, select between Full Replacement or Partial Replacement.
Answer questions regarding visible signs of damage or leaks. If applicable, provide explanations in the space provided.
Upload two photos representing the roof’s condition directly through our platform to complete your submission.
Finally, have your inspector fill out their name, telephone number, signature, license type, and license number before submitting.

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2012	4.9 Satisfied (50 Votes)
2012	4 Satisfied (26 Votes)
2008	4.4 Satisfied (345 Votes)

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