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At the heart of efforts to make homeownership more sustainable and insurance premiums more affordable in Texas lies a document, the Texas PC068 form. This essential piece of paperwork serves a vital role in enabling residential property owners to secure a reduction in their insurance costs, specifically by certifying the installation of roofing that meets certain durability and impact resistance standards. By verifying the use of roofing materials that comply with Underwriters’ Laboratory Standard 2218, the form not only promises potential savings for homeowners but also symbolizes a commitment to higher building standards. The certificate must detail the roofing installation, including the company's information, specifics of the installed roof such as the manufacturer’s name, the brand, and the class of impact resistance. It's crucial to understand that this form, aside from offering a financial perk, is not a warranty but a pathway to premium reductions. The precision in its completion and submission encapsulates a process that, while straightforward in its intent, underscores a significant safeguard for homeowners against both natural elements and the variable cost of home insurance.

Preview - Texas Pc068 Form

PC068 | 0423

Impact-Resistant Roofing Installation Form

Notice to Homeowner

This form can show that a property has impact-resistant roofing. Some insurance companies may offer an insurance premium discount for buildings with impact-resistant roofing. This form is not to be construed as any type of express or implied warranty by the manufacturer, supplier, or installer. Property owners should keep the original and send a copy to their insurance company.

Roofing Company Information

Name

Address

City

 

State

 

ZIP

 

Phone

 

 

 

 

 

Property Information

Name

Address

City

 

State

 

ZIP

 

Phone

 

 

 

 

 

Manufacturer Information

Manufacturers’ name

Brand name

Year manufactured

 

Installation date

Labeling of products - the roof covering installed on the property listed above has the following labeling. Read the statement below and mark the checkbox if true:

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 was given to the owner of the property.

Texas Department of Insurance | www.tdi.texas.gov

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Certification

I,

 

 

, an authorized representative of

 

 

roofing company, do hereby certify that

I installed the roof covering on the property listed above according to manufacturer specifications. The roof covering is listed as complying with Underwriters’ Laboratory Standard 2218, Impact Standard for Impact Resistance of Prepared Roof Covering Materials, and has an impact resistance Classification of:

Class 1

Class 2

Class 3

Class 4

 

 

 

 

 

Roofing Company Representative Signature

 

 

 

Date

Texas Department of Insurance | www.tdi.texas.gov

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Form Data

Fact Name Detail
Form Purpose The Texas PC068 form enables residential property owners to obtain a reduction in their residential insurance premiums by certifying the installation of certain roof coverings.
Issuing Body Texas Department of Insurance, Property and Casualty Section – Personal and Commercial Lines Office.
Form Revision Date The form was revised in October 2004.
Contact Information Telephone number is 512-305-6711, fax number is 512-490-1014, and the department's website is www.tdi.texas.gov.
Installation Standards The certification asserts that the roof was installed in accordance with the manufacturer’s specifications and complies with Underwriters’ Laboratory Standard 2218 for Impact Resistance of Prepared Roof Covering Materials.
Recognition of Classification The form allows for the certification of roof coverings with an impact resistance classification of Class 1, Class 2, Class 3, or Class 4 under the U.L. Standard 2218.
Labeling Requirement After January 1, 1999, all individual roof covering units must be labeled with the U.L. classification, the manufacturer’s name, the date of manufacture, and the brand name.
Fraud Warning The form contains a notice that any intentional misrepresentation relating to the completion or presentation of the form constitutes fraud.

Instructions on Utilizing Texas Pc068

Completing the Texas PC068 form is a step that homeowners in Texas can take to potentially reduce their residential insurance premiums. This form serves as certification of roofing installation in accordance with specific standards that may qualify the homeowner for insurance benefits. It's important to fill out this form accurately and thoroughly to ensure proper processing and to make the most of the potential benefits.

  1. Start by entering the Name of Roofing Company that completed the installation.
  2. Fill in the roofing company’s Street Address, including City, County, and Zip Code.
  3. Include the roofing company's Phone number and License Number if applicable.
  4. Under “Address of Residence,” input the homeowner’s details starting with the Name of Owner.
  5. Provide the owner’s contact information, including Home Phone and Office Phone numbers.
  6. Enter the Address of the residence where the roof was installed, including City, County, and Zip Code.
  7. In the certification section, an authorized representative of the roofing company must fill in their name, then select the impact resistance Classification (Class 1, Class 2, Class 3, or Class 4) that applies to the installed roof covering.
  8. Provide the Manufacturers’ Name, Brand Name, Year Manufactured, and the Date of Installation.
  9. Choose the appropriate option indicating how the roof covering has been labeled to correspond with Underwriters’ Laboratory Standard 2218 requirements.
  10. An Original Signature of the roofing company’s authorized representative is required, along with the Date of signing.

After completing the form, ensure a copy is retained by the homeowner and a second copy is sent to the insurance company. Remember, accurate and truthful completion of this form is crucial, as any intentional misrepresentation may be considered fraud. This careful attention not only facilitates the process of potentially reducing residential insurance premiums but also maintains integrity in reporting and certification.

Obtain Answers on Texas Pc068

  1. What is the Texas PC068 form?

    The Texas PC068 form is a document issued by the Texas Department of Insurance, specifically within the Property and Casualty Section - Personal and Commercial Lines Office. Its primary purpose is to certify that a roof has been installed or replaced according to specific standards that meet the requirements for a reduction in residential insurance premiums. This certificate is valuable for homeowners looking to lower their insurance costs based on the quality and resilience of their roofing materials.

  2. Who needs to complete the Texas PC068 form?

    The roofing company responsible for the installation of the roof is required to complete the PC068 form. An authorized representative of the roofing company must provide details of the roofing installation, including compliance with Underwriters' Laboratory Standard 2218 for impact resistance, and sign the form to certify the information's accuracy.

  3. What information is required on the PC068 form?

    The form requires the roofing company's name, address, and phone number, as well as any license number they may have. It also needs the homeowner's name, home, and office phone numbers, alongside the installation address. The form specifies details about the roofing material used, such as the manufacturer’s name, brand name, year manufactured, and its impact resistance classification. Finally, the roofing company’s representative must sign and date the form.

  4. How does a homeowner benefit from the Texas PC068 form?

    By completing the PC068 form, a homeowner is entitled to a reduction in their residential insurance premiums. The certification serves as proof that the roof has been installed to meet specific standards known to reduce the risk of damage from external elements, which in turn lowers the risk profile for insurance companies.

  5. How is the impact resistance classification determined for roofing materials?

    The impact resistance classification of roofing materials, ranging from Class 1 through Class 4, is determined based on compliance with Underwriters' Laboratory Standard 2218. This standard assesses the durability of roofing materials against impacts that simulate real-world conditions, such as hail. The higher the class, the higher the material's impact resistance.

  6. What happens to the form after it is completed?

    Two copies of the completed form should be produced; one copy is retained by the homeowner for their records, and the second copy should be sent to their insurance company. The insurance company will then review the certification and adjust the homeowner's insurance premium accordingly.

  7. Is the PC068 form a warranty for the roofing installation?

    No, the PC068 form is not a warranty. The notice explicitly states that completion of this certification form is solely for the purpose of enabling residential property owners to obtain a reduction in their residential insurance premium, and it should not be construed as any type of express or implied warranty by the manufacturer, supplier, or installer of the roofing materials.

  8. What happens if false information is provided on the PC068 form?

    Providing false information on the PC068 form is considered fraud. Any intentional misrepresentation related to the completion or presentation of the form can have legal consequences for the parties involved. It is crucial that all information provided on the form is accurate and truthful.

  9. Why is the U.L. classification important for roofing materials?

    The U.L. (Underwriters Laboratories) classification is important because it provides a standardized measurement of a roofing material's durability and impact resistance. This rating helps insurance companies determine the risk level of covering a home and can lead to premium reductions for roofing that is more likely to withstand damage from hail and other hazards.

  10. After January 1, 1999, what labeling requirement changed for roofing materials?

    After January 1, 1999, all individual shingles, tiles, , panels, sheets, etc., must be separately labeled with the Underwriters' Laboratory Standard 2218 classification, the manufacturer's name, the date of manufacture, and the brand name. This change ensures greater traceability and assurance of quality for roofing materials.

Common mistakes

When filling out the Texas PC068 form, there are a few common mistakes that can lead to delays or even rejection. Understanding these can help ensure your form is processed smoothly. Here are six key areas to be mindful of:

  1. Not double-checking all sections are filled out. Every section of the form needs your attention. Skipping parts can lead to incomplete submissions.
  2. Incorrect classification selection. The form requires you to check the correct U.L. classification under Standard 2218. Selecting the wrong classification can misrepresent the quality of the roofing materials used.
  3. Forgetting to provide the label information. You must indicate if the roofing material’s packaging or the individual materials are labeled with the U.L. Standard 2218 classification. If this step is missed, it can create confusion about the materials' compliance.
  4. Not supplying the date of installation. The date when the roofing was installed is crucial for insurance purposes. Missing this date can lead to processing delays.
  5. Leaving the roofing company's license number blank, if applicable. If the roofing company has a license number, it must be included on the form. This information helps verify the reliability of the installation.
  6. Failing to retain a copy for personal records. The document mentions that one copy should be retained by the homeowner and the second copy sent to the insurance company. Not keeping a copy can put you at a disadvantage if any discrepancies arise.

Besides these specific mistakes, it’s also important to:

  • Ensure all personal contact information is current and accurately entered.
  • Review the form for any spelling or typographical errors, especially in names and addresses.
  • Confirm the correct labeling of products, as it directly impacts the certification’s validity.

By taking the time to carefully review and correctly fill out the Texas PC068 form, homeowners can streamline the process of obtaining a reduction in their residential insurance premiums.

Documents used along the form

Understanding the paperwork involved in Texas roofing projects can be a complex process, especially when seeking a reduction in residential insurance premiums. The Texas Department of Insurance provides the PC068 form, a crucial document for homeowners looking to lower their insurance costs after roof installation or replacement. However, this form is often just one piece of the puzzle. Several other forms and documents frequently accompany the PC068 form to ensure a smooth and compliant home improvement process.

  • Proof of Roofing Contractor's Insurance: This certifies that the roofing contractor has liability and workers' compensation insurance, protecting homeowners from potential liabilities during the roof installation process.
  • Building Permit: Required by many local municipalities before the commencement of roofing work, this document ensures the project adheres to building codes and standards.
  • Roofing Contractor's License: A copy of the contractor's license proves that the contractor is authorized to perform roofing work in the state of Texas.
  • Warranty Documents: These outline the terms of the warranty provided by both the roofing material manufacturer and the installation contractor, including the duration and what defects are covered.
  • Detailed Roofing Proposal: This document provides a comprehensive breakdown of the work to be done, materials to be used, project timeline, and the total cost.
  • Lien Waiver: Signed by the contractor upon project completion, this document protects the homeowner from any claims of unpaid bills by subcontractors or materials suppliers.
  • Inspection Report: A report from a final inspection that verifies the roofing project complies with local building codes and manufacturer installation guidelines.

Navigating the paperwork for roofing projects can be daunting, but each document plays a vital role in protecting the interests of homeowners and ensuring the work is performed to standard. From the initial contractor selection to the final inspection, understanding these documents can provide homeowners peace of mind throughout the process. Equipped with the right information, you can confidently manage your roofing project, keeping it on track and in line with local regulations and insurance requirements.

Similar forms

  • The Texas Windstorm Insurance Association (TWIA) Certification Form is similar because it also involves the certification of construction or installation standards to qualify for insurance benefits. Both forms are used to ensure that certain building standards are adhered to, which can affect insurance premiums.

  • The Home Improvement Contractor Agreement Form shares similarities as it often includes information about the quality and specifications of the work to be done, particularly roofing, to ensure compliance with local building codes and standards.

  • Building Permit Application forms share the focus on compliance with specific construction standards and codes. Like the PC068 form, they often require detailed information about the project and the contractors involved.

  • The Energy Efficiency Certificate is similar because both documents certify that certain conditions have been met to obtain financial benefits, such as reduced insurance premiums or tax rebates, based on the installation of specific products or compliance with certain standards.

  • Manufacturer’s Installation Certification forms are akin as they certify that products have been installed according to the manufacturer's specifications, much like the roofing installation information does for insurance purposes in the PC068 form.

  • Flood Elevation Certificate forms, used in flood-prone areas to determine flood insurance premiums, are similar in that they involve an assessment and certification process that can directly affect insurance costs, based on the compliance with certain criteria.

  • The Roof Condition Certification Form used by some insurers, is very similar as it assesses the condition and installation quality of roofing to determine insurance coverage and premiums, directly parallel to the purpose of the Texas PC068 form.

  • Property Inspection Reports often need to be submitted to insurance companies to assess risk or damage. These reports share a similar goal with the PC068 form in that they provide detailed information about the condition or modifications of a property that can impact insurance decisions.

Dos and Don'ts

Filling out the Texas PC068 form accurately is crucial for homeowners seeking a reduction in their residential insurance premiums. Here are some guidelines on what to do and what to avoid during the process:

Do:
  • Ensure all details are complete and accurate before submitting the form. Double-check the roofing company's information, including the license number if applicable, and the installation details such as the date and roofing classification.
  • Confirm the roofing material matches the Underwriters’ Laboratory Standard 2218 classification as indicated on the form, ensuring that the installed roof covering complies with the specified impact resistance class.
  • Keep a copy of the form for personal records. After the authorized representative of the roofing company signs the form, make sure to retain one copy for yourself and send the second copy to your insurance company as instructed.
  • Verify the roof covering product packaging and labeling information matches the details filled out on the form, including the U.L. classification, manufacturer’s name, date of manufacture, and brand name.
  • Contact the Texas Department of Insurance if you have any questions or need clarification on how the completion of this form may affect your insurance premiums.
Don't:
  • Submit incomplete or inaccurate forms. This can delay the process and potentially negate the possibility of receiving a premium reduction.
  • Overlook the labeling requirements for roof covering materials. As mentioned, post-January 1, 1999, each individual shingle, tile, shake, panel, sheet, etc., must be properly labeled with the necessary identification information.
  • Attempt to falsify information. Intentional misrepresentation on this form constitutes fraud and can have serious legal consequences.

Misconceptions

There are several misconceptions about the Texas PC068 form, which is crucial for homeowners looking to reduce their residential insurance premiums through proper roofing installation. Understanding these misconceptions can help in navigating the complexities of insurance discounts and ensure homeowners are correctly informed about the process and benefits.

  • Misconception 1: The PC068 form guarantees a warranty on your new roof. This form is actually for the purpose of obtaining a reduction in residential insurance premiums, not to provide a warranty from the manufacturer, supplier, or installer.

  • Misconception 2: Any roofing company can fill out the form. Only an authorized representative of the roofing company that performed the installation can certify the roof has been installed according to the manufacturer’s specifications, and that it complies with Underwriters’ Laboratory Standard 2218.

  • Misconception 3: You can submit the form at any time after installation. It's best to submit the PC068 form promptly after installation to ensure you can benefit from the insurance reduction as soon as possible. Delaying could delay your premium reduction.

  • Misconception 4: The form applies to commercial properties as well. The PC068 form is designed exclusively for residential properties. Commercial properties have different criteria for insurance premium reductions related to roofing installations.

  • Misconception 5: The insurance premium reduction is universal regardless of the roof's impact resistance classification. The level of reduction in your insurance premium can vary based on the roof covering's impact resistance classification (Class 1 through 4) as certified on the form.

  • Misconception 6: All parts of the roof must have the same classification. The entire roof installation must comply with a single impact resistance classification to qualify for a specific discount level, but it's misunderstood that all materials used must have individually the same classification.

  • Misconception 7: Once submitted, the insurance premium reduction is automatic. After submission, the insurance provider may require additional steps or documentation before applying the discount to your premium.

  • Misconception 8: The homeowner does not need to keep a copy of the form. It’s essential for the homeowner to retain a copy of the completed form for their records. This document might be necessary for future reference or in case of disputes regarding the insurance premium reduction.

Correcting these misconceptions helps homeowners better understand the benefits and requirements of the Texas PC068 form. It’s an essential step for those seeking to reduce their insurance premiums through proven roof installations, ensuring they are fully informed and prepared for the process.

Key takeaways

The Texas PC068 form is a vital document for homeowners looking to benefit from a reduction in their residential insurance premiums by certifying the installation of a qualifying roof. Understanding how to properly fill out and utilize this form is crucial for maximizing its benefits. Here are key takeaways:

  • Intended Purpose: The form is designed to enable homeowners to qualify for insurance premium reductions based on the installation of roofing materials that meet specific impact resistance standards (Underwriters’ Laboratory Standard 2218).
  • Not a Warranty: It's important for homeowners to understand that the completion of this certification does not serve as a warranty from the roofing manufacturer, supplier, or installer.
  • Roofer's Information: The document requires detailed information about the roofing company, including its name, address, and, if available, license number.
  • Homeowner's Details: The form must include the homeowner's name, home and office phone numbers, and the address of the insured residence.
  • Installation Certification: The roofing company's authorized representative must certify that the installed roof covering complies with the impact resistance classification outlined in U.L. Standard 2218.
  • Classification Labels: The form asks for the classification of the installed roofing material (Class 1 through Class 4) and details such as the manufacturer's name, brand name, and the year manufactured.
  • Labeling Requirements: Post-January 1, 1999, all roofing materials must be individually labeled with their U.L. classification, manufacturer’s name, date of manufacture, and the brand name.
  • Distribution of Copies: Upon completion, one copy of the form should be retained by the homeowner, and a second copy must be sent to the insurance company to facilitate the premium reduction.
  • Fraud Warning: The form includes a notice that intentionally misrepresenting any information on the document constitutes fraud, highlighting the legal implications of dishonesty.
  • Document Accessibility: The Texas Department of Insurance (TDI) provides access to this form, making it crucial for homeowners and roofing companies to obtain the most current version from the official TDI website or contact point.

Properly completing and submitting the Texas PC068 form can lead to significant savings on residential insurance premiums for homeowners who have invested in impact-resistant roofing materials. Both homeowners and roofing companies must pay close attention to the details and requirements outlined in the form to ensure compliance and avoid any potential issues with insurance claims or discounts.

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