State Farm Class Iv Roofing Form

Roofing installation information and certification form.

State farm class iv roofing form.

Box 2316 bloomington il 61702 2316. We may collect personal information from you for business marketing and commercial purposes. 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 resi. The ibhs is one of the organizations including state farm.

Roofing company do hereby certify that i have inspected or installed in accordance with the manufacturer s specifications on the above described residence a roof shingle tile panel sheet etc. One year cds cds at maturity and ira money market saving. The roof covering product packaging indicates the u l. To be eligible for a reduction in your homeowners insurance premiums you will need to complete the roofing installation information and certification form.

Traditional ira contribution instructions deposit funds into a traditional ira. Before installing an impact resistant roof and for more information about roofing discounts please contact your state farm agent. Year manufactured date of installation. To learn more about impact resistant roofing materials contact a state farm agent today.

Class 1 class 2 class 3 class 4. Roof coverings that have passed the ul standard 2218 test are classified by ul as either class 1 2 3 or 4. Approved laboratory roof class location ul class 1 2 3 and 4 tx only. Class 1 class 2 class 3 class 4.

Class 4 class 3. To certify your eligibility print and complete the appropriate certification form. Contact your state farm agent before installing an impact resistant roof or for more information about roofing discounts and other home safety and security information. Original signature of roofing company s authorized representative date one copy to be retained by homeowner second copy to insurance company 530 645 b 4 rev.

After completing a tax qualified account form fax it along with a cover letter to 855 261 6713 or mail it to state farm bank operations tax qualified unit p o. Appearing on the state farm qualifying roofing products listing as of the date of installation. Shingles on an impact resistant roof are designed to withstand high winds and hail damage and have a class 4 rating see below. Class 4 roof covering is the most impact resistant roof and receives the highest premium discount.

10 15 18 1003873 155457 05 14 2019 any intentional misrepresentation relating to the completion or presentation of this form constitutes fraud. Stance of prepared roof covering materials with an impact resistance classification of. We value your privacy. State farm has a convenient online claim reporting process for roof claims as well as helpful information about choosing a qualified roof contractor.