state farm class 4 form

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Roofing Installation Information and Certification for Reduction in Residential Insurance Premiums Notice to Homeowner. Completion of this certificate may entitle you to a reduction in your residential
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Please note this certificate is not intended or intended to replace the advice of a licensed property manager. How to Apply: If you have not already obtained the Certificate of Loss, please complete the application at the following link: Homeowner's Loss Completion. This application is not for use by individuals under the age of 18 (even if they have completed the same application as the individual below). 1. Please fill out all parts to this point. 2. Name: 3. Address: 4. Phone Number: 5. Email Address: 6. County: 7. State: 8. Zip Code: 9. What is your residential insurance policy type and number? 10. Are you eligible for a reduction in your residential insurance premium due to a repair? If so, please confirm your claim number: 11. What is your total claim amount? Please take the time to provide a detailed breakdown of all costs. 12. Is there anything else you need help with before you begin the application? Please note that once this process has ended, and your application has been processed, you will receive a response and a final determination for your application. This determination is based directly upon the results of the Application to Completion process. This process may take up to 15 days and may be subject to additional delays due to weather, holidays, holidays or events beyond our control. If you are not the authorized installer of the roof covering material, State Farm is not liable to reimburse you for work done on your roof by other roofing contractors or in-house installation. The only warranty provided, as stated above, is to the insured. It would be the insured's sole responsibility to ensure that these materials meet the requirements of State Farm, and to take further action according to your State Farm Master Policy, as outlined in the policy. Please note that this warranty does not include the use of any other products, including, but not limited to, water-borne, asbestos abatement, energy efficiency, roofing materials, fireproofing and structural integrity product, which are intended for residential use, where warranty coverage is offered at a reduced rate. We reserve the right to deny any application of a product that does not include these warranty disclaimers. Please allow up to 5 working days for the completion of this process. This includes all paperwork, forms, and related costs.  We will email you the completion certificate once we have received your completed application.
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