Fortified Certificate Renewal Form

Fill out the homeowner survey form below and we’ll contact you to book a renewal inspection.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

FEH ID Number from your existing Certification (if known)

Has any portion of the roof cover (shingles, metal, tile, etc.) on your home been damaged, repaired, or replaced in the last 5 years?(Required)

Have any of the systems listed been damaged, repaired, replaced or upgraded in the last 5 years? Select all that apply.(Required)

Attic Ventilation, Roof Vents, or Soffits

Window or Door Shutter Systems

Windows and Doors

Garage Doors

Unknown

None of the above

Have there been any additions to the home in the last 5 years?(Required)

Has any space been enclosed or conditioned in the last 5 years? *(Required)

How did you hear about us?(Required)

Please tell us how you heard about us(Required)

Additional Notes or Comments

Comments

This field is for validation purposes and should be left unchanged.

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