CertainTeed Fiberglass Horizon Shingles Claim Form
This document provides instructions and details about submitting a claim for CertainTeed Fiberglass Horizon Shingles. It outlines eligibility criteria, claim submission methods, and required documentation. Ensure you follow all instructions carefully to successfully submit your claim.
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How do I fill this out?
To fill out this claim form, make sure you have all necessary information and documentation ready. Start by providing your personal details and the information about the property. Carefully answer each question to ensure a complete submission.

How to fill out the CertainTeed Fiberglass Horizon Shingles Claim Form?
1
Read the instructions carefully before starting.
2
Gather all required documentation such as photos and proof of ownership.
3
Fill out the claim form completely, answering all questions.
4
Sign and date the form before submission.
5
Submit the form via email or mail by the deadline.
Who needs the CertainTeed Fiberglass Horizon Shingles Claim Form?
1
Property owners of buildings with CertainTeed shingles who have experienced damage.
2
Subsequent owners of properties with these shingles may need to file for issues they've encountered.
3
Contractors who installed CertainTeed shingles and need to address claims.
4
Real estate professionals assisting clients with property damage claims.
5
Insurance representatives needing information on claims related to roof damage.
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What are the instructions for submitting this form?
Submit the completed Claim Form by emailing it to FiberHZ@saint-gobain.com or mailing it to CertainTeed Roofing, Horizon Settlement Administrator, 805 W. 5th Street, Suite # 7, Lansdale, PA. 19446. Ensure your claim is postmarked by the deadline of March 2, 2030. For any questions, you can reach the Claims Administrator at 1-833-797-1001.
What are the important dates for this form in 2024 and 2025?
Important dates for the Claim Form submission include the final deadline of March 2, 2030. Ensure timely submission to avoid any complications. Additionally, keep track of any announcements related to the settlement status.

What is the purpose of this form?
The purpose of this form is to facilitate claims for homeowners with CertainTeed Fiberglass Horizon Shingles that have suffered defects. It is designed to collect necessary information from claimants to verify eligibility and expedite the claims process. By completing this form, property owners can seek remedies for damages effectively.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Full name of the claimant.
- 2. Co-Owner's Name: Name of any co-owner of the property.
- 3. Street Address: Address of the property in question.
- 4. City: City where the property is located.
- 5. State: State where the property is located.
- 6. Zip: Postal code of the property.
- 7. Daytime Phone: Best contact number during the day.
- 8. Alternate Phone: Secondary contact number.
- 9. E-mail: Email address for correspondence.
- 10. Consent to Receive Information: Consent indicating whether the claimant would like to receive information via email.
- 11. Current Owner: Confirmation of current property ownership status.
- 12. Co-Owners: Details of any co-owners associated with the property.
- 13. Original Owner or Eligible Transferee: Indication of whether the claimant is the original owner.
- 14. Installation Date: Approximate installation date of the shingles.
- 15. Builder/Contractor Information: Details of the builder or contractor who installed the shingles.
What happens if I fail to submit this form?
Failure to submit this form means you will not be eligible for any remedies under the settlement. Incomplete submissions may result in rejection and forfeiture of rights to compensation. It's vital to ensure all required documents and information are accurately provided.
- Incomplete Information: Not providing all required details can lead to claim rejection.
- False Information: Submitting incorrect data may invalidate your claim.
- Late Submission: Failing to submit by the deadline will automatically disqualify your claim.
How do I know when to use this form?

- 1. Homeowners: Property owners who have suffered damage from the mentioned roofing materials.
- 2. Real Estate Agents: Agents assisting clients in navigating the claims process.
- 3. Contractors: Contractors needing to address claims related to their installations.
Frequently Asked Questions
How do I edit the claim form?
You can edit the claim form by uploading it to PrintFriendly and using our editing tools.
What information do I need to submit?
You'll need documentation supporting your claim, including proof of ownership and photographs.
How can I share the edited document?
Use the share button on PrintFriendly to send your document via email or social media.
Can I save my edits?
You can download your edited document directly after making changes.
What if I forget to sign the document?
Ensure you use the signature tool before downloading the final version.
Is technical support available if I have questions?
Yes, assistance can be provided through our customer support for any queries.
Can I edit this PDF on my mobile device?
Yes, PrintFriendly can be accessed through mobile devices for editing needs.
Is there a specific format required for my submission?
Follow the guidelines provided in the instructions section of the claim form.
What should I do if my claim is rejected?
Contact the Claims Administrator for clarification and assistance.
When is the deadline to submit the form?
The claim form must be postmarked by March 2, 2030.
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