Fortifed Certficate Renewal Form

Fortified Homeowner Survey

* Indicates required field

Homeowner's Name *

First

Last

Email *

Phone Number *

Street Address *

City *

Zip Code *

State *

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? *

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

Have there been any additions to the home in the last 5 years? *

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

Additonal Notes or Comments *

Submit