Pennsylvania Statutes Title 40 P.S. Insurance § 1615.7. Anti-arson application required

(a) No insurer may enter into a permanent contract to insure any building, except one to four family owner-occupied dwellings, against the peril of fire to be issued after the effective date of this act unless such insurer first receives an anti-arson application signed and affirmed by the insured, if required by the Insurance Commissioner in accordance with the provisions of this act. Each anti-arson application shall contain the following language:

I (we) certify that all information contained herein is true and correct to the best of my (our) knowledge and belief. Signed under the pains and penalties of perjury.

Nothing contained in this subsection shall prohibit the issuance of a temporary contract of insurance, known as a binder, for a period of 90 days or less, provided that the anti-arson application is provided to the insured for completion in accordance with this section.

(b) Any anti-arson application required by this act shall be deemed a material part of the insurance policy to which the application pertains. A material misrepresentation shall be deemed grounds to void the insurance policy.

(c) Policyholders shall notify their insurer in writing of any change in the information contained in the anti-arson application, within a period of time to be specified by the Insurance Commissioner. A material failure to notify or a material misrepresentation in such notification shall be deemed grounds to void the insurance policy.