The 4 Point Inspection Form is a crucial document used to assess the condition of a property's roof, electrical, HVAC, and plumbing systems. This inspection is typically required by insurance companies to determine whether a home meets their underwriting guidelines. Completing this form accurately is essential for ensuring your property is eligible for coverage.
To get started on your inspection, please fill out the form by clicking the button below.
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Filling out and utilizing the 4 Point Inspection form is crucial for ensuring the insurability of a property. Here are some key takeaways to keep in mind:
4-Point Inspection Form
Insured/Applicant Name:_________________________________________________ Application / Policy #:__________________________
Address Inspected:___________________________________________________________________________________________________
Actual Year Built:________________________
Date Inspected: ______________________________________________
Minimum Photo Requirements:
Dwelling: Each side
Roof: Each slope
Plumbing: Water heater, under cabinet plumbing/drains, exposed valves
Main electrical service panel with interior door label
Electrical box with panel off
All hazards or deficiencies noted in this report
A Florida-licensed inspector must complete, sign and date this form.
Be advised that Underwriting will rely on the information in this sample form, or a similar form, that is obtained from the Florida licensed professional of your choice. This information only is used to determine insurability and is not a warranty or assurance of the suitability, fitness or longevity of any of the systems inspected.
Electrical System
Separate documentation of any aluminum wiring remediation must be provided and certified by a licensed electrician.
Main Panel
Second Panel
Type:
Circuit breaker
Fuse
Circuit breaker Fuse
Total Amps: __________
Is amperage sufficient for current usage?
Yes No (explain)
Indicate presence of any of the following:
Cloth wiring
Active knob and tube
Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring):
* If single strand (aluminum branch) wiring, provide details of all remediation. Separate documentation of all work must be provided.
Connections repaired via COPALUM crimp Connections repaired via AlumiConn
Hazards Present
Double taps
Blowing fuses
Exposed wiring
Tripping breakers
Unsafe wiring
Empty sockets
Improper breaker size
Loose wiring
Scorching
Improper grounding
Other (explain)
Corrosion
Over fusing
General condition of the electrical system:
Satisfactory
Unsatisfactory (explain)
Supplemental information
Wiring Type
Panel age: __________
Copper
Year last updated: __________
Year last updated:__________
NM, BX or Conduit
Brand/Model: __________
Sample Form Insp4pt 01 18
HVAC System
Central AC:
Yes
No
Central heat:
If not central heat, indicate primary heat source and fuel type: _________________________________
Are the heating, ventilation and air conditioning systems in good working order?
No (explain)
Date of last HVAC servicing/inspection: ______________
Wood-burning stove or central gas fireplace not professionally installed?
Space heater used as primary heat source?
Is the source portable?
Does the air handler/condensate line or drain pan show any signs of blockage or leakage, including water damage to the surrounding area?
Yes No
Supplemental Information
Age of system: _____________
Year last updated: _____________
(Please attach photo(s) of HVAC equipment, including dated manufacturer’s plate)
Plumbing System
Is there a temperature pressure relief valve on the water heater?
Is there any indication of an active leak?
Is there any indication of a prior leak?
Water heater location: _______________________________________________
General condition of the following plumbing fixtures and connections to appliances:
Satisfactory Unsatisfactory
N/A
Dishwasher
Toilets
Refrigerator
Sinks
Washing machine
Sump pump
Water heater
Main shut off valve
Showers/Tubs
All other visible
If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.).
Age of Piping System:
Type of pipes (check all that apply)
_____
Original to home
Completely re-piped
PVC/CPVC
Partially re-piped
Galvanized
(Provide year and extent of renovation in the comments below)
PEX
Polybutylene
Other (specify)
Roof (With photos of each roof slope, this section can take the place of the Roof Inspection Form.)
Predominant Roof
Covering material: __________
Roof age (years): __________
Remaining useful life (years): __________
Date of last roofing permit: __________
Date of last update: __________
If updated (check one):
Full replacement Partial replacement
%of replacement: __________
Overall condition:
Unsatisfactory (explain below)
Any visible signs of damage / deterioration?
(check all that apply and explain below)
Cracking
Cupping/curling
Excessive granule loss
Exposed asphalt
Exposed felt
Missing/loose/cracked tabs or tiles
Soft spots in decking Visible hail damage
Any visible signs of leaks? Yes No
Attic/underside of decking Yes No
Interior ceilings Yes No
Secondary Roof
Additional Comments/Observations (use additional pages if needed):
All 4-Point Inspection Forms must be completed and signed by a verifiable Florida-licensed inspector. I certify that the above statements are true and correct.
Inspector Signature
Title
License Number
Date
Company Name
License Type
Work Phone
Special Instructions: This sample 4-Point Inspection Form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection report submitted for consideration must include at least this level of detail to be acceptable.
Photo Requirements
Photos must accompany each 4-Point Inspection Form. The minimum photo requirements include:
•Dwelling: Each side
•Roof: Each slope
•Plumbing: Water heater, under cabinet plumbing/drains, exposed valves
•Open main electrical panel and interior door
•Electrical box with the panel off
•All hazards or deficiencies
Inspector Requirements
To be accepted, all inspection forms must be completed, signed and dated by a verifiable Florida-licensed professional. Examples include:
•A general, residential, or building contractor
•A building code inspector
•A home inspector
Note: A trade-specific, licensed professional may sign off only on the inspection form section for their trade. (e.g., an electrician may sign off only on the electrical section of the form.)
Documenting the Condition of Each System
The Florida-licensed inspector is required to certify the condition of the roof, electrical, HVAC and plumbing systems. Acceptable Condition means that each system is working as intended and there are no visible hazards or deficiencies.
Additional Comments or Observations
This section of the 4-Point Inspection Form must be completed with full details/descriptions if any of the following are noted on the inspection:
•Updates: Identify the types of updates, dates completed and by whom
•Any visible hazards or deficiencies
•Any system determined not to be in good working order
Note to All Agents
The writing agent must review each 4-Point Inspection Form before it is submitted with an application for coverage. It is the agent’s responsibility to ensure that all rules and requirements are met before the application is bound. Agents may not submit applications for properties with electrical, heating or plumbing systems not in good working order or with existing hazards/deficiencies.
The Home Inspection Report is similar to the 4-Point Inspection Form in that both documents assess the condition of a home. Home inspectors evaluate various systems, including plumbing, electrical, and HVAC, much like the 4-Point Inspection focuses on these same areas. However, a Home Inspection Report typically provides a broader overview, covering more aspects of the home, such as structural integrity and safety features. This comprehensive approach helps potential buyers understand the overall condition of a property before making a purchase.
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The Roof Inspection Report shares similarities with the 4-Point Inspection Form, particularly in its focus on the roof's condition. Both documents require detailed information about the roof's age, material, and any visible damage. While the 4-Point Inspection includes roof assessment as part of a larger evaluation, a Roof Inspection Report usually concentrates solely on the roofing system. This focused analysis is essential for homeowners or buyers concerned about potential leaks and the roof's remaining lifespan.
The Electrical Inspection Report is another document akin to the 4-Point Inspection Form. Both reports examine the electrical systems within a property, identifying potential hazards and ensuring compliance with safety standards. The 4-Point Inspection Form includes specific questions about the electrical panel and wiring types, while an Electrical Inspection Report may provide a more detailed analysis of the electrical system's overall safety and functionality. This distinction is crucial for homeowners seeking to ensure their electrical systems are up to code.
Lastly, the HVAC Inspection Report is comparable to the 4-Point Inspection Form in that it evaluates heating, ventilation, and air conditioning systems. Both forms assess the condition and functionality of these systems, including their age and maintenance history. However, the HVAC Inspection Report often delves deeper into the performance of the system, providing recommendations for repairs or upgrades. This level of detail is particularly valuable for homeowners looking to optimize their energy efficiency and comfort.
Completing the 4 Point Inspection form is a crucial step in assessing the insurability of a property. This process requires careful attention to detail and accurate reporting of the condition of key systems within the home. Follow the steps below to ensure that the form is filled out correctly and thoroughly.
Once the form is completed, it is essential to review it thoroughly before submission. This ensures that all necessary details are included and that the inspection meets underwriting requirements. Proper documentation and clarity can significantly impact the insurability of the property in question.
The 4-Point Inspection Form is a crucial document used in property insurance applications, particularly in Florida. Along with this form, several other documents are often required to provide a comprehensive assessment of a property’s condition. These documents ensure that all relevant information is available for underwriting decisions. Below is a list of additional forms and documents commonly associated with the 4-Point Inspection Form.
In summary, these documents work in conjunction with the 4-Point Inspection Form to provide a thorough evaluation of a property. Together, they help ensure that all necessary information is available for making informed underwriting decisions. Proper documentation is vital for protecting both the insurer and the insured, ultimately contributing to a smoother insurance process.
Incomplete Information: Failing to fill out all required fields, such as the insured's name, application number, or address, can lead to delays in processing. Ensure every section is complete before submission.
Missing Signatures: The form must be signed and dated by a Florida-licensed inspector. Without this, the form will not be accepted, regardless of the completeness of the information provided.
Insufficient Photo Documentation: Not including the required photos can result in rejection. Each side of the dwelling, all roof slopes, and critical plumbing and electrical components must be photographed.
Neglecting Hazards: If any hazards or deficiencies are present, they must be noted in the report. Omitting this information can mislead underwriters and affect insurability.
Incorrect System Evaluations: It's essential to accurately assess the condition of each system. Labeling a system as “satisfactory” when it has issues can lead to serious consequences later.
Overlooking Supplemental Information: Providing details about the age and type of systems is crucial. Missing this information can create gaps in understanding the property's condition.
Inaccurate Descriptions: If the description of any system, like electrical or plumbing, is vague or incorrect, it can lead to misunderstandings. Clear and specific descriptions help in accurate assessments.
Failing to Document Updates: Any updates to the systems should be clearly documented, including dates and the nature of the work done. This information is vital for assessing the property’s current state.
Ignoring Agent Review: Before submission, the writing agent must review the form to ensure all rules and requirements are met. Skipping this step can result in rejected applications.
When filling out the 4 Point Inspection form, it is crucial to adhere to specific guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do: