Fill a Valid 4 Point Inspection Template Open Editor Here

Fill a Valid 4 Point Inspection Template

The 4 Point Inspection Form is a crucial document used to assess the condition of key systems in a property, including the roof, electrical, HVAC, and plumbing. This form must be completed by a licensed inspector and includes specific requirements for photos and documentation. To ensure your property meets underwriting guidelines, fill out the form by clicking the button below.

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Form Overview

Fact Name Description
Purpose The 4-Point Inspection Form is used to evaluate the condition of a home’s roof, electrical, HVAC, and plumbing systems for insurance purposes.
State Requirement In Florida, a licensed inspector must complete the form to ensure compliance with state regulations.
Photo Requirements At least six photos are required: each side of the dwelling, each slope of the roof, and specific plumbing and electrical components.
Inspector Credentials The form must be signed by a Florida-licensed inspector, which can include contractors or home inspectors.
System Certification Inspectors certify that each system is functioning properly and free of hazards or deficiencies.
Hazard Documentation Any hazards found must be documented in detail, including electrical issues like exposed wiring or improper grounding.
Amperage Assessment Inspectors must evaluate if the electrical amperage is sufficient for the home’s current usage.
HVAC Condition Inspectors assess the HVAC system's operational status, including age and last service date.
Plumbing Assessment The form checks for leaks and the condition of plumbing fixtures, including the water heater.
Submission Guidelines Agents must review the completed form to ensure all requirements are met before submitting it with an insurance application.

Common Questions

  1. What is a 4-Point Inspection Form?

    The 4-Point Inspection Form is a document used to assess the condition of four key systems in a home: the roof, electrical system, HVAC system, and plumbing. This inspection is often required by insurance companies to evaluate a property’s insurability.

  2. Who can complete the 4-Point Inspection Form?

    A Florida-licensed inspector must complete, sign, and date the form. Acceptable professionals include general contractors, residential contractors, building code inspectors, and home inspectors. Each inspector can only certify the section relevant to their trade.

  3. What are the minimum photo requirements?

    Photos are essential to accompany the 4-Point Inspection Form. The minimum requirements include:

    • Each side of the dwelling
    • Each slope of the roof
    • Water heater, under cabinet plumbing/drains, and exposed valves
    • Main electrical panel with the interior door open
    • Electrical box with the panel off
    • Any noted hazards or deficiencies
  4. What happens if a system is not in good working order?

    If any system is found to be unsatisfactory, the inspector must provide detailed comments. This includes noting any visible hazards or deficiencies, such as leaks or corrosion. The insurance agent will need to review these findings before submitting the application.

  5. Why is the 4-Point Inspection Form important for insurance?

    Insurance companies use the information from the 4-Point Inspection Form to determine whether a property is insurable. It helps them assess risks associated with the home's systems. However, it does not guarantee the suitability or longevity of those systems.

  6. What should I do if I have concerns about the inspection?

    If you have concerns regarding the inspection, it’s crucial to discuss them with your inspector. They can provide clarity on any issues noted in the report. Additionally, you may want to seek a second opinion from another licensed professional.

  7. How can I ensure my application is accepted?

    To increase the likelihood of your application being accepted, ensure that the 4-Point Inspection Form is fully completed, signed, and dated by a qualified inspector. The inspection must show that all systems are in good working order without any existing hazards or deficiencies.

Documents used along the form

When completing a 4-Point Inspection, several additional forms and documents may be necessary to ensure a comprehensive assessment of a property. These documents help provide a clearer picture of the property’s condition and aid in the underwriting process. Here’s a brief overview of some commonly used forms alongside the 4-Point Inspection form:

  • Roof Inspection Form: This document focuses specifically on the condition of the roof. It details the roofing materials, age, and any visible damage or leaks. This information is crucial for assessing potential risks associated with the roof.
  • HVAC Inspection Report: This report provides a detailed evaluation of the heating, ventilation, and air conditioning systems. It includes information about the system's age, service history, and any operational issues, ensuring that these essential systems are functioning properly.
  • Employment Verification Form: A crucial document for confirming a candidate’s job history and qualifications. For more details, refer to My PDF Forms.
  • Plumbing Inspection Report: This document highlights the condition of the plumbing system, including pipes, fixtures, and potential leaks. It helps identify any plumbing issues that could lead to significant damage if left unaddressed.
  • Electrical Inspection Report: This report focuses on the electrical systems within the property. It assesses the condition of wiring, panels, and any potential hazards, ensuring that the electrical system meets safety standards.
  • General Home Inspection Report: A more comprehensive evaluation of the entire home, this report covers various systems and structures, including the foundation, roof, and interior conditions. It provides a broader context for the specific findings in the 4-Point Inspection.

These documents play an important role in the overall evaluation of a property. By gathering detailed information from each inspection, you can ensure that all aspects of the home are considered, allowing for a more informed decision regarding insurability and safety. Always consult with qualified professionals to obtain accurate and thorough reports.

Preview - 4 Point Inspection Form

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

 

Type:

Circuit breaker Fuse

 

Total Amps: __________

 

 

Total Amps: __________

 

Is amperage sufficient for current usage?

Yes No (explain)

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

Main Panel

Second Panel

Wiring Type

Panel age: __________

Panel age: __________

Copper

Year last updated: __________

Year last updated:__________

NM, BX or Conduit

Brand/Model: __________

Brand/Model: __________

 

 

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

HVAC System

Central AC:

Yes

No

Central heat:

Yes

No

If not central heat, indicate primary heat source and fuel type: _________________________________

Are the heating, ventilation and air conditioning systems in good working order?

Yes

No (explain)

Date of last HVAC servicing/inspection: ______________

 

 

 

 

 

 

 

 

 

 

 

 

Hazards Present

 

 

 

 

 

 

 

Wood-burning stove or central gas fireplace not professionally installed?

Yes

No

 

Space heater used as primary heat source?

Yes

No

 

 

 

Is the source portable?

Yes

No

 

 

 

 

 

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?

Yes

No

 

Is there any indication of an active leak?

Yes

No

 

 

 

Is there any indication of a prior leak?

Yes

No

 

 

 

Water heater location: _______________________________________________

 

 

 

 

General condition of the following plumbing fixtures and connections to appliances:

 

Satisfactory Unsatisfactory

N/A

 

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.).

Supplemental Information

Age of Piping System:

 

Type of pipes (check all that apply)

 

_____

Original to home

 

Copper

 

 

 

 

 

_____

Completely re-piped

 

PVC/CPVC

 

 

 

 

 

_____

Partially re-piped

 

Galvanized

 

 

 

 

 

(Provide year and extent of renovation in the comments below)

 

PEX

 

 

 

 

 

 

 

 

Polybutylene

 

 

 

 

Other (specify)

 

 

 

 

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

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:

Satisfactory

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

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:

Satisfactory

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

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

 

 

Sample Form Insp4pt 01 18

4-Point Inspection Form

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.

Sample Form Insp4pt 01 18

Common mistakes

Completing the 4 Point Inspection form accurately is crucial for homeowners seeking insurance coverage. However, several common mistakes can lead to complications or delays in the underwriting process. Awareness of these pitfalls can help ensure a smoother experience.

One frequent error is incomplete information. Applicants often neglect to fill out all required fields, such as the insured's name, address, or the actual year built. Missing details can cause significant delays in processing the application, as underwriters require complete data to assess insurability.

Another mistake is failing to provide adequate documentation, particularly when it comes to photos. The form specifies minimum photo requirements for various systems, including the roof and plumbing. Submitting inadequate or unclear photos can lead to further inquiries or even rejection of the inspection report.

People sometimes overlook the need for a Florida-licensed inspector to complete the form. If the inspection is not conducted by a licensed professional, the entire report may be deemed invalid. This can result in wasted time and effort, as applicants must start the inspection process over again.

Inconsistent or vague descriptions of hazards and deficiencies are also common issues. For instance, if an inspector notes "unsatisfactory" conditions without providing specific details, the underwriter may not have enough information to make a decision. Clear and detailed explanations are essential for a comprehensive evaluation.

Another common oversight is neglecting to check all relevant boxes regarding the condition of systems. For example, if there are issues with the electrical system, but the box indicating "satisfactory" is checked, this can mislead underwriters and result in insurance complications later.

Lastly, failing to sign and date the form can render it incomplete. This is a simple yet critical step that many forget. Without a signature, the report lacks the necessary certification from the inspector, which is vital for the underwriting process.

By avoiding these mistakes, applicants can facilitate a smoother and more efficient insurance application process. Attention to detail is key in ensuring that all information is accurate and complete.

Similar forms

  • Home Inspection Report: Similar to the 4 Point Inspection form, a home inspection report evaluates the overall condition of a property. It covers major systems such as plumbing, electrical, and HVAC, providing a comprehensive overview of the home's condition.

  • Roof Inspection Form: This document focuses specifically on the roof's condition, detailing materials, age, and any visible damage. Like the 4 Point Inspection, it requires photographs and assessments of the roof's integrity.

  • Electrical Inspection Report: This report assesses the electrical systems in a property, including wiring, panels, and safety features. It shares a similar structure with the 4 Point Inspection by identifying hazards and providing recommendations for repairs.

  • HVAC Inspection Report: An HVAC inspection report evaluates heating, ventilation, and air conditioning systems. It is comparable to the 4 Point Inspection in that it checks for operational efficiency and identifies any potential issues.

  • Plumbing Inspection Report: This report focuses on the plumbing systems within a property, detailing the condition of pipes, fixtures, and potential leaks. It parallels the 4 Point Inspection by documenting any deficiencies and recommending necessary repairs.

  • Statement of Fact Texas Form: This document certifies specific details regarding vehicle transactions in Texas, requiring essential information such as the vehicle's year, make, and VIN, along with the buyer's name and address. For more information, visit https://texasdocuments.net/.

  • Insurance Underwriting Inspection: This type of inspection is conducted for underwriting purposes, similar to the 4 Point Inspection. It evaluates property conditions to determine insurability and compliance with insurance requirements.

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