Homepage Fill Out Your 4 Point Inspection Form
Article Structure

The 4 Point Inspection form plays a critical role in evaluating the condition of key systems within a property, particularly for insurance purposes. Focused on the roof, electrical, HVAC, and plumbing systems, the form requires specific information to assess whether a property qualifies for insurance coverage. Each section includes essential details like the age of the systems, their operational status, and any visible hazards or deficiencies. Inspectors must provide adequate photographs that document the exterior of the dwelling, roof slopes, and significant components of the plumbing and electrical systems. This documentation is vital for the underwriting process, as it informs insurance providers about potential risks associated with the property. A licensed Florida inspector must complete and sign the form, confirming that the information presented is accurate and comprehensive. Any special instructions or additional notes should be carefully documented to ensure clarity and compliance with insurance guidelines.

4 Point Inspection Example

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

Form Characteristics

Fact Name Description
Purpose The 4-Point Inspection Form assesses the condition of four key systems: roof, electrical, HVAC, and plumbing.
Inspections Completion Only a Florida-licensed inspector can complete, sign, and date the form.
Photo Requirements Photos of each system are mandatory to support the findings documented on the form.
Governing Law This form complies with the Florida insurance regulations governing property inspections.
General Condition Standard Each system must be determined to be in "acceptable condition" to meet insurability requirements.
Hazard Reporting Any visible hazards or deficiencies must be reported in detail on the form.
Coverage Implications Underwriting may deny coverage if the systems inspected do not meet required standards.
Documentation of Repairs Sufficient documentation must be provided for any repairs, especially related to aluminum wiring.
Submission Review The writing agent must review forms to ensure all requirements are met before submission.

Guidelines on Utilizing 4 Point Inspection

Completing the 4-Point Inspection form is a crucial step in assessing the condition of a property for insurance purposes. This process requires careful attention to detail, ensuring that all sections are filled out accurately and comprehensively. Following these steps will help you gather the necessary information efficiently.

  1. Begin by entering the Insured/Applicant Name at the top of the form.
  2. Fill in the Application/Policy # next to the name.
  3. Provide the Address Inspected with complete details.
  4. Indicate the Actual Year Built of the property.
  5. Record the Date Inspected on the designated line.
  6. Collect all required photos—include each side of the dwelling, each slope of the roof, water heater, under cabinet plumbing/drains, exposed valves, main electrical panel (with interior door label), and the electrical box with the panel off.
  7. Ensure you have documentation of any hazards or deficiencies noted during the inspection.
  8. Complete the Electrical System section, including the type and total amps of the panels, and note whether the amperage is sufficient for current usage.
  9. Document any presence of wiring types such as cloth wiring or aluminum wiring, and detail any remediation done.
  10. Fill out the HVAC System section, noting whether central AC and heat are present, and provide the date of last servicing.
  11. In the Plumbing System section, verify that a temperature pressure relief valve is present on the water heater and check for signs of leaks.
  12. Indicate the general condition of plumbing fixtures and connections.
  13. Complete the Roof section, noting the roof covering material, its age, remaining useful life, and any signs of damage or leaks.
  14. Provide any additional comments or observations in the specified section provided on the form.
  15. Finally, ensure that the form is signed and dated by a Florida-licensed inspector, including their title and license number.

Once the form is filled out, it is essential to review it for completeness and accuracy before submission. Each inspection form must meet the required standards to ensure that the information is valid for underwriting purposes.

What You Should Know About This Form

What is a 4-Point Inspection Form?

A 4-Point Inspection Form is a document used to assess the condition of four main systems in a property: the roof, electrical system, HVAC (heating, ventilation, and air conditioning), and plumbing. This form provides essential information needed for insurance underwriting and helps determine the property's insurability. A licensed inspector must complete it to ensure accuracy and reliability.

Who needs to complete the 4-Point Inspection Form?

A Florida-licensed inspector is required to complete, sign, and date the 4-Point Inspection Form. This ensures that the inspection meets state standards and guidelines. The form should not be signed by anyone who is not licensed or qualified in Florida.

What information is required for each system on the form?

Each section of the form asks for specific details about the systems. For the roof, inspectors note the material type, age, and any visible damage. The electrical section requires information on the type of panel, amperage, and any hazards present. The HVAC section looks at the age of the system and if it’s functioning properly. Lastly, plumbing details cover any leaks, the condition of fixtures, and piping material. Photographs are also necessary for each system to provide visual verification of the inspector's findings.

Why are photographs necessary with the inspection form?

Photos are vital for supporting the information presented in the 4-Point Inspection Form. They help visualize the condition of the property's systems and ensure that the inspector has thoroughly documented their findings. The required photos include each side of the dwelling, each slope of the roof, and specific views of the plumbing and electrical systems.

What happens if the inspector finds a problem during the inspection?

If any hazards or deficiencies are found during the inspection, the inspector must document them in detail on the form. Additionally, these issues could affect the property's insurability. It's crucial for agents and property owners to address any serious problems before submitting the inspection form to an insurance company.

Can a non-licensed person fill out the form?

No, only a Florida-licensed inspector can complete the 4-Point Inspection Form. This rule ensures that the inspection is accurate and meets all legal requirements. If someone attempts to fill out the form without the proper licensure, the insurance application may be denied.

What if repairs are needed after the inspection?

If repairs are needed, it’s essential to have them completed by a qualified professional. After repairs, a new inspection may be necessary to confirm that the property now meets the required standards for insurance. Always keep documentation of any work done for future evaluations and inspections.

Common mistakes

When completing the 4 Point Inspection form, many individuals make common mistakes that can lead to misunderstandings or delays in processing insurance applications. One of the most frequent errors is leaving sections incomplete. Every field is important for assessing a property's insurability. Neglecting any part of the form, be it the insured's name or the specifics of the systems inspected, creates gaps in information that could hinder underwriting decisions.

Another mistake often seen is the failure to provide required photographs. Each system inspected should be accompanied by clear images, as specified in the guidelines. Not including these photographs can lead to the form being rejected, which may slow down the insurance process. It is essential to ensure that images of the dwelling, roof slopes, and significant plumbing and electrical components are attached.

Many individuals mistakenly assume that minor hazards do not need to be reported. It is crucial to note every deficiency or hazard, no matter how insignificant it may seem. Underwriting relies on complete and accurate data. Failing to mention even small issues could affect the coverage terms or lead to outright denial.

Another common error is lacking detailed explanations where ‘No’ is indicated for questions, such as whether systems are in good working order. Just providing a ‘No’ does not suffice; thorough remarks are necessary to clarify the issues found. This transparency helps the insurer understand the property's condition better.

People often mislabel systems or equipment, particularly when it comes to the types of electrical panels or HVAC systems. Accurate recording of these specifics is crucial for correct assessments. Confusing circuit types or not distinguishing between roof covering materials can lead to misinterpretations.

Moreover, some inspections may not be conducted by a Florida-licensed professional, which can invalidate the form. Using appropriate professionals is not just a requirement, it is also crucial for gaining the trust of the underwriting process. Any inspection form must not only be completed but also signed and dated by a qualified inspector.

A lack of clarity in supplemental information is another issue. When it comes to details on the age and condition of various systems, vague statements lead to confusion. Instead, provide precise descriptions, such as the year of installation and any major updates.

Additionally, individuals sometimes overlook the instructions regarding aluminum wiring remediation. If such wiring exists, documentation should be properly noted and included. This could have significant implications for both the safety rating and insurability of the property.

Another pitfall is not carrying over sufficient comments to explain any unsatisfactory conditions. If issues are identified, such as leaks or corrosion, it’s vital to detail them fully in the provided sections to ensure no misunderstandings arise down the line.

Lastly, many forget that the writing agent has a crucial role in reviewing the completed form before submission. Agents should confirm that all areas meet the outlined requirements, as any oversight can jeopardize the insurance process. Teamwork between homeowners, inspectors, and agents is key to a smooth application experience.

Documents used along the form

The 4-Point Inspection Form is a critical document used in the assessment of a property for insurance purposes. Several other forms and documents often accompany it, each serving a specific role in ensuring a thorough evaluation. Below is a list of these commonly used forms, detailing their purpose and what information they provide.

  • Roof Inspection Form: This form specifically assesses the condition of the roof. It verifies the roofing materials, age, and any visible damage or leaks, providing a focused view on this critical component of the home.
  • HVAC Inspection Report: This document details the status of the heating, ventilation, and air conditioning systems, ensuring they function correctly and comply with local regulations. An HVAC professional’s signature may be required.
  • Electrical Inspection Report: Conducted by a licensed electrician, this report evaluates the safety and functionality of the electrical systems. It highlights any code violations or safety hazards present in the electrical setup.
  • Plumbing Inspection Report: This form assesses the plumbing systems within the property, documenting the condition of pipes, fixtures, and potential leaks. It often requires signatures from qualified plumbing inspectors.
  • General Home Inspection Report: Often performed during the buying process, this comprehensive report covers various elements of the home, including structural integrity, appliances, and needed repairs, providing a holistic view of the property.
  • Insurance Application Form: This is a standard document that collects essential information about the property and the applicant, ensuring that underwriting has complete details to consider before issuing a policy.
  • Condominium Inspection Form: Specifically for properties within condominium associations, this form evaluates compliance with community standards and any associated risks, ensuring that all aspects of the unit meet insurance guidelines.

Each of these documents plays an essential role in the insurance assessment process, particularly for properties located in areas with specific requirements such as Florida. By gathering adequate information and documenting the condition of various systems, property owners can better prepare for successful insurance coverage. Proper preparation and timely submission are vital to avoid delays or complications in the underwriting process.

Similar forms

  • Home Inspection Report: Similar to the 4-Point Inspection form, a home inspection report provides a comprehensive evaluation of a property’s condition. It covers various systems, including plumbing, electrical, and structural integrity, but typically offers a more detailed examination of the home as a whole, rather than focusing on specific systems for insurance purposes.

  • Roof Inspection Report: This document specializes in assessing the roof’s health, covering aspects like material integrity, age, and potential leaks. Like the 4-Point Inspection, it includes photographic documentation and identifies any current issues that could affect the overall property conditions.

  • Electrical Inspection Report: Similar in focus, this report examines the electrical system’s safety and functionality. It scrutinizes elements like wiring, panel condition, and compliance with local codes, much like the electrical section in the 4-Point Inspection.

  • HVAC Inspection Report: This type of report is dedicated to evaluating heating, ventilation, and air conditioning systems. It shares similarities with the HVAC section of the 4-Point Inspection by determining system age, functionality, and any signs of potential issues affecting performance.

  • Plumbing Inspection Report: Focused strictly on plumbing, this document resembles the plumbing section of the 4-Point Inspection by addressing pipe integrity, potential leaks, and system age, ensuring that water supply and drainage systems are in operational order.

  • Insurance Underwriting Guidelines: While not an inspection report, underwriting guidelines outline what inspectors must examine to determine compliance with specific insurance criteria. These guidelines correspond with the details required in the 4-Point Inspection to assess risk accurately.

  • Property Condition Assessment (PCA): Conducted primarily for commercial properties, a PCA evaluates the overall physical condition of a property. It takes a broader approach but shares the goal of identifying issues that could affect insurability and property value, aligning with the intent of the 4-Point Inspection.

  • Residential Property Appraisal Report: This document assesses the value of a property, taking various factors into account, including its condition. While the focus is on valuation rather than specific systems, it may involve inspections similar to those in a 4-Point Inspection.

  • Radon Testing Report: This specific inspection measures radon levels in a property. Though concentrated on a singular risk, its structured format aligns with the 4-Point Inspection by detailing findings and compliance for safe occupancy.

Dos and Don'ts

When filling out the 4 Point Inspection form, there are several important dos and don'ts to ensure that the process is smooth and compliant. Below is a list that highlights key actions to consider:

  • Do provide clear and accurate details regarding the property, including the full address and year built.
  • Do ensure all required photos are taken as stipulated, covering each side of the dwelling and all relevant systems.
  • Do use precise descriptions when noting any hazards or deficiencies observed during the inspection.
  • Do have the form completed, signed, and dated by a licensed Florida inspector with appropriate credentials.
  • Don't leave any section blank, as every part of the form must be filled out in its entirety.
  • Don't falsify any information or provide misleading data about the property's condition.
  • Don't submit the form without double-checking that all requirements have been met by consulting any guidelines provided.

Following these simple dos and don'ts will help streamline the inspection process and improve the likelihood of a successful application.

Misconceptions

Misconceptions often arise around the 4 Point Inspection form, leading to misunderstandings about its purpose and requirements. Here are some common myths and the clarifications to set the record straight:

  • It's just a formality. While the 4 Point Inspection form may seem routine, it plays a critical role in assessing the insurability of a property. Underwriting relies on accurate information provided by a licensed inspector.
  • Any inspector can fill it out. Only Florida-licensed inspectors can complete and sign this form. This ensures that the inspection meets the necessary regulatory standards.
  • Photos aren’t really needed. In fact, accompanying photos are essential. Each side of the dwelling, all slopes of the roof, and vital components of the electrical and plumbing systems must be documented via photographs.
  • The form guarantees my home's safety. It is important to understand that the inspection is not a warranty or assurance of safety. It assesses current conditions but does not speak to the long-term suitability of systems.
  • Only major issues need to be reported. Any hazards or deficiencies found during the inspection must be noted on the form, regardless of size. Every detail contributes to a comprehensive overview.
  • Once signed, it can’t be changed. If significant issues are identified after signature, it is possible for the inspector to amend comments later. However, all changes must be properly documented.
  • This form replaces a full inspection. The 4 Point Inspection is limited in scope, focusing on four main systems: electrical, plumbing, HVAC, and the roof. It does not substitute for a thorough home inspection.
  • Only old homes need a 4 Point Inspection. Regardless of the home's age, if it is being evaluated for insurance, it requires this inspection. Newer homes may still have system deficiencies that the form aims to uncover.
  • It's only for homeowners. The 4 Point Inspection applies to all properties needing insurance coverage, which includes rental properties and commercial buildings as well.

Understanding the true nature of the 4 Point Inspection form helps ensure compliance and accuracy during the underwriting process. Each misconception clarifies the importance of open communication between homeowners, inspectors, and insurance agents.

Key takeaways

Completing the 4 Point Inspection form is crucial for ensuring a thorough assessment of the property. Here are some key takeaways for filling it out and using it effectively:

  • Ensure that an experienced Florida-licensed inspector signs and dates the form to validate the inspection.
  • Provide accurate information regarding the property, including the actual year built, address, and inspection dates.
  • Photographs are essential. Each section requires specific photos to corroborate the information provided.
  • Detail any hazards or deficiencies comprehensively. Clear descriptions assist underwriting in evaluating the property’s insurability.
  • Verify that all systems – electrical, plumbing, HVAC, and roof – are inspected, with a focus on their current condition and any hazards present.
  • Follow the minimum documentation requirements diligently to avoid delays in processing the application.
  • Review the completed form carefully before submission to ensure all information is accurate and complete, as this directly affects the application’s success.

Remember, accuracy and detail are essential in this process to protect all parties involved.