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Fill Out Your 4 Point Inspection Template

The 4-Point Inspection Form is a crucial document used to assess the condition of four key systems in a property: the roof, electrical, HVAC, and plumbing. This form, completed by a licensed inspector, provides essential information that helps determine a property's insurability. It is important for homeowners and agents to understand the details required in this inspection to ensure compliance and facilitate the insurance application process.

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The 4 Point Inspection form is an essential tool used to assess the condition of key systems in a property, particularly for insurance underwriting purposes. This form focuses on four major areas: the roof, electrical system, HVAC (heating, ventilation, and air conditioning), and plumbing. Each section requires detailed observations and documentation to ensure a thorough evaluation. For example, the roof section not only asks for the type of roofing material but also requires information about its age and any visible signs of damage. The electrical system section emphasizes the need for a licensed electrician to certify the condition of wiring and panels, while the HVAC section checks for the functionality of heating and cooling systems, including any hazards related to installations. Plumbing inspections cover the presence of leaks and the condition of fixtures, ensuring that all systems are functioning properly. Additionally, the form mandates the inclusion of photographs for visual confirmation of the conditions reported. This comprehensive approach helps insurance companies determine the insurability of a property and identify any potential risks that may need to be addressed.

Similar forms

The Home Inspection Report is similar to the 4-Point Inspection Form in that it evaluates the overall condition of a property. This report typically covers various systems in the home, including the roof, electrical, plumbing, and HVAC systems. Like the 4-Point Inspection, it requires a licensed inspector to assess and document any issues or hazards. The Home Inspection Report provides a comprehensive overview, which can help buyers make informed decisions about the property. It includes detailed descriptions and may also require photos to substantiate findings.

The Roof Inspection Report focuses specifically on the roof's condition, much like the roofing section of the 4-Point Inspection Form. This document assesses the roofing material, age, and any visible signs of damage or deterioration. Inspectors often include photos to illustrate their findings. Both reports aim to identify potential problems that could affect the property’s insurability or value. A thorough roof inspection can reveal issues that may not be immediately apparent, helping to avoid costly repairs down the line.

The Electrical Inspection Report is another document that shares similarities with the 4-Point Inspection Form. This report specifically examines the electrical systems in a property, including the main panel, wiring types, and any hazards present. Just like the 4-Point Inspection, it requires a licensed electrician to complete it. This report provides detailed information on the electrical system’s safety and functionality, ensuring that the property meets local codes and standards. It helps identify any necessary repairs or upgrades, which can be crucial for securing insurance coverage.

When assessing various property documents, it's essential to understand the role of the California Civil Form, which facilitates effective case management within California's court system. For those interested in filling out this form, you can find it at https://californiapdffoms.com/, ensuring compliance with all necessary legal procedures for civil actions.

The HVAC Inspection Report evaluates the heating, ventilation, and air conditioning systems in a property, paralleling the HVAC section of the 4-Point Inspection Form. This report assesses whether these systems are functioning correctly and identifies any potential issues. Inspectors will often document the age of the systems and any maintenance history. Both reports aim to ensure that the HVAC systems are in good working order, which is essential for comfort and energy efficiency in the home.

The Plumbing Inspection Report is similar to the plumbing section of the 4-Point Inspection Form, focusing on the condition of the plumbing systems in a property. This report examines fixtures, pipes, and any signs of leaks or corrosion. A licensed plumber typically conducts this inspection and provides detailed findings. Both documents serve to highlight any plumbing issues that could affect the property’s habitability and insurability. By identifying problems early, homeowners can address them before they escalate into more significant issues.

Form Specifications

Fact Name	Description
Purpose	The 4-Point Inspection Form evaluates the condition of four major systems: roof, electrical, HVAC, and plumbing, to assess a property's insurability.
Completion Requirement	A Florida-licensed inspector must complete, sign, and date the form for it to be valid.
Photo Requirements	Minimum photos must include each side of the dwelling, each slope of the roof, and specific plumbing and electrical components.
Insurability Determination	Underwriting relies on the information provided in the form to determine if a property is insurable, but it does not guarantee the condition of the systems.
Florida Law	Florida law mandates that all inspection forms must be completed by a licensed professional to be accepted for underwriting purposes.
System Condition Certification	The inspector must certify that each system is in acceptable condition, meaning it operates as intended without visible hazards.

Free 4 Point Inspection

Different PDF Templates

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Sample - 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: __________

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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
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
		Copper
_____	Completely re-piped	PVC/CPVC
		PVC/CPVC
_____	Partially re-piped	Galvanized
		Galvanized
(Provide year and extent of renovation in the comments below)		PEX
		PEX
		Polybutylene
		Other (specify)

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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

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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.

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