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The 4 Point Inspection Form plays a crucial role in evaluating the condition of key systems in a home. This form is typically required by insurance companies when a property is being insured. It focuses on four main areas: the roof, electrical system, HVAC (heating, ventilation, and air conditioning), and plumbing. Each section of the form requires specific details about the condition of these systems, including their age, any visible hazards, and whether they are functioning properly. Photos must accompany the form to provide visual evidence of the property's condition. A licensed inspector in Florida must complete the form, ensuring that all information is accurate and up to date. This inspection is not just a formality; it helps assess the insurability of the property and identifies any potential risks that may need to be addressed. Understanding the 4 Point Inspection Form can help homeowners and prospective buyers navigate the insurance process with confidence.

Form Sample

4-Point Inspection Form
S
ample Form Insp4pt 01 18
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
Type: Circuit breaker Fuse
Total Amps: __________
Is amperage sufficient for current usage? Yes No (explain)
Second Panel
Type: 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
Blowing fuses
Tripping breakers
Empty sockets
Loose wiring
Improper grounding
Corrosion
Over fusing
Double taps
Exposed wiring
Unsafe wiring
Improper breaker size
Scorching
Other (explain)
General condition of the electrical system: Satisfactory Unsatisfactory (explain)
Supplemental information
Main Panel
Panel age: __________
Year last updated: __________
Brand/Model: __________
Second Panel
Panel age: __________
Year last updated:__________
Brand/Model: __________
Wiring Type
Copper
NM, BX or Conduit
4-Point Inspection Form
Sample Form Insp4pt 01 18
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
Dishwasher
Refrigerator
Washing machine
Water heater
Showers/Tubs
Satisfactory Unsatisfactory N/A
Toilets
Sinks
Sump pump
Main shut off valve
All other visible
If unsatisfactory, please provide comments/details (leaks, wet/soft spots, mold, corrosion, grout/caulk, etc.).
Supplemental Information
Age of Piping System:
_____ Original to home
_____ Completely re-piped
_____ Partially re-piped
(Provide year and extent of renovation in the comments below)
Type of pipes (check all that apply)
Copper
PVC/CPVC
Galvanized
PEX
Polybutylene
Other (specify)
4-Point Inspection Form
Sample Form Insp4pt 01 18
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)
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
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
4-Point Inspection Form
Sample Form Insp4pt 01 18
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.

Document Specifications

Fact Name Description
Purpose The 4-Point Inspection Form is used to assess the condition of a property's roof, electrical, HVAC, and plumbing systems for insurance underwriting purposes.
Minimum Requirements Florida requires that the form be completed by a licensed inspector, who must sign and date the document to ensure its validity.
Photo Documentation Photos of the dwelling, roof, plumbing, and electrical systems must accompany the form to provide visual evidence of the conditions reported.
Inspections and Hazards Inspectors must identify any visible hazards or deficiencies in the systems being evaluated, as these affect insurability.
State-Specific Law In Florida, the governing law for the 4-Point Inspection Form is outlined in the Florida Statutes, specifically regarding property insurance and underwriting practices.
System Certification The inspector must certify that the inspected systems are in acceptable condition, meaning they function as intended without visible hazards.
Agent Responsibilities Agents must review the completed form to ensure compliance with all requirements before submitting it with an application for coverage.

Steps to Filling Out 4 Point Inspection

Completing the 4 Point Inspection form requires careful attention to detail. Each section of the form addresses specific systems within the property, and accurate information is essential. Once the form is filled out, it must be signed and dated by a Florida-licensed inspector. Make sure to attach the necessary photos as specified in the guidelines.

  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 in the designated space.
  4. Record the Actual Year Built of the property.
  5. Indicate the Date Inspected in the appropriate section.
  6. Ensure you meet the Minimum Photo Requirements for each system, including:
    • Each side of the dwelling
    • Each slope of the roof
    • Water heater and under cabinet plumbing/drains
    • Main electrical service panel with the interior door label
    • Electrical box with the panel off
    • Any hazards or deficiencies noted in the report
  7. Complete the Electrical System section:
    • Fill in details for the main and second panels, including type and total amps.
    • Answer whether the amperage is sufficient for current usage.
    • Indicate the presence of any wiring issues or hazards.
    • Provide the general condition of the electrical system.
  8. Move on to the HVAC System section:
    • Indicate whether there is central AC and heat.
    • State if the systems are in good working order.
    • Provide the date of the last HVAC servicing/inspection.
  9. Fill out the Plumbing System section:
    • Indicate if there is a temperature pressure relief valve on the water heater.
    • Note any active or prior leaks.
    • Provide the general condition of plumbing fixtures and connections.
  10. Complete the Roof section:
    • Specify the predominant roof covering material and its age.
    • Indicate the overall condition and any visible signs of damage or leaks.
  11. Use the Additional Comments/Observations section for any extra notes, if necessary.
  12. Finally, ensure the form is signed and dated by a Florida-licensed inspector, including their title, license number, company name, license type, and work phone.

More About 4 Point Inspection

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, HVAC (heating, ventilation, and air conditioning), and plumbing. This form is often required by insurance companies to determine the insurability of a property. A licensed inspector must complete and sign the form to ensure accuracy and compliance.

Who can perform a 4 Point Inspection?

A 4 Point Inspection must be conducted by a Florida-licensed inspector. This can include general contractors, residential contractors, building code inspectors, or home inspectors. It’s important to note that trade-specific professionals can only sign off on the section relevant to their expertise, such as an electrician for the electrical system.

What information is required on the form?

The form requires details about the property, including the insured/applicant name, application or policy number, address, year built, and date of inspection. Additionally, it must include specific information about each of the four systems, such as their condition, age, and any visible hazards or deficiencies. Photos of each system are also required to support the findings.

What are the photo requirements for the 4 Point Inspection?

Photos are essential for a complete 4 Point Inspection Form. You need to include pictures of the dwelling from each side, each slope of the roof, and specific plumbing components like the water heater and exposed valves. Additionally, the main electrical panel must be photographed with the panel door open to show its condition.

What happens if a system is found to be unsatisfactory?

If any system is deemed unsatisfactory, the inspector must provide detailed comments explaining the issues. This could include visible hazards, deficiencies, or systems that are not in good working order. This information is crucial for the underwriting process and may impact the insurability of the property.

How does the 4 Point Inspection affect my insurance application?

The information from the 4 Point Inspection Form is used by insurance underwriters to evaluate the risk associated with insuring a property. If any systems are found to have significant issues, it could result in higher premiums or even denial of coverage. Therefore, it’s important to ensure that all systems are in good working order before submitting the form.

Is the 4 Point Inspection Form mandatory?

Common mistakes

  1. Incomplete Information: Failing to fill in all required fields can lead to delays or rejection of the inspection form. Ensure that every section, including the insured/applicant name, application/policy number, and address, is fully completed.

  2. Missing Photos: Not providing the necessary photographs can be a critical oversight. Each side of the dwelling, every slope of the roof, and specific plumbing and electrical components must be documented visually.

  3. Incorrect Signatures: The form must be signed by a Florida-licensed inspector. Submitting a form without the proper signature can invalidate the inspection.

  4. Neglecting Hazards: Failing to note any existing hazards or deficiencies in the systems inspected can lead to serious consequences. All visible issues should be documented in detail.

  5. Inaccurate System Condition Reporting: Misrepresenting the condition of systems, such as declaring them satisfactory when they are not, can result in liability issues. It is essential to provide honest assessments.

  6. Omitting Supplemental Information: Providing insufficient detail regarding updates or repairs can hinder the underwriting process. Include all relevant information about system ages, types of materials, and any past work done.

  7. Failure to Follow Photo Requirements: Not adhering to the specific photo requirements outlined in the form can lead to rejection. Ensure that all specified areas are covered in the submitted images.

  8. Ignoring the Agent's Review: Not allowing the writing agent to review the form before submission can result in overlooked errors. It is crucial for the agent to ensure that all rules and requirements are met.

Documents used along the form

When preparing for a 4-Point Inspection, several other documents may be necessary to ensure a comprehensive understanding of the property's condition. Each of these documents provides valuable information that can help assess the insurability of a home. Below is a list of commonly used forms and documents that complement the 4-Point Inspection form.

  • Homeowner's Insurance Application: This document collects essential information about the property and its owner. It serves as the first step in obtaining insurance coverage.
  • Roof Inspection Form: This form focuses specifically on the roof's condition, detailing any issues, repairs, or maintenance that may affect its integrity and longevity.
  • HVAC Service Records: These records provide a history of maintenance and repairs for heating, ventilation, and air conditioning systems, helping to verify their operational status.
  • Plumbing Inspection Report: A dedicated report that assesses the plumbing system's condition, highlighting any leaks, corrosion, or potential hazards.
  • Electrical Inspection Report: This report evaluates the electrical system, documenting any issues such as outdated wiring or safety hazards that could impact the home's safety.
  • Previous Inspection Reports: Past inspection documents can offer insights into the property's history and any prior issues that have been addressed or remain unresolved.
  • Repair or Renovation Receipts: Documentation of any recent repairs or renovations can provide proof of updates made to the property, which may influence its insurability.
  • Home Warranty Information: If applicable, this document outlines any warranties on major systems or appliances, which can be beneficial in assessing potential future repairs.

Each of these documents plays a crucial role in the overall assessment of a property during the insurance application process. Having them readily available can streamline the evaluation and support a thorough understanding of the property's condition.

Similar forms

The Home Inspection Report serves a similar purpose to the 4 Point Inspection Form by providing a comprehensive overview of a property's condition. This document typically covers various systems, including electrical, plumbing, and HVAC, much like the 4 Point form. Home inspectors evaluate the overall safety and functionality of these systems, identifying any potential issues that may need attention. By documenting findings in a detailed manner, this report helps prospective buyers or homeowners understand the current state of the property, which can influence purchasing decisions or necessary repairs.

The Roof Inspection Report is another document that closely resembles the 4 Point Inspection Form. This report focuses specifically on the condition of the roof, assessing its materials, age, and any visible damage or deterioration. Similar to the 4 Point form, it includes photographs and detailed descriptions of findings. A thorough roof inspection is crucial for determining whether a roof requires repairs or replacement, which is vital information for homeowners and insurance providers alike.

The Electrical Inspection Report shares similarities with the 4 Point Inspection Form, particularly in its examination of electrical systems. This document provides a detailed analysis of wiring, panels, and potential hazards, ensuring that the electrical system meets safety standards. Like the 4 Point form, it may require a licensed professional to sign off on the findings, reinforcing the importance of having a qualified expert evaluate the electrical components of a property.

The HVAC Inspection Report is comparable to the 4 Point Inspection Form in that it specifically evaluates heating, ventilation, and air conditioning systems. This document assesses the functionality, age, and maintenance history of HVAC equipment, much like the HVAC section of the 4 Point form. Homeowners and potential buyers benefit from this report, as it highlights any necessary repairs or servicing that could impact comfort and efficiency in the home.

Finally, the Plumbing Inspection Report is similar to the 4 Point Inspection Form in its focus on plumbing systems. This report examines the condition of pipes, fixtures, and appliances, identifying any leaks or deficiencies. Just as the 4 Point form does, the Plumbing Inspection Report provides essential information that can influence a homeowner's decisions regarding repairs or renovations. By documenting the state of plumbing systems, this report helps ensure that properties are safe and functional for occupants.

Dos and Don'ts

When filling out the 4 Point Inspection form, follow these guidelines:

  • Ensure all sections are completed accurately.
  • Use clear and legible handwriting or type the information.
  • Provide the required photos for each section.
  • Have a Florida-licensed inspector sign and date the form.
  • Check all boxes and provide explanations where necessary.

Things to avoid when completing the form:

  • Do not leave any sections blank.
  • Avoid using abbreviations that may confuse the reader.
  • Do not submit the form without all required documentation.
  • Do not forget to note any visible hazards or deficiencies.
  • Never submit an incomplete or unsigned form.

Misconceptions

  • Misconception 1: The 4-Point Inspection Form guarantees insurability.

    Many people believe that completing the 4-Point Inspection Form guarantees that their property will be insured. In reality, the form is only a tool used by underwriters to assess the insurability of a property. It does not serve as a warranty or assurance regarding the condition or longevity of the systems inspected.

  • Misconception 2: Any licensed inspector can complete the form.

    Some assume that any licensed professional can fill out the 4-Point Inspection Form. However, it is specifically required that a Florida-licensed inspector complete, sign, and date the form. Only professionals with the appropriate licensing in Florida are qualified to certify the condition of the systems outlined in the inspection.

  • Misconception 3: The inspection only evaluates the roof.

    There is a common belief that the 4-Point Inspection focuses solely on the roof. In fact, the form assesses four critical systems: the roof, electrical, HVAC, and plumbing. Each system is evaluated for its condition, and any visible hazards or deficiencies must be documented.

  • Misconception 4: Photos are optional for the inspection.

    Some individuals think that submitting photos with the 4-Point Inspection Form is optional. This is not the case. The form explicitly states that minimum photo requirements must be met, including images of each side of the dwelling, each slope of the roof, and key components of the plumbing and electrical systems.

Key takeaways

Filling out and using the 4-Point Inspection form is essential for property insurance applications. Here are ten key takeaways to keep in mind:

  1. Complete All Sections: Ensure every section of the form is filled out accurately, including the insured/applicant name, application number, and address inspected.
  2. Photo Documentation: Provide required photos for each section, including the dwelling, roof, plumbing, and electrical systems. Photos must meet the minimum requirements outlined in the form.
  3. Licensed Inspector Requirement: Only a Florida-licensed inspector can complete, sign, and date the form. This is crucial for the form's validity.
  4. System Condition Certification: The inspector must certify the condition of the roof, electrical, HVAC, and plumbing systems. Each system should be operational and free from visible hazards.
  5. Document Hazards: Clearly note any hazards or deficiencies observed during the inspection. This includes issues like exposed wiring or leaks.
  6. Amperage Assessment: Inspectors should evaluate whether the amperage is sufficient for current usage in the electrical system and provide explanations if it is not.
  7. Update History: Include details about any updates made to the systems, such as the age of the roof or HVAC system, and the dates of last servicing.
  8. Review Before Submission: Agents must review the completed form to ensure all requirements are met before submitting it with an insurance application.
  9. Trade-Specific Signatures: A trade-specific licensed professional may only sign off on their respective section of the form. For instance, an electrician can only certify the electrical section.
  10. Use of Additional Comments: Utilize the additional comments section to elaborate on any updates, hazards, or systems not in good working order.

By adhering to these guidelines, you can ensure that the 4-Point Inspection form serves its purpose effectively in the insurance application process.