Blank 4 Point Inspection Form
The 4-Point Inspection Form is a crucial document used to assess the condition of a property’s major systems: the roof, electrical, HVAC, and plumbing. This form, completed by a licensed inspector, provides essential information that helps insurance companies evaluate a property's insurability. It is important to understand that while the form offers insights into the property’s condition, it does not guarantee the suitability or longevity of the systems inspected.
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Blank 4 Point Inspection Form
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Cloth wiring
Active knob and tube
Branch circuit aluminum wiring (If present, describe the usage of all aluminum wiring):
Connections repaired via COPALUM crimp 
Connections repaired via AlumiConn

Yes 
No

Full replacement 
Partial replacement
Satisfactory
Cracking
Cupping/curling
Excessive granule loss
Exposed asphalt
Exposed felt
Missing/loose/cracked tabs or tiles
Soft spots in decking 
Visible hail damage


Yes
No
Yes 
No
Full replacement 
Partial replacement
Satisfactory
Unsatisfactory 
Cracking
Cupping/curling
Excessive granule loss
Exposed asphalt
Exposed felt
Missing/loose/cracked tabs or tiles
Soft spots in decking 
Visible hail damage


Yes
No
Yes 
No