4-Point Insurance Inspection Specialist

(657) 312-3856

Insurance | Pre-Inspection Questionnaire

Thank you for taking the time to complete this Pre-Inspection Questionnaire. While I will personally re-inspect all key areas, your input plays a critical role in ensuring that the insurance underwriting department has the most accurate and detailed information to assess your eligibility for a new or a renewal of your existing policy insurance policy. Please try to be as accurate as possible, where applicable, If you dont know just write don't know or N/A.

Full Name *

Phone *

Email *

Address

Street Address *

City

Postal code

Year Built *

What Year Did You Acquire the Property? *

Agent Contact Information

Agency Name: *

Policy Number #: *

Agency Primary Contact Person: *

Agents Phone Number: *

Agents Email: *

#1. Electrical System

To Your Knowledge Has the Electrical System Been Upgraded?: *

If yes, what was upgraded? (Check all that apply): *

Are There Currently Any Known Electrical Issues: *

Do You Have Any Documents of Electrical Repair? If Yes Check All That Apply: *

#2. Plumbing System

To Your Knowledge, Has There Been Any Pluming Re-piping In Your Home: *

Do You Know The Approximate Year The Repairs Were Made?: *

Do You Have Any Documents of The Plumbing Repair/s? If Yes Check All That Apply: *

#3. (HVAC) SYSTEM

What Type of Heating & Air Conditioning System is In The Home?: *

What is the status of Your Current System: *

Do You Know The Approximate Year The HVAC System Was Replaced?: *

Is Your HVAC System Currently Working: *

Do You Have Any Documentations Regarding any Repairs or Upgrades? If Yes Check All That Apply: *

#4. Roof System

Have You Repaired or Replaced Your Roof?:

What Year Did Your Repairs or Replacement Take Place?:

Do You Have Any Documents of The Roof Repair or Replacement? If Yes Check All That Apply:

Do You Have Any Idea How Old Your Roof Is?:

Thank you for taking the time to fill out our Pre-Inspection Questionnaire. This will help us generate an accurate report for you.

Please upload any documents below if applicable.

Upload Documents:

Upload Documents Here: One document at a time.

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