COVID SCREENING

Property Address *

Client Name *

First

Last

Sales Representative / Broker / Realtor Name *

First

Last

Phone Number For Contact Tracing *

Email For Contact Tracing *

Email

Confirm Email

Do you currently have symptoms related to Covid? *

Have you been in contact with someone in the last 14 days who has Covid? *

Have you been outside of Canada in the last 14 days? *

Showing is limited to 30 minutes in length *

YES

All parties will wear masks and sanitize prior to entry *

YES

Only 2 clients are permitted inside the property with their representative *

YES

Digital Signature *

Please type you name above: By digitally signing you agree to the best of your knowledge that the answers contained herein are accurate and correct. If you are diagnosed with COVID-19 or any of it variants you agree to contact your real estate representative as soon as possible as per contact tracing requirement.