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REMAX Little Oak Realty
604-620-6788
604-710-6705
marites@movingfriendsforward.com
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Client Appreciation
Coronavirus Statement and Consent
Please answer these COVID-19 screening questions to the best of your current knowledge, personal awareness and belief. If you are a Realtor, please ask your Clients these questions and answer on their behalf.
Do you currently have symptoms associated with COVID-19?
YES
NO
Have you been exposed to anyone with symptoms associated with COVID-19 within the last 14 days?
YES
NO
Have you travelled outside of Canada within the last 14 days?
YES
NO
By answering these questions I understand:
1. Any affirmative answer may result in my inability to view a property(ies) for sale. 2. The answers to this questionnaire will be kept on file in the event that a listing agent requests them. 3. The seller’s agent may contact my agent for the sole purpose of informing me in the event any person living in the viewed property(ies) is determined to have been exposed to COVID-19 or if there are any other coronavirus-related developments in connection with the property(ies) that I wish to view. 4. If I am diagnosed with COVID-19 within 14 days of my viewing of the property(ies) for sale, I shall immediately contact my agent to advise them and that they may inform the seller’s listing agent and/or the seller of such diagnosis.
I consent to the collection, use and disclosure of the information on this form as indicated above:
YES
NO
Date
Agent Name
Only required if you are the Client filling out this form.
Name
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Email
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