Covid-19 Contact Tracing Form

Please fill in the form below

Do you currently have any symptoms associated with COVID-19? (Fever, Chills, Cough, Sore Throat, Runny nose, Headache)
Have you been exposed to anyone with COVID-19 in the last 14 days?
By answering the questions above I understand: ⁣ ⁣ 1. Any affirmative answer may result in my inability to view the property 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 me 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.
Reciprocity Logo The data relating to real estate on this website comes in part from the MLS® Reciprocity program of either the Greater Vancouver REALTORS® (GVR), the Fraser Valley Real Estate Board (FVREB) or the Chilliwack and District Real Estate Board (CADREB). Real estate listings held by participating real estate firms are marked with the MLS® logo and detailed information about the listing includes the name of the listing agent. This representation is based in whole or part on data generated by either the GVR, the FVREB or the CADREB which assumes no responsibility for its accuracy. The materials contained on this page may not be reproduced without the express written consent of either the GVR, the FVREB or the CADREB.