• Certification of Compliance COVID-19 Real Estate Access Questionnaire

    The health and safety of our clients, customers, and real estate agents is our top priority. To reduce the risk of spreading COVID-19, Kelley Real Estate is requiring this form to be completed EVERY TIME anyone accesses a property we have listed for sale or with whom we are working as a buyer-client. This shall include all sellers, buyers, real estate agents, inspectors, appraisers, contractors, and members of the public. 
  • I certify that: (Check those that apply)
  • OR; I certify that: (Check those that apply)

  • Vermont Agency of Commerce and Community Development website at https://accd.vermont.gov/covid-19/restart/cross-state-travel

  • If you have recently traveled to Vermont to either sell or purchase a house, have you completed a quarantine in compliance with the Vermont Department of Health guidance?*
  • Are you a non-Vermont resident buyer who has a property under contract for purchase with a fully-signed and accepted Purchase and Sale Contract and are you traveling to see that property?*
  • I also certify:*
  • I also certify that:*
    • Cough
    • Muscle pain
    • Difficulty breathing
    • Headache
    • Chills
    • Sore throat
    • Repeated shaking with chills
    • New loss of taste or smell
    • Fever (feeling feverish or have a measured temperature at or above 100.4°F/38°C)
    • Used a fever reducer (in the past 24 hours, have you used any medicine that reduces fevers?)

  • For information related to completing this form, visit:

    https://accd.vermont.gov/covid-19/restart/cross-state-travel

  • I certify that I have answered the questions above truthfully and to the best of my knowledge. I am aware of the potential risks associated with viewing/showing the real property located at {propertyAddress40} and hold Kelley Real Estate, Inc. including its owners, employees, agents, and any affiliated companies harmless and release them from any and all claims, actions, complaints or the like related to any exposure to COVID-19.

    I {name} have read and understand this entire Certificate of Compliance and make the above certifications under the pains and penalties of perjury.

  • Clear

  • If you have any questions or concerns, please contact Robin Eatmon, Kelley Real Estate Company Safety Officer at 802-228-5333.

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