Realtor Order Form

Please fill out all the necessary fields below

SERVICES TEMPORARILY UNAVAILABLE

Thank you for filling out our form. A Canadian Home Shield rep will be in touch to review your order details.

~ The CHS SafeClose Team

Sorry, there was an error. Please try again later.

Real Estate Transaction Insurance Coverage

 required field.

Required Icon
Home Seller's Home Buyer's
Yes No

Client / Customer Information

 required field.

Required Icon
Address of Property for which the Insurance Products will be Purchased for Coverage:
House Condo
Yes No
The definition of a 'resale home' is one that is ready for occupancy when the Agreement of Purchase and Sale is signed.
Re: The Home Systems and Appliance Breakdown Insurance (Interior Warranty) Coverage:
I am NOT aware of any circumstances which may prejudice coverage under any of the products being purchased;
I AM aware of circumstances which may prejudice coverage under any of the products being purchased.;

Canadian Home Shield SafeClose™ Bundled Insurance Coverage

Canadian Home Shield SafeClose™ Account Holder’s Special Bundled Pricing   Special
A) 6 Months “Basic” Home Systems Plus Home Closing Insurance reg. $249 $199
B) 12 Months “Basic” Home Systems Plus Home Closing Insurance reg. $398 $299
C) 6 Months “Premium” Home Systems and Appliance Plus Home Closing Insurance reg. $299 $249
D) 12 Months “Premium” Home Systems and Appliance Plus Home Closing Insurance reg. $498 $399

Canadian Home Shield SafeClose™ Stand Alone Insurance Coverage

E) 6 Months “Basic” Home Systems Breakdown Insurance   $159
F) 12 Months “Basic” Home Systems Breakdown Insurance   $299
G) 6 Months “Premium” Home Systems and Appliance Breakdown Insurance   $199
H) 12 Months “Premium” Home Systems and Appliance Breakdown Insurance   $399
I) Home Closing Insurance   $99   
J) Pool and Spa Equipment Insurance
(Add-on option available with items A, B, C, D, E, F, G or H - must select a primary coverage first.)
  $147 
**If a Seller Home Warranty is being purchased, please provide the Buyer's Name & Contact Info as it appears on the Agreement of Purchase and Sale:
Once the required form is submitted, we will finalize the transaction by calling you for your payment details. We accept the following cards: Visa and MasterCard.
*Plus 8% PST Apply.

For Internal Use Only:

"Building Protection Around You" ™

© 2017 Canadian Home Shield SafeClose™ - All rights reserved.
About / Contact / Privacy / Realtor Marketing Tools / Website Sitemap



Website Design by Roar Solutions   |   Urbo Social Media