Realtor Order Form

Building Protection Around You ™

Available in Ontario only, coming to other Provinces soon.

Real Estate Transaction Insurance Coverage

Representing (required)
SafeClose™ Member (required)

Client / Customer's Info

Property Info

Address of Property for which the Home Warranty will be Purchased for Coverage:

Property Type (required)
Property being transacted is a resale home (required)

* 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

Are you aware of any circumstances which may prejudice coverage under any of the products being purchased? (required)

12 Month Home Warranty Packages

Select the Coverage

1) HOMEBUYERS - Home Systems & Appliance Warranty Coverage
2) HOMEBUYERS - Home Systems Warranty Coverage Only

* Conditions:
15 Day Waiting Period from Closing/Purchase
$50 Deductible/Occurrence

3) HOMESELLERS - Home Systems & Appliance Warranty Coverage
4) HOMESELLERS - Home Systems Warranty Coverage Only

* Conditions:
30 Day Waiting Period from Firm/Closing Date
$75 Deductible/Occurrence

When do you want the waiting period to commence?

If a Seller Home Warranty is being purchased, please provide name of the Buyer's as it appears on Agreement of Purchase and Sale.

Additional Comments

Payment Method

Once your form is submitted, we will finalize the transaction by calling you for payment details.
We accept Visa and MasterCard.