Lead Input Form

This form is for real estate agents who have clients relocating out of state and want to offer them expert guidance on where to move.

By filling out this form, you’re referring your client to Climate Realty’s tools and network. We’ll help them explore options using our climate map, connect them with a trusted Climate Realty Expert in their destination area, and keep you informed throughout the journey. If they end up buying a home through our network, you’ll receive a agreed upon referral commission after closing.

Agent & Client Information

← Back

Thank you for your response. ✨

Agent Full Name

Agent Email

Agent Phone

Brokerage Full Legal Name

Office Address (For Referral Payment)

Client Name

Client Email

Client Phone

Is your client currently working with an agent in their destination state?

Yes No Not Sure

Any specific regions or climate concerns your client has expressed?

Briefly describe your client’s relocation situation:

Other Comments

Once submitted, we’ll guide your client through the climate exploration process and keep you updated throughout. If your client moves forward with one of our Experts, we’ll send you referral paperwork and ensure you’re paid upon closing.

Thank you for your referral and for helping clients find their perfect climate-fit home!