Realtor Change

REALTOR or Personnel Status Form

Please Note: Some fields are hidden until you select the type of change.
Real Estate License Number
Type of change*

Delete REALTOR From RosterTransfer REALTORInformation ChangeClose Broker Office
REASON FOR DELETION:

TerminatedLicense Returned
Effective Date:*

MonthDayYear
Date
Firm Transferring From:
Firm Transferring To:
INFORMATION CHANGE:
What information is changing?*

NamePhone #EmailAddressBroker office information (for email, phone, and address changes to brokerage)
Name*
Phone #*
Address*

Address

Street Address Line 2

CityState / Province

Zip
Email Address*
example@example.com
Firm *
BROKER OFFICE INFORMATION CHANGE
Firm*
Branch*
Brokers Email*
example@example.com
Address*

Address

Street Address Line 2

CityState / Province

Zip Code
Broker License #*
Phone*
Fax*
Email Address*
example@example.com
Broker’s Signature Broker’s Signature*

Clear
Date Date

MonthDayYear
Date
NOTE: To be submitted to Board Office immediately upon change.
Once you complete the form you will need your broker to sign it. To do this....
1. Click "Save"
2. At the bottom of the pop up Click "Skip create an account"
3. Click "Get Shareable Link" which will copy the link
4. Compose an email to your broker letting them know that they need to click the link, sign, and hit submit. Press ctrl+V which will paste the link into the email.
5. Send the email to your broker.
Your broker MUST hit the submit button or we will not receive it.
Should be Empty: