Broker Notification of Change Form

To change your firm's information or status, e.g., activate or inactivate MLS services, open or close a branch office or update office information.

Your First Name*

Your Last Name*

Your Email*

Information Changing Broker Form*

Change Firm Name*

Change Firm Telephone Number

Change or Add Fax Number

Reactivating MLS

Inactivating MLS

Change Firm Address

Change Firm Mailing Address

Reinstating as Broker of Record (for my own firm)

Opening a Branch Office

Closing a Branch Office

Old Firm Name

New Firm Name*

Old Firm Address

New Firm Address*

Firm Telephone*

Firm Fax

Firm Web Address

Broker Number*

Firm Number

Broker Name*

Broker's E-mail Address*

Broker Signature*

Type your name below to accept terms

Date *

Month/Day/Year