Office Transfer Form

Office Transfer Form

This form is to be used to transfer an existing member to a new company.

Agent Name *

Effective Affiliation Date: *

Member/U #:

Real Estate License Number *

New Email Address: *

Old Company Name: *

Old Company Address: *

City *

State *

Zip Code *

New Company Name: *

New Company Address: *

City *

State *

Zip Code *

Office Phone Number *

Designated REALTOR®/Responsible Broker/Office Manager Name *

Please Note –Designated REALTOR®/Responsible Broker/Office Manager signature is required.

By signing below, I confirm the agent listed above has become affiliated with my office and will be added to my CCIAOR and/or CCIMLS office roster. I understand it is my responsibility to notify the State of Massachusetts when a licensee has become affiliated with my office in addition to this form. *

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If you have any questions regarding the affiliation process, please contact support@cciaor.com.