New Agent Affiliation Form
This form is to be filled out by the Designated REALTOR®/Responsible Broker/Office Manager and is used to affiliate an agent with a company.
This is a supplementary form that will accompany the new agent’s Membership Application HERE. *This is NOT the Membership Application*
Please note that this form can also be used to affiliate a current/active member with a company.
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. *
If you have any questions regarding the affiliation process, please contact 
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