Team Access Form

HEARTLAND MULTIPLE LISTING SERVICE, INC.
Phone: 913.661.1600 Fax: 913.661.1618
One Hallbrook Place, 11150 Overbrook Rd., Ste. 125, Leawood, KS 66211

Team Member Requesting Access 1(Required)

First Last

Matrix User ID 1(Required)

Office ID 1 of Member Requesting Access(Required)

Team Member Requesting Access 2

First Last

Matrix User ID 2

Office ID 2 of Member Requesting Access(Required)

Team Member Requesting Access 3

First Last

Matrix User ID 3

Office ID 3 of Member Requesting Access(Required)

Team Member Requesting Access 4

First Last

Matrix User ID 4

Office ID 4 of Member Requesting Access(Required)

Team Member Requesting Access 5

First Last

Matrix User ID 5

Office ID 5 of Member Requesting Access(Required)

I hereby authorize the above Heartland MLS Subscribers to act on behalf of me in the Matrix system. The team members listed will have the same capabilities as I do including listing input and modification if applicable. Each team member must be a current Subscriber. I understand that it is my responsibility to update this form when
necessary.

If a Separate (branded) team is granting access, please provide the Separate Team’s Name and the corresponding ID

Subscriber / Team Granting Access Name – If adding a member to a team please provide the team's first/last name and team ID.(Required)

First Last

Subscriber / Team Granting Access Matrix User ID(Required)

Subscriber Granting Access Signature (or responsible member)(Required)

Date(Required)

Office Name(Required)

Office Code(Required)