Office Staff Access - Kansas City Regional Association of REALTORS®

This form must be submitted to the Kansas City Regional Association of REALTORS® and all fees must be paid prior to activation of your Heartland MLS access.It is the obligation of the Participant (Designated REALTOR® Member) to have this form completed in full and submitted for each individual who will become an Office Staff Subscriber of the Heartland MLS.

Are you located in Southeast Kansas?*

Effective Date:*

Contact Number:*

Email:*

Main Office Phone:*

Name of User being replaced:

MLS ID being replaced:

License # MO:

License # KS:

Company Holding License:

**Office Staff whose license is NOT with a REFERRAL ONLY Company will need to join KCRAR as a REALTOR® member for the Broker to avoid receiving an assessment for dues.

PARTICIPANT: I do hereby request access to Heartland Multiple Listing Service, Inc., for the individual shown above and accept all responsibility for their actions as it relates to the use of the MLS System. All parties agree that the Office Staff will use their access for the sole purpose of administrative duties that do not require a real estate license, including but not limited to holding open houses, providing property information to buyers or sellers, showing property, and discussing contracts.

The Participant understands that they will be billed for all fees for the Office Staff.*

Participant Name (Broker or Responsible Appraiser)

Participant Signature*

Date*
MM slash DD slash YYYY

Office Name:*

Office MLS Code:*

NOTE: Payment for $10.00 Initial Technology Fee for “new” staff ID and quarterly HMLS Office Staff Access Fee ($5 per month, if applicable) must be included below in order to be processed:

Debit/Credit Card:*

Exp. Date*
MM slash DD slash YYYY

For two digit date just use first day of month. i.e. 11/2024 would be 11/1/2024.

CID# / Secuirty Code (usually on the back of your card)*
Please enter a number less than or equal to 9999.

Name on Card*

Billing Street Address*

Address Line 2

City*

State/Province/Region*

Zip / Postal Code*

Signature

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