Online Agent Information Change Form IVAR Agent Information Change Form Use this form to notify IVAR of changes in your contact information or when you transfer offices. When listing agents enter their Public ID information on CRMLS, the listing office name, phone, fax number and your residence phone number will auto populate in the fields. Any additions or changes to your residence phone number, mobile number and other items listed below will appear only by completing this form. Effective Date of Change* MM slash DD slash YYYY Agent Name:* New Name (must match what is on your DRE license): Agent Email:* Enter Email Confirm Email Changed/Added Website: Changed/Added Mobile Number: Changed/Added Home Telephone Number: Changed/Added Voicemail Number:Changed/Added Personal Fax Number: Changed/Added Home Address: Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I am Terminating from my current office: Yes No Date of Termination from my Old Office: MM slash DD slash YYYY I am Joining a New Office: Yes No New Office Name:* New Office Phone:*New Office Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of your New Designated REALTOR/Broker:* The email address of your New Designated REALTOR/Broker:* Enter Email Confirm Email I agree that IVAR should update my information as stated above:* Yes No Δ