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Termination of Service Request

  1. Termination of Service Request

    Please note: Terminations of Service may only be completed by the account holder. If you are not the account holder with the City of Cocoa, this request will be denied. If the listed account holder is deceased, please contact Customer Service at (321) 433-8400 or for more information.

  2. Service Address

  3. Occupancy Type*

  4. New Mailing Address

  5. Please upload a legible copy of your state-issued photo identification.

  6. Important Information

  7. Per Florida Statute 821.014; unauthorized usage (theft of water) will be billed to the listed property owner with the Brevard County Property Appraiser’s Office. If continued usage is found after termination of service, all charges and fees will be billed to the listed Property Owner.

  8. If you are a property owner and are seeking to terminate service of a tenant’s account due to eviction; please complete the Property Owner Request to Terminate Utility Service form.

  9. Any deposits held will be credited to the account once the final reading is obtained by the City of Cocoa.

  10. I hereby authorize the City of Cocoa Utilities to discontinue water and/or sewer services to the property provided this application, as well as any other services which may be attached to the property. I also agree to remit any final payments to the City of Cocoa for any unpaid balances as outlined in the Utility Handbook.

  11. By typing my name in this form, I affirm the accuracy of information provided on this application. I understand that this constitutes a legal signature and confirms that I agree to the above terms.

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