Customer Service Forms

Online Forms

Printable Forms

These forms need to be printed and signed. The forms need to be submitted with additional documentation that is outlined on our Requirements to Start Service page.

Form Submission

Please submit completed and signed forms, with supporting documentation, to the City of Cocoa’s Water Customer Service Department in one of the following ways:

  • Mail to:
    Water Customer Service Division
    65 Stone Street
    Cocoa, FL 32922
  • Email signed and completed forms with documentation to You will receive a response within three working days. If you do not receive a response in this timeframe, please contact Customer Service by phone.
    Please note: Florida has a very broad public records law (FS 119.01). As a result, any written communication created or received by the City of Cocoa Water Customer Service Division will be made available to the public and media, upon request, unless otherwise exempt. Under Florida Law, e-mail addresses are public record. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this office.
  • Visit our Water Customer Service Division at City Hall (65 Stone St. Cocoa, FL 32922) Monday through Friday between 8:00 am and 4:30 pm.

Please note: If you submit an incomplete application or fail to submit all required documentation, processing of your application will be delayed.