Charlotte County Utilities

Utility Forms

Residential

Residential Water & Sewer Availability (via email)
Use this online form to inquire about water and sewer availability electronically.

Residential Water & Sewer Availability Inquiry (via fax)
Use this printable form to inquire about water and sewer availability via fax.

Rental Account Agreement Form
Use this form to add a tenant to your account. Only one paper bill per account will be provided by CCU.

Change of Name
Use this form to make a name change on your account.

Change of Address (Seasonal)
This form is for a temporary change of billing address provided for the convenience of our seasonal customers.

Residential Change of Ownership
Use this form to transfer account information from previous owner to new owner.
PLEASE NOTE: A signed warranty deed must be included with this form.

Billing Adjustment Request
This form allows property owners or their authorized agents to request adjustments to
their current utility bill in accordance with CCU's standard operating procedures.

Account Payoff Request Form (Microsoft Excel)
Use this form to request an estimated payoff amount for a CCU account.

Commercial/Large Development

Change of Owner/Tenant Commercial Units
This form is used to change the owner or tenant on a commercial property.

Combined Application for Plan Review and Utility Service Agreement
Commercial and/or Multi-Family.

Water Flow Test Request
Request for water flow test form.

Commercial Availability
Submit this form to request utility service availability for vacant, commercial and Multi-famliy proporties.

Utility Easement
Easement form for water and/or wastewater utilities

Affidavit
Form of Affidavit.

Release of Lien
Release of Lien form.

Bill of Sale
Bill of Sale form.

Warranty
Warranty/Guarantee Agreement.

Cost of Construction
Certification of detailed cost of contributory assets form.

Hydrant Meters

FDEP

FDEP Permit Information
The following information is provided to aid in completing FDEP permit applications for
water and wastewater utility extensions.