Customer Service Forms

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Service applications are required to be submitted on-line

Residential Service Application
HCUD Residential Service Application


Letter of Authorization (Tenants or Agents)
Letter of Authorization


Commercial Service Application

Application and payment are required to be submitted together at the same time. Applications will not be accepted by HCUD prior to two (2) weeks before requested service start date.

HCUD Commercial Service Application


Septage Hauler Application

(New in 2023 - Permit is now required)

Septage Service Application (10.01.24)

Hernando County Utilities Manifest (10.1.24)

Hauled Waste Requirements (10.01.24)

Name Change Form
Name Change Form HCUD


Mailing Address Change Req 

Address Change Form


Customer Adjustment Application

Customer Adjustment Request Form

Repairs made by licensed plumber or contractors require a dated and paid invoice as well as a description of repair(s). 

Repairs made by self are strongly encouraged to provide any pictures of repair as well as dated and paid receipts for parts used to make repair to be considered for an adjustment. 

***Please note, it is the customers responsibility to turn off autopay during the adjustment review process to avoid the total account balance be auto paid.***

Hydrant Meter Application

Hydrant Meter Process (10.01)

HYDRANT METER APPLICATION (002)


New Connection Applications

Commercial New Connection Application

Residential New Connection Application

Utilities Fees Data Calculation Form (Revised 11-20-24)


Termination of Service

Termination of Service Form