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 Request

Address Change Form


Customer Adjustment Application

Use for Leak Repairs made by a licensed plumber or contractor or new sod:

Customer Adjustment Request Form

For leak repairs made by homeowner or someone other than a licensed plumber or contractor, a notarized affidavit of the repair stating when and where the leak was repaired is required:

 Adjustment Request Form.

Also, with all adjustment applications,dated and paid receipts for parts is required. These may be emailed to HCUDCS@co.hernando.fl.us or be mailed to or brought to our office at 15365 Cortez Blvd. Brooksville, FL 34613.

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 (10.01)


New Connection Applications

Commercial New Connection Application

Residential New Connection Application

Utilities Fees Data Calculation Form (Revised 10-16-24)