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Water/Sewer Disconnection Form

  1. CWM_LOGO-RGB_Web 2

  2. FINAL ACCOUNT

  3. West Melbourne, FL 32904

  4. (Water cannot be turned off on weekends or holidays)

  5. NOTE:

    The Post Office will not forward your bill or deposit. You must change your address with the Utility Department.

  6. (Type your name as your signature)

  7. 2240 Minton Rd., West Melbourne, FL 32904

  8. Phone: 321-837-7750 Fax: 321-768-2390

  9. Leave This Blank:

  10. This field is not part of the form submission.