TRANSFER SERVICE REQUEST

***Attention***
The first bill (after the transfer request has been processed) will reflect a non-refundable transfer fee. This fee of $45 is a service charge for obtaining a meter reading at your new address and updating your billing records.
Account Transfer Information
Note: Enter your Email below if you would like to receive a confirmation email
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Identification
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Transfer Service FROM
Note: If you cannot find your City in the dropdown below, please use this tool to find your Utility Provider
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Transfering Service TO
Note: If you cannot find your City in the dropdown below, please use this tool to find your Utility Provider
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Note: Transfer Service Application form must be submitted by 12pm for same day service.
NOTE: The Turn On and Turn Off date must be within 14 days of each other.
New Mailing/Billing Address
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Documentation
Note: File size must be less than 10 MB
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Example: Sales Contract, Closing Disclosure, Warranty Deed, Purchase Agreement or Lease.

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Agreement of Transfer*
Please initial in the box to represent that you will ensure all fixtures are turned off, both inside and outside the property. If the fixtures are turned on and no one is available to turn them off, to protect the property from water damage, LCU will not turn on the water. If LCU has to make a second trip to the property to turn on the water, the customer will be charge a trip charge.
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An electronic or manual signature is required when submitting this form. Write your name in the signature area to submit this form electronically (acceptable per Florida Statue 668.50). If an electronic signature is not possible, the form may be printed, signed and submitted in person, via FAX, or by a scanned copy sent via e-mail.
Signature*
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