Online Forms : Clay County Utility Authority

Online Forms

Download and View forms made available from the Clay County Utility Authority.

Residential Forms:

	Application for Service
	Automatic Debit Bill Payment Authorization Form
	Lend a Helping Hand Program Contribution Authorization Form

Commercial Forms:

	Automatic Debit Bill Payment Authorization Form
	Request for New Service - Commercial
	Request to Disconnect Service - Commercial
	Industrial Pre-Treatment Survey
	New User Survey

Construction & Engineering Forms:

	Completion of Construction - Sewer
	Completion of Construction - Water
	Sewer Permit Application
	Shop Drawings & CCUA Approved Materials Form - Contract
	Shop Drawings & CCUA Approved Materials List Form - Supplier
	Water Permit Application

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Clay County Utility Authority
3176 Old Jennings Road, Middleburg, FL 32068
Phone: (904) 272-5999