Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
  1. You do not need to provide your name and email address. However, providing your contact information will allow us to answer your question or contact you if we have further questions.
  2. Public Record Law and Email Addresses
    Florida has a very broad public records law. As a result, any written communication created or received by the City of Cocoa Beach officials and employees will be made available to the public and media, upon request, unless otherwise exempt. Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this office or provide your email address in this form. Instead, contact our office by phone or in writing.
  3. Leave This Blank:

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