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1 forms found in the DOM

Name: contactForm — GET

<form id="contactForm" name="contactForm" method="get">
  <div id="divContactUsForm_Content">
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      <div class="cssContactUsForm_Content">
        <div class="cssContactUs_Row">
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            <label for="contactTopic">Topic (required)</label>
            <div class="input-group error-after">
              <select id="contactTopic" name="contactTopic" class="form-control cssBorderRadius">
                <option value="" selected="selected" data-title="Contact Us"></option>
                <option value="accessibilityRequest" data-title="Accessibility Request">Accessibility Request</option>
                <option value="reportDataError" data-title="Report Data Error">Report Data Error</option>
                <option value="reviewRequest" data-title="Request a Review">Review Request</option>
                <option value="reportHomesteadFraud" data-title="Report Homestead Fraud">Report Homestead Fraud</option>
                <option value="exemptions" data-title="Contact Exemptions Department">Exemptions</option>
                <option value="dataRequest" data-title="Request Bulk Public Data">Bulk Data Request</option>
                <option value="propertyTransactions" data-title="Contact Transaction Records Department">Property Transaction Information</option>
                <option value="SplitsCombines" data-title="Contact Parcel Splits &amp; Combines Department">Parcel Splits &amp; Combines</option>
                <option value="gisMapping" data-title="Contact GIS &amp; Mapping">GIS &amp; Mapping</option>
                <option value="fieldOperations" data-title="Contact Field Operations">Field Inspections/Photos/Sketches</option>
                <option value="tangibleProperty" data-title="Contact Business &amp; Tangible Property Department">Business &amp; Tangible Property</option>
                <option value="agriculture" data-title="Contact Agriculture Department">Agriculture</option>
                <option value="taxroll" data-title="Contact Taxroll Administration">Taxroll Administration</option>
                <option value="humanResources" data-title="Contact Human Resources">Human Resources</option>
                <option value="finance" data-title="Contact Finance Department">Finance</option>
                <option value="govAffairsPublicRelations" data-title="Contact Gov. Affairs &amp; Public Relations">Gov. Affairs &amp; Public Relations</option>
                <option value="informationSystems" data-title="Contact Information Systems">Information Systems</option>
                <option value="websiteFeedback" data-title="Send Feedback about Our Website">Website Feedback</option>
                <option value="websiteSupport" data-title="Contact Website Technical Support">Website Technical Support</option>
                <option value="generalQuestions" data-title="Contact Customer Service">Customer Service</option>
                <option value="custodianPublicRecords" data-title="Contact Public Records Department">Public Records Request</option>
                <option value="confidentialRecords" data-title="Contact Confidential Records Department">Confidential Records</option>
                <option value="propertyAppraiser" data-title="Contact the Property Appraiser">Property Appraiser</option>
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          <div id="divContactUs_AboutYou" class="cssContactUs_Cell">
            <label for="contactType">About You (optional)</label>
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                <option value="" selected=""></option>
                <option value="Home">Home Owner</option>
                <option value="Business">Business Owner</option>
                <option value="Land">Vacant Land Owner</option>
                <option value="Realtor">Realtor/Broker</option>
                <option value="Appraiser">Appraiser</option>
                <option value="Insurance">Insurance Professional</option>
                <option value="Legal">Legal Professional</option>
                <option value="Engineering">Engineer/Surveyor</option>
                <option value="Government">Government Professional</option>
                <option value="Media">News/Media Professional</option>
                <option value="Marketing">Marketing/Sales Professional</option>
                <option value="Technology">Technology Professional</option>
                <option value="Bcpao">BCPAO Team Member</option>
                <option value="Other">Other</option>
              </select>
            </div>
          </div>
        </div>
        <div id="divContactUs_ReviewRequest_Outer" class="cssBorderRadius">
          <div class="cssDarkBlue">REVIEW REQUEST</div>
          <div>Property to Review (required):</div>
          <div class="form-group classReview_IdentifyProperty">
            <label for="txtContactUsForm_ReviewRequestAddress">Account, Address, or Parcel ID</label>
            <div class="input-group error-after">
              <input type="text" class="cProperty form-control cssContactUs_Textbox cssBorderRadius ui-autocomplete-input" id="txtContactUsForm_ReviewRequestAddress" name="ReviewAddress" autocomplete="off">
            </div>
          </div>
          <div id="divContactUs_ReviewRequestOptions" class="error-after">
            <fieldset name="reviewRequest">
              <legend>Reason for Review (required):</legend>
              <ul class="cssNoBullet cssInlineBlock cssWidthHalf">
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_MarketValue" name="ReviewRequest" value="Property Value">&nbsp;Property Value</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_BuildingData" name="ReviewRequest" value="Building Information">&nbsp;Building Information</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_LandData" name="ReviewRequest" value="Land Information">&nbsp;Land Information</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_OwnerData" name="ReviewRequest" value="Ownership Information">&nbsp;Owner Information</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_MapData" name="ReviewRequest" value="Map Information">&nbsp;Map Information</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Photo" name="ReviewRequest" value="Property Photo">&nbsp;Property Photo</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Sketch" name="ReviewRequest" value="Building Sketch">&nbsp;Building Sketch</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Agriculture" name="ReviewRequest" value="Agrucultural Classification">&nbsp;Agricultural Classification</label>
                </li>
              </ul>
              <ul class="cssNoBullet cssInlineBlock">
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_TangibleProperty" name="ReviewRequest" value="Tangible Personal Property">&nbsp;Tangible Personal Property</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Homestead" name="ReviewRequest" value="Homestead Exemption">&nbsp;Homestead Exemption</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_CombatDiscount" name="ReviewRequest" value="Combat Discount">&nbsp;Combat Discount</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Conservation" name="ReviewRequest" value="Conservation Exemption">&nbsp;Conservation Exemption</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Nonprofit" name="ReviewRequest" value="Non-Profit Exemption">&nbsp;Non-Profit Exemption</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_OtherExemptions" name="ReviewRequest" value="Other Exemptions">&nbsp;Other Exemptions</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Portability" name="ReviewRequest" value="Homestead Portability">&nbsp;Homestead Portability</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_AssessmentCaps" name="ReviewRequest" value="Assessment Caps">&nbsp;Assessment Caps</label>
                </li>
              </ul>
              <ul class="cssNoBullet cssBlock cssWidthAuto">
                <li class="cssReviewRequestOption">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_Review_Other" name="ReviewRequest" value="Other (details below)">Other (Please provide details below)</label>
                </li>
              </ul>
            </fieldset>
          </div>
        </div>
        <div id="divContactUs_HexFraud_Outer" class="cssBorderRadius">
          <div class="cssDarkRed">REPORT HOMESTEAD FRAUD</div>
          <div>Property to Review (required):</div>
          <div id="divContactUs_HexFraud_Where" class="form-group">
            <label for="txtContactUsForm_HexFraudAddress">Account, Address, or Parcel ID</label>
            <div class="input-group error-after">
              <input type="text" class="cProperty form-control cssContactUs_Textbox cssBorderRadius ui-autocomplete-input" id="txtContactUsForm_HexFraudAddress" name="HexFraudAddress" autocomplete="off">
            </div>
          </div>
          <div id="divContactUs_hexFraudOptions" class="cssOverFlow_x cssCanReceiveFocus input-group error-after" role="region" aria-label="Report homestead fraud options table container" tabindex="0">
            <fieldset name="homesteadFraud">
              <legend>Why is this property ineligible for Homestead Exemption? (required)</legend>
              <ul class="cssNoBullet">
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_HexFraud_Rented" name="hexFraud" value="Property is rented">&nbsp;Property is rented</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_HexFraud_Vacant" name="hexFraud" value="Property is vacant">&nbsp;Property is vacant</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_HexFraud_VacationHome" name="hexFraud" value="Property is a vacation home">&nbsp;Property is a vacation home</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_HexFraud_Deceased" name="hexFraud" value="Owner is deceased">&nbsp;Owner is deceased</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_HexFraud_DoesntLiveHere" name="hexFraud" value="Owner doesn't live there">&nbsp;Owner doesn't live there</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_HexFraud_MultipleHex" name="hexFraud" value="Owner has exemption on another home">&nbsp;Owner has exemption on another home</label>
                </li>
                <li class="cssNoWrap">
                  <label class="cssNormal cssCheckboxLabel">
                    <input type="checkbox" id="chkContactUsForm_HexFraud_Other" name="hexFraud" value="Other (see messages)">&nbsp;Other (Please provide details below)</label>
                </li>
              </ul>
            </fieldset>
          </div>
        </div>
        <div id="divContactUs_IdentifyProperty_Outer" class="cssBorderRadius cssContactUs_InputGroup">
          <input type="checkbox" id="chkContactUsForm_ParticularProperty" class="cssContactUs_Checkbox" checked="checked" name="response">
          <label for="chkContactUsForm_ParticularProperty" class="cssNormal cssContactUsForm_CheckboxLabel">This is about a particular property</label>
          <fieldset id="divContactUs_IdentifyProperty" name="propertyId" class="form-group">
            <legend class="sr-only">Identify the Property:</legend>
            <label id="lblContactUsForm_Property_Label" for="txtContactUsForm_Property">Account, Address, or Parcel ID</label>
            <div class="input-group error-after">
              <input type="text" class="classHasAutoComplete cProperty form-control cssContactUs_Textbox cssBorderRadius ui-autocomplete-input" id="txtContactUsForm_Property" name="property" autocomplete="off">
            </div>
          </fieldset>
        </div>
        <label for="txtContactUsForm_Message">Message (required)</label>
        <div id="divContactUsForm_CommentsContainer" class="cssBorderRadius form-group">
          <textarea id="txtContactUsForm_Message" name="msg" rows="4" class="error-after"></textarea>
          <div class="text-count-wrapper"><span class="text-count">2000</span> characters remaining</div>
        </div>
        <fieldset id="divContactUs_CustomerInfo" name="customerContactInfo" class="cssBorderRadius cssContactUs_InputGroup">
          <legend class="sr-only">Your Contact Information:</legend>
          <input type="checkbox" id="chkContactUsForm_ContactMe" class="cssContactUs_Checkbox" name="response" checked="checked">
          <label for="chkContactUsForm_ContactMe" class="cssNormal cssContactUsForm_CheckboxLabel">Please contact me</label>
          <div id="divContactUs_CustomerInfo_Inner">
            <div>
              <div class="cssUserInfo">
                <div class="input-group error-after">
                  <label for="txtContactUsForm_Name" class="cssContactUs_CustomerInfo_Label">Name</label><input type="text" class="form-control cssContactUs_Textbox cssBorderRadius" id="txtContactUsForm_Name" name="Name">
                </div>
              </div>
              <div class="cssUserInfo">
                <div class="input-group error-after">
                  <label for="txtContactUsForm_Phone" class="cssContactUs_CustomerInfo_Label">Phone</label><input type="tel" class="form-control cssContactUs_Textbox classRequiredContact cssBorderRadius" id="txtContactUsForm_Phone" name="phone">
                </div>
              </div>
              <div class="cssUserInfo">
                <div class="input-group error-after">
                  <label for="txtContactUsForm_Email" class="cssContactUs_CustomerInfo_Label">Email</label><input type="email" class="form-control cssContactUs_Textbox classRequiredContact cssBorderRadius" id="txtContactUsForm_Email" name="email">
                </div>
                <div id="divContactUsPublicRecordNotice_FS668_6076"> "Under Florida law, e-mail addresses are public records<span class="cssEllipse">...</span>
                  <button class="cssEllipseExpandable cssContentLink cssButtonLink">Read More&nbsp;<span class="fa fa-angle-down"></span></button><span class="cssEllipseContent">. If you do not want your e-mail address released in response to a
                    public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing." -FS 668.6076</span>
                </div>
              </div>
            </div>
            <div id="divContactUs_CustomerInfo_Optional" class="cssAlertText"> PUBLIC RECORD - CONTACT INFORMATION OPTIONAL </div>
          </div>
        </fieldset>
        <div class="cssContactUs_Row">
          <div class="cssContactUs_Cell">
            <div id="divCaptchaContainer">
              <div style="width: 304px; height: 78px;">
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            </div>
            <div id="divCaptchaText" class="cssCenter">
              <span id="spnCaptchaLabel" class="cssFontSizeSmaller">Ensures message is from a person (required)</span>
            </div>
            <input id="hiddengrecaptcha" name="hiddengrecaptcha" type="text" style="opacity: 0; position: absolute; top: 0; left: 0; height: 1px; width: 1px;" tabindex="-1">
          </div>
          <div id="divContactUs_BottomButtons" class="cssCenter cssContactUs_Cell">
            <button id="btnSendMessage" type="submit" name="contactUsSendMessage" class="cssButton cssDialogButton_Blue cssContactUs_Button">Send Message</button>
            <button id="btnResetForm" type="reset" name="contactUsResetForm" class="cssButton cssDialogButton_Silver cssContactUs_Button">Reset Form</button>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

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BCPAO.us
 Contact Us
Welcome
BCPAO.us
Brevard County Property Appraiser
Dana Blickley, CFA
"...to be the best in the State of Florida..."
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Welcome!
We hope you enjoy your visit today. We strive to be Florida’s leader in
providing our customers with the most trusted source of property data, exemption
information, and innovative valuation services.






I Want To . . .
 * Search for Property
 * Apply for an Exemption
 * Change My Mailing Address
 * Request a review
 * Search a Map
 * Report Homestead Fraud

Hot Topics
 * Amendment 5:Extends Save Our Homes portability period to up to three years...
 * Amendment 6:Homestead property tax discount for spouses of deceased
   veterans...
 * NEW:Veterans may be eligible for prorated property tax refund...

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 Contact Us

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MOST INFORMATION YOU SEND US IS PUBLIC RECORD  Read More 
Most information you send us is public record per Florida law. You may submit
your concerns anonymously, but if you would like a response and prefer to keep
your contact information private, please visit one of our four offices instead
of using this form.
CONFIDENTIAL STATUS
While most information you send us is public record by law, Florida Statute
119.071 provides that certain records held in public trust are confidential and
exempt from public inspection under specific conditions. If you would like to
apply for confidential status under Florida Statute119.071 or if you have
already been approved for confidential status and would like access to your
confidential property records, please visit our Confidential Records page.
Topic (required)
Accessibility Request Report Data Error Review Request Report Homestead Fraud
Exemptions Bulk Data Request Property Transaction Information Parcel Splits &
Combines GIS & Mapping Field Inspections/Photos/Sketches Business & Tangible
Property Agriculture Taxroll Administration Human Resources Finance Gov. Affairs
& Public Relations Information Systems Website Feedback Website Technical
Support Customer Service Public Records Request Confidential Records Property
Appraiser
About You (optional)
Home Owner Business Owner Vacant Land Owner Realtor/Broker Appraiser Insurance
Professional Legal Professional Engineer/Surveyor Government Professional
News/Media Professional Marketing/Sales Professional Technology Professional
BCPAO Team Member Other
REVIEW REQUEST
Property to Review (required):
Account, Address, or Parcel ID

Reason for Review (required):
 *  Property Value
 *  Building Information
 *  Land Information
 *  Owner Information
 *  Map Information
 *  Property Photo
 *  Building Sketch
 *  Agricultural Classification

 *  Tangible Personal Property
 *  Homestead Exemption
 *  Combat Discount
 *  Conservation Exemption
 *  Non-Profit Exemption
 *  Other Exemptions
 *  Homestead Portability
 *  Assessment Caps

 * Other (Please provide details below)

REPORT HOMESTEAD FRAUD
Property to Review (required):
Account, Address, or Parcel ID

Why is this property ineligible for Homestead Exemption? (required)
 *  Property is rented
 *  Property is vacant
 *  Property is a vacation home
 *  Owner is deceased
 *  Owner doesn't live there
 *  Owner has exemption on another home
 *  Other (Please provide details below)

This is about a particular property Identify the Property: Account, Address, or
Parcel ID

Message (required)
2000 characters remaining
Your Contact Information: Please contact me
Name
Phone
Email
"Under Florida law, e-mail addresses are public records... Read More . If you do
not want your e-mail address released in response to a public records request,
do not send electronic mail to this entity. Instead, contact this office by
phone or in writing." -FS 668.6076
PUBLIC RECORD - CONTACT INFORMATION OPTIONAL
Ensures message is from a person (required)
Send Message Reset Form
More contact options . . .
Welcome!
Brevard County Property Appraiser's Office (BCPAO)
BCPAO website content is informational only, and BCPAO provides no warranty and
assumes no liability for its use, interpretation, access, or availability. User
assumes all risk. Other disclaimers apply.
Website in development and subject to change.
I understand and accept this.
321.264.6700 | P.O. Box 429 Titusville, FL 32781-0429
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