New Service Application
Residential Customers

If you have an emergency or safety-related issue, please call 800-323-5517

The fields marked with an * are required to submit this form.
Two forms of identification are needed to avoid a deposit being charged.
First Name*:
Initial:
Last Name*:
   
Social Security #:
- -    

New gas service address

Street*:
Unit:
City*:
State*:
Zip code*:
Enter street coordinates
(ex. North, South, East, West):
Are you the property owner ?*
Property Type?*
 
A landlord agreement option is available for Rental Property. The landlord agreement authorizes QGC to initiate gas service in the property owner's name from the time a tenant requests service be discontinued until a new tenant signs for service. Would you like a landlord agreement mailed to you?
Yes:

Mailing address (if other than new gas service address above)

Care of name (if any):
Street:
Unit:
City:
State:
Zip code:

Previous address information (where are you moving from)

Street:
Unit:
City:
State:
 
Zip code:
Was the gas service in your name at this address ?
If no, have you had service with Questar Gas before ?
If yes, where ?

Account holder information

Drivers License:
E-mail address*:
Contact phone number*:
- -
Mother's maiden name:
Date of birth*:
Month:
Day:
Year:
Home phone*:
- -
Cell phone:
- -
Fax number:
- -
Employer name:
Employer phone:
- -
Ext:
Are you the building
contractor ?*
Personal relationship status:

Spouse information

Name*(if applicable):
Social Security Number:
- -
Employer:
Employer phone #:
- -
Ext:

Roommate information (if applicable)

Name:
Name:
Name:

Personal reference information

Name*:
Relationship*:
Street*:
Unit:
City*:
State*:
Zip code*:
Phone*:
- -

Access arrangements

 

Questar Gas charges a $30 plus tax connection fee to initiate natural gas service, check the appliances and activate a new account at a new or an existing home.

Questar Gas charges $15 plus tax to initiate service and remove the meter lock so a qualified individual may turn on the meter and light the appliances.

Questar Gas charges an $8 plus tax connection fee if service is already on at the premises and service needs to be transferred into a new name.

 
 

In most cases, Questar Gas does not require a security deposit from residential customers. However, deposits are required, upon the filing of bankruptcy, when service is obtained fraudulently or without authorization, when service is shut off for nonpayment or when the customer has an outstanding debt with a collections agency.

 
 

If Questar Gas needs access to your meter and access is not available or if we need access inside the home, an adult (18 years or older) will need to be on the premises at the time the services are performed.


Schedule your turn on

Start Service Date*:
(mm/dd/yyyy or mm-dd-yyyy)
  The requested turn-on date must be at least three working days after today's date for a $15 limited connection(unlock meter/read only, or seven working days after today's date for a $30 full service connection(check meter and light appliances).

Agreement

By submitting this form, the customer acknowledges and agrees to the following terms and conditions:

The applicant agrees to pay for gas from Questar Gas in accordance with the terms and conditions contained in Questar Gas's gas tariffs on file with the applicable state utility regulatory agency.

If you have not received a confirmation after two business days, please contact our office at
801-324-5111 in the Salt Lake area, or toll free 800-323-5517.

Instructions:
Requested by*:
E-mail confirmation to:
(if different from above)