Service-Line Request

This form is for moving an existing natural gas line from one location to another, new home or business construction, conversion of a home to Natural Gas, and the installation of new Service Lines and Mains.

If needing to upgrade or move your service line or meter please contact Ask A Tech at 1-800-323-5517 to schedule a Pre-Evaluation. Or if needing to start/stop/transfer services or having billing questions please call Customer Care at 1-800-323-5517.
Be advised that installation times can vary between six to eight weeks after receipt of request.
First Name*:
Middle Name:
Last Name*:
Company Name:

Enter the address where you are requesting gas service.
Street Address*:
Zip Code*:

Enter a mailing address if different than the service address.
Zip Code:

Please enter phone numbers, including area code. Use numbers only (no punctuation):
Home Phone*:
Work Phone:
Cell Phone:
Email Address*:

Owner Builder
Stage of Construction:
Date foundation
will be backfilled:
(example mm/dd/yyyy)
Setback footage:
Specify where you would like the gas meter to be located on the structure. A standard location is 3 feet back from the front corner.
Standard: Other:
Please describe:

Please indicate the type and number of all gas appliances to be installed. Also, if you are able, enter the total number of BTUs per appliance category.
BTU's Per Appliance   Type
BTU's Per Appliance
Furnace: Barbecue:
Water Heater: Range:
Dryer: Fireplace:
Pool Heater: Garage Heater:
Space Heater: Gas Light:
Patio Heater: Spa Heater:
Boiler: NGV:
Gas Log: Cooktop:
Other: (please describe)

Would you like information on natural gas equipment?
Yes No


Please select the area of the requested service line location:

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