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*:
City*:
State:
Zip Code*:
Subdivision:
Lot#:

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

Please enter phone numbers, including area code. Use numbers only (no punctuation):
Home Phone*:
Work Phone:
Cell Phone:
Pager:
Fax:
   
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.
 
Type
 &
No
BTU's Per Appliance   Type
 &
No
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
 

Comments:  

Please select the area of the requested service line location:
Area*:
   
 
 

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