Service Line Application Request

We work with many builders in Utah, Wyoming and Idaho, from large commercial and industrial companies to residential owners and builders — to install new service lines and main extensions for natural gas service. We provide service to new construction as well as existing homes and businesses needing new or updated services.

Dominion is responsible for the installation, maintenance and repairs of the mainline and service line.
Customers are responsible for maintenance and repairs for the house line (after the meter).

* = Required Field

CUSTOMER & SITE INFORMATION
First Name:*		Last Name:*

Company Name:
Customer/Business Phone Number:*	Include area code. Use numbers only (no punctuation)
Mailing Address:*
Mailing City:*		Mailing State:*	Mailing Zip:*
Customer Email:*
Onsite Contact Name:*		Onsite Contact Phone:*

Enter the approximate site location where you are requesting gas service
Lot #:	Subdivision:
Address:*
City:*		State:*	Zip Code:*

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

SERVICE LINE INFORMATION
* Please note that if BTU's or pressure is not provided it could result in delay on installation, meter set, and/or additional charges.*
Stage of Construction:
Date foundation will be backfilled:	(example mm/dd/yyyy)
Our standard meter location is 3 feet back from the front corner opposite of the garage.

Please indicate the number of all gas appliances to be installed. Also, if you are able, enter the total number of BTU's per appliance category.

Appliance	# of items	BTU Input Per Appliance
Furnace
Furnace
Furnace
Fireplace
Boiler
Water Heater
Instant / Tankless Water Heater
Barbecue
Range / Oven / Stove top(s)
Dryer(s)
Fire Pit
Garage Heater(s)
Generator
Pool Heater
Rooftop / Space Heater
Other
Other

Pressure you are requesting at meter:

4 oz

2 lbs

Comments:

Builder/Owner appliance rebates can be applied for at www.ThermWise.com

By law, everyone must contact Blue Stakes of Utah, Idaho 811 or OneCall of Wyoming at least two, but no more than ten working days before beginning a digging project of any type. Once contacted, a locator will attempt to mark utility lines prior to excavation. This is a free service.

For service line removal, pre-evaluations (moving a service line, up-sizing service line, up-sizing meter due to the addition of appliances to existing loads), meter set, stopping of monthly gas services, or transferring of services from one location to another, call Customer Care at 1-800-323-5517, they can also help to verify if there is natural gas in your area.

Please note that this form is not to be used for adding, stopping or transferring services from one location to another. You will need to login to your Self Service account or call Customer Care to take care of these services.