New Natural Gas Service

What type of service do you need?*
- The service is for new construction (brand new home that is currently being built or was recently completed).
- The service is for an existing home that has never had natural gas, and we want to install it for the first time.
- To re-establish service for a home that had natural gas service at one time (but does not right now).
- Something else.
This application is for brand new service. If you need to transfer existing natural gas service into your name, please complete this move form.

You can also give us a call at 1-800-255-6815. We are happy to help!
Date*
Date Format: MM slash DD slash YYYY
Name*
First Last
Phone*
Email*
Service Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address (if different from service address)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contractor Name*
First Last
Address*
City County Township
(OSP) Operating System Pressure*
- Not Sure
- 4 oz
- 2#
(BTU) Total Gas Load*
Service Account*
- D
- R
- BC
- SA
Type of Service*
- House
- Modular
- Trailer
- Garage
- Other
Total Amps*
Permanent or Temporary*
Underground or Overhead*
Square Footage*
Type*
- Ranch
- Two Story
- Basement
Are Services Staked*
- Driveway
- Well/Septic
Type of Heat*