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StartService
Start Service Form
Form Instructions
To begin natural gas service at your home, please fill out the form below with the following information.
What You’ll Need:
Service
Address
Start date
Identification
Information
Moving and need to transfer
service?
Don’t have a meter and
need one?
Step 1: Where and when do you want to start service?
Please enter the new address where you want to start service.
Address:
This field is required
Exceeded character limit 254
Please only use numbers and letters in this field. Special characters are not allowed
Address Line 2:
This field is required
Exceeded character limit 254
Please only use numbers and letters in this field. Special characters are not allowed
City:
This field is required
Exceeded character limit 90
Please only use letters in this field. Special characters and numbers are not allowed
State:
Select
IL
TN
VA
Zip Code:
This field is required
Exceeded character limit 5
Please only use numbers in this field. Special characters and letters are not allowed
Start Service Date:
This field is required
Invalid Date
Valid date should be between tomorrow until 90 days
The Date you selected is not available. Please choose other date.
Step 2: Please provide your personal information.
First Name:
This field is required
First Name should be greater than 3 less than 254 characters
Please use letters for this field. Numbers and special characters are not allowed.
Last Name:
This field is required
Last Name should be greater than 3 less than 254 characters
Please use letters for this field. Numbers and special characters are not allowed.
Email:
This field is required
Exceeded character limit 30
Please enter a valid email address in this format: sample@test.com
Phone Type:
Select
Mobile
Home
Work
This field is required
Phone Number:
This field is required
Exceeded character limit 24
Please only use numbers in this field.
Date Of Birth:
This field is required
You must be 18 years or older to request a Start Service.
Do you have a Social Security Number:
Why do we need this?
We run a soft credit check that won't affect your score to verify your eligibility for service and to determine if a deposit will be required.
Yes
No
This field is required
Social Security Number:
This field is required
Please enter a 9-digit SSN. Letters and special characters are not allowed..
Please note that an initial deposit is required if you do not provide an SSN.
Do you want a secondary person on the account?
Yes
No
This field is required
First Name:
This field is required
Exceeded character limit 254
Please use letters for this field. Numbers and special characters are not allowed.
Last Name:
This field is required
Exceeded character limit 254
Please use letters for this field. Numbers and special characters are not allowed.
Email:
This field is required
Exceeded character limit 30
Please enter a valid email address in this format: sample@test.com
Phone Type:
Select
Mobile
Home
Work
This field is required
Phone Number:
This field is required
Exceeded character limit 24
Please only use numbers in this field.
Step 3: Please tell us your bill preferences
How would you like to receive your bill?
eBill Paperless Billing
Delivered via mail
This field is required
My billing address is the same as service address
Address Line 1:
This field is required
Exceeded character limit 254
Address Line 2:
Exceeded character limit 254
City:
This field is required
Exceeded character limit 90
Please only use letters in this field. Special characters and numbers are not allowed
State:
Select
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
OS
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
This field is required
Zip Code:
This field is required
Exceeded character limit 5
Please only use numbers in this field. Special characters and letters are not allowed
Request Start Service