TSS Business Party User Roles Request Form

Active UserInactive UserContact Only

Street Address/PO Box

City

*Must include an off-hours phone number if 24-hour Contact is designated below

*Contact consents to informational calls/texts from National Fuel Gas Distribution Corporation using an automatic telephone dialing system and/or prerecorded message to contact the number provided. This consent is not required or a condition of the business transaction.

Check all that apply

ADDQ Stmt EmailADDQF.csv EmailCDUS Stmt EmailCMUS Stmt EmailDDQD Stmt EmailEDDQ Stmt EmailGISC Stmt EmailLPMD Stmt EmailMCSH Stmt EmailMMDA Stmt EmailMMTS Stmt EmailNDMT Stmt EmailPMDA Stmt EmailCapacity ReleaseCredit ContactDaily Market Pool Optr.EDI ContactEnergy ConsultantGeneralImbalance TraderInvoice BillingLegal/Contract AdminMarketingMedia RelationsPrimary ContactRegulatoryRetail SalesSales BillingSchedulerTrading Contact*24 Hr Emer/Robo*24 Hr Emer/No Robo

*Only one 24 hour Contact Type may be chosen (Robo or No Robo)

TSS User Roles:

*Check all that apply

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