Service Line Application

NewExisting

*required

YesNo

*required

YesNo

*required

YesNo

*required

YesNo

*required

Indicate the number of years to which you are committing to service from National Fuel.*
—Please choose an option—0 years1 year2 years3 years4 years5 years6 years7 years8 years9 years10 years

*required

YesNo

*required

Deeded Property Owner:

(Please provide a copy of the deed to NFG)

Authorized Signing Agent:

Title:

Type of Business:

Address where you are requesting service

Street Address*

*required

City/Town*

*required

Nearest cross street(s):

Please note: The investigation will take place when the foundation is complete.

Site plans may be required. If available, please include a site plan with the application.

Mailing Address of Deeded Property Owner

Street Address*

*required

City/Town*

*required

Project Coordinator Name:

Project Coordinator Mail Address:

Secondary Contact Name:

Upon receipt of this application, a service investigation will be generated. The investigation may take from 1 to 3 weeks to complete depending on various factors including backlog, weather, and emergencies. The investigation identifies the location of existing facilities and the requirements to serve the structure.

Once the investigation is complete, an invoice will be provided detailing any required payments and instructions to proceed with the new service. Payment and agreements must be returned to National Fuel before approval is granted for installation of the new service. Depending on the requirements for the new service, the time for installation will vary. If the new service requires an extension of our main gas line, it will take much longer due to additional requirements such as obtaining right of ways and permits. Please plan accordingly! The time from when the application is received until the new service is installed could be 8 weeks or more.

A security deposit may be required before the gas meter is installed.

Please provide the gas equipment and BTU input/hour for each meter requested:

Add New/Added Equipment

Add Existing Equipment

REQUESTED DELIVERY PRESSURE:*

Normal delivery pressure is 4 ounces (7 inches of water column). Requests for pressure above 4 ounces (7 inches of water column) must be approved by National Fuel’s Engineering Department. Additional documentation and time will be required.

General Comments or Specific Requests

Proposed Expansion Plans or Future Load

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