Stop Services Form

Form Instructions

Please fill out this form if you want to stop your natural gas service. If you would like to transfer your natural gas service to another address, please fill out our Transfer Service Form instead.

Step 1: Where and when do you want to stop service?

Address Line 1:

Address Line 2:

City:

Reason:

If Other, please advise.

Date to Stop Gas Service at Above Address:

State:

ZIP Code:

Primary Phone Number:

Nicor Gas Account Number:

Step 2: Who is the primary person responsible for bill payment?

Primary Person responsible for payment: Property Owner Renter Landlord

First Name:

Last Name:

Date of Birth:

Phone Number:

Email:

Social Security Number:

Step 3: Where would you like the final bill to be mailed?