Transfer Services Form

Form Instructions

Please fill out the form below if you have natural gas service and need to transfer to a different property. If you do not currently have natural gas service and want to begin service at a new address, fill out our Start Service Form instead. If you need a new service line installed at your property, please fill out our Single Meter Service Request Form.

Step 1: Where and when would you like to stop service?

Address Line 1:

Address Line 2:

City:

Date to Stop Gas Service at Above Address:

State:

ZIP Code:

Primary Phone Number:

Step 2: Where and when do you want to start service?

Address Line 1:

Address Line 2:

City:

Date to Start Gas Service at Above Address:

State:

ZIP Code:

Primary Phone Number:

Please note: It may take up to 48 hours to process your request. Same day requests are not available, and we are not able to honor requests made for past service dates.

If the gas meter is already on, select “None” under entrance instruction. If you are not sure whether the gas is on or off, please select the appropriate entrance instruction so we can access all gas appliances and turn on your service.

Entrance Instructions:

Gate Code (if applicable):

Intersecting Street (if applicable):

Subdivision Name (if applicable):

Step 3: Who will be responsible for paying the natural gas service at the address indicated above?

Primary Person responsible for payment: Property Owner Renter Landlord

First Name:

Last Name:

Date of Birth:

Phone Number:

Email:

Social Security Number:

Secondary Person responsible for payment: Property Owner Renter Landlord

First Name:

Last Name:

Date of Birth:

Phone Number:

Email:

Social Security Number:

Step 4: Where would you like the bill mailed (if different from the address in Step 2)?

eBill is a convenient and secure billing option that does not require you to log in with a username and password to view your bill. You’ll use a “shared secret,” such as your ZIP code, to authenticate. Each month, you’ll receive an email with a PDF attachment of your bill which you can pay from directly. Applicable fees apply.

eBill Paperless Billing I would like to enroll in eBill paperless billing.

Is your billing address the same as your service address? Yes, please set my billing address to be the same as my new service address above No, please set my billing address to a different address below

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

Customer Privacy Policy

Nicor Gas is committed to protecting your privacy. We use socket layering (SSL) to encrypt your personal information and only retain information for auto-pay. We do not retain financial information for one-time payments without your permission.

Consumer protection laws protect you against the unauthorized use of your credit card. Under federal law, if someone steals your credit card or your credit card number, your liability is limited to fifty dollars ($50) regardless of the amount the perpetrator charges to your account.

Transfer Services Form

Form Instructions

Step 1: Where and when would you like to stop service?

Step 2: Where and when do you want to start service?

Step 3: Who will be responsible for paying the natural gas service at the address indicated above?

Step 4: Where would you like the bill mailed (if different from the address in Step 2)?

Customer Privacy Policy

Fraud Protection

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