Thank you for your recent request for Gas Service. In order to complete your request for Service at the new address, you will need to provide us with the following information.

Start Date of Service:

Customer ID:

Meter Number:

Your Name:

Your Email Address:

Landlord's Name:

Landlord's Contact Number:

Address You are Requesting Service:

Acceptable Forms of Identification Include:

Select ONE form of proof of identity from the following list and upload a photocopy of that proof.

AI DSS Verification Form (accepted only if it has all required information)	Birth Certificate
Copy of Federal or State Tax Filing (most recent)	Current College Photo ID
Employment Photo ID	Food Stamp Card ID
Medicaid Card	Military ID
Non-Resident Alien Card	Passport (US or Other Nation)
Parole ID Card	Public Assistance Registration Number
Section 8 Housing Letter / Lease	Sheriff’s Card
Social Security Card (must be faxed or mailed, SS cards should NOT be sent via email)	SSI Award Letter
Valid Driver’s License / International Driver’s License (No Suspended or Expired Licenses)	Welfare ID Card
Work Stub (most recent)

Upload a photocopy of the following Proof of Identity:

Please upload a photocopy of your AI DSS Verification Form:

Please upload a photocopy of your Birth Certificate:

Please upload a photocopy of your College Photo ID:

Please upload a photocopy of your Employee Photo ID:

Please upload a photocopy of your Food Stamp Card ID:

Please upload a photocopy of your Federal/State Tax Filing:

Please upload a photocopy of your Medicaid Card:

Please upload a photocopy of your Military ID:

Please upload a photocopy of your Non-Resident Alien ID Card:

Please upload a photocopy of your Passport:

Please upload a photocopy of your Parole ID Card:

Please upload a photocopy of your Public Assistance Registration Number:

Please upload a photocopy of your Section 8 Housing Letter/Lease:

Please upload a photocopy of your Sheriff's Card:

Please upload a photocopy of your Social Security Card:

Please upload a photocopy of your SSI Award Letter:

Please upload a photocopy of a Valid Driver's License:

Please upload a photocopy of Welfare ID Card:

Please upload a photocopy of a Work Stub:

Yes, I verify that I have chosen One form of ID from above and attached photographic proof.

Contact Information