Corporate

Natural Gas Service Application - West Virginia

Single Family Residential New Construction

Complete the fields below to submit your application for natural gas service in West Virginia. The online application is for West Virginia applications only. Ohio customers should call 888-619-0786 to submit your application.

Note: If installing service in West Virginia and the account is to be opened in the customer's name, please have the homeowner call 877-587-8570 to make the application.

Premise

If the premise type is not listed or if you have questions, please call 877-587-8570 to make an application.

Service Address

Builder Information

Applicant Name

Mailing Address

(999) 999-9999

Contact Name

Premise Information

Gas Equipment to be Installed

Enter quality of each or "S" for Stub.

* Required

Ready For Tie-In & Meter?

To avoid a redtag fee for a service which cannot be tied, please make sure your plumber has tested the service line before you call.
Fax your completed Service Installation Record and Houseline Installation Record to 1-866-757-6099 when you are ready for the tie & meter.

NOTE: THERE WILL BE A PROCESSING DELAY IF APPLICATION HAS NOT BEEN MADE FIRST!

REMINDER: PLEASE MAKE APPLICATION WHEN YOU PULL YOUR BUILDING PERMIT!

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