Moving In - Service Initiation Request

To start your natural gas service, complete and submit the form below. Please keep in mind that we may require a security deposit to open or maintain your service, depending on your payment record. A service initiation fee will be applied to your first bill on your a new account.

Please notify us at least 72 hours in advance (excluding weekends and holidays) to connect or disconnect your service.

Customer Information
*Name:
*Social Security Number:	Format: 123-45-6789
*Your Email Address:	Format: MyMailbox@MyDomain.xxx
*Home Phone:	Format: 123-456-7890
*Work Phone:	Format: 123-456-7890
*Employer:
Spouse/Roomate Name:

*Have you ever been a WG customer before?	Yes No
If Yes:	Street Address
Previous Address:	City
	State Zip Code: 20001-1234

New Service
*New Gas Service Address:	Street Address City State County - Important* Please select your county so we can route your request to the proper destination. Zip Code: 20001-1234
You are the:	Tenant Owner

Mailing Address (if different):	Street Address City State Zip Code: 20001-1234

Service Initiation
Move In Date	mm/dd/yyyy

Online Gas Service Change Authorization - I have verified that the information entered above is correct and verify that I have the authority to request the service change indicated above. I agree to pay for gas service from Washington Gas in accordance with the terms and conditions contained in Washington Gas' tariffs on file with the applicable state utility regulatory agency.

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Moving In - Service Initiation Request

Customer Information

New Service

Service Initiation