Moving Out - Service Initiation Request Untitled

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Moving Out - Service Termination Request

To stop your existing natural gas service, complete and submit the form below. Please keep in mind that access to your meter is necessary for a final reading. If we cannot read the meter, we will estimate your closing bill.

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


Account Information

Your Washington Gas Account Number:
Format:
  1234.123456 (Washington Gas)
  6123.123456 (Frederick Gas)
  1234 or 12345 (Shenandoah 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

Customer Information

*Name:
First Name

Last Name
*Social Security Number:
*Your Email Address:
Format: MyMailbox@MyDomain.xxx
*Contact Number:
Format: 123-456-7890
*Forwarding Address:
Street Address

City

State

Zip Code: 20001-1234

Service Termination

*Move Out 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.