New Gas Meter Request Form

NEW GAS METER REQUEST FORM

PLEASE ALLOW 3 WORKING DAYS FOR PROCESSING
HAS THE GAS INLET BEEN INSTALLED*

YesNo
SORRY, THE METER REQUEST CAN NOT BE SUBMITTED UNTIL THE GAS INLET IS INSTALLED.
BY SELECTING YES, THIS MEANS THE GAS INLET IS INSTALLED AND IS READY FOR THE METER INSTALLATION.

PLEASE NOTE, A FEE MY APPLY IF THE METER CAN'T BE INSTALLED.
Homeowners First Name*
Homeowners Last Name*
Lot Number*
House Number*
Street Name*
Street Type*
Phone Number*
Builder's Name*
Homeowner Email*
Admin or Building Supervisor E-mail*
SUB-DIVISION HOUSE IS LOCATED*
Name of Gas Fitter*

First NameLast Name
Gas Fitters' License Number*
Person Filling Out This Request Form*

First NameLast Name
Elgas must receive a copy of your gas COC with in 30 days of commissioning, otherwise your gas supply may be disconnected. (FEES WILL APPLY)*

ACKNOWLEDGEMENT
PLEASE NOTE, IF NOT READY UPON FITTERS ARRIVAL

A FEE WILL APPLY FOR A RETURN APPOINTMENT
Gas Appliance To Be Installed*

Hot WaterCook TopOvenRoom HeaterBBQ PointOutside Heating
Meter Installation Option*

Option 1 (Hang & Wad) - builders/owner gas fitter to commission
Appointment*
PLEASE NOTE THAT APPOINTMENTS ARE ONLY TUESDAYS AND THURSDAYS
Rental Property*

YesNo
Property Manager's Details

Business NameContact Name & Phone Number
Tenant

First NameLast Name
Phone Number
Please enter a valid phone number.
*****FOR OFFICE USE ONLY*****
DOES THE LP GAS HAVE AN ODOUR

YESNO
FITTERS COMMENTS ( REASON FOR NOT COMPLETED)
Should be Empty:

NEW GAS METER REQUEST FORM