Gas Standard Customer Forms

Standard forms including applications, agreements and contracts for gas service, gas main extensions and for survey and maintenance of customer-owned gas facilities in centrally metered installations.
Form No. Description Effective Date
0058 AUTHORIZED GAS SUPPLIER AGREEMENT 01/2018
0066 AGREEMENT FOR GAS MAIN EXTENSION, SPECIAL EXPANSION PROGRAM 08/2016
0071 AMENDMENT TO AUTHORIZED GAS SUPPLIER AGREEMENT 01/2018
0202 REMOTE METER RELOCATION PROGRAM 07/2006
0203 REMOTE METER RELOCATION PROGRAM - 1ST SHUTOFF NOTICE 02/2008
0204 REMOTE METER RELOCATION PROGRAM - NOTICE OF PROPOSED GAS SHUTOFF 02/2008
0205 REMOTE METER RELOCATION PROGRAM - FINAL GAS SHUTOFF NOTICE 02/2008
0206 REMOTE METER RELOCATION PROGRAM - GAS SHUTOFF NOTICE 02/2008
0635 CONTRACT FOR SURVEY AND MAINTENANCE OF CENTRALLY METERED INSTALLATIONS (APARTMENT COMPLEX) CUSTOMER-OWNED GAS FACILITIES 09/2017
0639 CONTRACT FOR SURVEY AND MAINTENANCE OF COMMERCIAL AND INDUSTRIAL CUSTOMER-OWNED GAS FACILITIES 09/2017
0662 REQUEST FOR ELEVATED CUSTOMER DELIVERY PRESSURE 10/2016
0677 AGREEMENT FOR PROVISION OF NATURAL GAS FACILITIES FOR UNPREDICTABLE OPERATIONS 07/2008
0678 ENERGY THEFT ACKNOWLEDGMENT 05/2016
0679 SHUT-OFF NOTICE FOR UNAUTHORIZED USE 05/2016
0853 GAS TRANSPORTATION AGREEMENT - CONTRACT FOR NEGOTIATED RATE 02/2015
0857 GAS TRANSPORTATION AGREEMENT - CONTRACT FOR COST BASED RATE 01/2018
0860 AFFIDAVIT OF AUTHORITY TO NOMINATE SHIPMENTS OF NATURAL GAS 10/2012
0884 GAS TRANSPORTATION CUSTOMER REQUEST FOR BALANCE TRANSFER 02/2015
0885 GAS TRANSPORTATION CUSTOMER REQUEST FOR AUTHORIZED GAS USE 12/2007
0886 GAS TRANSPORTATION CUSTOMER REQUEST FOR CURRENT MONTH BALANCE TRANSFER 02/2015
0896 GAS TRANSPORTATION AGREEMENT - AMENDMENT 05/2017
0911 TERMINATION NOTIFICATION OF GAS TRANSPORTATION AGREEMENT 09/2015
1241 APPLICATION FOR NATURAL GAS SERVICE ON EXISTING MAIN
03/2017
1246 APPLICATION FOR FINANCED NATURAL GAS SERVICE 03/2017
1247 APPLICATION FOR RESIDENTIAL SERVICE - CONSTRUCTION REQUEST - NATURAL GAS & ELECTRIC
06/2017
1250 GO-READY CHECKLIST NATURAL GAS & ELECTRIC REQUEST 08/2013
1278 AGREEMENT OF CONFIDENTIALITY 11/2010
1394 THIRD PARTY NOTIFICATION 04/2016
1423 CONSUMERS ENERGY LARGE GAS CUSTOMER ENERGY EFFICIENCY PROGRAM "OPT-OUT" REQUEST 07/2012
1425 ENERGY EFFICIENCY PROGRAM LARGE GAS "OPT-OUT" REQUEST 10/2012
1872 GAS FACILITIES TAMPERING ACKNOWLEDGEMENT 11-2016
1874 GAS DISTRIBUTION ENGINEERING: ESTIMATED COST OF WORK - FORM B 11-2016
1875 CUSTOMER-OWNED GAS FACILITIES WORK COMPLETION 11-2016
1876 CONTRACT FOR INSPECTIONS AND MAINTENANCE OF CUSTOMER OWNED GAS FACILITIES 11-2016
2008 SHUT OFF NOTICE 08/2015
2104 INTENT TO SHUT OFF 08/2015
2330 MEDICAL CERTIFICATION FORM 11/2017
2509 ARRANGEMENT FOR PAYMENT OF MISCELLANEOUS SERVICE 08/2015
2513 PAST DUE/FINAL BILL NOTICE 08/2015
2515 SHUT OFF NOTICE FOR NON-PAYMENT 08/2015
2588 WINTER PROTECTION PLAN - DEFAULT NOTICE 08/2015
2589 SHUT-OFF PROTECTION PLAN - DEFAULT NOTICE 08/2015
2803 GAS SERVICE REQUEST CUSTOMER LETTER 06/2010
3807 SETTLEMENT ARRANGEMENT 06/2014
3808 NON-ENERGY BILL (CONTINUOUS) 08/2016
3809 NON-ENERGY PAST DUE NOTICE 10/2011
3812 ENERGY BILL (CONTINUOUS) 08/2015
3830 SALES TAX EXEMPTION CERTIFICATE 10/2013