Stop Services Form

Form Instructions

Please fill out this form if you want to stop your natural gas service. If you would like to transfer your natural gas service to another address, please fill out our Transfer Service Form instead.

Step 1: Where and when do you want to stop service?

Address Line 1:

Address Line 2:

City:

Date to Stop Gas Service at Above Address:

State:

ZIP Code:

Primary Phone Number:

Nicor Gas Account Number:

Step 2: Who is the primary person responsible for bill payment?

Primary Person responsible for payment: Property Owner Renter Landlord

First Name:

Last Name:

Date of Birth:

Phone Number:

Email:

Social Security Number:

Step 3: Where would you like the final bill to be mailed?

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

Step 4: Pandemic Safety

Has anyone in your home (or business) tested positive for COVID-19 in the past 14 days? No Yes

*Required Field

Are you or anyone in your home (or business) currently experiencing any symptoms associated with COVID-19, such as fever, shortness of breath, a cough that is unusual for you, or loss of taste or smell? No Yes

*Required Field

Are you or is anyone in your home (or business) currently under quarantine due to potential exposure to someone with COVID-19 or recent travel? No Yes

*Required Field

Stop Services Form

Form Instructions

Step 1: Where and when do you want to stop service?

Step 2: Who is the primary person responsible for bill payment?

Step 3: Where would you like the final bill to be mailed?

Step 4: Pandemic Safety

Residential Loans

Safety Precautions

Why Use Natural Gas