Thank you for choosing CenterPoint Energy as your natural gas service provider. Please complete the form below to establish new service. If additional information is needed to establish your account, a representative of CenterPoint Energy may contact you.

Upon meeting all necessary requirements, an account will be established for you, and a representative of CenterPoint Energy will contact you to confirm an appointment time. If the gas service is not presently active at your new address, it will be necessary for our service technicians to have access to all gas-burning equipment inside the home. A responsible adult at least eighteen years of age or older must be present for the gas to be connected under these circumstances. Also, for security purposes, it may be necessary to provide valid photo identification at the time of connection.

* Indicates required field

 

Customer Information

Business Name *
D.B.A. Name
Telephone Number *
Business Type	Corporation Partnership Sole Proprietor Other
Federal I.D.
Tax Exempt	Yes No

Contact Information

First Name *
Last Name *
Email Address *
Telephone Number *
Alternate Telephone Number
Best time to contact	Morning Afternoon Evening
Additional responsible parties   or partners

Service History

Have you previously had service   from CenterPoint Energy? *

Yes No

Mailing Address

Street Address or P.O. Box *
City *
State *	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY
Zip Code *

Service Address

Date to begin service *
Street Address *
City *
State *	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY
Zip Code *
Subdivision Name
Property Ownership Status *	Rent Own

Property Owner

First Name
M.I.
Last Name
Street Address
City
State	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY
Zip Code

Service Address Information

Dogs Present *	Yes No
Gates Present *	Yes No
Security Alarms Present *	Yes No
Are you installing additional gas equipment?	No Pool Spa Water Heater Central Heater Generator Other

Comments / Questions

Comments / Questions