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

Upon meeting all necessary requirements, the natural gas service at the requested service address will be disconnected as close to your requested date as possible. If you have an active security deposit on the account, it will be applied to the ending balance upon disconnection. A final bill or refund check will be mailed to your forwarding address shortly thereafter.

* Indicates required field

 

Account Information

Account Number *
Meter Number

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

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 end 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