Skip to main content

Natural Gas Service Line Form

Service Line Request Form

This is a request to initiate a natural gas service line. An Okaloosa Gas Customer Service Representative will contact you to finalize any costs, natural gas load requirements, tentative service line schedule and a service line agreement.

Important: We must receive your acceptance of the natural gas service line agreement before we can schedule the job. Please fill out the form below to the best of your ability. We will have a representative contact you for pricing and scheduling within 24-hours of our normal operating hours.


Contact Name

Please select natural gas appliance type(s) and quantity
There was a problem saving your submission. Please try again later.
Please wait while your submission is being saved...
Thank you, your submission has been received.