Forms

This page provides the forms for Compressed Natural Gas, Liquefied Natural Gas and Liquefied Petroleum Gas

The following forms are used to comply with the Regulations for Compressed Natural Gas, Liquefied Natural Gas and Liquefied Petroleum Gas adopted by the Railroad Commission of Texas. All forms are in PDF format. All forms, with the exception of the Acord Insurance Certificate, can be filled out online and printed; or the form may be printed and completed by hand. The Acord Insurance Certificate is a form the must be completed ONLY by an approved insurance representative.

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CNG Forms


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Form Number

Form Title

Fillable PDF

PDF Form

CNG Form 1001

Application for CNG License or License Renewal

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CNG Form 1001A

Branch Outlet List

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CNG Form 1007

Truck Registration/Re-registration/Transfer

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CNG Form 1008

Manufacturer’s Report of Retest or Repair

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CNG Form 1016

Application for Examination

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CNG Form 1016A

Certified Employee Transfer Form

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CNG Form 1016B

Application for Registration by a Master or Journeyman Plumber or a Class A or B Air Conditioning & Refrigeration Contractor

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CNG Form 1018

Affidavit of Lost or Destroyed License

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CNG Form 1018B

Statement of Lost or Destroyed CNG Form 1004 Decal

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CNG Form 1019

Transfer of CNG Storage Cylinders/Containers

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CNG Form 1020

Report of CNG Incident/Accident

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CNG Form 1025

Application and Notice of Exception to the Regulations for Compressed Natural Gas

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CNG Form 1027

Application for Qualification as Self-Insurer General Liability

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CNG Form 1028

Notice of Election to Self-Insure

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CNG Form 1035

Military Fee Exemption Form - CNG

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CNG Form 1500

Application to Install CNG Facility (Aggregate Storage Capacity Greater than 240 Standard Cubic Feet Water Volume)

A Form 1500 Submission Checklist may be used to assist the applicant in determining all items are submitted correctly

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CNG Form 1501

Completion Report for CNG Commercial Installations of 240 Standard Cubic Feet Water Volume or Less

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CNG Form 1503

Notice of Completed Installation of a CNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s)

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CNG Form 1505

Testing Procedures Certification

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CNG Form 1995

Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance

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CNG Form 1996B

Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Coverage or Alternative Accident/Health Insurance

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CNG Form 1997B

Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance

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CNG Form 1998B

Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance

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CNG Form 1999

Notice of Insurance Cancellation

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ACORD

Certificate of General Liability, Automobile Liability and Workers Compensation Coverage

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LNG Forms


Form Number

Form Title

Fillable PDF

PDF Form

LNG Form 2001

Application for LNG License or License Renewal

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LNG Form 2001A

Branch Outlet List

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LNG Form 2007

Truck Registration/Re-registration/Transfer

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LNG Form 2008

Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing

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LNG Form 2016

Application for Examination

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LNG Form 2016A

Certified Employee Transfer Form

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LNG Form 2018

Affidavit of Lost or Destroyed License

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LNG Form 2018B

Statement of Lost or Destroyed LNG Form 2004 Decal

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LNG Form 2019

Transfer of LNG Storage Cylinders/Containers

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LNG Form 2020

Report of LNG Incident/Accident

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LNG Form 2025

Application and Notice of Exception to the Regulations for Liquefied Natural Gas

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LNG Form 2027

Application for Qualification as Self-Insurer General Liability

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LNG Form 2028

Notice of Election to Self-Insure

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LNG Form 2035

Military Fee Exemption Form

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LNG Form 2500

Application to Install LNG Facility (Aggregate Water Capacity of 15,540 Gallons or More)

A Form 2500 Submission Checklist may be used to assist the applicant in determining all items are submitted correctly

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LNG Form 2500A

Notice of Proposed LNG Installation

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LNG Form 2501

Completion Report for Commercial LNG Installations of Less Than 15,540 Gallons Water Capacity

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LNG Form 2503

Notice of Completed Installation of an LNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicles

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LNG Form 2505

Testing Procedures Certification

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LNG Form 2995

Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance

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LNG Form 2996B

Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance

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LNG Form 2997B

Statement in Lieu of Motor Vehicle Bodily Injury and Property Damage Liability Insurance

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LNG Form 2998B

Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance

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LNG Form 2999

Notice of Insurance Cancellation

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ACORD

Certificate of General Liability, Automobile Liability and Workers Compensation Coverage

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LPG Forms


Form Number

Form Title

Fillable PDF

PDF Form

LPG Form 1

Application for LPG License or License Renewal

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LPG Form 1A

Outlet List

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LPG Form 7

Truck Registration/Re-registration/Transfer

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LPG Form 8

Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing

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LPG Form 8A

Report of DOT Cylinder Repair

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LPG Form 16

Application for Examination

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LPG Form 16A

Certified Employee Transfer Form

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LPG Form 16B

Application for Registration by a Master or Journeyman Plumber or a Class

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LPG Form 16R

Application for LP-Gas Examination Exemption by Reciprocity Agreement

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LPG Form 18

Affidavit of Lost or Destroyed License

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LPG Form 18B

Statement of Lost or Destroyed LPG Form 4 Decal

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LPG Form 19

Transfer of LP-Gas Bulk Storage Plant or Cylinder Filling/Service Station

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LPG Form 20

Report of LP-Gas Incident/Accident

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LPG Form 22

Report of LP-Gas Safety Rule Violation

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LPG Form 23

Statement in Lieu of Container Testing

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LPG Form 25

Application and Notice of Exception to the LP- Gas Safety Rules

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LPG Form 28

Notice of Election to Self-Insure

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LPG Form 28A

Bank Declarations Regarding Irrevocable Letter of Credit

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LPG Form 30

Texas School LP-Gas Leakage Test Report

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LPG Form 35

Military Fee Exemption Form

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LPG Form 500

Application to Install LPG Facility (Aggregate Water Capacity of 10,000 Gallons or More)

A Form 500 Submission Checklist may be used to assist the applicant in determining all items are submitted correctly

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LPG Form 500A

Notice of Proposed LP-Gas Installation

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LPG Form 501

Completion Report for LP-Gas Installations of Less than 10,000 Gallons Aggregate Water Capacity

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LPG Form 502

Application for Commission Identification
Nameplate Installation

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LPG Form 503

Notice of Completed Installation of an LP-Gas System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s)

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LPG Form 505

Testing Procedures Certification

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LPG Form 506

Polyethylene Pipe/Tubing Heat-Fusion Certification

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LPG Form 995

Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance

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LPG Form 996B

Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance

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LPG Form 997B

Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance

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LPG Form 998B

Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance

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LPG Form 999

Notice of Insurance Cancellation

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Outside Trainer

Outside Trainer Application

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ACORD

Certificate of General Liability, Automobile Liability and Workers Compensation Coverage

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Last Updated: 7/1/2016 4:38:40 PM