The following forms may be mailed, emailed, or faxed by using the information below: 

Citizens Gas Fuel Company
127 North Main St., PO Box 40
Adrian, MI 49221
FAX: (517)  264-4401


Residential Service Application:   

Please submit this form when requesting residential gas service into your name.                                              

        Residential Service Application


Business Service Application:

The application to request service at a business.

                    Business/Commercial Service Application


Meter Read Card:

The form to use when you read your meter on your own.

Meter Read Card (Coming Soon)


Pre-Authorized Payment Form:

Pre-authorize payments for your gas bill with this form.

          Pre-Authorized Payment Form


SOS Sign Up:

Seniors Over 65 please call our office at 517-265-2144 to sign up!


Standing Meter Order Agreement:

A form used by landlords to transfer service automatically back into their name when tenant moves out.

             Standing Meter Order Agreement