Downloadable Forms

 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 Form:   

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

PDF-Icon-64          Residential Service application


Automated Bill Payment:
Download the automated Bill Payment form.

PDF-Icon-64   Bill Payment Form


Business Service Application:
The application to request service at a business.

PDF-Icon-64                      Business/Commercial Service Application


Meter Read Card:
The form to use when you read your meter on your own.


Meter Read Card


Pre-Authorized Payment Form:
Pre-authorize payments for your gas bill with this form.

PDF-Icon-64            Pre-Authorized Payment Form


SOS Sign Up:
Seniors Over 65 club sign up form.

PDF-Icon-64            SOS Sign Up Form                      


Standing Meter Order Agreement:
A form used by landlords to transfer service automatically back into their name when tenant moves out.

PDF-Icon-64               Standing Meter Order Agreement