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
 - indicates PDF Form is available |
 - indicates Fillable PDF Form is available |
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Form Number |
Form Title |
Fillable PDF |
PDF Form |
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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 1500 |
Application to Install CNG Facility (Aggregate Storage Capacity Greater than 240 Standard Cubic Feet Water Volume) |
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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
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Form Number |
Form Title |
Fillable PDF |
PDF Form |
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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 2500 |
Application to Install LNG Facility (Aggregate Water Capacity of 15,540 Gallons or More) |
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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
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Form Number |
Form Title |
Fillable PDF |
PDF Form |
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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 500 |
Application to Install LPG Facility (Aggregate Water Capacity of 10,000 Gallons or More) |
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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 |
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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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ACORD |
Certificate of General Liability, Automobile Liability and Workers Compensation Coverage |
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Last Updated: 10/10/2014 2:42:28 PM
