PG&E Process Time For: New accounts – 2-3 weeks
Additional account cards – 5-6 days

Natural Gas Fueling Card Application
New Card(s)
Deactivate Card(s)
Immediately
To be used when opening a New Account, or requesting New or Replacement Cards
(e.g. lost or damaged)
NGV Customer Service: 1-800-684-4648
CUSTOMER ACCOUNT INFORMATION (please complete one application per billing account)
Customer or Legal Business Name:
Social Security No.:
E-Mail:
(if not provided, deposit may be required):
or Calif. Drivers Lic. No.
Federal Tax ID No.
Billing -- Mailing Address:
City:
Applicant’s Name (Please Print):
FAX No.:
(Businesses Only):
State:
Daytime
Telephone:
Applicant’s Signature:
Zip:
Date:
FUELING CARD ASSIGNMENT DATA
**THIS INFORMATION WILL BE DISPLAYED ON THE MONTHLY DETAIL OF BILL**
Each fueling card issued must be tied to a vehicle license that is seven characters or less, using numbers and/or letters. (One card per vehicle.)
Note: For replacement cards – the old one will be deactivated at the time the new card is made. Call for other arrangements.
NEW REPL
Vehicle License Plate
 
(seven characters or less,
numbers and/or letters)
** Vehicle Type **
Make
Model
Year
If Replacement enter
old card number:
PG&E Use Only
New Card No. Assigned:
1
2
3
4
 Use “Page 2” for additional card requests
TO BE COMPLETED BY PG&E:
Card(s) Issued by:
Date:
Account Rep:
New Account:
PG&E Address:
NOTES: (PG&E USE)
CDX Acct. No.:
Yes
Yes
Group No.:
PG&E – NGV Customer Service, 202 Cousteau Place, Suite 150, Davis, CA 95618
Page 1
email: [email protected] PG&E FAX No.: (530) 757-5240
CNG Fueling Application_8-6-2014

Natural Gas Fueling Card Application (Continued)
NGV Customer Service: 1-800-684-4648
Customer or Legal Business Name:
FUELING CARD ASSIGNMENT DATA
**THIS INFORMATION WILL BE DISPLAYED ON THE MONTHLY DETAIL OF BILL**
Each fueling card issued must be tied to a vehicle license that is seven characters or less, using numbers and/or letters. (One card per vehicle.)
Note: For replacement cards – the old one will be deactivated at the time the new card is made. Call for other arrangements.
NEW REPL
Vehicle License Plate
 
(seven characters or less,
numbers and/or letters)
** Vehicle Type **
Make
Model
Year
If Replacement enter old
card number:
PG&E Use Only
New Card No. Assigned:
5
6
7
8
9
10
11
12
13
14
15
16
17
 (This page is supplemental and only needs to be submitted if your request is for more than four vehicles)
PG&E Address:
PG&E – NGV Customer Service, 202 Cousteau Place, Suite 150, Davis, CA 95618
Page 2
email: [email protected] PG&E FAX No.: (530) 757-5240
CNG Fueling Application_8-6-2014