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Propane, Liquefied Gas, Compressed Gas Forms

Updated: 03/07/13

Copies can be obtained from the Austin office. For clarification purposes, these forms have been grouped together. CNG forms are designated by a 1000 number and LNG forms are designated by 2000 numbers. All forms must be completed properly prior to submission. Incomplete forms will be returned.

Note: All forms are in PDF format and you can download the PDF Reader from Adobe at http://www.adobe.com.

LPG Forms

Form Number
Form Title PDF Form PDF Fill-In Form
LPG Form 1 Application for LPG License or License Renewal
LPG Form 1 Fillable
LPG Form 1A Outlet List
LPG Form 1A
LPG Form 1A Fillable
LPG Form 7 Truck Registration/Re-registration/Transfer
LPG Form 7
LPG Form 8 Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing
LPG form 8
LPG Form 7 Fillable
LPG Form 8A Report of DOT Cylinder Repair
LPG Form 8A
LPG Form 8 Fillable
LPG Form 16 Application for Examination
LPG Form 16
LPG Form 16 Fillable
LPG Form 16A Certified Employee Transfer Form
LPG Form 16A
LPG Form 16A Fillable
LPG Form 16B Application for Registration by a Master or Journeyman Plumber or a Class
LPG Form 16B
LPG Form 16B Fillable
LPG Form 16R Application for LP-Gas Examination Exemption by Reciprocity Agreement
LPG Form 16R
LPG Form 16R Fillable
LPG Form 18 Affidavit of Lost or Destroyed License
LPG Form 18
LPG Form 18 Fillable
LPG Form 18B Statement of Lost or Destroyed LPG Form 4 Decal
LPG Form 18B
LPG Form 18B Fillable
LPG Form 19 Transfer of LP-Gas Bulk Storage Plant or Cylinder Filling/Service Station
LPG Form 19
LPG Form 19 Fillable
LPG Form 20 Report of LP-Gas Incident/Accident
LPG Form 20
LPG Form 20 Fillable
LPG Form 22 Report of LP-Gas Safety Rule Violation
LPG Form 22
LPG Form 22 Fillable
LPG Form 23 Statement in Lieu of Container Testing
LPG Form 23
LPG Form 23 Fillable
LPG Form 25 Application and Notice of Exception to the LP- Gas Safety Rules
LPG Form 25
LPG Form 25 Fillable
LPG Form 28 Notice of Election to Self-Insure
LPG Form 28
LPG Form 28 Fillable
LPG Form 28A Bank Declarations Regarding Irrevocable Letter of Credit
LPG Form 28A
LPG Form 28A Fillable
LPG Form 30 Texas School LP-Gas Leakage Test Report
LPG Form 30
LPG Form 30 Fillable
LPG Form 500 Application to Install LPG Facility (Aggregate Water Capacity of 10,000 Gallons or More)
LPG Form 500
LPG Form 500 Fillable
LPG Form 500A Notice of Proposed LP-Gas Installation
LPG Form 500A
LPG Form 500A Fillable
LPG Form 501 Completion Report for LP-Gas Installations of Less than 10,000 Gallons Aggregate Water Capacity
LPG Form 501
LPG Form 501 Fillable
LPG Form 502 Application for Commission Identification
Nameplate Installation
LPG Form 502
LPG Form 502 Fillable
LPG Form 503 Notice of Completed Installation of an LP-Gas System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s)
LPG Form 503
LPG Form 503 Fillable
LPG Form 505 Testing Procedures Certification
LPG Form 505
LPG Form 505 Fillable
LPG Form 506 Polyethylene Pipe/Tubing Heat-Fusion Certification
LPG Form 506
LPG Form 506 Fillable
LPG Form 995 Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance
LPG Form 995
LPG Form 995 Fillable
LPG Form 996B Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance
LPG Form 996B
LPG Form 996B Fillable
LPG Form 997B Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance
LPG Form 997B
LPG Form 997B Fillable
LPG Form 998B Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance
LPG Form 998B
LPG Form 998B Fillable
LPG Form 999 Notice of Insurance Cancellation
LPG Form 999
LPG Form 999 Fillable
ACORD Certificate of General Liability, Automobile Liability and Workers Compensation Coverage
ACORD

CNG Forms

Form Number
Form Title PDF Form PDF Fill-In Form
CNG Form 1001 Application for CNG License or License Renewal
CNG Form 1001 Fillable
CNG Form 1001A Branch Outlet List
CNG Form 1001A
CNG Form 1001A Fillable
CNG Form 1007 Truck Registration/Re-registration/Transfer
CNG Form 1007
CNG Form 1007 Fillable
CNG Form 1008 Manufacturer’s Report of Retest or Repair
CNG Form 1008
CNG Form 1008 Fillable
CNG Form 1016 Application for Examination
CNG Form 1016
CNG Form 1016 fillable form
CNG Form 1016A Certified Employee Transfer Form
CNG Form 1016A
CNG Form 1016A fillable form
CNG Form 1016B Application for Registration by a Master or Journeyman Plumber or a Class A or B Air Conditioning & Refrigeration Contractor
CNG Form 1016B
CNG Form 1016B fillable form
CNG Form 1018 Affidavit of Lost or Destroyed License
CNG Form 1018
CNG Form 1018B Fillable
CNG Form 1018B Statement of Lost or Destroyed CNG Form 1004 Decal
CNG Form 1018B
CNG Form 1018B Fillable
CNG Form 1019 Transfer of CNG Storage Cylinders/Containers
CNG Form 1019
CNG Form 1019 Fillable
CNG Form 1020 Report of CNG Incident/Accident
CNG Form 1020
CNG Form 1020 Fillable
CNG Form 1025 Application and Notice of Exception to the Regulations for Compressed Natural Gas
CNG Form 1025
CNG Form 1025 Fillable
CNG Form 1027 Application for Qualification as Self-Insurer General Liability
CNG Form 1027
CNG Form 1027 Fillable
CNG Form 1028 Notice of Election to Self-Insure
CNG Form 1028
CNG Form 1028 Fillable
CNG Form 1500 Application to Install CNG Facility (Aggregate Storage Capacity Greater than 240 Standard Cubic Feet Water Volume)
CNG Form 1500
CNG Form 1500 Fillable
CNG Form 1501 Completion Report for CNG Commercial Installations of 240 Standard Cubic Feet Water Volume or Less
CNG Form 1501
CNG Form 1501 Fillable
CNG Form 1503 Notice of Completed Installation of a CNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s)
CNG Form 1503
CNG Form 1503 Fillable
CNG Form 1505 Testing Procedures Certification
CNG Form 1505
CNG Form 1505 Fillable
CNG Form 1995 Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance
CNG Form 1995
CNG Form 1995 Fillable
CNG Form 1996B Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Coverage or Alternative Accident/Health Insurance
CNG Form 1996B
CNG Form 1996B Fillable
CNG Form 1997B Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance
CNG Form 1997B
CNG Form 1997B
CNG Form 1998B Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance
CNG Form 1998B
CNG Form 1998B Fillable
CNG Form 1999 Notice of Insurance Cancellation
CNG Form 1999
CNG Form 1999 Fillable

LNG Forms

Form Number
Form Title PDF Form PDF Fill-In Form
LNG Form 2001 Application for LNG License or License Renewal
LNG Form 2001
LNG Form 2001 Fillable
LNG Form 2001A Branch Outlet List
LNG Form 2001A
Form 2001A Fillable
LNG Form 2007 Truck Registration/Re-registration/Transfer
LNG Form 2007
LNG Form 2007 Fillable
LNG Form 2008 Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing
LNG Form 2008
LNG Form 2008 Fillable
LNG Form 2016 Application for Examination
LNG Form 2016
LNG Form 2016 fillable form
LNG Form 2016A Certified Employee Transfer Form
LNG Form 2016A
LNG Form 2016A fillable form
LNG Form 2018 Affidavit of Lost or Destroyed License
LNG Form 2018
LNG Form 2018 Fillable
LNG Form 2018B Statement of Lost or Destroyed LNG Form 2004 Decal
LNG Form 2018B
LNG Form 2018B Fillable
LNG Form 2019 Transfer of LNG Storage Cylinders/Containers
LNG Form 2019
LNG Form 2019 Fillable
LNG Form 2020 Report of LNG Incident/Accident
LNG Form 2020
LNG Form 2020 Fillable
LNG Form 2025 Application and Notice of Exception to the Regulations for Liquefied Natural Gas
LNG Form 2025
LNG Form 2025 Fillable
LNG Form 2027 Application for Qualification as Self-Insurer General Liability
LNG Form 2027
LNG Form 2027 Fillable
LNG Form 2028 Notice of Election to Self-Insure
LNG Form 2028
LNG Form 2028 Fillable
LNG Form 2500 Application to Install LNG Facility (Aggregate Water Capacity of 15,540 Gallons or More)
LNG Form 2500
LNG Form 2500 Fillable
LNG Form 2500A Notice of Proposed LNG Installation
LNG Form 2500A
LNG Form 2500A Fillable
LNG Form 2501 Completion Report for Commercial LNG Installations of Less Than 15,540 Gallons Water Capacity
LNG Form 2501
LNG Form 2501 Fillable
LNG Form 2503 Notice of Completed Installation of an LNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicles
LNG Form 2503
LNG Form 2503 Fillable
LNG Form 2505 Testing Procedures Certification
LNG Form 2505
LNG Form 2505 Fillable
LNG Form 2995 Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance
LNG Form 2995
LNG Form 2995 Fillable
LNG Form 2996B Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance
LNG Form 2996B
LNG Form 2996B Fillable
LNG Form 2997B Statement in Lieu of Motor Vehicle Bodily Injury and Property Damage Liability Insurance
LNG Form 2997B
LNG From 2997B Fillable
LNG Form 2998B Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance
LNG Form 2998B
LNG Form 2998B Fillable
LNG Form 2999 Notice of Insurance Cancellation
LNG Form 2999
LNG Form 2999 Fillable