Pipeline Safety Forms

All PDF forms, unless otherwise indicated, are created using Adobe Acrobat. To view the files you need to have the Adobe Acrobat Reader version 6.0 or higher, available free from Adobe.



General Pipeline Forms

Form Number Form Name PDF Form Fillable PDF
PS-86A Texas School Facilities Gas Pipe Testing   Fillable pdf
PS-86B Texas School Facilities Gas Pipe Test Results pdf icon  
PS-95 Semi-Annual Leak Report pdf icon  
PS-95 EDI Specification pdf icon  
 N/A Master Meter Evaluation pdf icon  
 N/A Hazardous Liquid Evaluation pdf icon  
 N/A Gas Transmission Evaluation pdf icon  
 N/A Gas Distribution Evaluation pdf icon  
 N/A Pipeline Company/Unit/System Data pdf icon  
 N/A Distribution Facilities Replacement Submission Guide    pdf icon


Pipeline Permitting Forms

Form Number Form Name PDF Form Instructions: Fillable PDF
T-4B Pipeline Transfer Certification (File with T-4)   PDF file Fillable pdf
  Non-Utility Certificate     Fillable pdf
  Guidance for Natural Gas Operators/Economic Operators     Fillable pdf
C-LTR POPS Cover Letter Form   Fillable pdf


Sample Overview Maps

Pipeline Map Request Form

Form Number Form Name PDF Form
PMR Pipeline Map Request pdf icon