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Southern California Gas Company, A Sempra Energy utility
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Moving
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Regulatory
Tariffs
Tariffs Samples
Sample Forms
Tariffs flagged with an asterisk (
*
) include one or more sheets considered effective pending final approval by the C.P.U.C.
Application
Sample Form Med Baseline App, Medical Baseline Allowance Application (Form 4859-E)
Sample Form Med BL Self-Cert, Medical Baseline Allowance Self-Certification (Form 4860)
Sample Form CARE - Appl AEH, CARE - Application (Form 6632-C)for Qualified Agricultural Employee Housing
Sample Form CARE - Appl MFHC, CARE - Application (Form 6635)for Migrant Farm Worker Housing Centers
Sample Form CARE - Appl NGF, CARE - Application (Form 6571-D and Supplement)for Qualified Nonprofit Group Living Facilities
Sample Form CARE - DM, CARE Form 6491-DM
Sample Form CARE - Self Cert, Self Certification CARE Application - Individually Metered Residential (Form 6491-D)
Sample Form CARE-Self Recert, Self-Recertification CARE Application - Individually Metered Residential (Form 6674-D)
Sample Form CARE-Capitation, Capitation Program CARE Application (Form 6491-2D)
Sample Form CARE - PostEnrol, Post Enrollment Verification CARE Application - Individually Metered Residential (Form 6675-D)
Sample Form CARE-PostEnrSub, Post Enrollment Verification CARE Application - Sub-Metered Residential (Form 6675-DS)
Sample Form CARE - SubCert, Self-Certification CARE Application - Submetered Residential (Form 6677-D)
Sample Form CARE - SubRecert, Self-Recertification CARE Application - Submetered Residential (Form 6678-D)
Sample Form CARE - BI, CARE Application Form No. 6491-BI
Sample Form Set/Turn On Appl, Application, Set & Turn-On
Sample Form LineExtAppliCost, Statement of Applicant's Contract Anticipated Cost for Applicant Installation Project, Form 66602
Receipts and Notices
Sample Form Receipt for Paym, Receipt for Payment (Form 481-8, rev 7/96 CIS)
Sample Form MiscAcctReceipt, Miscellaneous Account Receipt (Form 315U)
Sample Form DepositWarning, Deposit Warning Letter A and B, Form Number 437.1R (11/02)
Sample Form CA Penal Code, California Penal Code Tag, Form 81-A
Surety or Guarantee for Account
Sample Form Guarantee, Continuing Guarantee Letter, Form 6447, 1/94
Contracts
Sample Form Stub Svc Install, Stub Service Installation (Form 3607-A, rev. 3/67)
Sample Form ESP Agmt 6536-A, Energy Service Provider Agreement for Core Aggregation Service (Form 6536-A, rev. 1/99)
Sample Form CoreCapAssign, Core Capacity Assignment Agreement for ESP (Form No. 6599)
Sample Form CAT Termination, Customer Termination of CAT Program Contract (Form 6567-T)
Sample Form CIA-1A (Res) , Customer Information Authorization (Form No. CIA-1A)
Sample Form CIA-2A (C/I), Commercial/Industrial Customer Information Authorization (Form CIA-1B)
Sample Form CogenStandby, Cogeneration Standby Equipment Affidavit, Form 6419, 3/88
Sample Form CurtailTransfer, Notice of Intrastate Curtailment Transfer (Form 6600, 9/01)
Sample Form Line Ext. Contra, Line Extension Contract - Form 3905D
Sample Form Appl. Design For, Contract, Appl. Design Terms & Conditions (Form 6665, 5/98)
Sample Form Contract Assign, Assignment of Contract, Form 3907-B
Sample Form Pipe Transfer, Transfer of Service Pipe to Yard Piping
Sample Form MSC, Contract, Master Services, Form 6597
Sample Form MSC Sch A, MSC, Schedule A, Intrastate Transmission Service, Form 6597-1
Sample Form MSC Sch A - Add, MSC Schedule A Transportation Services Addendum, Form 6597-21
Sample Form A - Amendment, Amendment to MSC - Sch. A, Intrastate Transmission Service, Form 6597-9
Sample Form A - Supplm. , MSC - Supplement to MSC Schedule A, Form 6597-10
Sample Form MSC Sch B, Contracts, MSC, Schedule B, Marketer/Core Aggregator/Use or Pay Aggregator (Form No. 6597-2)
Sample Form MSC Sch D - BSS, Contract, Basic Storage Serv. Agreement, Form 6597-4
Sample Form MSC Sch I - TBS , Schedule I, Transaction Based Storage Service Agreement (Form 6597-11)
Sample Form SchedQuantityAdd, Schedule Quantity Addendum, Form No. 6900
Sample Form TradingAgmt, Constrained Area Firm Capacity Trading Agreement, Form No. 6910
Sample Form MSC Sch K - Pool, Contract, MSC, Pooling Services Schedule K, Form 6597-13
Sample Form MSC Sch L BTSC, MSC, Schedule L, Backbone Transportation Service Contract, Exhibit A, Form 6597-17
Sample Form MSC Sch M RPMA, MSC, Schedule M, Receipt Point Master Agreement, Form 6597-18
Sample Form MSC Sch N OSDSC, MSC Schedule N, Off System Delivery Service Contract, Form 6597-19
Sample Form MSC Sch O , MSC - Schedule O - Park and Loan Services Agreement, Form 6597-20
Sample Form MSC -OA, Operations Park and Loan Services Agreement - Exhibit A - Transaction Confirmation, Form 6597-22a
Sample Form Sch L BTSC Amnt , Amendment to MSC, Schedule L, Backbone Transportation Service Contract, Form 6597-20
Sample Form Nom/Trade Author, Nomination and Trading Authorization Form (for Receipt Point Master Agreement and/or Storage Contract) Form 9924
Sample Form TerminNom/Trade, Terminate Nominating/Trading Agent (for Receipt Point Master Agreement and/or Storage Contract) Form 9926
Sample Form RPAC Location Ch, Firm Receipt Point Location Change Request, Form No. 2900
Sample Form Pooling Svc Req, Request for Pooling Service Contract, Form 9928
Sample Form EBB Agreement, Electronic Bulletin Board Agreement
Sample Form EBB - Exh A, EBB Exhibit A - Logon ID Request Form
Sample Form EBB - Exh B, Delegation of Authority to Execute Logon ID Request - Form No. 6800-B
Sample Form Agree Coll Work, Contract - Agreement for Collectible Work
Sample Form Imb. Trading Agr, Contract, Imbalance Trading Agreement
Sample Form ProdAppFeeNotif, Contract, Appl. Fee Notification Letter, Form 6640
Sample Form App A - Pay Exis, Contract, Appendix A - Payment (Exist), Form 6641
Sample Form App A - Pay New, Contract, Appendix A - Payment (New), Form 6642
Sample Form App B - Pay O&M, Contract, Appendix B - Payment (O&M), Form 6643
Sample Form Equip Incent Pro, Equipment Incentive Program Agreement, Form No. 6700-1 (5/00)
Sample Form Rul38SpeConds, Rule No. 38 Special Conditions: Metering and Gas Usage, Form 6700-1A (5/00)
Sample Form Rule38 Affidavit, Rule No. 38 Affidavit, Form 6700-1B (5/00)
Sample Form Red Team Affidav, Contract, Red Team Affidavit, Form 6683 (5/00)
Sample Form Feasibilty Study, Contract, Feasibilty Study Program Agreement, Form No. 6700-2 (8/96)
Sample Form Consent to Commo, Contract, Consent to Common Use
Sample Form Special Faciliti, Contract, Special Facilities
Sample Form Trans. of Owners, Contract, Proposal and Agreement for Transfer of Ownership of Distribution System (Form 6660)
Sample Form Optional Rate Ag, Contract, Optional Rate Agreement
Sample Form ContinuousSvcAgm, Continuous Service Agreement, Form 6558-D, 03/00
Sample Form CSA, Access to SoCalGas Pipeline System - Consulting Services Agreement - Form 6440
Sample Form Access-Confiden , Access to the SoCalGas Pipeline System Confidentiality Agreement (Form 6410)
Sample Form Access-Collectib, Access to SoCalGas Pipeline System Collectible System Upgrade Agreement
Sample Form IA, Interconnection Agreement
Sample Form ICSUA, Exhibit D: Interconnect Collectible System Upgrade Agreement - Form No. 6430-5
Sample Form OBA, Operational Balancing Agreement - Form No. 6435
Sample Form OBF Loan Agmt, On-Bill Financing Loan Agreement (Form No. 7150)
Sample Form OBF Self Install, OBF Loan Agreement for Self Installer, Form No. 7150-A
Sample Form OBF State of CA, On-Bill Financing Loan Agreement with State of California (Form 7150)
Sample Form NGVR Authorizati, Authorization to Change Residential Rate - NGV Home Refueling (Form 6150)
Sample Form CM Form 2, Notice by Contracted Marketer to Add or Drop Customers
Sample Form BTS Rights Assig, BTS Rights Assignment Form (6825)
Sample Form AC Smr Svr Agmt , Summer Saver Gas AC Agreement Form 6540
Sample Form Exempt G-SRF, Report of Exemption from State Regulatory Fee (Form No. 3090)
Bill Forms
Sample Form ResSalesOrder, Residential Sales Order (Form 5327-G, 03/00)
Sample Form Bill GenSvcBlue, Bill, General Service
Sample Form Bill C/I Svc, Bill, Commercial/Industrial Service
Sample Form MicroBusClaim, Affidavit in Support of Customer Claim as Qualifying as a Micro Business Customer (Form No. REG-9998)
Collection Notices
Sample Form Past Due Payment, Collection Notice, Past Due Payment
Sample Form Field Notice, Field Collection Notice, Form 41.6, 02/12
Sample Form Meter Closed, Meter Closed for Non-Payment, Form 5101, 04/12
Sample Form Impt. Notice, Collection Notice, Important Notice, 04/12
Sample Form UnsatisRemit, Unsatisfactory Remittance, Form 1512-H, 4/00
Sample Form InaccessMeterNon, Urgent Notice: Inaccessible Meter, Form 4515-C, 8/92
Sample Form NoticeToTenants, Notice to Tenants, Termination of Gas Service, Form 4636-E, 08/10
Sample Form Notify 3rd Party, Third Party Notification, Form 437.C, 06/02
Sample Form NonPayment, Collection Notices - Consequences of Non Payment
Sample Form DisputedAcctDecl, Disputed Account Declaration, Form No. 6619
Sample Form Proof of Claim, Proof of Claim, Form 6620
Customer Services Notices
Sample Form Advice to Custom, Customer Service Notice, Adv to Customer
Sample Form CS,Callby Servic, Customer Service Notice, Call by Service
Sample Form Haz/UnsatisConds, Notice of Hazardous Conditions/Notice of Unsatisfactory Conditions (Form 1813-W, 12/96)
Sample Form NoticeToLandlord, Notice to Landlord, Form 4641-C
Sample Form Fumigation, Warning - Meter Closed for Fumigation - Form 5400
Sample Form EQV - Form 5200, Earthquake Shut-Off Valve Regulations
Miscellaneous Notices
Sample Form Meter Inaccess-A, Meter Inaccessible for Monthly Read - Form 5372 (10/02)
Sample Form Meter Inaccess-B, Meter Inaccessible for Monthly Read - Form 6676E (10/02)
Sample Form Dog Inaccess-A, Dog Inaccessible Tag, Form 6659E (10/02)
Sample Form Dog Inaccess-B, Dog Inaccessible Tag, Form 6659W (10/02)
Sample Form JointMeter Inacc, Joint Meter Reading Inaccessible Tag (used in area jointly read for SCG/SDG&E) Form 6670JT, 10/02
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Southern California Gas Company is a subsidiary of Sempra Energy®. © 1998-2013 Southern California Gas Company. SoCalGas® is a registered trademark of Southern California Gas Company. The trademarks used herein are the property of their respective owners. All rights reserved.
