You have received a letter requesting that you contact Nicor Gas to schedule an appointment for service. To schedule an appointment, please complete the form below. We'll confirm your appointment by e-mail within two business days. If you don't receive an e-mail confirmation, please contact us at

Appointment Type:* 

 [from the letter you received]
Account No.: 
First Name:* 
Last Name:* 
Address 2: 
Daytime Telephone:* 
10 digits, no hyphens.
Alternate Telephone: 
10 digits, no hyphens

Requested Dates

Please Note: Please choose a date at least two weeks from today. Time of day selection is not guaranteed.

  Month Day Year Available Time Call Before Arrival
(Gas Meter
Inspection Only)
First Choice:*
Second Choice:
Third Choice:


   Please enter below any special instructions for our service employees
   (for example: "please knock," "use back door," tell us which phone number to call before arrival, etc.)