Alternative Fuels Forms

The following forms are used to comply with the Regulations for Compressed Natural Gas, Liquefied Natural Gas and Liquefied Petroleum Gas adopted by the Railroad Commission of Texas. All forms are in PDF format. All forms, with the exception of the Acord Insurance Certificate, can be filled out online and printed; or the form may be printed and completed by hand. The Acord Insurance Certificate is a form the must be completed ONLY by an approved insurance representative.

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 https://get.adobe.com/reader/.

 

CNG Forms

CNG Form # Form Title Fillable PDF PDF
1001 Application for CNG License or License Renewal Fillable pdf  
1001A Branch Outlet List Fillable pdf  
1001M Application for CNG Container Manufacturer Registration Fillable pdf  
1007 Truck Registration/Re-registration/Transfer Fillable pdf  
1008 Manufacturer’s Report of Retest or Repair Fillable pdf  
1016 Application for Examination Fillable pdf  
1016A Certified Employee Transfer Form Fillable pdf  
1016B Application for Registration by a Master or Journeyman Plumber or a Class A or B Air Conditioning & Refrigeration Contractor Fillable pdf  
1018 Affidavit of Lost or Destroyed License Fillable pdf  
1018B Statement of Lost or Destroyed 1004 Decal Fillable pdf  
1019 Transfer of CNG Storage Cylinders/Containers Fillable pdf  
1020 Report of CNG Incident/Accident Fillable pdf  
1025 Application and Notice of Exception to the Regulations for Compressed Natural Gas Fillable pdf  
1027 Application for Qualification as Self-Insurer General Liability Fillable pdf  
1028 Notice of Election to Self-Insure Fillable pdf  
1035 Military Fee Exemption Form - CNG   pdf
1500 Application to Install CNG Facility (Aggregate Storage Capacity Greater than 240 Standard Cubic Feet Water Volume)

A Form 1500 Submission Checklist may be used to assist the applicant in determining all items are submitted correctly
Fillable pdf  
1501 Completion Report for CNG Commercial Installations of 240 Standard Cubic Feet Water Volume or Less Fillable pdf  
1503 Notice of Completed Installation of a CNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s) Fillable pdf  
1505 Testing Procedures Certification Fillable pdf  
1995 Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance Fillable pdf  
1996B Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Coverage or Alternative Accident/Health Insurance Fillable pdf  
1997B Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance Fillable pdf  
1998B Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance Fillable pdf  
1999 Notice of Insurance Cancellation Fillable pdf  
ACORD Certificate of General Liability, Automobile Liability and Workers Compensation Coverage   pdf

 


LNG Forms

LNG Form # Title Fillable PDF PDF
2001 Application for LNG License or License Renewal Fillable pdf  
2001A Branch Outlet List Fillable pdf  
2001M Application for LNG Container Manufacturer Registration Fillable pdf  
2007 Truck Registration/Re-registration/Transfer Fillable pdf  
2008 Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing Fillable pdf  
2016 Application for Examination Fillable pdf  
2016A Certified Employee Transfer Form Fillable pdf  
2018 Affidavit of Lost or Destroyed License Fillable pdf  
2018B Statement of Lost or Destroyed 2004 Decal Fillable pdf  
2019 Transfer of LNG Storage Cylinders/Containers Fillable pdf  
2020 Report of LNG Incident/Accident Fillable pdf  
2023 Statement in Lieu of Container Testing Fillable pdf   
2025 Application and Notice of Exception to the Regulations for Liquefied Natural Gas Fillable pdf  
2027 Application for Qualification as Self-Insurer General Liability Fillable pdf  
2028 Notice of Election to Self-Insure Fillable pdf  
2035 Military Fee Exemption Form   pdf
2500 Application to Install LNG Facility (Aggregate Water Capacity of 15,540 Gallons or More)

A Form 2500 Submission Checklist may be used to assist the applicant in determining all items are submitted correctly
Fillable pdf  
2500A Notice of Proposed LNG Installation Fillable pdf  
2501 Completion Report for Commercial LNG Installations of Less Than 15,540 Gallons Water Capacity Fillable pdf  
2503 Notice of Completed Installation of an LNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicles Fillable pdf  
2505 Testing Procedures Certification Fillable pdf  
2995 Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance Fillable pdf  
2996B Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance Fillable pdf  
2997B Statement in Lieu of Motor Vehicle Bodily Injury and Property Damage Liability Insurance Fillable pdf  
2998B Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance Fillable pdf  
2999 Notice of Insurance Cancellation Fillable pdf  
ACORD Certificate of General Liability, Automobile Liability and Workers Compensation Coverage   pdf

 


LPG Forms

LPG Form # Title Fillable PDF PDF
1 Application for LPG License or License Renewal Fillable pdf  
1M Application for LPG Container Manufacturer Registration Fillable PDF file  
1A Outlet List Fillable pdf  
LPG Form 7 Truck Registration/Re-registration/Transfer Fillable pdf  
LPG Form 8 Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing Fillable pdf  
LPG Form 8A Report of DOT Cylinder Repair Fillable pdf  
16 Application for Examination Fillable pdf  
16A Certified Employee Transfer Form Fillable pdf  
16B Application for Registration by a Master or Journeyman Plumber or a Class Fillable pdf  
16R Application for LP-Gas Examination Exemption by Reciprocity Agreement Fillable pdf  
18 Affidavit of Lost or Destroyed License Fillable pdf  
18B Statement of Lost or Destroyed LPG Form 4 Decal Fillable pdf  
19 Transfer of LP-Gas Bulk Storage Plant or Cylinder Filling/Service Station Fillable pdf  
20 Report of LP-Gas Incident/Accident Fillable pdf  
22 Report of LP-Gas Safety Rule Violation Fillable pdf  
23 Statement in Lieu of Container Testing Fillable pdf  
25 Application and Notice of Exception to the LP- Gas Safety Rules Fillable pdf  
28 Notice of Election to Self-Insure Fillable pdf  
28A Bank Declarations Regarding Irrevocable Letter of Credit Fillable pdf  
30 Texas School LP-Gas Leakage Test Report Fillable pdf  
35 Military Fee Exemption Form   pdf
500 Application to Install LPG Facility (Aggregate Water Capacity of 10,000 Gallons or More)

A Form 500 Submission Checklist may be used to assist the applicant in determining all items are submitted correctly
Fillable pdf  
500A Notice of Proposed LP-Gas Installation Fillable pdf  
501 Completion Report for LP-Gas Installations of Less than 10,000 Gallons Aggregate Water Capacity Fillable pdf  
502 Application for Commission Identification
Nameplate Installation
Fillable pdf  
503 Notice of Completed Installation of an LP-Gas System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s) Fillable pdf  
505 Testing Procedures Certification Fillable pdf  
506 Polyethylene Pipe/Tubing Heat-Fusion Certification Fillable pdf  
995 Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance Fillable pdf  
996B Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance Fillable pdf  
997B Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance Fillable pdf  
998B Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance Fillable pdf  
999 Notice of Insurance Cancellation Fillable pdf  
Outside Trainer Outside Trainer Application Fillable pdf  
ACORD Certificate of General Liability, Automobile Liability and Workers Compensation Coverage   pdf