Benson, AZ · Cochise County
Natural Gas Agreement
New natural gas customers sign this agreement for the City of Benson to acknowledge receipt of guidance about customer-owned underground gas pipes.
What this form is
The City of Benson provides this agreement with new natural gas service to notify customers about safety recommendations for underground gas pipe they own beyond the meter. The document explains yardline maintenance and precautions before digging, then asks the customer to acknowledge the notice by providing a printed name, service address, signature, and date. The form identifies a white copy for filing and a yellow copy for the customer.
Who needs it
Customers receiving new natural gas service sign the agreement to acknowledge the city’s yardline safety notification and recommendations.
How to submit it
The form identifies a white copy for filing and a yellow copy for the customer, but gives no filing location. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This agreement is signed and dated without a notary; it contains no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Agreement
Download the Natural Gas Agreement PDF.
- 2
Complete The Agreement
Read the safety notification, then print your name, enter the service address, and sign and date the agreement.
- 3
Keep The Customer Copy
The form identifies a yellow copy for the customer and a white copy for filing.
- 4
Submit The Filing Copy
Submit the white copy to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Natural Gas Agreement for?
- It records a new natural gas customer’s acknowledgment of the City of Benson’s safety notification about customer-owned underground gas pipes.
- Who signs the Natural Gas Agreement?
- The customer receiving new natural gas service signs and dates the agreement and provides a printed name and the address of service.
- How do I submit the Natural Gas Agreement?
- The form labels one copy for filing and one for the customer but does not give a filing location. Submit it to the city department named on the form; check the city website for current contact details.
- Do I need a notary for the Natural Gas Agreement?
- No. The agreement is signed and dated without a notary, and it does not identify any notarized or sworn attachment or related step.
Need something notarized?
This Natural Gas Agreement doesn’t need a notary — but if you have another Benson form that does, a commissioned online notary can help.