Gonzales, LA · Ascension Parish

Temporary Gas Cut-In Plumbing Affidavit

This affidavit accompanies a request to turn on gas before the building final and is signed by a customer accepting responsibility for possible accidents.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The form is used to request a temporary gas cut-in before the City of Gonzales issues a building final. The customer accepts responsibility for accidents that may occur if gas is turned on early and acknowledges that required inspections must be approved before the gas is turned on. Occupancy is not permitted until Building Officials issue the building final; the form lists residential and commercial fees.

Who needs it

A customer requesting that gas be turned on before the City of Gonzales issues the building final must submit this notarized affidavit.

Why it needs a notary

The form calls for the customer’s signature and a notary’s signature and seal; the customer signs the affidavit before the notary.

How to get this notarized

  1. 1

    Download The Form

    Get the Temporary Gas Cut-In Plumbing Affidavit from the City of Gonzales.

  2. 2

    Fill In The Request

    Complete the request, contractor, location, date, and scope-of-work information.

  3. 3

    Book An Online Notary

    Arrange a session with a commissioned online notary before signing the affidavit.

  4. 4

    Sign On Video

    Sign the affidavit during the online notarization session and have the notary complete the notary section.

  5. 5

    Submit To The City

    Send the completed notarized affidavit to the City of Gonzales with your gas cut-in request.

Preview the form

The blank PDF straight from Gonzales. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the temporary gas cut-in affidavit?
Fill in the request and scope-of-work details, then sign the affidavit before a notary. Submit the notarized form to the City of Gonzales with your request.
Do I need to sign this form in front of a notary?
Yes. The form says the affidavit must be notarized and provides for the customer’s signature, the notary’s signature, and a notary seal.
Can I use an online notary for this affidavit?
Louisiana law provides for remote online notarization by registered notaries and recognizes qualifying acts by duly commissioned notaries of another state. Confirm with the parish or municipality if unsure.
Does this form allow occupancy before the building final?
No. The form states that occupancy is not permitted until Building Officials issue the building final. It also says required inspections must be approved before gas is turned on.

Ready to notarize your Temporary Gas Cut-In Plumbing Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.