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/.

PDF	Fillable PDF

CNG Forms

CNG Form #	Form Title	Fillable PDF	PDF
1001	Application for CNG License or License Renewal
1001A	Branch Outlet List
1001M	Application for CNG Container Manufacturer Registration
1007	Truck Registration/Re-registration/Transfer
1008	Manufacturer’s Report of Retest or Repair
1016	Application for Examination
1016A	Certified Employee Transfer Form
1016B	Application for Registration by a Master or Journeyman Plumber or a Class A or B Air Conditioning & Refrigeration Contractor
1018	Affidavit of Lost or Destroyed License
1018B	Statement of Lost or Destroyed 1004 Decal
1019	Transfer of CNG Storage Cylinders/Containers
1020	Report of CNG Incident/Accident
1025	Application and Notice of Exception to the Regulations for Compressed Natural Gas
1027	Application for Qualification as Self-Insurer General Liability
1028	Notice of Election to Self-Insure
1035	Military Fee Exemption Form - CNG
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
1501	Completion Report for CNG Commercial Installations of 240 Standard Cubic Feet Water Volume or Less
1503	Notice of Completed Installation of a CNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s)
1505	Testing Procedures Certification
1995	Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance
1996B	Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Coverage or Alternative Accident/Health Insurance
1997B	Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance
1998B	Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance
1999	Notice of Insurance Cancellation
ACORD	Certificate of General Liability, Automobile Liability and Workers Compensation Coverage

LNG Forms

LNG Form #	Title	Fillable PDF	PDF
2001	Application for LNG License or License Renewal
2001A	Branch Outlet List
2001M	Application for LNG Container Manufacturer Registration
2007	Truck Registration/Re-registration/Transfer
2008	Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing
2016	Application for Examination
2016A	Certified Employee Transfer Form
2018	Affidavit of Lost or Destroyed License
2018B	Statement of Lost or Destroyed 2004 Decal
2019	Transfer of LNG Storage Cylinders/Containers
2020	Report of LNG Incident/Accident
2023	Statement in Lieu of Container Testing
2025	Application and Notice of Exception to the Regulations for Liquefied Natural Gas
2027	Application for Qualification as Self-Insurer General Liability
2028	Notice of Election to Self-Insure
2035	Military Fee Exemption Form
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
2500A	Notice of Proposed LNG Installation
2501	Completion Report for Commercial LNG Installations of Less Than 15,540 Gallons Water Capacity
2503	Notice of Completed Installation of an LNG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicles
2505	Testing Procedures Certification
2995	Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance
2996B	Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance
2997B	Statement in Lieu of Motor Vehicle Bodily Injury and Property Damage Liability Insurance
2998B	Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance
2999	Notice of Insurance Cancellation
ACORD	Certificate of General Liability, Automobile Liability and Workers Compensation Coverage

LPG Forms

LPG Form #	Title	Fillable PDF	PDF
1	Application for LPG License or License Renewal
1M	Application for LPG Container Manufacturer Registration
1A	Outlet List
LPG Form 7	Truck Registration/Re-registration/Transfer
LPG Form 8	Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing
LPG Form 8A	Report of DOT Cylinder Repair
16	Application for Examination
16A	Certified Employee Transfer Form
16B	Application for Registration by a Master or Journeyman Plumber or a Class
16R	Application for LP-Gas Examination Exemption by Reciprocity Agreement
18	Affidavit of Lost or Destroyed License
18B	Statement of Lost or Destroyed LPG Form 4 Decal
19	Transfer of LP-Gas Bulk Storage Plant or Cylinder Filling/Service Station
20	Report of LP-Gas Incident/Accident
22	Report of LP-Gas Safety Rule Violation
23	Statement in Lieu of Container Testing
25	Application and Notice of Exception to the LP- Gas Safety Rules
28	Notice of Election to Self-Insure
28A	Bank Declarations Regarding Irrevocable Letter of Credit
30	Texas School LP-Gas Leakage Test Report
35	Application for Military Fee Exemption
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
500A	Notice of Proposed LP-Gas Installation
501	Completion Report for LP-Gas Installations of Less than 10,000 Gallons Aggregate Water Capacity
502	Application for Commission Identification Nameplate Installation
503	Notice of Completed Installation of an LP-Gas System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s)
505	Testing Procedures Certification
506	Polyethylene Pipe/Tubing Heat-Fusion Certification
995	Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance
996B	Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance
997B	Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance
998B	Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance
999	Notice of Insurance Cancellation
Outside Trainer	Outside Trainer Application
ACORD	Certificate of General Liability, Automobile Liability and Workers Compensation Coverage