Deactivation request

Request for the deactivation of your natural gas connection

Before completing this form please note the following

We only collect personal information necessary to disconnect your natural gas connect. For this purpose, we need information in order, namely, to identify and contact you. Your personal information will be treated confidentially, in accordance with applicable legislation.

Subject to applicable legal conditions, Énergir may host your personal information described above with a hosting service provider. This will allow your information to be shared outside the province of Quebec. Government departments and agencies in these countries (as may be the case with the departments and agencies in Quebec) may access your information in accordance with their local laws.

To find out more about your rights to access and rectify your personal information, you can consult the policy on the protection of personal information.

You can withdraw your consent for the communication or use of the information collected at any time unless this information is required to provide the services you have requested.

Owner contact information

First name

Last name

Telephone (day)

Mobile

Street number

Street

City

Postal code

Contact person other than the owner

First name

Last name

Telephone (day)

Mobile

Is the service address where the work will be done the same as the owner's?

Yes

Otherwise, please indicate all the addresses/units affected by this request

Street number, unit(s), street

City

Postal code

Énergir account number (optional)

Type of building

Residential

Commercial, institutional, or industrial

As of what date would the gas disconnection be required?

Comments

Owner's attestation

Request of deactivation

I request the deactivation of the connection at this address, as I have indicated above.

Owner's name

Owner's signature

Date of request

Important notice

Even after the service is discontinued, the service line to your building remains active. This means that you or a future owner will still be able to get access to natural gas. In addition, Énergir will continue to inspect your service line regularly. If you do any work near the service line, you must take the necessary precautions to protect it from being damaged. Failing to do so may make you liable to Énergir. If you have any questions, do not hesitate to contact Énergir’s customer service.
Remember that the free services of Centre Info-Excavation (514 286-9228 or 1 800 663-9228) can help you get complete information concerning the location of underground structures in work areas.