RRC Holiday Office Closure
The Railroad Commission of Texas will be closed Wednesday, November 27 and remain closed on Thursday, November 28 and Friday, November 29 in observance of the Thanksgiving Holiday. The agency will reopen for regular business at 8 a.m. on Monday, December 2.
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/.
Fillable forms are not mandatory, but are encouraged to ensure accuracy and clarity of information submitted. Handwritten forms that are illegible will not be processed, but will be returned for resubmission.
| Fillable PDF | |
 |
 |
LPG Forms
| LPG Form # | Title | Fillable PDF | |
|---|---|---|---|
| LPG Form 1 | Application for LPG License or License Renewal | |
|
| LPG Form 1M | Application for LPG Container Manufacturer Registration |  |
|
| LPG Form 1A | Outlet List | |
|
| LPG Form 7 | Container Registration/Re-registration | |
|
| LPG Form 7A | Container Delivery Unit Registration/Re-registration | |
|
| LPG Form 7T | Cargo Tank and Container Delivery Unit Transfer | |
|
| LPG Form 8 | Manufacturer’s Report of Pressure Vessel Repair, Modification, or Testing | |
|
| LPG Form 8A | Report of DOT Cylinder Repair | |
|
| LPG Form 16 | Application for Certification or Certification Renewal | |
|
| LPG Form 16A | Certified Employee Transfer Form | |
|
| LPG Form 16B | Application for Registration by a Master or Journeyman Plumber or a Class A or B Air Conditioning & Refrigeration Contractor | |
|
| LPG Form 16P | Application for Dispenser Operations Certification Exemption | |
|
| LPG Form 16R | Application for LP-Gas Examination Exemption by Reciprocity Agreement | |
|
| LPG Form 18 | Affidavit of Lost or Destroyed License | |
|
| LPG Form 18B | Statement of Lost or Destroyed LPG Form 4 Decal | |
|
| LPG Form 19 | Transfer of LP-Gas Bulk Storage Plant or Cylinder Filling/Service Station | |
|
| LPG Form 20 | Report of LP-Gas Incident/Accident | |
|
| LPG Form 22 | Report of LP-Gas Safety Rule Violation | |
|
| LPG Form 23 | Statement in Lieu of Container Testing | |
|
| LPG Form 25 | Application and Notice of Exception to the LP- Gas Safety Rules | |
|
| LPG Form 28 | Notice of Election to Self-Insure | |
|
| LPG Form 28A | Bank Declarations Regarding Irrevocable Letter of Credit | |
|
| LPG Form 30 | Texas School LP-Gas Leakage Test Report | |
|
| LPG Form 35 | Application for Military Fee Exemption | |
|
| LPG Form 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 |
|
|
| LPG Form 500A | Notice of Proposed LP-Gas Installation | |
|
| LPG Form 501 | Completion Report for LP-Gas Installations of Less than 10,000 Gallons Aggregate Water Capacity | |
|
| LPG Form 502 | Application for Commission Identification Nameplate Installation |
|
|
| LPG Form 503 | Notice of Completed Installation of an LPG System on School Bus, Public Transportation, Mass Transit, or Special Transit Vehicle(s) | |
|
| LPG Form 505 | Testing Procedures Certification | |
|
| LPG Form 506 | Polyethylene Pipe/Tubing Heat-Fusion Certification | |
|
| LPG Form 995 | Certification of Political Subdivision of Self-Insurance for Workers’ Compensation, General Liability, and/or Motor Vehicle Liability Insurance | |
|
| LPG Form 996B | Statement in Lieu of Insurance Filing Certifying Workers’ Compensation Coverage, including Employer’s Liability Insurance or Alternative Accident/Health Insurance | |
|
| LPG Form 997B | Statement in Lieu of Motor Vehicle Bodily Injury Insurance and Property Damage Liability Insurance | |
|
| LPG Form 998B | Statement in Lieu of General Liability Insurance and/or Completed Operations or Products Liability Insurance | |
|
| LPG Form 999 | Notice of Insurance Cancellation | |
|
| Outside Trainer | Outside Trainer Application | |
|
| Perc Outside Trainer | PERC-Based Training Application | |
|
| ACORD | Certificate of General Liability, Automobile Liability and Workers Compensation Coverage | |
CNG Forms
| CNG Form # | Form Title | Fillable 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 | |
|
| 1007A | Container Delivery Unit Registration/Re-registration | |
|
| 1007T | Cargo Tank and Container Delivery Unit 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 | |
|
| 1022 | Report of CNG Safety Rule Violation | |
|
| 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 | Application for Military Fee Exemption | |
|
| 1500 | Application to Install CNG Facility (Aggregate Storage Capacity of 84,450 Standard Cubic Feet or More) A Form 1500 Submission Checklist may be used to assist the applicant in determining all items are submitted correctly |
|
|
| 1500A | Notice of proposed compressed natural gas (CNG) installation |  |
|
| 1501 | Completion report for CNG installations of less than 84,500 standard cubic feet | |
|
| 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 Form # | Title | Fillable 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 | |
|
| 2007A | Container Delivery Unit Registration/Re-registration | |
|
| 2007T | Cargo Tank and Container Delivery Unit 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 | |
|
| 2022 | Report of LNG Safety Rule Violation | |
|
| 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 | Application for Military Fee Exemption | |
|
| 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 | |