Propane Refill Request Form

Do you need a propane tank refill from County Gas?

Current customers in good standing may use this form to request a refill. If you are not yet a County Gas customer, please use our New Customer Form here. As part of your new account setup we will schedule your refill shortly.

Service requests are filled within 3 - 7 business days.

*  Required
First Name:
 *
Last Name:
 *
Service Address:
 *
City:
 *
Zip:
 *
Phone:
 *
Alternate Phone:
Email:
 *
Tank Size:
Tank Gauge Reading (Percentage):
 *
For best available pricing order 250 Gallons or complete fill.
 *
Tank Ownership:
 *
Method of Payment:


 
*
Additional Comments:
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Customer Owned Tanks and New Installations Welcomed

Important Refill Notes:

By law we are not allowed to refill a tank that is owned by another propane retailer such as Ferrellgas, Hoosier Propane, Southern Indiana Propane, AmeriGas, etc.

If you are currently setup with one of these companies or any other provider but would like to change your service over to County Gas please use the New Customer Request Form here to get started.

Thank you for choosing County Gas to provide your energy needs. We look forward to serving you!