Agreements / Forms
Request for Service Forms
 
  • Firm Transportation/SMS Service
  • Firm Deferred Delivery Service
  • Interruptible Transportation, Storage, Liquefaction and MID Pooling Services
  • Customer Business Access and Agreement Forms
     

     
     

    This web-form must be completed online to set up electronic access to Northern's business applications (TMS, Flowing Gas, Invoicing, Contracts and Capacity Release). This form should also be used for any access viewing changes or deletions to the aforementioned systems.
    Contact Update Form
    Northern offers several email notifications to customers. To receive these notices, complete and submit this online web-form.
    Credit Application
    This form is necessary to establish creditworthiness. For additional information, see Sheet No. 284, Section 46 of Northern’s FERC Gas Tariff.
    Electronic Contracting Agreement
    This agreement is for customers with access to Northern’s contract system who want to establish electronic signatory.
    Legal Entity (LE) Request
    This form is required to create a Legal Entity number for new customers, or to process company name changes or acquisitions.
    Request to Designate Agency Authorization
    To designate an Agent to perform particular obligations on your behalf.

     

    Contracts / Nomination / Scheduling Forms
     
    Request for Operator Choice Form
    This form will allow NNG Operators the choice of Active Confirmation, Passive Confirmation, or Confirmation by Exception. Please fill out this form and fax to (402)548-5280.
    Transportation to Pools - Affidavit for Fuel Exemption
    Please complete the form and fax to Northern Natural Gas Customer Service at (402) 398-7117.
    Curtailment Exemption Affidavit 
    When Northern has called a curtailment, firm shipper can notify Northern that such curtailment would result in an emergency situation where relief from curtailment is required to forestall irreparable injury to life or property, including environmental emergencies. This form is to be completed and submitted when ultimate consumer or Shipper is requesting relief from such curtailment. (Updated 11/09)
    Operator Request to Set 7:30 a.m. Third Party Deadline
    This form is to be completed and submitted by an operator to establish a nomination deadline of 7:30 a.m. at all of its points (i.e. zones, individual TBS etc.) for Northern's Final Cycle process. Submitting the form authorizes Northern to close the Final Cycle for that Legal Entity's points to all third party nomination changes at 7:30 a.m., one half hour earlier than the standard nomination deadline of 8 a.m. for Northern's Final Cycle.
    Processing Affidavit
    Any shipper electing to retain processing rights for gas received by Northern and transported to a delivery point upstream of or to a processing plant, for which a Shipper has a right to process the gas delivered by Northern must submit a signed affidavit form. This clarification regarding attestation of processing rights is pursuant to Section 44 of Northern’s FERC Gas Tariff. This application is a printable Adobe pdf format. Please complete the form and fax to Northern Natural Gas at (402) 548-5280. (Updated 11/09)
     
    Carlton Flow Affidavit
    This is a printable Adobe pdf format. Please complete the form and fax to Northern Natural Gas at (402) 398-7117. (Updated 5/16)
    Request for Reallocation
    This request form is for reallocation and is a printable Adobe pdf format. Please complete the form and fax to Northern Natural Gas at (402) 548-5280.
      Request for End User Allocation Agreement
    This request form is for end user allocation. This application is a printable Adobe pdf format. Please complete the form and fax to Northern Natural Gas at (402)398-7117. (Updated 6/16) 
    Trading / Imbalance Forms
     
    Request for Imbalance to Storage with Multiple Points
    This form should be completed and submitted to Northern no later than 10:00 PM of the 12th business day to request Imbalance to Storage with Multiple Points.
    Request for Imbalance to Storage Across Legal Entities
    This form should be completed and faxed to Northern at (402)548-5280 no later than 10:00 p.m. of the 12th business day to request Imbalance to Storage across Legal Entities. (Updated 10/10)
     
    Authorization to Post Imbalances
    Complete the above form for Authorization to Post Imbalances and submit it to Northern. 
      Request for Imbalance Trade Form (Word Document)
    Complete the above form for Request for Imbalance Trade Form and fax to Jerry Wilkens or Louann Kellar at (402) 548-5280 (Updated 6/15)
     
    Withdrawal of Request for Imbalance Trade Form
    Complete the above form for Withdrawal of Request for Imbalance Trade and submit it to Northern. 
    Trade Group Election Form
    This form is used to notify Northern of the specific individual parties electing to participate in a trade group (Updated 4/17).
    Curtailment Supply Wanted or Available Form
    This form should be completed and submitted when firm shippers desire to enter into contractual agreements regarding supply trading arrangements in the event of a curtailment. For additional information, see Sheet No. 230 of Northern's FERC Gas Tariff.
     
    Capacity Forms / Info
     
      Request to Purchase Releasable Capacity
    This form should be completed and submitted when a shipper desires to purchase capacity through the Capacity Release system.
    ROFR-Right of First Refusal (ROFR) Bid Form
    This is a bid form for ROFR. Please complete the form and submit it to Northern.
     
    ROFR-Right of First Refusal Timeline
    This process map is a ROFR timeline for customers bidding on ROFR capacity.
     

     

     

     

    Storage Forms
     
    Request for Storage Balancing Option (SBS)
    Complete and submit this request form to have Northern automatically schedule storage injections when a loss of market occurs and/or storage withdrawals when a loss of supply occurs in order to keep pooling and transportation contracts in balance.
    Request for Title Transfer
    Storage shippers may elect to transfer storage balances by completing and returning the Title Transfer Form to Northern. Please complete the form and fax to (402) 548-5280. This application is a printable MS Word format. (Updated 3/14)
     
    Discount Forms
     
    Request for TI Discount Form
    This form is a request for discounted interruptible transportation rate on Northern Natural Gas. This application is a printable Adobe pdf format. Please complete form and fax to (402)398-7413.
    Operational Forms
     
    Customer Consent to Remove Facilities - Form 5057Q
    This form should be submitted for customers consenting to voluntarily have their farm tap meter removed by Northern. (Updated 10/08)
     
    Right of Way Grantor Farm Tap Request Form - 1740a
    This form is to be used by gas utilities presently transporting natural gas under an existing contract or service agreement. The request is for the establishment of a new farm tap on Northern Natural Gas Company’s (Northern) pipeline in order to provide service to consumers in rural areas, or to request the revision or removal of an existing farm tap. Use of this form is limited to requests for farm taps only. (Updated 10/08)
     
      Customer Initiated Shut-in or Delivery Pressure Change Request - Form 2476
    The information requested on this form is required for the authorization for the change of any delivery pressure. This document is in MS Word format.
    (Updated 6/14)
    Request to Establish Modify or Remove Facilities - Form 5062 (Excel Format)
    This form is to be used by existing customers to increase service at a delivery point or to request revision / removal of facilities. Additionally, this form is to be used by new or existing customers to establish service to a new delivery point.
    (Updated 2/10)
     
    Encroachment Form
    This form is to be used by landowners, or encroaching party, to submit proposed encroachments for Northern Natural Gas review.
    Emergency Nomination / Scheduling Forms
     
      Emergency Confirmation Fax Form Instructions
    Instructions for emergency confirmation form via fax to Northern Natural Gas. This form is a printable Adobe pdf format. (Updated 3/16)
     
    Emergency Confirmation Fax Form (Excel Format)
    This form is for emergency confirmations to be submitted via fax to Northern Natural Gas. This form is a printable Excel document.
    (Updated 3/16)
     
    Emergency Nomination Fax Form Instructions
    Instructions for emergency nominations via fax to Northern Natural Gas. This form is a printable Adobe pdf format. (Updated 3/16)
     
      Emergency Nomination Fax Form (Excel Format)
    This form is for emergency nominations to be submitted via fax to Northern Natural Gas. This form is a printable Excel document. (Updated 3/16)
     
    Credit Assurance Forms
     
      Letter Of Credit Form
    This form is to be used by customers that will post a letter of credit as credit assurance. (Updated 2/16)
     
      Guaranty Form
    This form is to be used by customers that will post a guaranty as credit assurance. (Updated 2/16)
     
      ​Joinder to the Master Escrow Agreement Form
    The Joinder to the Master Escrow Agreement is to be used by customers posting cash escrow as credit assurance. (Updated 2/16)