AUTHORIZATION FORM FOR AGGREGATED/ANONYMIZED ENERGY CONSUMPTION DATA

Please download the form below and complete all fields and sign at the bottom to request access to aggregated or anonymized energy consumption data. This form will not be reviewed if it is not fully completed and signed. Submission of the form does not guarantee the data will be provided. Approval to release data per this form may occur only after Intermountain Gas’s review and approval of the request in its sole discretion.

If you have questions or require assistance, please contact Intermountain Gas Corporation (Intermountain Gas). Intermountain Gas may have this form in other languages. To obtain a copy in another language, please call 800-548-3679.