Pipeline Safety Forms

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 Adobe.

PDF	Fillable PDF

 

Texas Damage Reporting Form (TDRF) for Excavators

No Damage Non-Compliance Reporting Form

 

General Pipeline Forms

Form Number	Form Name	PDF Form	Fillable PDF
PS-86A	Texas School Facilities Gas Pipe Testing
PS-86B	Texas School Facilities Gas Pipe Test Results
PS-95	Semi-Annual Leak Report
PS-95	EDI Specification
N/A	Master Meter Evaluation
N/A	Hazardous Liquid Evaluation
N/A	Gas Transmission Evaluation
N/A	Gas Distribution Evaluation
N/A	Pipeline Company/Unit/System Data
N/A	Distribution Facilities Replacement Submission Guide

 

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Pipeline Permitting Forms

Form Number	Form Name	PDF Form	Instructions:	Fillable PDF
T-4B	Pipeline Transfer Certification (File with T-4)
	Non-Utility Certificate
	Guidance for Natural Gas Operators/Economic Operators
C-LTR	POPS Cover Letter Form

 

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Sample Overview Maps

• Overview Map Example Multiple Counties
• Overview Map Examples 1-2 Counties
• Renewal Overview Map

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Pipeline Map Request Form