Name change request form

Follow these steps to request a name change:

  1. CLICK HERE TO DOWNLOAD AND PRINT FORM
  2. Complete the form fully.
  3. Return form to South Coast Gas, P O Box 470 Raceland LA 70394 or e-mail pchiasson@southcoastgasco.com

Please note:  Completion of this name change form does not guarantee the name will be changed on your account.  The final decision is made at the discretion of the office manager.