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, PO Box 470 Raceland LA 70394 or email 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.