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Minnesota Department of Commerce
Weights & Measures Division
Propane Meter: Change in Status

Required items in Red

Who is submitting Change in Status?
Owner Location
Location of Meter
Weights & Measure ID# (can be found on inspection reports or bills)
Contact Name:
Company Name:
Address:
Address:
City:
State:
Zip:
County:
Phone: (inc. area code)

Meter Information
New or Newly-installed-used
Removed Meter
Make:
Make:
Model:
Model:
Serial #:
Serial #:
Max. Flow Rate:
Date Installed:
Date Removed:
New Meter Owner Information
Removed Meter Owner Information
Contact Name:
Contact Name:
Company Name:
Company Name:
Address:
Address:
Address:
Address:
City/State/Zip:
City/State/Zip:
Phone:
Phone:
Email:
Confirm Email: