Moving Form

Home » Contact » Moving Form

Moving Form

If you are moving please fill out this form to get reimbursed for the remaining oil in your tank! At your closing, you are eligible for reimbursement for the value of the remaining oil in your storage tank. At this time your account will be closed and auto delivery suspended. An office estimate will be provided. Your account will be closed once this form is submitted.

If you are a human and are seeing this field, please leave it blank.

Your Name *

Property Address *

City *

Zip Code *

Email Address *

Telephone *

Closing Date

Closing Attorney's Name *

Closing Attorney's Fax Number

Your New Street Address

Your New City

Your New Zip Code

Will you use oil there?

To insure no interruption of coverage on this property, please provide us with the new owner’s information. We will send you $50.00 if the new homeowner signs with Hoffman Energy for automatic delivery.

New Owner's Name

New Owner's Telephone Number

*denotes required field