Identity Verification Form

Identity Verification Form Instructions

1. Complete all fields in Section I.

2. Present the form to a notary.

3. Complete all fields in Section II (The business name and address should be the

location from which the notary was received.)

4. Have a notary complete Section III (If possible, request an ink notary stamp, or

shade the raised seal so the form can be faxed).

5. Remittance Information:

a. Fax the completed form to Piedmont Natural Gas at 877.525.2880.

b. If you are unable to fax the form, you can scan the completed form and

email it to

(Attn: IVF\CCC)

c. If you are unable to fax or email the form, please mail it to:

Piedmont Natural Gas

(Attn: IVF\CCC)

2611 Greengate Dr.

Greensboro, NC 27406

6. Please allow at least three business days to complete your request.

Note: We recommend you keep a copy for your records.

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Parent category: Legal