Request Form for Residential LPG Bottled Gas

Residential LPG Bottled Gas Refill Request Form

Orders for bottled gas refills - Residential customers please complete the form below. Business customers, please use our Business Bottled Gas Form.

Urgent Deliveries - If you have run out of bottled gas completely and require an urgent delivery, an urgent delivery fee applies.
Please call us on 0800 300 400 to check we can make an urgent delivery to your property as this may not be possible during busy periods.

If you're already a customer you can also order your 45kg bottled gas bottle refill in minutes through Energy IQ or the Genesis Energy Mobile App.

Name*

Customer Number/ID:*

Daytime Phone:*

Email Address:*

Delivery Address:*

Priority:

Is there anything that could prevent access to your gas bottles, such as dogs on the property?:*

YesNo

If yes, please provide further details in the comments section below.

Cylinder type and quantity:*