Read our Privacy Statement

NIPSCO cannot provide a DependaBill quote to customers that meet any of the following quote exceptions:
Only customers who currently receive gas service from NIPSCO may enroll on DependaBill
Customer already has an existing quote which hasn't expired
Insufficient usage history
No predictable usage pattern
Natural gas service is shutoff or pending shutoff
Multiple meter accounts with one or more meters ineligible
Quote significantly higher (2.5 times) or lower (one-half) than the budget plan
Shut off for non-payment in last twelve months
Poor credit history
Currently enrolled with Choice, PPS, or DependaBill

*Customer Name

Requestors Name (if different than above)

*Address

*City

*State:

*ZIP:

*Phone (Day)

 -- ext.

*Phone (Eve)

 -- ext.

Email

Fax No.

*Account No.

*Date of Birth (for verification purposes)

How did you hear about DependaBill?
 Please note fields with asterick (*) indicates a required field.
 
 Email (Please provide email address above if this option is selected)

 Fax (Please provide fax number above if this option is selected)

 United States Postal Service

 

By clicking on the SUBMIT button, you will receive a DependaBill quote unless you meet any of the exceptions listed above. If you choose to enroll after reviewing your quote, you can enroll by signing and returning the enrollment form.