Gas meter verification request

                                                  To [Gas company name]
                                                  [Address]

                                                  from [Full name]
                                                  Address:
                                                  [Applicant address]
                                                  Phone: [Phone]
                                                  Account No.: [Number]

                                      REQUEST
                for verification of a gas meter

Please perform a verification of the gas meter installed at: [Applicant address].

Meter details:
- Serial number: [meter number]
- Brand/model: [brand]
- Last verification date: [date]

Preferred verification date: [date].



I guarantee payment for the verification.

Attachments:
1. Copy of identity document.
2. Copy of the gas meter passport (if available).
3. Copy of the previous verification report (if available).

4/12/2026                                                         _______________
                                                                       (signature)