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Gas Check Requests

Submit your gas request by completing the information below. You will receive an automatic confirmation email after your request is submitted. If we need more information or your request is not approved we will contact you. Please DO NOT contact us for an update.

WE ARE CURRENTLY HAVING TECHNICAL DIFFICULTIES WITH CASH APP.

We are working on other ways to send electronic payments, but at this time all gas assistance will be sent by check. Please make sure your address is updated with us so the check goes to the correct place.

Thanks for submitting!

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