PO Box 484
Alton, IL  62002
(618) 254-2855
(800) 642-4815

Customer Application Forms

Becoming a customer of HWRT Oil Company, LLC is relatively quick and easy. Just complete the forms below and a representative will contact you to follow up on your company’s information and activate your account.


  1. HWRT Oil Company Customer Agreement
  2. EFT Authorization
  3. HWRT Oil Company Credit Application
  4. Destination Product Form
  5. Approved Carrier List
  6. ULSD Authorization Form
  7. Federal W9 Form
  8. Sales & Use Tax Certificate
  9. State License Number Verification Form
  10. Certification and Indemnification for E15 Purchases


In addition to sending HWRT the above forms, we also request your company’s most recent financial statement to review an open line of credit for your account(s). Experience has shown we are better positioned to satisfy our customer’s credit needs when current financial information is evaluated and on file. All information will be held in strict confidence and used for credit review only. The fiscal year end information should include:

  1. Accountant’s Report
  2. Balance Sheet
  3. Income Statement
  4. Accountant’s Notes To Financial Statement


Please send financial information, copies of all state issued licenses and the above forms to the address below:

HWRT New Customer Application
ATTN: Bryan Hatfield
PO Box 484
Alton, IL 62002