Oil and Gas Forms

(Geoth​ermal forms)

**To read and print documents from this site,  is necessary. Installation is free. 

Electronic Data Delivery (EDD) Forms

Electronic Data Delivery (EDD) Forms are electronic files which are uploaded to populate data on an on-line form. The link above will take you directly to the EDD forms table located at the bottom of this page.
 

Oil and Gas Paper Forms 

Publication Number Title / Description
Form 122 (PDF)
Report of Oil and Gas Production
For calendar year 2017.
OG100 (PDF)

Well Summary
New   File within 60 days after completion of drilling, suspension, or abandonment. 
OG103 (PDF)

History of Oil or Gas Well
File within 60 days after drilling, completion, suspension, or abandonment. 
OG106 (PDF) 

Notice of Intention
New  File prior to commencement of drilling operations, along with a general plan showing the proposed location and the total depth. Submit with the proper bond (if needed). This new form takes the place of the OG 105, 107, 108 and 123.
New   PDF Form-fill format is now available.
OG110 (Excel)
Monthly Production
Updated   File to submit or amend monthly production reports.
OG110B (Excel) 
Monthly Injection
Updated   File to submit or amend monthly injection reports.
OG110D (Excel) 
Monthly Disposition
Updated   File to report or amend oil and gas used during production operations or gas blown, flared, or otherwise released into the atmosphere during production or testing operations.
OG110Q (Excel) 
Quarterly Water Production
Updated   File to submit or amend quarterly water production reports.
OG110BQ (Excel) 
Quarterly Water Injection
Updated   File to submit or amend quarterly water injection reports.
OG110FQ (Excel) 

Quarterly Other Water Allocation
Updated File to report or amend quarterly other water allocation.
OG30A (PDF)

Notification of Well and/or Facility Disposition/Transfer
This form is used to notify the Division that a change has occurred. Operators who sell, transfer, or otherwise exchange the right to operate a well, and the land (owned or leased) where the well is located, must notify the Division no later than the date the sale, transfer, conveyance, exchange, or other disposition, becomes final.

Notification is also required from persons acquiring ownership or operation of any well – whether by purchase, transfer, or another method - no later than the date the sale, transfer, conveyance, exchange, or other disposition, becomes final.

OG120 (PDF)

Application for Injection Approval
New Form   File prior to commencement of underground injection or to modify an existing previously approved injection project.
OG16 (PDF)

Request for Change of Well Designation
Form to change a lease name or well number for an existing well.
OGD7 (PDF)

Contact Questionnaire
Form to supply names and contact information and type of business entity.
OG140 (PDF)


Oil and Gas Facility Information (new form, there is no replacement)
New Form   Please use this form to create a new facility or modify and existing facility.  
OG150 (PDF)

Oil and Gas Agent Designation and Organization Information Change (this form replaces OGD42D, OG134A, OG134B)
New Form   File this form when designating an agent. The Agent shall serve as the contact person for all Division communications. The Agent must reside within the state and have a street address. This form can also be used by operators to make updates and changes to addresses and contact information.
OG160 (PDF)

Oil and Gas Bond (Updated 01/01/2018 )

This form replaces all previous bond forms including the blanket or individual bond, onshore/offshore bond, indemnity or cash, etc.

§ 3204. (a) An operator who, on or after January 1, 2018, engages in the drilling, redrilling, deepening, or in any operation permanently altering the casing, of a well, or who acquires a well, shall file with the supervisor an individual indemnity bond for each well so drilled, redrilled, deepened, or permanently altered, or acquired in the following amount:

Onshore:

  • $25,000 - less than 10,000 total feet depth
  • $40,000 - 10,000 or more total feet depth

§ 3205. (a) An operator who engages in the drilling, redrilling, deepening, or in any operation permanently altering the casing, of 20 or more wells at any time, may file with the supervisor one blanket indemnity bond to cover all the operations in any of its wells in the state in lieu of an individual indemnity bond for each operation as required by Section 3204. The bond shall be executed by the operator, as principal, and by an authorized surety company, as surety, and shall be in substantially the same language and upon the same conditions as provided in Section 3204, except as to the difference in the amount. The bond shall be provided in one of the following amounts, as applicable:

  • $200,000 - 50 or fewer onshore wells
  • $400,000 - 50 to 500 onshore wells
  • $2,000,000 - 500 to 10,000 onshore wells
  • $3,000,000 - 10,000 or more onshore wells

Offshore:

  • $1,000,000 - 1 or more offshore wells

Transfers:

  • An indemnity bond for each well as required under Section 3204 or 3205
Must file one of the following types of security, in the appropriate amount, with the bond:  
  • Certified cashier's check - made payable to the Department of Conservation
  • Certificate of deposit - made payable solely to the Department of Conservation, Division of Oil, Gas, and Geothermal Resources, or assigned or pledged to or for the benefit of (FBO) the Department of Conservation, Division of Oil, Gas, and Geothermal Resources. An assigned, pledged, or FBO account requires a completed assignment form, which is available from any Division office.
  • An assignment to a savings account - the original passbook or a copy of the savings account statement and a completed assignment form are required.

  


Electronic Data Delivery (EDD) Forms 

Publication Number Title / Description
OG100 (Word) 
Well Summary
File within 60 days after completion of drilling, suspension, or abandonment.
To access the SD004 form of reference data, click here.
OG106 (Word)
Notice of Intention
File prior to commencement of drilling operations, along with a general plan showing the proposed location and the total depth. Submit with proper bond (if needed).
To access the SD004 form of reference data, click here.
OG110 (Excel) 
Monthly Production
File to submit or amend monthly production reports.
OG110B (Excel)
Monthly Injection
File to submit or amend monthly injection reports.
OG110D (Excel)
Monthly Disposition
File to submit or amend oil and gas used during production operations or gas blown, flared, or otherwise released into the atmosphere during production or testing operations.
OG110Q (Excel)
Quarterly Water Production
File to submit or amend quarterly water production reports.
OG110BQ (Excel) 
Quarterly Water Injection
File to submit or amend quarterly water injection reports.
OG110FQ (Excel) 
Quarterly Water Allocation
File to submit or amend quarterly water allocation reports.
Directional Survey (Word) 
Directional Survey
This EDD is uploaded from the Document Upload step from either OFD016 - Notice of Intent or OFD018 - Well Summary .
Transfer Facilities (Word)
Transfer Facilities
This EDD is used to automatically upload Facility data to step 6 of OG30A - Transfer Assets.
Transfer Wells (Word)
Transfer Wells
This EDD is used to automatically upload Well data to Step 5 of OG30A - Transfer Assets.
OG120 (Excel)​
UIC Project Well Data
This EDD is used to capture UIC Project Well Data


Well Permitting