Sign In
Skip Navigation LinksHome > DOGGR > Pubs Stats > Oil and Gas Forms

Oil and Gas Forms

Click here for Geothermal forms.

Adobe Acrobat Reader software is needed to read and print out these forms. Download free Acrobat Reader software.

 

Publication Number Title / Description
Form 122
Button to download Acrobat PDF file
Report of Oil and Gas Production
For calendar year 2015.
OG100
Button to download Acrobat PDF file  Button to download Microsoft Word file
Well Summary Report - Oil and Gas
File within 60 days after completion of drilling, completion, suspension, or abandonment. 
OG103
Button to download Acrobat PDF file  Button to download Microsoft Word file
History of Oil or Gas Well
File within 60 days after drilling, completion, suspension, or abandonment. 
OG105
Button to download Acrobat PDF file  Button to download Microsoft Word file
Notice of Intention to Drill New Well - Oil and Gas
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).
OG107
Button to download Acrobat PDF file  Button to download Microsoft Word file
Notice of Intention to Rework / Redrill Well
File for subsequent well operations before beginning them, along with a detailed program.
OG108
Button to download Acrobat PDF file  Button to download Microsoft Word file
Notice of Intention to Abandon Well - Oil and Gas
File before beginning abandonment operations, along with a detailed program. 
OG110
Button to download Acrobat PDF file
Production Report
File to submit monthly production reports.
OG110X
Button to download Acrobat PDF file  Button to download Microsoft Word file
Production Report Corrections
File to amend previously submitted monthly production reports.
OG110B
Button to download Acrobat PDF file
Injection Report
File to submit monthly injection reports.
OG110BX
Button to download Acrobat PDF file  Button to download Microsoft Word file
Injection Report/Injection Report Corrections
File to amend previously submitted monthly injection reports.
OG110D
Button to download Acrobat PDF file
Produced Oil and Gas Disposition Report
File to report Oil and Gas used during production operations or gas blown, flared, or otherwise released into the atmosphere during production or testing operations.
OG110DX
Button to download Acrobat PDF file  Button to download Microsoft Word file
Produced Oil and Gas Disposition Report Corrections
File to amend previously submitted monthly disposition reports.
OG123
Button to download Acrobat PDF file  Button to download Microsoft Word file
Supplementary Notice
File when there is a program change for the drilling, reworking, or abandonment of a well.
OG30A
Button to download Acrobat PDF file
Notification of Well and/or Facility Disposition/Transfer
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.

OG134A
Button to download Acrobat PDF file  Button to download Microsoft Word file
Designation of Agent (for Corporations and Limited Liability Companies only)
For corporations and limited liability companies, the assigned agent shall serve as the contact person for all Division communications. The agent must reside within the state and provide a street address.
OG134B
Button to download Acrobat PDF file  Button to download Microsoft Word file
Designation of Agent (for Individuals, Partnerships, and Joint Ventures only)
For individuals, partnerships, and joint ventures, the assigned agent shall serve as the contact person for all Division communications. The agent must reside within the state and provide a street address.
OG16
Button to download Acrobat PDF file  Button to download Microsoft Word file
Request for Change of Well Designation
Form to change a lease name or well number for an existing well.
OGD7
Button to download Acrobat PDF file  Button to download Microsoft Word file
Contact Questionnaire
Form to supply names and contact information and type of business entity.
OG160A
Button to download Acrobat PDF file
Individual Oil and Gas Well Indemnity Bond
File in the appropriate amount (based on the total depth of the well) to cover well operations on an individual well.
  • $25,000 -less than 10,000 feet total depth
  • $40,000 -10,000 feet or greater total depth
    Must use an authorized surety company.
OG160B
Button to download Acrobat PDF file
Blanket Oil and Gas Well Indemnity Bond
File in the appropriate amount (based on the total number of wells owned) to cover all well operations in lieu of individual well bonds for each well.
  • $200,000 - for 20 to 50 onshore wells, excluding idle well coverage
  • $400,000 - for more than 50 onshore wells, excluding idle well coverage
  • $1,000,000- for one or more offshore wells
  • $2,000,000 - for all onshore wells, including idle wells.
    Must use an authorized surety company.
OG160C
Button to download Acrobat PDF file
Individual Oil and Gas Well Cash Bond
File in the appropriate amount (based on the total depth of the well) to cover well operations on an individual well.
  • $25,000 - less than 10,000 feet total depth
  • $40,000 -10,000 feet or greater total depth
    Must file one of the following types of security, in the appropriate amount, with the bond:
  • Certified or 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.
OG160D
Button to download Acrobat PDF file
Blanket Oil and Gas Well Cash Bond
File in the appropriate amount (based on the total number of wells owned) to cover all well operations in lieu of individual well bonds for each well.
  • $200,000 - for 20-50 onshore wells, excluding idle well coverage
  • $400,000 - for more than 50 onshore wells, excluding idle well coverage
  • $1,000,000- for one or more offshore wells
  • $2,000,000 - for all onshore wells, including idle wells
    Must file one of the following types of security, in the appropriate amount, with the bond:
  • Certified or 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.
OG160E
Button to download Acrobat PDF file
Individual Class II Commercial Waste Water Disposal Well Indemnity Bond
File in the amount of $100,000 to cover Class II commercial waste water disposal well operations on an individual well.
Must use an authorized surety company.
OG160F
Button to download Acrobat PDF file

Individual Class II Commercial Waste Water Disposal Well Cash Bond
File in the amount of $100,000 to cover Class II commercial waste water disposal well operations on an individual well. Must file one of the following types of security, in the appropriate amount, with the bond:

  • Certified or 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.
OG160G
Button to download Acrobat PDF file
Individual Idle Well Indemnity Bond
File in the amount of $5,000 to cover five-year idle wells. Must use an authorized surety company.
OG160I
Button to download Acrobat PDF file

Individual Idle Well Cash Bond
File in the amount of $5,000 to cover five-year idle wells.
Must file one of the following types of security, in the appropriate amount, with the bond:

  • Certified or 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.
OGD42D
Button to download Acrobat PDF file
Operator Information- Change
This form is for operators to use if they have any changes to make to their existing address, as well as district changes as a source doc.