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Oil and Gas Forms

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Publication Number Title / Description
OG100
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Well Summary Report - Oil and Gas
File within 60 days after completion of drilling, completion, suspension, or abandonment. Submit in duplicate.
OG103
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History of Oil or Gas Well
File within 60 days after drilling, completion, suspension, or abandonment. Submit in duplicate.
OG105
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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 in duplicate with the proper bond (if needed).
OG107
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Notice of Intention to Rework / Redrill Well
File for subsequent well operations before beginning them, along with a detailed program. Submit in duplicate.
OG108
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Notice of Intention to Abandon Well - Oil and Gas
File before beginning abandonment operations, along with a detailed program. Submit in duplicate.
OG110X
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Production Report Corrections
File to amend previously submitted monthly production reports (OG110).
OG110BX
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Injection Report Corrections
File to amend previously submitted monthly injection reports (OG110B).
OG110D
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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
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Produced Oil and Gas Disposition Report Corrections
File to amend previously submitted monthly disposition reports (OG110).
OG123
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Supplementary Notice
File when there is a program change for the drilling, reworking, or abandonment of a well. Submit in duplicate.
OG30A
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Report of Property / Well Transfer or Acquisition
File within 30 days of the sale, assignment, transfer, conveyance, or exchange of well ownership.
OG134A
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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
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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
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Request for Change of Well Designation
Form to change a lease name or well number for an existing well.
 
OGD7
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Contact Questionnaire
Form to supply names and contact information and type of business entity.
OG160A
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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
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    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
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    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 forms of security, in the appropriate amount, with the bond:
  • Please make Certified or Cashier's Checks payable to the Department of Conservation.  Certificates of Deposit and Investment Certificates must be 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.
  • OG160D
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    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 forms of security, in the appropriate amount, with the bond:
  • Please make Certified or Cashier's Checks payable to the Department of Conservation.  Certificates of Deposit and Investment Certificates must be 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.
  • OG160E
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    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
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    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 forms of security, in the appropriate amount, with the bond:

  • Please make Certified or Cashier's Checks payable to the Department of Conservation.  Certificates of Deposit and Investment Certificates must be 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.
  • OG160G
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    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
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    Individual Idle Well Cash Bond
    File in the amount of $5,000 to cover five-year idle wells.
    Must file one of the following forms of security, in the appropriate amount, with the bond:

  • Please make Certified or Cashier's Checks payable to the Department of Conservation.  Certificates of Deposit and Investment Certificates must be 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.

     

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