Geothermal Forms

(Oi​l and Gas forms)

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

Form Number & Download Format  Title and Description
OGG16 (PDF)
OGG16 (Word)
Request for Change of Well Designation
Form to change a lease name or well number for an existing well.
OGG105 (PDF)
OGG105 (Word)
Notice of Intention to Drill A Geothermal Resources Well
File before drilling operations begin, along with a general plan showing the proposed location and the total depth. Submit in duplicate with the proper fee.
OGG107 (PDF)​
OGG107 (Word)

Notice to Rework/Supplementary Notice
File before well operations begin, along with a detailed program. Submit in duplicate.
OGG108 (PDF)
OGG108 (Word)

Notice of Intention to Abandon a Geothermal Well
File before abandonment operations begin, along with a detailed program. Submit in duplicate.
OGG100 (PDF)
OGG100 (Word)
Well Summary Report-Geothermal
File within 60 days after drilling is completed. Submit in duplicate.
OGG103 (PDF)
OGG103 (Word)
Well History-Geothermal
File within 60 days after drilling, completion, suspension, or abandonment. Submit in duplicate.
OGG101 (PDF)
OGG101 (Word)
Well Log and Core Record-Geothermal
File within 60 days after completion, suspension, or abandonment.
OGG110 (PDF) Monthly Geothermal Water Injection Report
OGG110 W (PDF) Monthly Geothermal Water Production Report
OGG110 S (PDF) Monthly Geothermal Steam Production Report
OGG134A (PDF)
OGG134A (Word)
Designation of Agent (for corporations and limited liability companies only)
The assigned agent shall serve as the contact person for all Division communications. Must reside within the state and provide a street address.
OGG134B (PDF) Designation of Agent (for individuals, partnerships, and joint ventures only)
The assigned agent shall serve as the contact person for all Division communications. Must reside within the state and provide a street address.
OGG30A (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.

OGG160A (PDF)

Individual Geothermal Resources Well Indemnity Bond
File in the appropriate amount (based on the total depth of the well) to cover well operations on an individual well. 
    Low-temperature well:
  • $2,000-less than 2,000 feet total depth
  • $10,000-2,000 feet but less than 5,000 feet total depth
  • $15,000-5,000 feet but less than 10,000 feet total depth
  • $25,000- 10,000 feet or greater total depth.

    High-temperature well: $25,000

OGG160B (PDF) Blanket Geothermal Resources Well Indemnity Bond
File in the amount of $100,000 to cover all well operations (in lieu of individual well bonds for each well). Must use an authorized surety company.
OGG160C (PDF) Individual Geothermal Resources Well Cash Bond
File in the appropriate amount (based on the total depth of the well) to cover well operations on an individual well. 
    Low-temperature well:
  • $2,000-less than 2,000 feet total depth
  • $10,000-2,000 feet but less than 5,000 feet total depth
  • $15,000-5,000 feet but less than 10,000 feet total depth
  • $25,000- 10,000 feet or greater total depth.

    High-temperature well: $25,000

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.
OGG160D (PDF)​ Blanket Geothermal Resources Well Cash Bond
File in the amount of $100,000 to cover all well operations (in lieu of individual well bonds for each 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.