Oil and Gas Forms

(Geoth​ermal Forms)

Release 3.0 Electronic Data Delivery (EDD) Forms - Current

Electronic Data Delivery (EDD) Forms are electronic files which are uploaded to populate data on an on-line form.
Paper forms are located at the bottom of this page.

Release 3.0 Business to Government (B2G) Forms - Current

Release 4.0 Electronic Data Delivery (EDD) Forms - Effective May 2019

Release 4.0 Business to Government (B2G) Forms - Effective May 2019

Release 4.0 Supplemental Documents - Effective May 2019



Release 3.0 Electronic Data Delivery (EDD) Forms - Current

The Electronic Data Delivery (EDD) Forms below are the latest versions as of January 21, 2019. These forms are the current forms in use and are valid thru Release 4.0 targeted for May 2019.

Publication Number Title / Description
OG100  (XML)
Updated   Well Summary
File within 60 days after completion of drilling, suspension, or abandonment.
Access the Well Summary form of reference data.
OG106 (XML)
Updated   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).
Access the Notice of Intention form of reference data.
Access the Notice of Intention schema details.
OG120  (Excel)
UIC Project Well Data
This EDD is used to capture UIC Project Well Data.
OG110  (Excel)
Monthly Production
File to submit or amend monthly production 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.
OG110B  (Excel)
Monthly Injection
File to submit or amend monthly injection reports.
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
 (Excel)
Updated Form   Directional Survey
This EDD is uploaded from the Document Upload step from either the Notice of Intention or the Well Summary . Access the Directional Survey form of reference data.
Transfer Wells
 (Excel)
Transfer Wells
This EDD is used to automatically upload Well data to Step 5 of the Transfer Assets form.
Transfer Facilities  (Excel)
Transfer Facilities
This EDD is used to automatically upload Facility data to step 6 of the Transfer Assets form.


Release 3.0 Business to Government (B2G) Forms - Current

The Business to Government (B2G) Forms below are the latest versions as of January 21, 2019. These forms are the current forms in use and are valid thru Release 4.0 targeted for May 2019.

Publication Number Title / Description
OG100  (XML)
Updated   Well Summary
File within 60 days after completion of drilling, suspension, or abandonment.
Access the Well Summary form of reference data.
Access the Well Summary schema details.
OG106  (XML)
Updated   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).
Access the Notice of Intention form of reference data.
Access the Notice of Intention schema details.


Release 4.0 Electronic Data Delivery (EDD) Forms - Effective May 2019

The EDD forms below are being added or updated with Release 4.0 targeted for the end of April 2019. These formats are being made available in advance to provide operators adequate time to make any necessary adjustments to impacted systems. Please contact your DOGGR district office if you have any questions.

Contact your district office:
District Headquarters - (916) 445-9686
Inland - (661) 322-4031
Southern - (714) 816-6847
Coastal - (805) 937-7246
Northern - (916) 322-1110

Publication Number Title / Description
Analytical Data  (Excel)
New Form   Analytical Data
This EDD is used to automatically upload analytical data to the Analytical Sample Data Submission form.
OG120  (Excel)
Updated Form   UIC Project Well Data
This EDD is used to capture UIC Project Well Data.
OG100  (XML)
Updated Form   Well Summary
File within 60 days after completion of drilling, suspension, or abandonment.
Access the Well Summary form of reference data.
OG106  (XML)
Updated Form   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).
Access the Notice of Intention form of reference data.
OG110   (Excel)
Updated Form   Monthly Production
File to submit or amend monthly production reports.
OG110D (Excel)
Updated Form   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.
OG110B  (Excel)
Updated Form   Monthly Injection
File to submit or amend monthly injection reports.
OG110Q  (Excel)
Updated Form   Quarterly Water Production
File to submit or amend quarterly water production reports.
OG110BQ (Excel)
Updated Form   Quarterly Water Injection
File to submit or amend quarterly water injection reports.
OG110FQ (Excel)
Updated Form   Quarterly Water Allocation
File to submit or amend quarterly water allocation reports.
Directional Survey
 (Excel)
Updated Form   Directional Survey
This EDD is uploaded from the Document Upload step from either the Notice of Intention or the Well Summary . Access the Directional Survey form of reference data.
Transfer Wells
 (Excel)
Updated Form   Transfer Wells
This EDD is used to automatically upload Well data to Step 5 of the Transfer Assets form.
Transfer Facilities  (Excel)
Updated Form   Transfer Facilities
This EDD is used to automatically upload Facility data to step 6 of the Transfer Assets form.


Release 4.0 Business to Government (B2G) Forms - Effective May 2019

The forms below are being added or updated with Release 4.0 targeted for the end of April 2019. These formats are being made available in advance to provide operators adequate time to make any necessary adjustments to impacted systems. Please contact your DOGGR district if you have any questions.

Contact your district office:
District Headquarters - (916) 445-9686
Inland - (661) 322-4031
Southern - (714) 816-6847
Coastal - (805) 937-7246
Northern - (916) 322-1110

Publication Number Title / Description
Well Stimulation Permit
(XML)
New   Well Stimulation Permit
File prior to commencement of Well Stimulation operations.
Access the Well Stimulation Permit form of reference data.
Well Stimulation Disclosure
(XML)
New   Well Stimulation Disclosure
Disclosure of well stimulation treatment is required within 60 days following the cessation of a well stimulation.
Access the Well Stimulation Disclosure form of reference data.
OG100  (XML)
Updated   Well Summary
File within 60 days after completion of drilling, suspension, or abandonment.
Access the Well Summary form of reference data.
OG106  (XML)
Updated   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).
Access the Notice of Intention form of reference data.


Release 4.0 Supplemental Documents - Effective May 2019

Publication Number Title / Description
Schema Changes (Word) New   NOI and Well Summary
NOI and Well Summary B2G/EDD Schema Changes.
Supplemental Data  (Word)
New   NOI and Well Summary
NOI and Well Summary B2G/EDD Supplemental Data.


Oil and Gas Paper Forms

Publication Number Title / Description
Form 122
Report of Oil and Gas Production
For calendar year 2018. Operators will access Form 122 to report Annual Production in WellSTAR under Online Forms.
OG100  (PDF)
Well Summary
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
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.
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 DOGGR 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
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)
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)
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 - 51 to 500 onshore wells
  • $2,000,000 - 501 to 10,000 onshore wells
  • $3,000,000 - 10,001 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 (DOGGR). An assigned, pledged, or FBO account requires a completed assignment form, which is available from any DOGGR 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.