Oil and Gas Forms

Geothermal forms can be found on the Geoth​ermal Forms page.

WellSTAR Online Forms (Last updated with Release 4.0 on 04/30/2019)

Release 4.0 Electronic Data Delivery (EDD) and Business to Government (B2G) Reference Data

Release 4.0 EDD Forms (Last updated with Release 4.0 on 04/30/2019)

Release 4.0 B2G Forms (Last updated with Release 4.0 on 04/30/2019)

Release 5.0 EDD and B2G Reference Data

Release 5.0 EDD Forms

Release 5.0 B2G Forms

Paper Forms


WellSTAR Online Forms

The forms below are now available in WellSTAR.

Number Form Name Form Description
1.
110BQ Quarterly Water Injection
Report water injection data on a quarterly basis.
2. 110FQ Quarterly Other Water Allocation Report quarterly water allocation data.
3.
110Q Quarterly Water Production Allows Operators to report water production data on a quarterly basis.
4. 72-Hour Notification Form Create or maintain pre-stimulation treatment data.
5. Analytical Sample Data Submission Submit analytical sample data for a Well, Facility, UIC Project, or WST Permit.
6.
Application for Injection Approval Online form used to create of update a UIC Project.
7. Application for Well Stimulation Permit Create or maintain a well stimulation permit.
8. Bond Information Create or maintain bond information.
9. Bond Release Request Request a bond release.
10. Complaint Complaint information form.
11. Compliance Information Create or maintain compliance information.
12. Confidentiality Request Request confidentiality.
13. Construction Site Well Review (CSWR) Create or maintain CSWR.
14. Document Upload Upload new or existing WellSTAR documents to associate to Wells, Facilities, and/or Projects.
15. Facility Information Create or modify Facility information.
16. Notice of Intention (NOI) Apply for a Permit to drill/rework or abandon a well.
17. OG110 Monthly Production Report monthly production data.
18. OG110B Monthly Injection Report monthly injection data.
19. OG110D Monthly Disposition Report monthly disposition data.
20. Operator Incident Report Create and maintain Incidents.
21. Organizational Questionnaire Create and maintain Entity information.
22. Plan Submission Submission of a Plan and the association of the applicable wells, facilities, lease, or project.
23. Reconcile Production Reconcile annual and monthly reported volumes.
24. Schedule Test Schedule test for facilities, components, and wells.
25. Upload Test Results Upload results of schedule and on scheduled tests.
26. Well Name Change Change a well name or number.
27. Well Stimulation Disclosure Create or maintain well stimulation disclosure data.
28. Well Summary Update well information.


Release 4.0 EDD and B2G Reference Data

Access the Reference Data spreadsheet below to locate specific data values accepted in Electronic Data Delivery (EDD) and Business to Government (B2G) file submissions as well as accepted FAP Combinations and Chemical Constituents. Please check the spreadsheet posted here regularly to ensure you are referencing current information.

Reference Data Spreadsheet

To locate reference data in the spreadsheet 1. Select the tab associated to the form you are submitting. 2. Locate the field/s you need reference data information on. 3. Check the Reference Data column. 4. If yes, select the reference data tab and find the Reference Data Code Type associated to that field/s. 5. If no, associated information is in the Valid Values/Notes on the form tab.

If you have questions, contact your district office:

Inland - (661) 322-4031
Southern - (562) 637-4400
Coastal - (805) 937-7246
Northern - (916) 322-1110
District Headquarters - (916) 445-9686


Release 4.0 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 EDD forms below will allow you to bulk load data into WellSTAR via online forms.

If you have questions, contact your district office:

Inland - (661) 322-4031
Southern - (562) 637-4400
Coastal - (805) 937-7246
Northern - (916) 322-1110
District Headquarters - (916) 445-9686

Form Title / Description
Analytical Data  (Excel)
Updated   Analytical Data
This EDD is used to automatically upload analytical data to the Analytical Sample Data Submission form.
OG120  (Excel)
Updated   UIC Project Well Data
This EDD is used to capture UIC Project Well 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.
OG110   (Excel)
Updated   Monthly Production
File to submit or amend monthly production reports.
OG110D (Excel)
Updated   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   Monthly Injection
File to submit or amend monthly injection reports.
OG110Q  (Excel)
Updated   Quarterly Water Production
File to submit or amend quarterly water production reports.
OG110BQ (Excel)
Updated   Quarterly Water Injection
File to submit or amend quarterly water injection reports.
OG110FQ (Excel)
Updated  Quarterly Water Allocation
File to submit or amend quarterly water allocation reports.
Directional Survey
 (Excel)
Updated   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   Transfer Wells
This EDD is used to automatically upload Well data to Step 5 of the Transfer Assets form.
Transfer Facilities  (Excel)
Updated   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

The Business to Government (B2G) Forms below will allow your system to deliver a file for bulk generation of online forms. If you are interested in using one of the B2G forms below, please contact DOGGR Service Desk at servicedeskmail@conservation.ca.gov with the following information: Organization Name, Technical Contact Name, Technical Contact email, and Phone Number.

If you have questions, contact your district office:

Inland - (661) 322-4031
Southern - (562) 637-4400
Coastal - (805) 937-7246
Northern - (916) 322-1110
District Headquarters - (916) 445-9686

Form Title / Description
Well Stimulation Permit
(XML)
Updated   Well Stimulation Permit
File prior to commencement of Well Stimulation operations.
Access the Well Stimulation Permit form of reference data.
Well Stimulation Disclosure
(XML)
Updated   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 5.0 EDD and B2G Reference Data

Access the Reference Data spreadsheet below to locate specific data values accepted in Electronic Data Delivery (EDD) and Business to Government (B2G) file submissions as well as accepted FAP Combinations and Chemical Constituents. Please check the spreadsheet posted here regularly to ensure you are referencing current information.

Reference Data Spreadsheet

To locate reference data in the spreadsheet 1. Select the tab associated to the form you are submitting. 2. Locate the field/s you need reference data information on. 3. Check the Reference Data column. 4. If yes, select the reference data tab and find the Reference Data Code Type associated to that field/s. 5. If no, associated information is in the Valid Values/Notes on the form tab.

If you have questions, contact your district office:

Inland - (661) 322-4031
Southern - (562) 637-4400
Coastal - (805) 937-7246
Northern - (916) 322-1110
District Headquarters - (916) 445-9686



Release 5.0 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 EDD forms below will allow you to bulk load data into WellSTAR via online forms.

If you have questions, contact your district office:

Inland - (661) 322-4031
Southern - (562) 637-4400
Coastal - (805) 937-7246
Northern - (916) 322-1110
District Headquarters - (916) 445-9686

Form Template Title / Description
Well Stimulation Permit
(Word)
New   Well Stimulation Permit
File prior to commencement of Well Stimulation operations.
Access the Well Stimulation Permit form of reference data.
Well Stimulation Disclosure
(Word)
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.
Notice of Intention
(Word)
New  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.
Well Summary
(Word)
New   Well Summary
File within 60 days after completion of drilling, suspension, or abandonment.
Access the Well Summary form of reference data.
Neighbor Notification
(Excel)
New   Neighbor Notification
This EDD is used to automatically upload data.
Aggregate Well Maintenance Information
(Excel)
New   Aggregate Well Maintenance Information
This EDD is used to automatically upload data.
Fluid Level Results  (Excel)
New   Fluid Level Results
This EDD is used to automatically upload data.
Single Well Maintenance Information
(Excel)
New   Single Well Maintenance Information
This EDD is used to automatically upload data.
Step Rate Test
(Excel)
New   Step Rate Test
This EDD is used to automatically upload data.


Release 5.0 Business to Government (B2G) Forms

The Business to Government (B2G) Forms below will allow your system to deliver a file for bulk generation of online forms. If you are interested in using one of the B2G forms below, please contact DOGGR Service Desk at servicedeskmail@conservation.ca.gov with the following information: Organization Name, Technical Contact Name, Technical Contact email, and Phone Number.

If you have questions, contact your district office:

Inland - (661) 322-4031
Southern - (562) 637-4400
Coastal - (805) 937-7246
Northern - (916) 322-1110
District Headquarters - (916) 445-9686

Form Template Title / Description
Well Summary
(Word)
New   Well Summary
File within 60 days after completion of drilling, suspension, or abandonment.
Access the Well Summary form of reference data.
Notice of Intention
(Word)
New  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.


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
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 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
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 Other Water Allocation
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.