Office of Conservation
Forms, Reports & Documents
This page contains links to various Office of Conservation documents of interest to the public, including data, forms, reports, publications, newsletters, and other items.
The Office of Conservation has begun to incorporate some forms that can be Filled-in, Saved & Printed using Adobe Reader. Look for the 
symbol in the table below for forms that have been converted to this format. Please refer to the Forms Assistance page for guidance in using these forms.
| >> SONRIS | >> Environmental Division | >> Injection & Mining Division |
| >> Engineering Division | >> Geological Division | >> Pipeline Division |
| SONRIS | ||||
| Form | DESCRIPTION |  |
 |
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| DT-1 | Gas Well Deliverability Test |
Excel | ||
| Gas Well Deliverability Test (Instructions) | ||||
| DM-1R | Oil Well Potential Report | Excel | ||
| Oil Well Potential Report (Instructions) | ||||
| Data | ||||
| Conservation Online Oil & Gas Database Query | ||||
| Conservation Weekly Scout Reports | ||||
| Conservation Field (Unit) Orders | ||||
| Conservation Production Audit Cards | ||||
| Conservation Well Records and Permits (Currently only wells permitted on or after 12/1/1999) | ||||
| Conservation Maps | ||||
| Engineering Division | ||||
| FORM | DESCRIPTION | |
|
|
| Drilling/Workover Rig Movement Notification Report | Word | |||
| Landowner Affidavit of No Objection for Passive Pit Closure | Word | |||
| AD | Apparent Deviation | Excel | ||
| ADC | Application for Dual Completion | Excel | ||
| AFLN-1 | Pre-Entry Notice Affidavit | |||
| COMP | Well Completion or Recompletion Report | Word | ||
| CSG-T | Casing Test | Word | ||
| DM-4R | Work Permit | Word | ||
| ENG-15 | E&P Waste Containment Structure Notification | Word | ||
| ENG-15C | Exploration & Production Waste Unauthorized Discharge/Disposal Notification | Word | ||
| ENG-15C (Instructions) | ||||
| ENG-16 | Oilfield Waste Disposition | Word | ||
| ENG-16 (Instructions) | ||||
| ERADS | Enhanced Recovery Annual Data Sheet | Excel | ||
| ERQ | Enhanced Recovery Questionnaire | Excel | ||
| FS-Rules | Financial Security Rules | |||
| FS-PB | Performance Bond (1 Well) | |||
| FS-PBMW | Performance Bond (Multiple Wells) | |||
| FS-LC | Irrevocable Letter of Credit (1 Well) | |||
| FS-LCMW | Irrevocable Letter of Credit (Multiple Wells) | |||
| FS-CD | Pledge of Certificate of Deposit (1 Well) | |||
| FS-CDMW | Pledge of Certificate of Deposit (Multiple Wells) | |||
| FS-ExA10 | Exhibit "A" - Blanket – 10 Wells | |||
| FS-ExA25 | Exhibit "A" - Blanket – 25 Wells | |||
| FS-ExAFt | Exhibit "A" - Multi-Well - By Footage | |||
| FS-AmdExA | Exhibit "A" - Amendment | Word | ||
| GR-10 | Application for Permit to Drill for Geothermal Resources (Short Form) | Excel | ||
| GR-10-1 | Application for Permit to Drill for Geothermal Resources (Long Form) | Excel | ||
| MD-10-R-1 | Application for Permit to Drill for Minerals | Excel | ||
| MD-10-R-A-1 | Application to Amend Permit to Drill for Minerals | Excel | ||
| MD-10-R-AO | Optional Application to Amend Operator | Excel | ||
| OR-1 | Organization Report for Operators & Transporters |
Excel | ||
| OSR-OR-1 | Oilfield Site Restoration Contractor Organization Report | Word | ||
| P&A | Plug and Abandon Report | Word | ||
| PLT-1 | Packer Leakage Test Form |
Word | ||
| PS-1 | Packer Certificate | Word | ||
| PR | Potential Report | Excel | ||
| R-4 | Operators Certificate of Compliance and Authorization to Transport Oil From Production Facility |
Excel | ||
| SC-APP | Site Clearance Verification Application | Word | ||
| SC-VER | Site Clearance Verification Report | Word | ||
| STRP-Memos | Office Policy Memos for the Severance Tax Relief Program (STRP) | |||
| STRP-IW | Severance Tax Relief Program form for Inactive Well | Excel | ||
| STRP-ND | Severance Tax Relief Program form for New Reservoir Discovery |
Excel | ||
| STRP-DW | Severance Tax Relief Program form for Wells Deeper than 15,000 ft. T.V.D. | Excel | ||
| STRP-HW | Severance Tax Relief Program form for Wells Drilled with an 80 degree or greater hold for 50 feet or more | Excel | ||
| STRP-3-D | Severance Tax Relief Program form to apply 3D costs to a number of wells | Excel | ||
| STRP-WCS | Well Cost Statement |
Excel | ||
| Well Cost Statement (Instructions) | ||||
| TC-1 | Tubingless Completion Form | Excel | ||
| WH-1 | Well History and Work Resume Report | Word | ||
| WH-1 Supplemental Page 3 (Only required for Hydraulically Fractured wells) | Word | |||
| WR-1 | Inactive Well Report | Excel | ||
| 29-D-1 | Application for Surface Commingling of Oil and Gas Production | Word | ||
| 9604 | Site Specific Trust Account Form | Word | ||
| 9604-1 | Site Specific Trust Account Reassessment | Word | ||
| Environmental Division | ||||
| FORM | DESCRIPTION | |
|
|
| Ground Water Resources Program | ||||
| GWR-01 | Water Well Notification Form | Word | ||
| GWR-03 | Area of Concern Monthly Ground Water Usage Report | |||
| GW-1 | Water Well Registration LONG Form | Word | ||
| GW-1S | Water Well Registration SHORT Form | Word | ||
| GW-2 | Water Well Plugging and Abandonment Form | Word | ||
| VR | Water Well Variance Request | Word | ||
| WWT | Water Well Transfer Document | Word | ||
| Green Book | Construction of Geomechanical Boreholes & Ground Water Monitoring Systems Handbook | |||
| Exploration & Production Waste Section | ||||
| UIC-19 | Commerical Facility Monthly Report of Waste Receipts | Word | ||
| UIC-20 | Commerical E&P Waste Facility Inspection & Test Report | |||
| UIC-21 | Commercial Class-II Daily Monitor Log |
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| UIC-23 | Request to Transport E&P Waste to Commercial Facilities or Transfer Stations | Word | ||
| UIC-26 | Waste Refusal Notification | Word | ||
| UIC-28 | Exploration and Production Waste Shipping Control Ticket | |||
| UIC-29 | Authorization for After Hours Disposal of E&P Waste |
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| EP-OR-1 | Organization Report for Off-Shore/Out-of-State Operators & Commercial Disposal Facilities ONLY |
Word | ||
| LABMAN | Laboratory Procedures for Analysis of E&P Waste | |||
| CF-APP | Commercial E&P Waste Facility Permit Application | Word | ||
| Geological Division | ||||
| DESCRIPTION | |
|
|
|
| Estimated Economic Impact Statement | Word | |||
| Injection & Mining Division | ||||
| FORM | DESCRIPTION | |
|
|
| UIC-1 | Class-I Injection Well Application | |||
| UIC-2 SWD | Class-II Injection Well Application | Word | ||
| UIC-2 EOR | Class-II EOR Application | |||
| UIC-2 HSW | Class-II Hydrocarbon Storage Well Application | |||
| UIC-2 COM | Class-II Commercial Injection Well Application | |||
| UIC-2 SFI COM | Class-II Commercial Slurry Fracture Injection Well Application | |||
| UIC-3 BR | Class-III Brine Extraction Well Application | Word | ||
| UIC-4 | Class-II Hydrocarbon Storage Inspection Form | CES Use Only | ||
| UIC-5 | Class-II Well Integrity Affidavit |
|||
| UIC-6 | Class-I Well Integrity Affidavit | |||
| UIC-7 | Class-II Injection Well Inspection Form | CES Use Only | ||
| UIC-8 | Class-I Injection Well Inspection Form | CES Use Only | ||
| UIC-9 | Class-II Annular Saltwater Disposal Well Application | |||
| UIC-10 | Instructions for Online Filing | Word | ||
| UIC-10A | Annual Disposal/Injection Well Monitoring Report | Word | ||
| UIC-10A: Source Fluid Attachment | Excel | |||
| UIC-10A: Report, Attachment, and Instructions | ||||
| UIC-11 | Mechanical Integrity Noncommercial Class II Daily Monitor Log | |||
| UIC-13 | Community Saltwater Disposal System Initial Notification | Word | ||
| UIC-14 | Application for Subsurface Disposal of Reserve Pit Fluids |
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| UIC-17 | Injection Well Work Permit | |||
| UIC-24 | Class-I Quarterly Report | |||
| UIC-25 | Class-V Well Application | |||
| UIC-30 | Work permit to Plug & Abandon a Well utilized for NORM disposal | |||
| UIC-32 | Class-II Injection Well Application to Change Disposal/Injection Zone | Word | ||
| UIC-33/34 | Class-III Injection Well Daily Monitoring Log |
Word | ||
| UIC-36 | Injection Pressure & Rate Monitoring Log | |||
| UIC-38 | Class-III Brine Well Inspection Form | CES Use Only | ||
| UIC-39 | Inspection Narrative Form | CES Use Only | ||
| UIC-42 | Class-V Well History and Work Resume Report | |||
| UIC-43 | Class-II E&P Waste Disposal in a Salt Cavern Applicaiton | |||
| UIC-P&A | Injection Well Plug and Abandonment Report |
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| UIC-WH1 | Well History & Work Resume Report for Injection Wells |
|||
| OR-1 | Organizational Report |
Excel | ||
| RTS-PIT | RTS: Guidelines & Procedures for Annular Disposal of Pit Fluids | |||
| RTS-ANN | RTS: Guidelines & Procedures for Annular Saltwater Disposal Wells | |||
| RTS-T&P | RTS: Guidelines & Procedures for Disposal Wells Completed w/Tubing and Packer | |||
| RTS-PKR | RTS: Guidelines & Procedures for Packerless Disposal Wells | |||
| RTS-TDS | RTS: Time Drive Supplement | |||
| RTS-LOG | RTS: Log Sheet | |||
| CBL | Cement Bond Logging Guidelines | |||
| CSG-T | Affidavit of Test of Casing in Well | Word | ||
| CSG-TSC | Affidavit of Casing Test for Salt Cavern Wells | Word | ||
| Pipelines Division | ||||
| DESCRIPTION | |
|
|
|
| Gas & Hazardous Liquids | ||||
| Failure Investigation Report | Word | |||
| Notice of Construction | Word | |||
| Operator Qualification Inspection Form | Word | |||
| Operator Qualification Protocols | Word | |||
| OQ Protocol 9 Field Inspection Form | Word | |||
| Pipe Data and Operating Stresses Form | Word | |||
| Gas Distribution | ||||
| Incident Report Form | Word | |||
| Incident Report Form (Instructions) | Word | |||
| OQ Guide for Small Distribution Systems | Word | |||
| Gas Transmission | ||||
| Incident Report Form | Word | |||
| Incident Report (Instructions) | Word | |||
| Hazardous Liquids | ||||
| Accident Report Form | Word | |||
| Accident Report Form (Instructions) | Word | |||
| Integrity Management Inspection Form (Small Operators) | Word | |||
| Regulations & Enforcement | ||||
| Drug and Alcohol Regulations | Word | |||
| Gas Enforcement Policy | Word | |||
| Gas Regulations | Word | |||
| Hazardous Liquid Regulations | Word | |||
| Hazardous Liquid Enforcement Policy | Word | |||
| Miscellaneous | ||||
| PLS-OR-1 Organization Report |
Excel | |||
| Pipeline Safety Inspection Forms | ||||
| Pipelines Operations Forms below are to be used in connection with an application hearing. |
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| FORM | DESCRIPTION | |
|
|
| 2013 Pipeline Hearing Schedule & Application Deadlines | ||||
| Interested Party List | ||||
| CNG-100 | CNG Facility Construction, Aquisition or Replacement | |||
| CNG-101 | Change in CNG Service | |||
| CNG-102 | Abandonment of CNG Service and/or Facility | |||
| CNG-200 | CNG Incident and/or Accident Report | |||
| PL-1(A) | Application for Abandonment of Facilities | Word | ||
| PL-1(B) | Application for Abandonment of Services | Word | ||
| PL-2 | Application for Approval to Interconnect Pipelines | Word | ||
| PL-3 | Brief of Contract for Intrastate Natural Gas | Word | ||
| PL-3 (EN) | Expedited Notice - Contract for Intrastate Natural Gas | Word | ||
| PL-4 | Application for Construction, Acquistion or Replacement of Facilities | Word | ||
