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Oil and Gas Downloadable Forms

All downloadable forms are available in .PDF format, unless otherwise indicated.

All questions regarding forms should be directed to OCCCentralProcessing@occ.ok.gov, to allow the queries to be directed to the appropriate personnel.

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As of July 1, 2020, operators must use the versions below for all forms 

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DESCRIPTION OF FORMPDF or OTHER
Application to Drill, Recomplete or Reenter - File Intent to Drill Form 1000 Electronically
Note: Do not fill in API Number on this form
****Effective 10-1-2020 - Per OAP 165:10-3-1(a)(4) a plat will be required when submitting a Permit to Drill****
A paper Form 1000 is only available upon request at OGBTW@occ.ok.gov or by calling OCC Consumer Services at (405) 521-2331 or (800) 522-8154.
Base of treatable water email requestRequest Base of Treatable Water
OCC Bottom Hole CalculationsBottom Hole Calculator
ATTENTION: Freshwater Usage Permits  for both Surface water and Ground Water may be found on the Oklahoma Water Resource Board (OWRB) websiteOWRB
Application To Drill Deep Anode Ground bed1000B.PDF
Application to Conduct Seismic Operations1000S.PDF
Notification of Intention to Plug1001.PDF
Confidential Filing of Electric Logs1002B.PDF
Cementing Report (Please e-mail the 1002C to OG1002C@occ.ok.gov)1002C.PDF
Plugging Record1003.PDF
Notice of Temporary Exemption from Plugging1003A.PDF
Online Reporting Signup GuideOnline Reporting Signup Guide.pdf
Manual Online Entry GuideManual Online Entry Guide.pdf
Report Importing GuideReport Importing Guide.pdf
  

 

DESCRIPTION OF FORMPDF or OTHER
Surety Bond Form for Oil & Gas Well Operators1006.PDF
Financial Statement for Oil, Gas, Injection or Disposal Wells1006A.PDF
Operator Agreement to plug oil, gas, and service wells within the State of Oklahoma1006B.PDF
Operator's Agreement  to Close and Reclaim Certain Facilities
includes: Commercial Disposal Well Facilities; Non-Commercial Pits with a capacity in excess of 50,000 barrels;
Recycling/Relaiming Facility; Commercial Recycling Facility		1006BR-A.PDF
Bond for Closure and Reclamation of Certain Facilities
includes: Commercial Disposal Well Facilities; Non-Commercial Pits with a capacity in excess of 50,000 barrels;
Recycling/Relaiming Facility; Commercial Recycling Facility		1006BR-B.PDF
Irrevocable Letter of Credit for Closure and Reclamation of Certain Facilities
includes: Commercial Disposal Well Facilities; Non-Commercial Pits with a capacity in excess of 50,000 barrels;
Recycling/Relaiming Facility; Commercial Recycling Facility		1006BR-B.PDF
Operator's Agreement to Close and Reclaim a Truck Wash Pit1006BT-A.PDF
Bond Truck Wash Pit1006BT-B.PDF
Irrevocable Letter of Credit Truck Wash Pit1006BT-B.PDF
Letter Of Credit for Oil & Gas Well Operators1006C.PDF
Certificate Of Deposit for Oil & Gas Well Operators1006CD.PDF
Operator's Agreement to Close and Reclaim a Commercial Drilling Mud Disposal Pit Within The State of Oklahoma1006CMPA.PDF
Bond for Closure and Reclamation of Commercial Pit(s)1006CMPB-BOND.PDF
Irrevocable Letter of Credit for Closure and Reclamation of Commercial Pit(s)1006CMPB.PDF
Operator's Agreement to Close and Reclaim a Soil Farm1006CSFA.PDF
Bond for Commercial Soil Farming1006CSF-BOND.PDF
Letter of Credit for Commercial Soil Farming1006CSF-LC.PDF
Affidavit of Well Plugging Cost for Oil & Gas Well Operators1006D.PDF
Operator's Agreement for Seismic and Stratigraphic Operations1006S.PDF
Surety Bond for Seismic Operations and Plugging Within The State Of Oklahoma1006SB.PDF
Application for Canceled Underage1010.PDF
Multi-Zone Lease Runs Report1011.PDF
Annual Fluid Injection Report - eForm filing available 
Commercial Disposal Well Fluid Disposal Report - eForm filing available  ** Guide to eForm filing 
Reservoir Dewatering - Excessive Water Exemption Affidavit - Reservoir Dewatering Oil Spacing Unit1013.PDF

DESCRIPTION OF FORMPDF or OTHER
Application for Permit to Use Earthen Pit1014.PDF
Commercial Facility Semiannual Report1014A.PDF
Compliance Agreement1014CA.PDF
Application for Commercial Soil Farming1014CS.PDF
Application for Construction of Commercial Recycling Facilities1014CR.PDF
Application for Surface Discharge1014D.PDF
Application for Flow Back Water Pit in Excess of 50,000 Barrels1014F.PDF
Notice of Surface Discharge of Hydrostatic Test Water1014HD.PDF
Surface Owner Permission for Land Application1014L.PDF
Designation of Land Application Agent1014LA.PDF
Land Application - Letter of Credit1014LC.PDF
Application for Commercial Pit Construction1014N.PDF
Annual Report for Surface Discharge1014P.PDF
Post-Land Application Report1014R.PDF
Permit to Use Reclaimed Water From Department of Environmental Quality Authorized Facilities in Oil and Gas Operations1014RW.PDF
Land Application - Surety Bond1014SB-BOND.PDF
Application for Land Application1014S.PDF
Application for Truck Wash Pit Permit1014T.pdf
Application for Waste Oil or Drill Cuttings Use by County Commissioners1014W.PDF
Application for Waste Oil or Drill Cuttings Use by Operators1014X.PDF

DESCRIPTION OF FORMPDF or OTHER
Application for Administrative Approval to Dispose of or Inject Water into Wells1015.PDF
Application for Permit for Simultaneous Injection Well1015SI.PDF
Application for Injection of Reserve Pit Fluids1015T.PDF
Back Pressure Test for Natural Gas Wells - EWfiles filing available               1016.PDF
Form 1016 Allowable Overview1016 Form Allowables Overiew.PDF
Guymon-Hugoton Field Gas Well Deliverability Tests1017.PDF
Guymon-Hugoton Field Acreage Statement for Gas Wells1019.PDF
Application for Certification Under the Recycling, Reuse of Deleterious Substances1020A.PDF
Application for Priority Hardship Well Classification1021.PDF
Application for Limited Deviation from the Priority Gas Rules1021A.PDF
Notice of Intent to Mediate are filed through the Judicial and Legislative Services Division 
Application to Flare or Vent Gas1022.PDF
Application to Operate Vacuum Pump1022A.PDF
Application for Multiple Completion, Multi-choke Assembly or Commingle Completion1023.PDF
Packer Setting Affidavit1024.PDF
Packer Leakage Test1025.PDF
Application for Discovery Oil Allowable1028.PDF
Production or Potential Test1029A.PDF
Application for Allowable Adjustment1030.PDF
Application for Pipe Pulling and Well Plugging License1055.PDF
Notice of Termination of Injection1072.PDF

DESCRIPTION OF FORMFORM
Notice of Transfer of Well Operatorship1073
Transfer of Operatorship - Injection, Disposal and Commercial Disposal Wells1073I
Transfer of Operatorship - Multiple Wells1073MW
Transfer of Operatorship - Multiple Injection, Disposal and Commercial Disposal Wells1073IMW
Form 1073A-D Instructions 2021FORM 1073A-D Instructions
Application For Change of Operator on Orders of the Commission1073A
Notice of Application on Orders of the Commission1073B
Notice of Hearing on Orders of the Commission1073C
Operator Permitting Change of Operator, Appointment of Alternative Operator and/or Deletion of Designation of Operator on Orders of the Commission1073D
Application for Enhanced Recovery Project Gross Production Tax Exemption - OAC 165:10-21-1011139.PDF
Tax Rebate Incentive Program -Instructions and Examples (Click Link) 
Application for Sales Tax Exemption (Dewatering or Enhanced Recovery Project)1535.PDF
Certificate of Non-Development (formerly known as Certificate Of Record Search (CRS) )Certificate of Non-Development Request.PDF

 

DESCRIPTION OF FORMPDF or OTHER
Application for Investigation and/or Abatement of Seeping Natural Gas3000NGS.PDF
Spill Discharge Report FormSpill Discharge Incident Report
Frac Focus FormFDFME.pdf
Frac Notice Form 6000NHF as stated in
OAC 165:10-3-10(b)(2), "Notice shall be sent to the Conservation Division electronically using Form 6000NHF as provided on the Commission's website at least 48 hours prior to commencement of hydraulic fracturing operations on a well.", the submission of this form must be as a macro-enabled Excel format (.xlsm) file, the same as is provided for download. 		6000NHF.XLSM
Frac Notice to Offset Operators - Form 6000NOO Note: These forms are not handled by OCC Staff. They are only operator to operator.6000NOO.PDF
Well Completions Protocol (Effective 4-1-2018)Current Protocol
Current Well Completions AOI Shape FileSHAPEFILE
Hydraulic Fracturing Impact Report4000WIP.xls
Hydraulic Fracturing Impact Report InstructionsInstructions for Impact Well Form
Information on Base of Treatable WaterBTW Info
Notice of Temporary Lines (only available electronically) Form 5000 NTL. If you are unable to login, email ogvolumes@occ.ok.gov for assistance.5000 NTL

 Available in Microsoft Word and Adobe Acrobat Formats

Description Of FormWord DocPDF
2019 Operator's Guide to Filing UIC Forms UICFORMSGUIDE
Affidavit Of Mailing - Application For Authority To Inject/Dispose Of SaltwaterAFFMAILDIS06.DOCAFFMAILDIS06.PDF
Notice -Administrative Exception - Cementing Above Perforation In Injection/Disposal WellsEXCEPUB06.DOCEXCEPUB06.PDF
Affidavit Of Mailing - Administrative Exception To Cementing Above Perforation In Injection/Disposal WellsAFFMAILEXP06.DOCAFFMAILEXP06.PDF
Notice - Administratively Authorize The Approval Of Injection/Disposal Of Saltwater in a Non-Commercial WellDISPPUBNONCOMM06.DOCDISPPUBNONCOMM061.PDF
Notice - Administratively Authorize The Approval Of Injection/Disposal Of Saltwater in a Commercial WellDISPPUBCOMM06.DOCDISPPUBCOMM061.PDF
Request Template - An Exception To The Rule On Permitting Of A Disposal/Injection Well - HearingUIC Exception Rule Template for HearingFOR QUESTIONS ABOUT THE TEMPLATE, CONTACT JIM PHELPS
Request Template - An Exception To The Rule On Permitting Of A Disposal/Injection Well - Administrative UIC Exception Rule Template for Administrative FOR QUESTIONS ABOUT THE TEMPLATE, CONTACT JIM PHELPS
Notice - Request To Permit A Well To Dispose/InjectNOTICE EXCEPTION06.DOCNOTICE EXCEPTION06.PDF
RBCA (Risk-Based Corrective Action)ReportRBCA REPORT.DOCRBCA REPORT.PDF
Last Modified on Sep 02, 2026