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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Oil and Gas Electronic Forms (EWFiles)

Use electronic filing by filling out E-Forms on the EWfile system.

Filing paper forms increases processing time, even when those forms are filled out on the computer and emailed.

Paper filing also prevents front-line workers from performing other duties.

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DESCRIPTION OF FORM	PDF or OTHER
Application to Drill, Recomplete or Reenter - ePermit filing available 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**	1000.PDF
Base of treatable water email request	Request Base of Treatable Water
OCC Bottom Hole Calculations	Bottom Hole Calculator
ATTENTION: Freshwater Usage Permits for both Surface water and Ground Water may be found on the Oklahoma Water Resource Board (OWRB) website	OWRB
Application To Drill Deep Anode Ground bed	1000B.PDF
Application to Conduct Seismic Operations	1000S.PDF
Notification of Intention to Plug	1001.PDF
Notification of Well Spud	1001A.PDF
Completion Report - EWfiles filing available	1002A.PDF
Confidential Filing of Electric Logs	1002B.PDF
Cementing Report (Please e-mail the 1002C to OG1002C@occ.ok.gov)	1002C.PDF
Plugging Record	1003.PDF
Notice of Temporary Exemption from Plugging	1003A.PDF
Online Reporting Signup Guide	Online Reporting Signup Guide.pdf
Manual Online Entry Guide	Manual Online Entry Guide.pdf
Report Importing Guide	Report Importing Guide.pdf


DESCRIPTION OF FORM	PDF or OTHER

Surety Bond Form for Oil & Gas Well Operators	1006.PDF
Financial Statement for Oil, Gas, Injection or Disposal Wells	1006A.PDF
Bond or Irrevocable Letter of Credit (for closure and reclamation of recycling/reclaiming facility)	1006BR-B.PDF
Bond or Irrevocable Letter of Credit (Truck Wash Pit)	1006BT-B.PDF
Letter Of Credit for Oil & Gas Well Operators	1006C.PDF
Certificate Of Deposit for Oil & Gas Well Operators	1006CD.PDF
Operator's Agreement to Close and Reclaim a Commercial Drilling Mud Disposal Pit Within The State of Oklahoma	1006CMPA.PDF
Bond or Irrevocable Letter of Credit for Closure and Reclamation of Commercial Pit(s)	1006CMPB.PDF
Bond or Letter of Credit for Commercial Soil Farming	1006CSF.PDF
Affidavit of Well Plugging Cost for Oil & Gas Well Operators	1006D.PDF
Surety Bond for Seismic Operations and Plugging Within The State Of Oklahoma	1006SB.PDF
Application for Canceled Underage	1010.PDF
Multi-Zone Lease Runs Report	1011.PDF
Annual Fluid Injection Report - eForm filing available	1012.PDF
Commercial Disposal Well Fluid Disposal Report - eForm filing available ** Guide to eForm filing	1012C.PDF
Reservoir Dewatering - Excessive Water Exemption Affidavit - Reservoir Dewatering Oil Spacing Unit	1013.PDF

DESCRIPTION OF FORM	PDF or OTHER
Application for Permit to Use Earthen Pit	1014.PDF
Commercial Facility Semiannual Report	1014A.PDF

Compliance Agreement	1014CA.PDF
Application for Commercial Soil Farming	1014CS.PDF
Application for Construction of Commercial Recycling Facilities	1014CR.PDF
Application for Surface Discharge	1014D.PDF
Application for Flow Back Water Pit in Excess of 50,000 Barrels	1014F.PDF
Notice of Surface Discharge of Hydrostatic Test Water	1014HD.PDF
Surface Owner Permission for Land Application	1014L.PDF
Designation of Land Application Agent	1014LA.PDF
Land Application - Letter of Credit	1014LC.PDF
Application for Commercial Pit Construction	1014N.PDF
Annual Report for Surface Discharge	1014P.PDF
Post-Land Application Report	1014R.PDF
Permit to Use Reclaimed Water From Department of Environmental Quality Authorized Facilities in Oil and Gas Operations	1014RW.PDF
Land Application - Surety Bond	1014SB.PDF
Application for Land Application	1014S.PDF
Application for Truck Wash Pit Permit	1014T.pdf
Application for Waste Oil or Drill Cuttings Use by County Commissioners	1014W.PDF
Application for Waste Oil or Drill Cuttings Use by Operators	1014X.PDF

DESCRIPTION OF FORM	PDF or OTHER
Application for Administrative Approval to Dispose of or Inject Water into Wells	1015.PDF
Application for Permit for Simultaneous Injection Well	1015SI.PDF
Application for Injection of Reserve Pit Fluids	1015T.PDF
Back Pressure Test for Natural Gas Wells - EWfiles filing available	1016.PDF
Form 1016 Allowable Overview	1016 Form Allowables Overiew.PDF
Guymon-Hugoton Field Gas Well Deliverability Tests	1017.PDF
Guymon-Hugoton Field Acreage Statement for Gas Wells	1019.PDF
Application for Certification Under the Recycling, Reuse of Deleterious Substances	1020A.PDF
Application for Priority Hardship Well Classification	1021.PDF
Application for Limited Deviation from the Priority Gas Rules	1021A.PDF
Notice of Intent to Mediate are filed through the Judicial and Legislative Services Division
Application to Flare or Vent Gas	1022.PDF
Application to Operate Vacuum Pump	1022A.PDF
Application for Multiple Completion, Multi-choke Assembly or Commingle Completion - EWfiles filing available	1023.PDF
Packer Setting Affidavit	1024.PDF
Packer Leakage Test	1025.PDF
Application for Discovery Oil Allowable	1028.PDF
Production or Potential Test	1029A.PDF
Application for Allowable Adjustment	1030.PDF
Application for Pipe Pulling and Well Plugging License	1055.PDF
Notice of Termination of Injection	1072.PDF

DESCRIPTION OF FORM	PDF or OTHER
	Notice of Transfer of Well Operatorship	1073
	Transfer of Operatorship - Injection, Disposal and Commercial Disposal Wells	1073I
	Transfer of Operatorship - Multiple Wells	1073MW
	Transfer of Operatorship - Multiple Injection, Disposal and Commercial Disposal Wells	1073IMW
	Form 1073A-D Instructions 2021	FORM 1073A-D Instructions
	Application For Change of Operator on Orders of the Commission	1073A
	Notice of Application on Orders of the Commission	1073B
	Notice of Hearing on Orders of the Commission	1073C
	Operator Permitting Change of Operator, Appointment of Alternative Operator and/or Deletion of Designation of Operator on Orders of the Commission	1073D

	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 FORM	PDF or OTHER
Application for Investigation and/or Abatement of Seeping Natural Gas	3000NGS.PDF
Spill Discharge Report Form	Spill Discharge Incident Report
Frac Focus Form	FDFME.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 (Expires 3-31-2018)	Protocol-1
Well Completions Protocol (Effective 4-1-2018)	Protocol-2
Current Well Completions AOI Shape File	SHAPEFILE
Hydraulic Fracturing Impact Report	4000WIP.xls
Hydraulic Fracturing Impact Report Instructions	Instructions for Impact Well Form
Information on Base of Treatable Water	BTW Info
Notice of Temporary Lines (only available electronically) Form 5000 NTL	5000 NTL

Description Of Form	Word Doc	PDF
2019 Operator's Guide to Filing UIC Forms		UICFORMSGUIDE
Affidavit Of Mailing - Application For Authority To Inject/Dispose Of Saltwater	AFFMAILDIS06.DOC	AFFMAILDIS06.PDF
Notice -Administrative Exception - Cementing Above Perforation In Injection/Disposal Wells	EXCEPUB06.DOC	EXCEPUB06.PDF
Affidavit Of Mailing - Administrative Exception To Cementing Above Perforation In Injection/Disposal Wells	AFFMAILEXP06.DOC	AFFMAILEXP06.PDF
Notice - Administratively Authorize The Approval Of Injection/Disposal Of Saltwater in a Non-Commercial Well	DISPPUBNONCOMM06.DOC	DISPPUBNONCOMM061.PDF
Notice - Administratively Authorize The Approval Of Injection/Disposal Of Saltwater in a Commercial Well	DISPPUBCOMM06.DOC	DISPPUBCOMM061.PDF
Request Template - An Exception To The Rule On Permitting Of A Disposal/Injection Well - Hearing	UIC Exception Rule Template for Hearing	FOR 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/Inject	NOTICE EXCEPTION06.DOC	NOTICE EXCEPTION06.PDF
RBCA (Risk-Based Corrective Action)Report	RBCA REPORT.DOC	RBCA REPORT.PDF

Last Modified on Jun 16, 2025

Oil and Gas Downloadable Forms

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

Use the latest version

Need help?

Use Adobe Acrobat Reader to fill out forms

Instructions for filling out forms

1. Install Adobe Acrobat Reader

2. Select the form you need below

3. Fill out the form

4. Save

5. Submit

Want faster service?

Important Instructions for Paper Forms

Forms 1000 - 1003

Forms 1006 - 1013

Forms 1014 - 1014X

Forms 1015 - 1072

Forms 1073 - Certificate of Non-Development

Other Forms

UIC Order Forms