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Forms


Please note that some of these forms can be submitted electronically. If you need to fill out a PDF, click here for instructions.

Order Form # Form Name PDF Forms Fillable PDF Form Form Instructions Online Filing
1 ePermit Registration PDF icon
2 Incident Report Online Instructions Electronic Filing Required
3 E&P Waste Facility Quarterly Report PDF icon PDF icon
4 1 Application for Permit to Conduct Seismic Exploration PDF icon PDF icon PDF icon
5 2 Seismic Exploration Completion Report PDF icon PDF icon PDF icon
6 3 Application for Permit to Drill (APD) PDF icon PDF icon Electronic Filing Required
7 Form APD Checklist PDF icon PDF icon
8 Form Request to Transfer Application or Permit to Drill (APD) PDF icon PDF icon
9 4A Surety Bond PDF icon PDF icon
10 4B.1 Certificate of Deposit PDF icon PDF icon
11 4B.2 Utah State Treasurer's Cash Account PDF icon PDF icon
12 4B.3 Irrevocable Letter of Credit PDF icon PDF icon
12 4B.4 Request for Bond Release PDF icon PDF icon
13 4C Surety Bond PDF icon PDF icon
14 4D.1 Certificate of Deposit PDF icon PDF icon
15 4D.2 Utah State Treasurer's Cash Account PDF icon PDF icon
16 4D.3 Irrevocable Letter of Intent PDF icon PDF icon
17 4S.1 Certificate of Deposit PDF icon PDF icon
18 4S.2 Utah State Treasurer's Cash Account PDF icon PDF icon
20 6 Entity Action Form PDF icon PDF icon
21 7 Report of Water Encountered During Drilling PDF icon PDF icon
22 8 Well Completion or Recompletion Report and Log PDF icon PDF icon Electronic Filing Required
23 9 Sundry Notices and Reports on Wells PDF icon PDF icon PDF icon Electronic Filing Available
24 10 Monthly Oil and Gas Production Report PDF icon PDF icon Excel icon Excel icon Electronic Filing Available
25 11 Monthly Oil and Gas Disposition Report PDF icon PDF icon PDF icon Excel icon Electronic Filing Available
28 12 Report of Transferred Oil PDF icon PDF icon PDF icon
28 13A Summary of Gas Processing Plant Operations PDF icon PDF icon PDF icon Excel icon Electronic Filing Required
28 13B Gas Processing Plant Product Allocations PDF icon PDF icon PDF icon Excel icon Electronic Filing Required
29 14 Monthly Report of Waste Crude Oil Treatment Facility Operations PDF icon PDF icon PDF icon
30 15 Designation of Workover or Recompletion PDF icon PDF icon Electronic Filing Required
31 UIC 1 Application for Injection Well PDF icon PDF icon PDF icon
32 UIC 2 (Part 1) Monthly Report of Enhanced Recovery Project PDF icon PDF icon PDF icon Electronic Filing Available
32 UIC 2 (Part 2) Monthly Report of Enhanced Recovery Project PDF icon PDF icon PDF icon Electronic Filing Available
33 UIC 3 Monthly Injection Report PDF icon PDF icon PDF icon Electronic Filing Available
34 UIC 4 Annual Fluid Injection Report PDF icon PDF icon PDF icon
35 UIC 5 Transfer of Authority to Inject PDF icon PDF icon PDF icon Electronic Filing Available
36 UIC 6 Injection Well - Pressure Test PDF icon