Oklahoma Administrative Code › Title 165 - Corporation Commission › Chapter 10 - Oil And Gas Conservation › Subchapter 1 - Administration › Part 1 - GENERAL PROVISIONS › Section 165:10-1-7 - Prescribed forms

Current through Vol. 41, No. 20, July 1, 2024
(a) Required
				  Conservation Division forms shall be submitted to the Commission on forms
				  supplied by the Commission, which are available on the Commission's website, or
				  on copies of Commission forms or by operator computer generated forms. Operator
				  computer generated forms must contain the exact language and wording of
				  Commission forms. Any alteration of Commission forms language and wording may
				  subject the signature party and/or operator to perjury charges.
(b) The following Conservation Division forms
				  are prescribed for filing purposes, which forms shall be filed in a format
				  provided by the Conservation Division:
(1)
Form 1000 - Notice of Intent/Permit to Drill application:
Operator
				  shall file Form 1000 (Application) before any oil, gas, injection, disposal,
				  service well or stratigraphic test hole is drilled, recompleted, re-entered or
				  deepened. Such notice shall include the name(s) and address(es) of the surface
				  owner(s) of the land upon which the well is to be located. The Conservation
				  Division shall process the application, and the Conservation Division shall
				  send an approved Permit to Drill by electronic mail to the operator applying
				  for the Permit to Drill at the electronic mail address(es) listed in the Form
				  1006B Operator Agreement filed by the operator with the Conservation Division.
				  If no electronic mail address is listed in the Form 1006B Operator Agreement
				  filed by the operator with the Conservation Division, the Conservation Division
				  shall mail the approved Permit to Drill to the operator's address listed in the
				  Form 1006B. For each Permit to Drill other than a Permit to Drill for a
				  recompletion, the operator shall send by facsimile, electronic mail or regular
				  mail a copy of the Permit to Drill to each surface owner listed on the Form
				  1000 within ten (10) business days of the Conservation Division's approval of
				  the Permit to Drill. Upon approval, the operator will have eighteen months to
				  commence the permitted operations. A six month extension may be granted without
				  fee providing the Conservation Division staff determines that no material
				  change of condition has occurred, if a request by facsimile, electronic mail,
				  or regular mail for such extension is received from the operator prior to the
				  expiration of the original permit. Only one extension may be granted. A copy of
				  the approved permit shall be posted at the well site. [Reference
				  165:10-3-1 and
				  165:10-1-25 and OAC
				  165:10-7-31]
(2)
Form 1000B - Application to Drill
				  Deep Anode Groundbeds:
Form 1000B is required to be filed for wells
				  drilled for deep anode groundbeds as required by OAC
				  165:10-7-14. The purpose of
				  Commission Form 1000B is to ensure groundwater is being protected in
				  construction of the deep anode groundbed. [Reference
				  165:10-7-14]
(3)
Form 1000S - Application for
				  seismic operations:
A permit for seismic operations must be obtained.
				  The applicant must post a $50,000 bond with the Surety Department in the Oil
				  and Gas Conservation Division. The application must also be accompanied with a
				  pre-plat of the project area. [Reference
				  165:10-7-31]
(4)
Form 1001 - Notification of
				  Intention to Plug:
Operator shall file notice on Form 1001 five days
				  prior to plugging operations and shall notify the appropriate Conservation
				  Division District Office before work is started. If the well is an exhausted
				  producer, list OTC assigned county and lease number. If the Intent to Plug is
				  cancelled, the operator shall notify the Commission by letter. [Reference
				  165:10-11-4 and
				  165:10-11-6]
(5)
Form 1001A - Notification of
				  Spudding of New Well:
Operator shall file a Form 1001A with the
				  Conservation Division within 14 days of spudding a new well or reentering a
				  previously plugged well. [Reference
				  165:10-3-2]
(6)
Form 1002A - Well completion
				  report:
Operator shall furnish a complete well record on Form 1002A
				  within 60 days after completion of operations to drill, recomplete, re-enter,
				  or convert to injection or disposal well. Effective for both dry hole and/or
				  producer. If well is an oil or gas producer, list OTC assigned county and lease
				  number. Gas-oil ratio must be shown when Form 1002A is filed. List on a 24-hour
				  basis both oil and gas. [Reference
				  165:10-3-25]
(A)
Oil well
: GOR less than
				  15,000:1
(B)
Gas well
:
				  GOR 15,000:1 or more
(7)
Form 1002B - Confidential Filing of Electric Logs:
Operator shall
				  file Form 1002B within 60 days from the earlier of the date of completion of
				  the well or the date of the running of the last formation evaluation type well
				  log to hold logs confidential for one year period. Optional extension for six
				  months may be requested by operator in writing to the Technical Services
				  Department of the Conservation Division. [Reference
				  165:10-3-26]
(8)
Form 1002C - Cementing
				  Report:
Operator shall file Form 1002C within 45 days of the release of
				  the rig used to drill such well. The Form 1002C shall describe all cementing
				  operations on surface, intermediate, and production casing strings, including
				  multistage cementing jobs. The Form shall be completed and signed by employees
				  of both the operator and the cementing company. [Reference
				  165:10-3-4(j)]
(9)
Form 1003 - Plugging
				  Record:
Operator will file Form 1003 within 30 days after plugging
				  operations are completed. The Form 1003 is to be mailed or e-mailed to the
				  appropriate Conservation Division District Office. Form 1003 shall be completed
				  and signed by employees of both the operator and the cementer. If a depleted
				  producer, list OTC assigned county and lease number. [Reference
				  165:10-11-6 and
				  165:10-11-7]
(10)
Form 1003A - Notice of Temporary
				  Exemption from Well Plugging:
Form 1003A shall be filed with the
				  appropriate Conservation Division District Office. [Reference
				  165:10-11-3 and
				  165:10-11-9]
(11)
Form 1004B - Notice of Gas
				  Purchase Curtailments:
In any month wherein a first purchaser or first
				  taker has a market demand/supply imbalance and must curtail purchases or takes
				  in compliance with
				  165:10-17-12, Form 1004B shall be
				  filed by said first purchaser or first taker with the Conservation Division.
				  [Reference
				  165:10-17-12]
(12)
Form 1005 - Monthly Report of
				  Purchasers
(Gas: subject to field rules): [Reference
				  165:10-1-47 and
				  165:10-15-1]
(A)
GAS:
Each operator of the
				  required meter or meters under
				  165:10-17-5 shall complete
				  computer-generated Form 1005, and return a copy to the Conservation Division
				  indicating the gas amounts transferred through the meter for the preceding
				  month on allocated and special allocated gas wells.
(B)
OIL:
Each first purchaser,
				  or first taker of oil from wells and projects which are capable of producing in
				  excess of their maximum assigned allowables, must complete computer-generated
				  Form 1005 and return a copy to the Conservation Division indicating the amount
				  of oil taken from each well or unit for the preceding
				  month.
(13)
Form
				  1006 - Surety bond for oil, gas, injection, or disposal wells:
Prior to
				  drilling and/or operating a well, the operator shall furnish the Conservation
				  Division a surety bond ($25,000.00) or other present alternate surety,
				  including, but not limited to, Form 1006A or 1006C. Operator must file the
				  original copy only with a copy of the power of attorney from the bonding
				  company. The name and address of the Oklahoma resident service agent shall be
				  endorsed on the bond form. [Reference
				  165:10-1-10 and
				  165:10-1-12]
(14)
Form 1006A - Financial Statement
				  for oil, gas, injection or disposal wells:
Prior to drilling and/or
				  operating a well, the operator shall furnish the Conservation Division a
				  verifiable financial statement (minimum net worth $50,000.00 within the State
				  of Oklahoma) or other present alternate surety, including, but not limited to,
				  Form 1006 or 1006C. Operator must file an original copy on Form 1006A, which
				  must be updated annually from the last filing date. [Reference
				  165:10-1-10 and
				  165:10-1-11]
(15)
Form 1006B - Operator Agreement to
				  plug oil, gas, and service wells within the State of Oklahoma:
Operator
				  shall agree to plug well(s) in compliance with the Commission rules. This
				  agreement must accompany the operator's elective choice of surety (including,
				  but not limited to, Form 1006, 1006A, or 1006C). The operator is required to
				  file a Form 1006B with the Conservation Division once every twelve (12) months.
				  [Reference
				  165:10-1-10,
				  165:10-1-11,
				  165:10-1-12,
				  165:10-1-13, and
				  165:10-1-14]
(16)
Form 1006BR-A - Operator agreement
				  to close hydrocarbon recycling/reclaiming facility:
Operators of
				  hydrocarbon recycling/reclaiming facilities are required to file agreements
				  with the Commission concerning closure of such facilities. [Reference
				  165:10-8-5]
(17)
Form 1006BR-B - Surety for closure
				  of hydrocarbon recycling/reclaiming facility:
Operators of hydrocarbon
				  recycling/reclaiming facilities are required to file surety with the Commission
				  for closure and reclamation of such facilities. [Reference
				  165:10-8-5]
(18)
Form 1006BT-A - Operator's
				  agreement to close, reclaim and remediate truck wash pit:
Operators of
				  truck wash pits are required to file agreements with the Commission regarding
				  closure of such pits. [Reference
				  165:10-7-33]
(19)
Form 1006BT-B - Surety for closure
				  of truck wash pits:
Operators of truck wash pits are required to file
				  surety with the Commission for closure, reclamation and remediation of such
				  pits. [Reference
				  165:10-7-33]
(20)
Form 1006C - Irrevocable
				  commercial letter of credit:
Prior to drilling and/or operating a well,
				  the operator shall furnish the Conservation Division an irrevocable commercial
				  letter of credit ($25,000.00) or other present alternate surety, including, but
				  not limited to, Form 1006A or 1006. Operator must file the original copy of
				  Form 1006C. A letter of credit must be valid for at least a one year period.
				  [Reference
				  165:10-1-10 and
				  165:10-1-13]
(21)
Form 1006D - Affidavit of well
				  plugging costs:
An operator may submit an affidavit on Form 1006D to the
				  Conservation Division concerning the operator's statewide plugging liability.
				  The Commission may approve Category B surety in an amount less than $25,000.00
				  for an operator whose statewide plugging liability is less than $25,000.00. The
				  Form 1006D must be properly executed by a duly licensed pipe pulling and well
				  plugging company and such Form must be acceptable to the Conservation Division.
				  [Reference
				  165:10-1-10,
				  165:10-1-12,
				  165:10-1-13 and
				  165:10-1-14]
(22)
Form 1006S - Operator's agreement
				  to plug seismic shot holes within the State of Oklahoma:
Prior to
				  commencing seismic operations the operator shall file an agreement to plug shot
				  holes in accordance with Commission rules. This agreement must accompany the
				  financial surety guarantee. [Reference
				  165:10-7-31]
(23)
Form 1006SB - Surety bond for
				  seismic shot hole plugging within the State of Oklahoma:
Before
				  commencing any seismic operation that requires the drilling of shot holes,
				  those companies actually doing the work in the field must secure a bond in the
				  amount of $50,000.00. Seismic companies must file the original Form 1006SB only
				  with a copy of the power of attorney from the bonding company. The name and
				  address of the Oklahoma resident service agent shall be endorsed on the bond
				  form. Form 1000S shall be filed with the bond. [Reference
				  165:10-11-6 and
				  165:10-7-31]
(24)
Form 1010 - Application for
				  Cancelled Underage:
Operator shall file, within 30 days for oil, and six
				  months for special allocated and allocated gas from the date of cancellation,
				  to reinstate cancelled underage; stating reason for this request and notifying
				  all offset operators. List OTC assigned county and lease number. [Reference
				  165:10-13-10 and
				  165:10-17-9]
(25)
Form 1011 - Multi-Zone lease runs
				  report:
If there are two or more common sources of supply that are
				  produced through a well or wells on the same lease or drilling and spacing unit
				  and that are not commingled, production from each common source of supply shall
				  be separately produced, measured and/or accounted for to the Commission. If one
				  or more of the zones produced are classified as oil for allowable purposes, the
				  operator is required to submit to the Conservation Division a multi-zone report
				  on Form 1011 showing the production from each oil-bearing common source of
				  supply on or before the last day of the succeeding proration period. [Reference
				  165:10-13-7]
(26)
Form 1012 - Fluid Injection
				  Report:
Operators shall file Form 1012 with the Conservation Division by
				  January 31 of each year covering the previous calendar year (January 1 through
				  December 31) on all enhanced recovery projects, pressure maintenance projects,
				  noncommercial disposal wells, LPG storage wells, authorized waterfloods and gas
				  repressuring projects for each UIC well. The completed form will list well
				  identification including API number, the Commission order or permit number,
				  injection volume and pressure, etc., as required on the form. No UIC well is to
				  be operated for injection or disposal unless the Form 1012 is filed by the
				  above date. [Reference
				  165:10-5-7] .
(27)
Form 1012C - Commercial disposal
				  well fluid disposal report
: Operators of commercial disposal wells shall
				  file Form 1012C with the Conservation Division by January 31 and July 31 of
				  each year for the previous six-month period. The completed form will list well
				  identification including API number, the Commission order or permit number,
				  disposal volume and pressure, etc. as required on the form. No commercial
				  disposal well is to be operated unless the Form 1012C is filed by the above
				  dates. [Reference
				  165:10-5-7] .
(28)
Form 1012D - Daily volume and
				  pressure report for disposal wells within areas of interest:
Operators
				  of wells authorized for disposal within areas of interest designated by the Oil
				  and Gas Conservation Division shall submit Form 1012D containing daily volumes
				  and pressures to the Manager of the Induced Seismicity Department at a minimum
				  on a weekly basis or as designated by such Manager. [Reference
				  165:10-5-7]
(29)
Form 1013 - Application for
				  adjusting an allowable for an Excessive Water Exemption or Reservoir Dewatering
				  Oil Spacing unit
: An operator in an unallocated oil pool may be
				  permitted to produce at a full capacity allowable rate, provided that the water
				  - oil ratio at the well is greater than or equal to 3:1 as an excessive water
				  exemption. To qualify for the reservoir dewatering oil spacing unit allowable
				  shown on Appendix J, the operator must provide data to show that the water -
				  oil ratio is greater than 1:1. The operator shall submit a production test on
				  Form 1013 to the Conservation Division. [Reference
				  165:10-15-1,
				  165:10-15-16,
				  165:10-15-17 and
				  165:10-15-18] .
(30)
Form 1014 - Application for Permit
				  to Use Earthen Pit, noncommercial disposal or enhanced recovery well pit used
				  for temporary storage of saltwater, or pit associated with commercial disposal
				  well surface facility:
The operator of a proposed off-site reserve pit,
				  recycling/reuse pit, spill containment pit, remediation pit, noncommercial
				  disposal or enhanced recovery well pit used for temporary storage of saltwater,
				  or pit associated with a commercial disposal well surface facility must submit
				  Form 1014 to the appropriate Conservation Division District Office for approval
				  before constructing or using the pit. [Reference
				  165:10-7-16,
				  165:10-7-20 and
				  165:10-9-3]
(31)
Form 1014A - Commercial facility
				  report:
A report that operators of hydrocarbon recycling/reclaiming
				  facilities, commercial pits, commercial soil farming sites and commercial
				  recycling facilities are required to submit to the Manager of Pollution
				  Abatement. [Reference
				  165:10-8-8,
				  165:10-9-1,
				  165:10-9-2 and
				  165:10-9-4]
(32)
Form 1014C - Chain of custody
				  record/analysis request:
Form 1014C is available for use by Commission
				  personnel when samples are collected for submission to and analysis by a
				  laboratory certified by the Oklahoma Water Resources Board or operated by the
				  State of Oklahoma.
(33)
Form
				  1014CA - Compliance agreement for land application:
Any person
				  responsible for supervision of land application must submit a compliance
				  agreement to the Commission. [Reference
				  165:10-7-19 and
				  165:10-7-26]
(34)
Form 1014CR - Application for
				  commercial recycling facility construction:
After a Commission order is
				  obtained, Form 1014CR must be submitted for approval to the Manager of
				  Pollution Abatement prior to the construction of the commercial recycling
				  facility authorized by the order. [Reference OAC
				  165:10-9-4]
(35)
Form 1014CS - Application for
				  Commercial Soil Farming:
For a commercial soil farming site that has an
				  order to operate, the operator shall submit a Form 1014CS to the Pollution
				  Abatement Department for approval prior to commencing soil farming. [Reference
				  165:10-9-2]
(36)
Form 1014D - Application for
				  Surface Discharge or for reclaiming and/or recycling of produced water:
Each application for surface discharge of produced water or for reclaiming
				  and/or recycling of produced water must be submitted to the appropriate
				  Conservation Division District Office on Form 1014D in quadruplicate.
				  Applications will be processed within five business days. [Reference
				  165:10-7-17 or
				  165:10-7-32]
(37)
Form 1014F - Application for
				  permit to use noncommercial pit with capacity in excess of 50,000 barrels to
				  contain deleterious substances:
The operator of a proposed noncommercial
				  pit with a capacity in excess of 50,000 barrels must submit the Form 1014F to
				  and obtain the approval of the Manager of the Pollution Abatement Department or
				  obtain the issuance of a Commission order before constructing or using the pit.
				  [Reference
				  165:10-7-16]
(38)
Form 1014HD - Notice for Disposal
				  of Hydrostatic Test Water:
Companies wishing to discharge water as
				  required by OAC
				  165:10-7-17, used to test a
				  pipeline, tank, etc. must submit a Form 1014HD to the appropriate Conservation
				  Division District Office and the Pollution Abatement Department for prior
				  approval. [Reference
				  165:10-7-17]
(39)
Form 1014L - Surface Owner
				  Permission for Land Application:
Each application for land application
				  must include an original Form 1014L, whereby the applicable surface owner gives
				  permission for the applicant to land apply certain deleterious substances to a
				  specific property. [Reference
				  165:10-7-19 and
				  165:10-7-26]
(40)
Form 1014LA - Designation of land
				  application agent:
A notarized affidavit designating any agent of an
				  operator for land application must be submitted to the Commission. [Reference
				  165:10-7-17,
				  165:10-7-19 and
				  165:10-7-26]
(41)
Form 1014LC - Letter of credit for
				  land application:
Persons who contract to land apply materials are
				  required to file surety with the Commission. [Reference
				  165:10-7-10]
(42)
Form 1014N - Application for
				  Commercial Pit Construction:
After a Commission order is obtained, Form
				  1014N must be submitted for approval by the Manager of Pollution Abatement
				  prior to the construction of each commercial pit authorized by the order.
				  [Reference
				  165:10-9-1]
(43)
Form 1014P - Annual report for
				  surface discharge:
An annual report is required to be submitted to the
				  Commission by April 1 of each year on Form 1014P concerning surface discharges
				  of produced water. Current (within three month) analyses of the produced water
				  and soil from the discharge plot must be attached to the annual report.
				  [Reference
				  165:10-7-17]
(44)
Form 1014R - Post land application
				  report
: A post land application report shall be submitted by the
				  operator or the operator's agent to the Manager of Pollution Abatement within
				  ninety (90) days of the completion of land application. [Reference
				  165:10-7-19 and
				  165:10-7-26]
(45)
Form 1014RW - Application for
				  permit to use reclaimed water in oil and gas operations:
Each
				  application for a permit to use reclaimed water in oil and gas operations must
				  be submitted to the Manager of Field Operations on Form 1014RW. [Reference OAC
				  165:10-7-34]
(46)
Form 1014S - Application for Land
				  Application:
Each application for land application of materials must be
				  submitted to the Pollution Abatement Department on Form 1014S. The applicant
				  must be the operator of the well or other operator responsible for generating
				  the waste to be land applied, except that a commercial pit operator may also
				  apply in case of emergency or for the purpose of facilitating repair or
				  closure, and the Oklahoma Energy Resources Board or its contractor may apply in
				  cases where there is no responsible party. The Form 1014S shall be processed
				  within five business days of submission of all required or requested
				  information. [Reference
				  165:10-7-19 and
				  165:10-7-26]
(47)
Form 1014SB - Surety bond for land
				  application:
Persons who contract to land apply materials are required
				  to file surety with the Commission. [Reference
				  165:10-7-10]
(48)
Form 1014T - Application for
				  permit to use truck wash pit:
The operator of a proposed truck wash pit
				  must submit Form 1014T to the Manager of Pollution Abatement for the
				  Conservation Division and obtain a permit before constructing or using the pit.
				  [Reference
				  165:10-7-33]
(49)
Form 1014W - Application for waste
				  oil or drill cuttings use by County Commissioners:
Application to apply
				  waste oil, waste oil residue, crude oil contaminated soil or freshwater drill
				  cuttings must be made by any Board of County Commissioners on Form 1014W. The
				  Form 1014W is required to be submitted by electronic mail to the appropriate
				  District Manager. [Reference
				  165:10-7-22 and
				  165:10-7-28]
(50)
Form 1014X - Application for waste
				  oil or drill cuttings use by operators:
Application to apply waste oil,
				  waste oil residue, crude oil contaminated soil or freshwater drill cuttings
				  must be made by any operator on Form 1014X. The Form 1014X is required to be
				  submitted by electronic mail or mailed to the appropriate District Manager.
				  [Reference
				  165:10-7-27 and
				  165:10-7-29]
(51)
Form 1015 - Application for
				  Administrative Approval to Dispose of or Inject Class II fluids into Well(s) or
				  to amend existing orders authorizing injection for injection, disposal or LPG
				  storage well(s):
Applicant shall file an original of the application and
				  one complete set of attachments with the Commission on Form 1015. When
				  requesting approval to dispose of or inject Class II fluids into wells,
				  applicant will also furnish copies of the application on Form 1015 as
				  specified, and, where noted, required attachments to Form 1015. Applicant will
				  submit an affidavit of delivery or mailing to the Commission not later than
				  five business days after the application is filed. Applicant shall file with
				  the Commission proof of publication regarding the notice of application in an
				  Oklahoma County newspaper and a county newspaper in which the well is located.
				  [Reference
				  165:10-5-2,
				  165:10-5-5, and
				  165:5-7-30]
(52)
Form 1015SI - Application for
				  Order or Permit for Simultaneous Injection Well:
Operator shall file
				  original with the Underground Injection Control Department on Form 1015SI. A
				  copy of the form will also be supplied to the operator of any producing lease
				  within one-half (1/2) mile of the proposed injection well. [Reference
				  165:10-5-15]
(53)
Form 1015T - Application for
				  Injection of Reserve Pit Fluids:
Each application for the on-site
				  injection of reserve pit fluids (i.e., drilling mud fluids or fracture fluids)
				  used in drilling or well completion shall be filed with the Underground
				  Injection Control Department by the well operator on Form 1015T. The original
				  of the application and one complete set of attachments shall be furnished to
				  the Underground Injection Control Department. A copy of the application will
				  also be supplied to the landowner and the operator of any producing lease
				  within one-half (1/2) mile of the proposed well. [Reference
				  165:10-5-13]
(54)
Form 1016 - Back Pressure Test for
				  Natural Gas Wells:
Operators and/or purchasers, on the Form 1016, will
				  report all single-point and four-point potential tests as required by pool rule
				  orders or general rules. List OTC assigned county and lease numbers and special
				  allocated pool numbers, first date of sales, and complete flow data. [Reference
				  165:10-17-6 and
				  165:10-17-7]
(55)
Form 1017 - Guymon-Hugoton Field
				  Gas Well Deliverability Tests:
Operators and/or purchasers of gas in
				  this field shall take deliverability tests between January 1 and August 31 of
				  each year, and on the test sheet Form 1017 file the results with the
				  Commission. List OTC assigned lease number for each well. [Reference Orders No.
				  17867 and 87291 and
				  165:10-17-9]
(56)
Form 1019 - Guymon-Hugoton Field
				  Acreage Statement for Gas Wells:
A fact statement as to acreage
				  attributable to each well shall be filed with the Commission on Form 1019
				  within 30 days of the well completion with a plat or map showing location of
				  the well. List OTC assigned county and lease number. [Reference Order No. 17867
				  and 165:10-17-9]
(57)
Form 1020A - Application for
				  Certification for the Recycling, Reuse of Deleterious Substances:
Applicant shall file an original Form 1020A with necessary attachments with the
				  Pollution Abatement Department. Form 1020A is filed prior to construction of
				  facility or change of operator. [Reference
				  165:10-8-1 through
				  165:10-8-11]
(58)
Form 1021 - Application for
				  Priority Hardship Classification:
The applicant shall file Form 1021 and
				  the necessary attachments with the Technical Services Department for review
				  prior to any hearing for priority one hardship classification. In addition, a
				  formal application for hearing must be filed with the Court Clerk's Office of
				  the Commission. [Reference
				  165:10-17-12]
(59)
Form 1021A - Application for
				  limited deviation from the priority gas rules:
The applicant shall file
				  Form 1021A and the necessary attachments with the Technical Services Department
				  for review prior to any hearing for deviation from the priority gas rules. In
				  addition, a formal application for hearing must be filed with the Court Clerk's
				  Office of the Commission. [Reference
				  165:10-17-12]
(60)
Form 1022 - Application to flare
				  or vent gas:
Operator shall file one copy of Form 1022 with the
				  Technical Services Department of the Conservation Division listing OTC assigned
				  county lease number. [Reference
				  165:10-3-15]
(61)
Form 1022A - Application to
				  operate vacuum pump:
Operator shall file one copy of Form 1022A with the
				  required attachments with the Technical Services Department of the Conservation
				  Division. [Reference
				  165:10-3-31]
(62)
Form 1023 - Application for
				  multiple completion, multichoke assembly or commingle completion:
Operator will file the original of Form 1023 with the required attachments.
				  List OTC assigned county and lease number. [Reference
				  165:10-3-35;
				  165:10-3-39;
				  165:10-3-37]
(63)
Form 1024 - Packer setting
				  affidavit:
Operator will submit Form 1024 as required. [Reference
				  165:10-3-35 and pertinent field
				  rules]
(64)
Form 1025 -
				  Packer leakage test:
Operator will submit Form 1025 as required.
				  [Reference
				  165:10-3-35 and pertinent field
				  rules]
(65)
Form 1027 - Bottom
				  hole pressure test:
Operator, on the pink sheet of Form 1027, shall take
				  BHP tests in the manner and during periods prescribed by special field rules.
				  List OTC assigned county and lease numbers. [Reference Special Field Rules and
				  165:10-13-3]
(66)
Form 1028 - Application for
				  discovery oil allowable:
Operator shall file Form 1028 with the required
				  exhibits and tests within 30 days of completion of each new well in a discovery
				  oil pool. [Reference
				  165:10-15-7]
(67)
Form 1029A - Production or
				  potential test - oil only:
Operator of each newly completed discovery
				  oil well shall file a potential test Form 1029A not later than 30 days after
				  completion of the well. All tests, if requested, shall be witnessed by another
				  operator. [Reference
				  165:10-15-7] .
(68)
Form 1030 - Application for
				  allowable adjustment:
Each operator or other interested parties desiring
				  to adjust the allowable for a well or wells shall file Form 1030 for
				  administrative review and approval. The allowable may be increased, decreased,
				  or transferred as the evidence may indicate for the most efficient rate of
				  production from the well or wells. [Reference
				  165:10-13-5,
				  165:10-13-8,
				  165:10-15-18 and
				  165:5-7-12]
(69)
Form 1034 - Nominations and
				  purchasers report:
[Reference
				  165:10-1-36,
				  165:10-1-37 and
				  165:10-1-46]
OIL:
Purchasers will furnish nomination data, actual runs from leases, stocks, and
				  other information on Form 1034 to the Conservation Division not later than noon
				  Friday of the week preceding each scheduled market demand hearing. On months in
				  which no market demand hearing is held, Form 1034 shall be filed by the 20th of
				  the month listing crude oil runs for the previous month on line 5 only. Any
				  change in nominations from the previous hearing shall be so indicated on this
				  monthly report.
(70)
Form
				  1034-G - Gas nominations:
Operators of natural gas wells in special
				  allocated gas pools where well allowable calculations according to special
				  allocated field rules are in effect shall file their pool nominations on Form
				  1034-G no later than one week prior to the market demand hearing. [Reference
				  165:10-1-36,
				  165:10-1-37,
				  165:10-1-49 and
				  165:10-17-9] .
(71)
Form 1040 - Monthly allocation
				  schedule (gas):
Monthly gas schedule Form 1040 will be forwarded to
				  operators by the Conservation Division indicating the status of special
				  allocated gas wells and their current allowables. Operators will inform the
				  Conservation Division of errors, if any, found in Form 1040 as promptly as
				  possible. Additionally, purchasers will receive the monthly schedule and shall
				  return the production from each well as requested. [Reference
				  165:10-1-47]
(72)
Form 1055 - Application for Casing
				  Pulling and Well Plugging License:
No person shall contract to pull
				  casing or plug oil, gas, injection, disposal, or other service wells, or
				  contract to salvage casing therefrom, or purchase wells for the purpose of
				  salvaging casing therefrom until a license has been secured from the
				  Commission. [Reference
				  165:10-11-1]
(73)
Form 1070 - Inventory of
				  authorized existing enhanced recovery wells:
Operators shall file
				  reporting Form 1070 before injecting into any enhanced recovery well.
				  [Reference
				  165:10-5-3]
(74)
Form 1071 - Inventory of
				  authorized existing disposal wells:
Operators shall file the reporting
				  Form 1071 before disposing into any disposal well. [Reference
				  165:10-5-3]
(75)
Form 1072 - Notice of termination
				  of injection:
Within 30 days of the termination of injection Form 1072
				  must be filed. [Reference
				  165:10-5-7]
(76)
Form 1073 - Notice of transfer of
				  oil or gas well operatorship:
The new operator shall file Form 1073 to
				  notify the Conservation Division of any change of operation of any oil or gas
				  well within 30 days of transfer of the well. [Reference
				  165:10-1-15]
(77)
Form 1073I - Notice of transfer of
				  underground injection well operatorship:
The new operator shall file
				  Form 1073I to notify the Underground Injection Control Department of any change
				  of operation of any injection, disposal, or hydrocarbon storage well within 30
				  days of transfer of the well. [Reference
				  165:10-5-10]
(78)
Form 1073IMW - Notice of transfer
				  of multiple underground injection well operatorship:
For transfers
				  involving more than 10 underground injection wells, a transferor and transferee
				  may file a single Form 1073IMW with the Conservation Division indicating the
				  transfer of multiple wells. If the Form 1073IMW is used, such Form must be
				  filed with the Conservation Division regarding any change of operations of such
				  wells within 30 days of transfer of the wells. [Reference
				  165:10-5-10]
(79)
Form 1073MW - Notice of transfer
				  of multiple oil or gas well operatorship:
For transfers involving more
				  than 10 oil or gas wells, a transferor and transferee may file a single Form
				  1073MW with the Conservation Division indicating the transfer of multiple
				  wells. If the Form 1073MW is used, such Form must be filed with the
				  Conservation Division regarding any change of operations of such wells within
				  30 days of transfer of the wells. [Reference
				  165:10-1-15]
(80)
Form 1075 - Mechanical integrity
				  pressure test:
A pressure or monitoring test must be performed on new
				  and existing injection wells and disposal wells. Information must be submitted
				  on Form 1075 and witnessed by a Field Inspector. Forms shall be submitted to
				  the Conservation Division's Underground Injection Control Department.
				  [Reference
				  165:10-5-6]
(81)
Form 1081 - Mineral owners escrow
				  account:
Operator shall file Form 1081 annually on anniversary date of
				  first pooling order issued after effective date of 52 O.S. §§ 551 et
				  seq. and shall include all applicable orders issued during the twelve-month
				  reporting period. [Reference
				  165:10-25-1 through
				  165:10-25-10]
(82)
Form 1085 - Complaint
				  report:
Form 1085 is used by Commission personnel to report violations
				  of General Rules of the Commission and to report progress on ongoing remedial
				  actions. Copies are sent to all parties concerned with investigation. Form 1085
				  combines and replaces old Forms 1034 and 1062. [Reference
				  165:10-7-7]
(83) Form 1535 - Application for
				  classification of reservoir dewatering project for exemption of sales tax on
				  electricity used for such operations and application for state sales tax
				  exemption for electricity sold for operations involving enhanced recovery
				  methods on a spacing unit or lease: Operators shall file one original of Form
				  1535 with the required attachments with the Technical Services Department of
				  the Conservation Division. To obtain the exemption of sales tax on the sale of
				  electricity and associated delivery and transmission used for reservoir
				  dewatering operations, or for a state sales tax exemption for electricity sold
				  for operations involving enhanced recovery methods on a spacing unit or lease,
				  the operator shall contact the Director's Office, Taxpayer Assistance Division,
				  Oklahoma Tax Commission, 2501 N. Lincoln Blvd., Oklahoma City, Ok. 73194.
				  [Reference
				  165:10-21-90 through
				  165:10-21-92 and
				  165:10-21-95 through
				  165:10-21-97]
(84)
Form 2001BF - Brownfield Applicant
				  Eligibility:
The applicant shall file one (1) Form 2001BF with the
				  Brownfield Program of the Conservation Division. This Form is filed to
				  demonstrate applicant's eligibility to be in the Brownfield program. [Reference
				  165:10-10-1 through
				  165:10-10-14]
(85)
Form 2002BF - Consent to
				  Entry:
The applicant shall file one (1) Form 2002BF with the Brownfield
				  Program of the Conservation Division. This Form is the landowner's permission
				  for applicant and their contractors to enter the property for assessment and
				  cleanup work. Copies will be sent to all parties concerned with the assessment
				  and/or cleanup. [Reference
				  165:10-10-1 through
				  165:10-10-14]
(86)
Form 2003BF - Application for
				  Brownfield Program Enrollment:
The applicant shall file one (1) Form
				  2003BF with the Brownfield Program of the Conservation Division for all sites
				  applicant is entering into the program. This Form provides necessary
				  information on the site. This Form can be used by public, quasi-public, and
				  non-profit entities to request a free Targeted Brownfield Assessment of a site
				  that has been approved as eligible for the Brownfield program. [Reference
				  165:10-10-1 through
				  165:10-10-14]
(87)
Form 2005BF - Brownfield
				  Certificate of No Action Necessary:
The Form 2005BF will be issued by
				  the Commission to the Brownfield Applicant, after the Brownfield staff has made
				  a no action necessary decision. The applicant must file the Certificate of No
				  Action Necessary in the office of the county clerk where the site is located,
				  provide a copy to the landowner if the landowner is not the applicant, and
				  submit a file-stamped copy to the Oklahoma Corporation Commission within 30
				  days. [Reference
				  165:10-10-1 through
				  165:10-10-14]
(88)
Form 2006BF - Brownfield
				  Certificate of Completion:
The Form 2006BF will be issued by the
				  Commission to the Brownfield Applicant, after the Brownfield staff has made a
				  final inspection of the site and review of the project following a remedial
				  action. The applicant must file the Certificate of Completion and any land use
				  restrictions in the office of the county clerk where the site is located,
				  provide a copy to the landowner if the landowner is not the applicant, and
				  submit a file-stamped copy to the Oklahoma Corporation Commission within 30
				  days. [Reference
				  165:10-10-1 through
				  165:10-10-14]
(89)
Form 3000NGS - Application for
				  Investigation and/or Abatement of Seeping Natural Gas:
An owner of
				  property which has seeping natural gas shall file an application with the
				  Commission regarding the Commission's investigation and/or abatement of the
				  seeping natural gas. [Reference
				  165:10-12-9]
(90)
Form 4000WIP - Well impact
				  report:
If an operator has evidence that its well(s) have been impacted
				  by hydraulic fracturing operations, the operator may report the occurrence by
				  electronic mail to the Conservation Division within 24 hours of discovery. The
				  operator must use Form 4000WIP to report the occurrence. [Reference
				  165:10-3-10]
(91)
Form 5000NTL - Notice of temporary
				  lines which may be used to transport produced water:
Operators are
				  required to notify the Conservation Division, the appropriate County
				  Commissioners and the surface owners of the land that is subject to the
				  rights-of-way sought to be utilized by the operator, at least 48 hours prior to
				  placing in public road rights-of-way temporary lines that may at any time be
				  used to transport produced water for well drilling, completion, or remedial
				  workover operations. Operators must use Form 5000NTL to provide the notice.
				  [Reference
				  165:10-3-10.1]
(92)
Form 6000NHF - Notice to
				  Conservation Division of hydraulic fracturing operations:
Operators are
				  required to notify the Conservation Division using Form 6000NHF at least 48
				  hours prior to commencement of hydraulic fracturing operations on a well.
				  [Reference
				  165:10-3-10]
(93)
Form 6000NOO - Notice to operators
				  of producing wells of hydraulic fracturing operations:
Operators are
				  required to notify operators of producing wells within one mile of the
				  completion interval of the subject well at least 5 business days prior to
				  commencement of hydraulic fracturing operations on such well. The notice to be
				  provided such operators shall contain the information in Form 6000NOO.
				  [Reference
				  165:10-3-10]