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.

Forms Assistance >>

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.

Engineering Division
FORM DESCRIPTION
  Drilling/Workover Rig Movement Notification Report   Word  
  Landowner Affidavit of No Objection for Passive Pit Closure Word PDF
AD Apparent Deviation Excel   PDF
ADC Application for Dual Completion Excel   PDF
AFLN-1 Pre-Entry Notice Affidavit (Duplicate Originals)     PDF
AMWI Affidavit of Majority Working Interest - required for Austin Chalk wells in units   Word PDF
COMP Well Completion or Recompletion Report   Word  
CSG-T Casing Test   Word  
DM-1R Oil Well Potential Report Excel   PDF
Oil Well Potential Report (Instructions)     PDF
DM-4R Work Permit   Word PDF
DT-1 Gas Well Deliverability Test Excel   PDF
Gas Well Deliverability Test (Instructions)     PDF
ENG-15 E&P Waste Containment Structure Notification   Word PDF
ENG-15C Exploration & Production Waste Unauthorized Discharge/Disposal Notification   Word PDF
ENG-15C (Instructions)     PDF
ENG-16 Oilfield Waste Disposition   Word PDF
ENG-16 (Instructions)     PDF
ERADS Enhanced Recovery Annual Data Sheet Excel   PDF
ERQ Enhanced Recovery Questionnaire Excel   PDF
FS-PBMW Performance Bond     PDF
FS-LCMW Irrevocable Letter of Credit     PDF
FS-CDMW Pledge of Certificate of Deposit     PDF
FS-ExA10 Exhibit "A" - Blanket – 10 Wells     PDF
FS-ExA25 Exhibit "A" - Blanket – 25 Wells     PDF
FS-ExAFt Exhibit "A" - Multi-Well - By Footage     PDF
FS-AmdExA Exhibit "A" - Amendment   Word  
GR-10 Application for Permit to Drill for Geothermal Resources (Short Form) Excel   PDF
GR-10-1 Application for Permit to Drill for Geothermal Resources (Long Form) Excel   PDF
LUA Landowner Use Affidavit   Word PDF
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 Application to Amend Operator - Multiple Wells Excel    
OR-1 Organization Report for Operators & Transporters (now Online)
   
OR-1 Online User Guide
   
OSR-A Orphan Well Affidavit - required for orphan well operator changes   Word  
OSR-OR-1 Oilfield Site Restoration Contractor Organization Report   Word PDF
OSR-WP Oilfield Site Restoration Work Permit Excel

P&A Plug and Abandon Report Excel   PDF
PLT-1 Packer Leakage Test Form Word PDF
PS-1 Packer Certificate Word
PR Potential Report Excel   PDF
R-4 Operators Certificate of Compliance and Authorization to Transport Oil From Production Facility Excel   PDF
SC-APP Site Clearance Verification Application   Word PDF
SC-VER Site Clearance Verification Report   Word PDF
SOA Schedule of Abandonment Excel    
SOCI Surface Owner Contact Information - required for all wells included in operator change amendments Excel    
STRP-3-D Severance Tax Relief Program form to apply 3D costs to a number of wells Excel   PDF
STRP-DW Severance Tax Relief Program form for Wells Deeper than 15,000 ft. T.V.D. Excel   PDF
STRP-HW Severance Tax Relief Program form for Wells Drilled with an 80 degree or greater hold for 50 feet or more Excel   PDF
STRP-IA Severance Tax Relief Program form for Inactive Wells with similar perforations (www.dnr.la.gov/strp) Excel   PDF
STRP-OW Severance Tax Relief Program form for Orphan Wells with similar perforations (www.dnr.la.gov/strp) Excel   PDF
STRP-WCS Well Cost Statement Excel   PDF
Well Cost Statement (Instructions)     PDF
TC-1 Tubingless Completion Form Excel   PDF
VU Affidavit Voluntary Unit Affidavit
Word
WH-1 Well History and Work Resume Report Excel   PDF
WH-1 Supplemental Page 3 (Only required for Hydraulically Fractured wells)   Word PDF
WR-1 Inactive Well Report Excel   PDF
29-D-1 Application for Surface Commingling of Oil and Gas Production   Word  
9604 Site Specific Trust Account Form Word PDF
9604-1 Site Specific Trust Account Reassessment   Word PDF