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.

Injection & Mining Division
UIC-1 Class-I Injection Well Application     PDF
UIC-2 SWD Class-II Injection Well Application   Word PDF
UIC-2 EOR Class-II EOR Application     PDF
UIC-2 HSW Class-II Hydrocarbon Storage Well Application     PDF
UIC-2 COM SWD Class-II Commercial Injection Well Application     PDF
UIC-2 FS Formation Storage Well Permit Application     PDF
UIC-2 MASIP Maximum Authorized Surface Injection Pressure Increase Application     PDF
UIC-2 SFI COM Class-II Commercial Slurry Fracture Injection Well Application     PDF
UIC-3 BR Class-III Brine Extraction Well Application   Word PDF
UIC-4 Class-II Hydrocarbon Storage Inspection Form CES Use Only
UIC-5 Class-II Well Integrity Affidavit     PDF
UIC-6 Class-I Well Integrity Affidavit     PDF
UIC-7 Class-II Injection Well Inspection Form CES Use Only
UIC-8 Class-I Injection Well Inspection Form CES Use Only
UIC-9 Class-II Annular Saltwater Disposal Well Application     PDF
UIC-10 Instructions for Online Filing   Word PDF
UIC-10 Annual Disposal/Injection Well Monitoring Report Excel Word pdf
  UIC-10A: Source Fluid Attachment Excel    
  UIC-10A: Report, Attachment, and Instructions     PDF
UIC-11 Mechanical Integrity Noncommercial Class II Daily Monitor Log     PDF
UIC-13 Community Saltwater Disposal System Initial Notification   Word PDF
UIC-13  Example of a Community Disposal Well Working Agreement     PDF
UIC-14 Application for Subsurface Disposal of Reserve Pit Fluids     PDF
UIC-17 Injection Well Work Permit     PDF
UIC-24 Class-I Quarterly Report     PDF
UIC-25 Class-V Well Application     PDF
UIC-25R Class V Remediation Area Permit Application     PDF
UIC-30 Work permit to Plug & Abandon a Well utilized for NORM disposal     PDF
UIC-32 Class-II Injection Well Application to Change Disposal/Injection Zone   Word PDF
UIC-33/34 Class-III Injection Well Daily Monitoring Log   Word PDF
UIC-36 Injection Pressure & Rate Monitoring Log     PDF
UIC-38 Class-III Brine Well Inspection Form CES Use Only
UIC-39 Inspection Narrative Form CES Use Only
UIC-42 Class-V Well History and Work Resume Report     PDF
UIC-42R Work Resume Report for Class V Remediation Wells     PDF
UIC-43 Class-II E&P Waste Disposal in a Salt Cavern Applicaiton     PDF
UIC-44 Class-II Storage Well Daily Monitoring Log   Word PDF
UIC-45R P&A Affidavit for Class V Remediation Projects     PDF
UIC-46 Inactive Cavern Daily Monitoring Log     PDF
UIC-P&A Injection Well Plug and Abandonment Report     PDF
UIC-WH1 Well History & Work Resume Report for Injection Wells     PDF
OR-1 Organizational Report Excel   PDF
RTS-PIT RTS: Guidelines & Procedures for Annular Disposal of Pit Fluids     PDF
RTS-ANN RTS: Guidelines & Procedures for Annular Saltwater Disposal Wells     PDF
RTS-T&P RTS: Guidelines & Procedures for Disposal Wells Completed w/Tubing and Packer     PDF
RTS-PKR RTS: Guidelines & Procedures for Packerless Disposal Wells     PDF
RTS-TDS RTS: Time Drive Supplement     PDF
RTS-LOG RTS: Log Sheet     PDF
CBL Cement Bond Logging Guidelines     PDF
CSG-T Affidavit of Test of Casing in Well   Word PDF
CSG-TSC Affidavit of Casing Test for Salt Cavern Wells   Word  
IMD-1 Request for Expedited Review   Word PDF
COI Cone of Influence Attachment     PDF