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.
The Office of Conservation has begun to incorporate some forms that can be Filled-in, Saved & Printed using Adobe Reader. Please refer to the Forms Assistance page for guidance in using these forms.
- Forms - Home
- Engineering Division
- Environmental Division
- Geological Division
- Injection & Mining Division
- Pipeline Division
| Injection & Mining Division | ||||
| FORM | DESCRIPTION |  |
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| UIC-1 | Class-I Injection Well Application | |||
| UIC-2 SWD | Class-II Injection Well Application (Fillable) | Word | ||
| UIC-2 EOR | Class-II EOR Application (Fillable) | Word | ||
| UIC-2 HSW | Class-II Hydrocarbon Storage Well Application | Word | ||
| UIC-2 COM SWD | Class-II Commercial Injection Well Application | |||
| UIC-2 FS | Formation Storage Well Permit Application | |||
| UIC-2 SFI COM | Class-II Commercial Slurry Fracture Injection Well Application | |||
| UIC-2 MASIP | Class-II Request to Amend the Maximum Authorized Surface Injection Pressure | |||
| UIC-3 BR | Class-III Brine Extraction Well Application | Word | ||
| UIC-4 | Class-II Hydrocarbon Storage Inspection Form | CES Use Only | ||
| UIC-4C | Salt Cavern Safety Inspection Form | Word | ||
| UIC-5 | Class-II Well Integrity Affidavit | |||
| UIC-6 | Class-I Well Integrity Affidavit | |||
| 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 | |||
| UIC-10 | Instructions for Online Filing | Word | ||
| UIC-10 | Annual Disposal/Injection Well Monitoring Report | Excel | Word | |
| UIC-10A: Source Fluid Attachment | Excel | |||
| UIC-10A: Report, Attachment, and Instructions | ||||
| UIC-11 | Mechanical Integrity Noncommercial Class II Daily Monitor Log | |||
| UIC-13 | Community Saltwater Injection System Application | Word | ||
| UIC-13 | Example of a Community Salt Water Disposal Well Working Agreement | |||
| UIC-13 | Example of a Community Enhanced Recovery Well Working Agreement | |||
| UIC-14 | Application for Subsurface Disposal of Reserve Pit Fluids | |||
| UIC-17 | Injection Well Work Permit (Fillable) | |||
| UIC-17 | Injection Well Work Permit | |||
| UIC-24 | Class-I Quarterly Report | |||
| UIC-25 | Class-V Well Application | |||
| UIC-25R | Class V Remediation Area Permit Application | |||
| UIC-25R Repermit | Class V Remediation Repermit Application | |||
| UIC-25 STRAT TEST | Class V Stratigraphic Test Well Permit Application | |||
| UIC-30 | Work permit to Plug & Abandon a Well utilized for NORM disposal | |||
| UIC-32 | Class-II Injection Well Application to Change Disposal/Injection Zone | Word | ||
| UIC-36 | Injection Pressure & Rate Monitoring Log Use Only When Requested By IMD |
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| 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 (Fillable PDF) | |||
| UIC-42 Strat Test |  Class V Stratigraphic Test Well History and Work Resume Report (Revised 3/16/23) |
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| UIC-42R | Work Resume Report for Class V Remediation Wells | |||
| UIC-43 | Class-II E&P Waste Disposal in a Salt Cavern Application | |||
| UIC-45R | P&A Affidavit for Class V Remediation Projects | |||
| UIC-50 | *Replaces Forms UIC-33/34, UIC-44, & UIC-46* |
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| UIC-55 SCS | Class 5 Storage Well Application |
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| UIC-60 CCS | Class VI Well Permit Application |
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| UIC-P&A | Injection Well Plug and Abandonment Report | |||
| UIC-WH1 | Well History & Work Resume Report for Injection Wells | |||
| OR-1 | Organizational Report | Excel | ||
| RTS-PIT | RTS: Guidelines & Procedures for Annular Disposal of Pit Fluids | Word | ||
| RTS-ANN | RTS: Guidelines & Procedures for Annular Saltwater Disposal Wells | Word | ||
| RTS-T&P | RTS: Guidelines & Procedures for Disposal Wells Completed w/Tubing and Packer | Word | ||
| RTS-PKR | RTS: Guidelines & Procedures for Packerless Disposal Wells | Word | ||
| RTS-TDS | RTS: Time Drive Supplement | Word | ||
| RTS-LOG | RTS: Log Sheet | |||
| CBL | Cement Bond Logging Guidelines | |||
| CSG-T | Affidavit of Test of Casing in Well | Word | ||
| CSG-TSC | Affidavit of Casing Test for Salt Cavern Wells | Word | ||
| IMD-1 | Request for Expedited Review | Word | ||
| PFOT | PFOT Data Reporting Sheet | Excel | ||