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Our Board
Natural Resources
State of Utah
Division of Oil, Gas and Mining
1594 West North Temple
Salt Lake City, Utah 84116
Hours: 8:00 a.m. - 5:00 p.m.
Monday - Friday
Phone: (801) 538-5340
Fax: (801) 359-3940
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Report Forms
Instructions
for filling out these pdf forms
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Form 1
Application for Permit to Conduct Seismic Exploration
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Form 2
Seismic Exploration Completion Report
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Form 3
Application for Permit to Drill (APD)
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Form
APD Checklist
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Form
Request for Permit (APD) Extension Validation
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Form
Request to Transfer Application or Permit to Drill (APD)
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Form 4A
Surety Bond
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Form 4B
Collateral Bond
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Form 4C
Irrevocable Documentary letter of Credit
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Form 4D
Collateral Bond - Exploration and Production Waste Disposal Facility
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Form 4E
Surety Bond - Exploration and Production Waste Disposal Facility
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Form 4F
Irrevocable Documentary Letter of Credit - Exploration and Production Waste Disposal Facility
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Form 4S
Collateral Bond - Fee Surface Owner Protection
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Form 5
Designation of Agent or Operator
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Form 6
Entity Action Form
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Form 7
Report of Water Encountered During Drilling
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Form 8
Well Completion or Recompletion Report and Log
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Form 9
Sundry Notices and Reports on Wells
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Form 10
Monthly Oil and Gas Production Report
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Form 11
Monthly Oil and Gas Disposition Report
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Form 12
Report of Transferred Oil
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Form 13A
Summary of Gas Processing Plant Operations
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Form 13B
Gas Processing Plant Product Allocations
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Form 14
Monthly Report of Waste Crude Oil Treatment Facility Operations
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Form 15
Designation of Workover or Recompletion
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UIC Form 1
Application for Injection Well
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UIC Form 2 (part 1)
Monthly Report of Enhanced Recovery Project
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UIC Form 2 (part 2)
Monthly Report of Enhanced Recovery Project
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UIC Form 3
Monthly Injection Report
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UIC Form 4
Annual Fluid Injection Report
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UIC Form 5
Transfer of Authority to Inject
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Incident Report Form
Incident Report Form
(Guidelines)
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Incident Report eForm
Incident Report Electronic Web Form
(Guidelines)
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ePermit Registration
ePermit Registration Form (for electronic permit & report submittal)
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Waste Report
E & P Waste Facility Quarterly Report
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