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Oil and Gas Conservation Commission >  Forms: Updated 20 March 2007

The AOGCC has revised the following forms, and made them available on this web site.  As other forms are revised, they will be posted here.  If you do not see the form you need, please contact the AOGCC directly at:

333 W. 7th Ave., Ste. 100
Anchorage, AK  99501
(907) 279-1433

Please be aware of the following updates:
1.  All forms are available in pdf and Excel format.
2.  Forms with a revision date prior to September 2003 will not be accepted. Please read the letter from the Commissioners.
3.  Instructions are available on the last page of selected forms.
4.  API numbers should be completed as a 14-digit number (Ex:  50-123-12345-00-00).
5.  Be aware that some information locations have changed.
6.  Certain forms may no longer be required in multiple submittals.  Please look in the lower right hand corner to determine the current number of submittals required.
7.  Submit a well schematic diagram with each 10-407 well completion report and 10-404 well sundry report when the downhole well design is changed.

For best results, use a recent version of Adobe Acrobat or Reader to view these files.
Need help viewing pdf files?   Go to http://www.adobe.com/products/acrobat/readstep2.html.

Form Name and Number Format No. of Pages Revised
Permit to Drill (10-401) PDF Excel 1 12/2005
Surety Bond (10-402A) PDF Excel 2 10/2003
Personal Bond (10-402B) PDF Excel 2 4/2005
Application for Sundry Approvals (10-403) PDF Excel 1 6/2006
Annular Disposal Application (10-403AD) PDF Excel 2 6/2004
Report of Sundry Well Operations (10-404) PDF Excel 1 4/2006
Monthly Production Report (10-405) PDF Excel 2 4/2006
Monthly Injection Report (10-406) PDF Excel 2 02/2006
Well Completion or Recompletion Report and Log (10-407) PDF Excel 2 2/2007
Well Status Report and Gas-Oil Ratio Tests (10-409) PDF Excel 2 12/2003
Designation of Operator (10-411) PDF Excel 1 12/2005
Reservoir Pressure Report (10-412) PDF Excel 2 9/2003
Report of Injection Project (10-413) PDF Excel 1 12/2003
Notice of Ownership (10-417) PDF Excel 1 12/2005
Gas Well Open Flow Potential Tests Report (10-421) PDF Excel 2 1/2004
Facility Report of Produced Gas Disposition (10-422) PDF Excel 2 4/2004
    Facility Codes for 10-422  
Report of Annular Disposal (10-423) PDF Excel 2 2/2004

Thank you to ConocoPhillips and Marathon for kindly donating Excel versions for some of these forms.
If you have any suggestions regarding this page and the forms linked to it, please contact the Webmaster.

 
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