Oil, Gas, and Minerals Division - Oil and Gas Forms Page

Contact: Oil, Gas, and Minerals Division 517-284-6826

The Oil, Gas, and Minerals Division (OGMD) has published new forms (and revised old forms) for operator use to comply with oil and gas permitting and drilling and completion reporting requirements. These forms may be submitted electronically - in digital format - to the special email addresses (preferred) or as paper copies by way of regular mail. Please refer to the listing below as a guide for records submittal.


Download all Oil and Gas Forms in zipped file (approximately 950 Kb).  

Forms on this page are in Microsoft Word format. 
(Adobe format forms available upon request)

Items on this page:
Forms used for Permits and Bonding (PBU)
Forms used for Drilling and Completion (PMGU)
Forms used for Production and Operating (PMGU and MPSC)

Forms Used by District Office (District and Area Geologists Map)


Forms Used for Permits and Bonding
Permit Applications may be submitted by mail to:

Michigan Department of Environmental Quality
Oil, Gas, and Minerals Division
P.O. Box 30256 Lansing, Michigan 48909-7756

or by email to:DEQ-OGMDpermitapplications@michigan.gov
Contact: 517-284-6826 

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

WHERE TO FILE

*Application for Permit to Drill, Deepen, and Operate a Well  Forms marked w/ * are attached as part of a complete application to drill

EQP 7200-1

Permit Instructions:

EQC 7200
EQC 7200-1
EQC 7200-2

Permit Applicant

Application

PBU

* Survey Record of Well Location

EQP 7200-2

Permit Applicant

w/Application for Permit to Drill

PBU

* Wellhead Blowout Control System

EQP 7200-4

Permit Applicant

w/Application for Permit to Drill

PBU

* Injection Well Data & attachments

EQP 7200-14

Permit Applicant

w/Application for Permit to Drill

PBU

* Soil Erosion & Sedimentation Control Plan

EQP 7200-18

Permit Applicant

w/Application for Permit to Drill

PBU

* Environmental Impact Assessment

EQP 7200-19

Permit Applicant

w/Application for Permit to Drill

PBU

* Antrim Project

Environmental Impact Assessment

EQP 7200-21 

Permit Applicant

w/Application for Permit to Drill

PBU

* Surface Owner Notification

No form. File as required by {R324.201(2)(d)}

Permit Applicant

w/Application for Permit to Drill

PBU

Bond for Conformance (use one of the forms below)

Permit Applicant

For a single well bond: 

Submit with application for Permit to Drill or Request for Transfer.

For a blanket bond:

If documents are already on file w/ OGMD no need to be copied for new application for Permit to Drill or Request for Transfer.

PBU

1.  Surety Bond

EQP 7200-3

2.  Certificate of Deposit

CD

3.  Letter of Credit

EQP 7298 single

EQP 7299 blanket

4.  Cashier’s Check

check

5.  Statement of Financial Responsibility

EQP 7200-17 

Acceptance of CD as Conformance Bond

EQP 7200-15 (single)
EQP 7200-16 (blanket) 

Permit Applicant

w/CD bond

PBU

Well Permittee Organization Report

EQP 7200-13

Permit Applicant

As requested by PBU usually w/App or Request for Transfer

PBU

Request for Transfer of Permit

EQP 7200-7

Permittee

At change of owner or operator

PBU

Authorization for Expenditure

EQP 7604

Petitioner in pooling hearing

With petition as petition exhibit

Hearing Specialist

Application for Rule 303 Spacing Exception

EQP 7200-23

Permit Applicant

When applying for an expanded voluntary pooled drilling unit

PBU

Annual Certification for Blowout Preventers, Accumulators, Pumps and Secondary Systems

EQP 7200-11

Drilling Contractor

Annually or when BOP is modified

PBU

High Volume Hydraulic Fracturing Operations Environmental Impact Assessment

EQP 7200-24

Applicant

Prior to high volume hydraulic fracturing

PBU

High Volume Hydraulic Fracturing Operations Chemical Additives Pre-Disclosure Form

EQP 7200-26

Applicant

Permitting and Change of Well Status

PBU

Forms Used for Drilling and Completion

Drilling and completion records may be submitted by mail to:
Michigan Department of Environmental Quality
Oil, Gas, and Minerals Division
P.O. Box 30256 Lansing, Michigan 48909-7756

Drilling and completion records also may be submitted by email to: 
DEQ-GeologicalRecords@michigan.gov 

Contact: Kelley Nelson 517-284-6835

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

WHERE TO FILE

Record of Well Drilling or Deepening

EQP 7200-5

Permittee

Within 60 days of drilling completion

PMGU

Well Elevations

No form. File as required by  {R324.418(a)(i)}

Permittee

Within 60 days of drilling completion

PMGU

Electric or Radiation Logs**

No form. File as required by  {R324.419(1)}

Permittee

30 days after running log(s)

PMGU

Survey of Directionally Drilled Well

No form. File as required by  {R324.421}

Permittee

30 days after drilling completion Note: a well may not be produced until survey is filed

PMGU

Water Well Record for Oil, Gas, or Mineral Well Operations

EQP 7200-10

Permittee

30 days after water well completion

PMGU

Certification of Casing and Sealing of Surface Hole

EQP 7200-12

Permittee

30 days after drilling completion

PMGU

Mud Pit Plot

EQP 7200-9

Permittee

60 days after drilling completion

PMGU

Record of Well Completion

EQP 7130

Permittee

Within 60 days of well completion

PMGU

Core descriptions

No form. File record as required by {R324.418(c)}

Permittee

Within 60 days of plugging the well

PMGU

Record of Well Plugging or Change of Well Status

EQP 7200-8

Permittee

60 days after Change/ Plugging

PMGU

Water Well Plugging Record for Oil & Gas Operations

EQP 7200-20

Permittee

30 days after water well plugging

PMGU

High Volume Hydraulic Fracturing Operations Water Withdrawal and Usage Report

EQP 7200-25

Permittee

60 days after high volume hydraulic fracturing completion

PMGU

**Due to their file size, electric or radiation logs cannot be submitted by email. These should continue to be submitted to the PMGU Lansing office as both paper and electronic format within 30 days after conducting the logging run. Log ASCII Standard (LAS) and Tag Image File (TIF) shall be submitted by CD or other portable storage device (jump drive). The files should be names using the well's permit number, well name, and log type.

 

Forms Used for Production and Operating
Production and operating records should be submitted by mail to: 
Michigan Department of Environmental Quality
Oil, Gas, and Minerals Division 
P.O. Box 30256 Lansing, Michigan 48909-7756

Please review the forms for final submittal instructions, select production and operating records may be submitted by email to: 

DEQ-GeologicalRecords@michigan.gov 

Contact: Kelley Nelson 517-284-6835

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

WHERE TO FILE

Monthly Production Report

EQP 7101

Producer

Within 45 days after end of month of production

PMGU & MPSC

Annual Production Report

EQP 7101A

Producer

By February 14 after the end of the year

PMGU & MPSC

Oil Gatherers Monthly Report

EQP 7102 or approved equivalent

Oil Purchaser/Transporter

Within 45 days after end of month of purchase or transport

PMGU

Monthly Production Report (Trenton Black River)

EQP 7105

Producer

Within 45 days after end of month of production

PMGU & MPSC

Bottom Hole Pressure Test

EQP 7104

Producer

After completion and as requested

PMGU

Central Production Facilities Meter Readings Form A

EQP 7126A

Producer

Within 45 days after end of month of production

PMGU

Centralized Production Facilities Monthly Report Form B

EQP 7126B

Producer

Within 45 days after end of month of production

PMGU

Initial Production Report

EQP 7127

Producer

After completion

PMGU

Gas Gatherers Monthly Report

EQP 7129

Gas Purchaser/ Transporter

Within 45 days after end of month of production

PMGU

Annual Secondary &  Enhanced Recovery  Project Report

EQP 7142

Producer

Annually by March 1 of following year

PMGU

Liquid and Gas Analysis

No form. File  as required by  {R324.1118(4)}

Producer

After completion & as requested

PMGU

Annular Pressure Test

EQP 7606

Operator

Before initial injection & at least once each 5 year per R324.803 & 805

PMGU

Authorization to Inject

EQP 7608

PMGU

When requested by operator

Operator

Injection Well Operating Report

EQP 7609

Operator

Monthly or Annually

PMGU

Gas Storage Operations Annual Well Fee Assessment Report

EQP 7141

Storage Operator

Annually by January 31

PMGU

Forms Used In The Field
Contact the appropriate Area Geologist or District Office for guidance on how to file field forms.

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

WHERE TO FILE

HOW TO FILE

Report of Loss or Spill

EQP 7233

Permittee

w/in 10 calendar days. (Losses over 42 gallons report verbally w/in 8 hours)

District Office

Mail or Contact Area Geologist

Gas-Oil Ratio Test

EQP 7103

Producer

As requested by PMGU or District. Report due w/in 15 days of test

District Office

Mail or Contact Area Geologist

Assumption of Responsibility by Landowner

EQP 7240

Permittee

Prior to Bond Release

District Office

Mail or Contact Area Geologist

Application to Change Well Status and/or Plug and Abandon

EQP 7200-6

Permittee

When requested by permittee or OGMD

Mailed to Permittee

Mail or Contact Area Geologist

Surface Facility Location and Environmental Impact Assessment EQP 7200-22            Operator When applying for a surface facility District Office Mail or Contact Area Geologist