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Michigan Geological Survey
Download all
Oil and Gas forms
in zipped file (approx 950 Kb).
Most of the forms on this page are in Microsoft Word format, a few are in Acrobat.
To order paper forms, call 517-241-1515.
1/27/2005: All the forms in this download can have data entered in them from the computer, if you can call it up in Microsoft Word, you can enter data from Microsoft Word. Previously, some of the forms had to be printed out and filled in by hand or typewriter.
Items on this page:
Forms used for Permits and Bonding
Forms used for Drilling and Completion
Forms used for Production and Operating
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Abbreviations used below in "Where Filed" and "Unit":
PGPU= Petroleum Geology and Production Unit
PBU = Permits and Bonding Unit
CU = Compliance Unit
GSS = Geological Services Section
DO= District Office
MPSC= Michigan Public Service Commission
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Contact
517-241-1509
517-241-1528
517-241-1520
517-241-1544
check link at left
517-241-6141
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Oil and Gas Form
s
Forms Used for Permits and Bonding
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FORM NAME
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FORM NUMBER
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WHO
ORIGINATES
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WHEN FILED
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WHERE FILED
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# of COPIES WITH ORIGINAL
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*Application for Permit to Drill, Deepen, and Operate a Well
Forms marked w/ * are attached as part of a complete application to drill
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EQP 7200-1
Permit Instructions:
EQC 7200
EQC 7200-1
EQC 7200-2
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Permit Applicant
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Application
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PBU
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3 (1 in set of copies + 2)
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*
One of the following for permit fee:
Check
or
Credit Card Transaction Authorization
or
Electronic Fund Transfer Debit Authorization
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issued by applicant
EQP 7010
EQP 7011
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Permit Applicant
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w/ Application for Permit to Drill
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PBU
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none required
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*
Survey Record of Well Location
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EQP 7200-2
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Permit Applicant
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w/ Application for Permit to Drill
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PBU
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1 in set of copies
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*
Wellhead Blowout Control System
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EQP 7200-4
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Permit Applicant
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w/ Application for Permit to Drill
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PBU
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1 in set of copies
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*
Injection Well Data & attachments
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EQP 7200-14
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Permit Applicant
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w/ Application for Permit to Drill Injection Well
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PBU
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1 in set of copies
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*
Soil Erosion & Sedimentation Control Plan
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EQP 7200-18
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Permit Applicant
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w/ Application for Permit to Drill
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PBU
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1 in set of copies
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*
Environmental Impact Assessment
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EQP 7200-19
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Permit Applicant
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w/ Application for Permit to Drill
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PBU
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1 in set of copies
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*
Antrim Project
Environmental Impact Assessment
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EQP 7200-21
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Permit Applicant
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w/ Application for Permit to Drill
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PBU
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1 in set of copies
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*
Surface Owner Notification
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No form. File as required by {R324.201(2)(d)}
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Permit Applicant
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w/ Application for Permit to Drill
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PBU
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1 in set of copies
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Bond for Conformance
(use one of the below)
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Permit Applicant
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If for a single well:
w/ Application for Permit to Drill or Request for Transfer
Blanket bond documents on file w/ OGS do not need to copied for new application
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PBU
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0
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1. Surety Bond
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1. EQP 7200-3
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2. Certificate of Deposit
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2. CD
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3. Letter of Credit
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3. EQP 7298single or EQP 7299blanket
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4. Cashier's Check
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4. check
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5. Statement of Financial Responsibility
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5. EQP 7200-17
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Acceptance of CD as Performance Bond
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EQP 7200-15(single)
EQP 7200-16(blanket)
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Permit Applicant
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w/ CD bond
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PBU
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0
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Well Permittee Organization Report
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EQP 7200-13
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Permit Applicant
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As requested by PB Unit: usually w/App or Request for Transfer
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PBU
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1
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Request for Transfer of Permit
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EQP 7200-7
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Permittee
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At change of owner or operator
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PBU
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3
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Authorization for Expenditure
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EQP 7604
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Petitioner in compulsory pooling hearing
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With petition as petition exhibit
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GSS
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5
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Oil and Gas Forms
Forms Used for Drilling and Completion
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FORM NAME
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FORM NUMBER
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WHO
ORIGINATES
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WHEN FILED
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WHERE FILED
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# of COPIES WITH ORIGINAL
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Record of Well Drilling or Deepening
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EQP 7200-5
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Permittee
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Within 60 days of drilling completion
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PGPU
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3
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Well Elevations
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No form. File as required by
{R324.418(a)(i)}
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Permittee
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Within 60 days of drilling completion
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PGPU
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0
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Electric or Radiation Logs
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No form. File as required by
{R324.419(1)}
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Permittee
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30 days after running log(s)
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PGPU
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0
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Survey of Directionally Drilled Well
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No form. File as required by
{R324.421}
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Permittee
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30 days after drilling completion Note: a well may not be produced until survey is filed
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PGPU
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3
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Water Well Record for Oil, Gas, or Mineral Well Operations
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EQP 7200-10
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Permittee
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30 days after water well completion
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PBU
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2
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Certification of Casing and Sealing of Surface Hole
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EQP-7200-12
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Permittee
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30 days after drilling completion
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PGPU
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1
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Mud Pit Plot
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EQP 7200-9
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Permittee
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60 days after drilling completion
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DO
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1
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Record of Well Completion
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EQP 7130
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Permittee
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Within 60 days of drilling completion
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PGPU
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2
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Core descriptions
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No form. File record as required by {R324.418(c)}
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Permittee
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Within 60 days of drilling completion
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PGPU
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0
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Application to Change Well Status
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EQP 7200-6
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Permittee
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Before start of operation
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DO
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3
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Application to Plug and Abandon
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EQP 7200-6(same form as above)
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District
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When requested by permittee or OGS Compliance Unit
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Mailed to Permittee
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3
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Record of Well Plugging or Change of Well Status
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EQP 7200-8
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Permittee
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60 days after Change/ Plugging
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District
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3
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Water Well Plugging Record for Oil & Gas Operations
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EQP 7200-20
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Permittee
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30 days after water well plugging
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PBU
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2
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Assumption of Responsibility by Landowner
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EQP 7240
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Permittee
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Prior to Bond Release
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DO
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2
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Annual Certification for Blowout Preventers, Accumulators, Pumps and Secondary Systems
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EQP 7200-11
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Drilling Contractor
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Annually or when BOP is modified
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PBU
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0
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Oil and Gas Forms
Forms Used for Production and Operating
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FORM NAME
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FORM NUMBER
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WHO
ORIGINATES
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WHEN FILED
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WHERE FILED
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# of COPIES WITH ORIGINAL
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Monthly Production Report
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EQP 7101
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Producer
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Within 45 days after end of month of production
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PGPU & MPSC
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0
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Annual Production Report
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EQP 7101A
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Producer
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By February 14 after the end of the year
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PGPU & MPSC
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0
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Oil Gatherers Monthly Report
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EQP 7102or approved equivalent
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Oil Purchaser /Transporter
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Within 45 days after end of month of purchase or transport
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PGPU
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0
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Gas-Oil Ratio Test
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EQP 7103
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Producer
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As requested by PG&P or District. Report due w/in 15 days of test
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DO
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0
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Bottom Hole Pressure Test
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EQP 7104
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Producer
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After completion and as requested
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PGPU
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0
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Central Production Facilities Meter Readings Form A
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EQP 7126A
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Producer
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Within 45 days after end of month of production
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PGPU
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0
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Centralized Production Facilities Monthly Report Form B
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EQP 7126B
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Producer
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Within 45 days after end of month of production
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PGPU
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0
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Initial Production Report
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EQP 7127
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Producer
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After completion
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PGPU
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0
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Gas Gatherers Monthly Report
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EQP 7129
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Gas Purchaser/ Transporter
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Within 45 days after end of month of production
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PGPU
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0
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Annual Secondary & Enhanced Recovery Project Report
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EQP 7142
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Producer
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Annually by March 1 of following year
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PGPU
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0
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Report of Loss or Spill
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EQP 7233
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Permittee
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w/in 10 calendar days. (Losses over 42 gallons report verbally w/in 8 hrs)
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DO
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0
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Liquid and Gas Analysis
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No form. File as required by
{R324.1118(4)}
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Producer
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After completion & as requested
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PGPU
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0
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Annular Pressure Test
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EQP 7606
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Operator
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Before initial injection & at least once each 5 yr per R324.803 & 805
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PGPU
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0
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Authorization to Inject
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EQP 7608
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PG&P Unit
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When requested by operator
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Operator
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2
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Injection Well Operating Report
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EQP 7609
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Operator
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Monthly or Annually
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PGPU
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0
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Surface Facility Location and Environmental Impact Assessment
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EQP 7200-22
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Permit Applicant
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Prior to Construction of Surface Facility
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DO
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1
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Gas Storage Operations Annual Well Fee Assessment Report
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EQP 7141
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Storage Operator
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Annually by January 31
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PGPU
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1
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