Figure: 16 TAC 3.80(a)

Table 1. Railroad Commission Oil and Gas Division Forms

Form Number

Form Title

Creation or Last Revision Date
(* No date available)

Statewide Rule Number (16 TAC __) or Other Authority

AOF-1

Field Application for AOF Status

10/95

3.31

AOF-2

Individual Operator Application for AOF Status

10/95

3.31

AOF-3

Operator's Review of AOF Status

12/95

3.31

C-1

Carbon Black Plant Report

7/66

3.54, 3.63

C-2

Application for Permit to Operate a Carbon Black Plant

7/66

3.54, 3.63

C-3

Permit to Operate Carbon Black Plant

12/67

3.54, 3.63

CF-1

Commercial Facility Bond

8/98

3.78

CF-2

Commercial Facility Irrevocable Letter of Credit

8/98

3.78

G-1

Gas Well Back Pressure Test, Completion or Recompletion Report, and Log

4/83

3.4, 3.9, 3.16,3.28, 3.31

G-3

Gas Storage Data Sheet

10/94

3.96, 3.97

G-5

Gas Well Classification Report

1/86

3.53

G-9

Gas Cycling Report

4/71

 

G-10

Gas Well Status Report

9/00

3.28, 3.53,3.55, 3.71

GC-1

Gas Well Capability

5/92

3.31

GT-1

Geothermal Production Test, Completion or Recompletion Report, and Log

01/76

3.4, 3.16,3.33

GT-2

Producer's Monthly Report of Geothermal Wells

01/76

Tex. Nat. Res. Code, Ch. 141

GT-3

Monthly Geothermal Gatherer's Report

01/76

Tex. Nat. Res. Code, Ch. 141

GT-4

Producer's Certificate of Compliance and Authorization to Transport Geothermal Energy and/or Natural Gas and/or Other Minerals

01/76

Tex. Nat. Res. Code, Ch. 141

GT-5

Application to Inject Fluid into a Reservoir Productive of Geothermal Resources

9/75

Tex. Nat. Res. Code, Ch. 141

H-1

Application to Inject Fluid into a Reservoir Productive of Oil or Gas

4/82
Revision effective 05/01/04

3.46

H-1A

Injection Well Data for H-1 Application

4/82
Revision effective 05/01/04

3.46

H-1S

Injection Well Area Permit

12/98

3.46

H-2

Permit Application to Create, Operate and Maintain a Brine Mining Facility

5/99

3.81

H-4

Application to Create, Operate and Maintain an Underground Hydrocarbon Storage Facility

4/82

3.95, 3.97

H-5

Disposal/Injection Well Pressure Test Report

6/85

3.9, 3.46, 3.96

H-7

Fresh Water Data Form

3/68

3.46

H-8

Crude Oil, Gas Well Liquids, or Associated Products Loss Report

6/70

3.20

N/A

Interim H-8 Crude Oil Spill Sheet

12/93

3.20

H-9

Certificate of Compliance, Statewide Rule 36 (Hydrogen Sulfide)

12/77

3.36

H-10

Annual Disposal/Injection Well Monitoring Report (RRC computer-generated)

7/95

3.9, 3.46

H-10H

Annual Well Monitoring Report Underground Storage in Salt Formations

7/95

3.95, 3.96,3.97

H-11

Application for Permit to Maintain and Use a Pit

5/84

3.8

H-12

New or Expanded Enhanced Oil Recovery Project and Area Designation Approval Application

10/03

3.50

H-13

EOR Positive Production Response Certification Application

4/90

3.50

H-14

Enhanced Oil Recovery Reduced Tax Annual Report

2/93

3.50

H-15

Test on an Inactive Well More than 25 Years Old

8/93

3.14

H-20

Hazardous Oil and Gas Waste Generator (and Transporter) Notification

6/96

3.98

H-21

Annual Hazardous Oil and Gas Waste Report

10/01

3.98

L-1

Electric Log Status Report

1/02

3.16

MD-1

Optional Operator Market Demand Forecast for Gas Well Gas in Prorated Fields

5/92

3.31

OW-1

Application for Authority to Conduct a Surface Inspection of Orphaned Oil or Gas Wells

4/06

Tex. Nat. Res.
Code, 89.060

OW-2

Application for Certificate of Designation as the Operator of Orphaned Oil or Gas Wells

4/06

Tex. Nat. Res.
Code, 89.060

OW-3

Application for Payment for Reactivating or Plugging an Orphaned Oil or Gas Well

4/06

Tex. Nat. Res.
Code, 89.060

PR

Monthly Production Report

New Form effective for production reports filed for 01/05 or after 5:00 pm CT 02/11/05

3.27, 3.54, 3.58

P-1B

Producer's Monthly Supplemental Report

9/90

3.50, 3.80

P-3

Authority to Transport Recovered Load or Frac Oil

3/77

3.58

P-4

Producer's Certificate of Compliance and Transportation Authority

5/02

3.1, 3.14, 3.30,3.58, 3.73, 3.78

P-5

Organization Report

1/87

3.1

P-5 IWB

Individual Well Bond

11/00

3.78

P-5 IWLC

Individual Well Irrevocable Documentary Letter of Credit

1/02

3.78

P-5LC

Irrevocable Documentary Blanket Letter of Credit

2/01

3.78

P-5 PB(1)

Individual Performance Bond

2/01

3.78

P-5PB(2)

Blanket Performance Bond

2/01

3.78

P-5S

P-5 Supplemental Officer Listing

9/91

3.1

N/A

Franchise Tax Certification (The Commission will accept a copy of the Certificate of Account Status from the Texas Comptroller of Public Accounts in lieu of the Commission=s form.)

11/01

3.1

P-6

Request for Permission to Consolidate/Subdivide Leases

5/02

3.26, 3.27, 3.38,3.39, 3.58

P-7

New Field Designation and/or Discovery Allowable Application

2/89

3.41, 3.42

P-8

Request for Clearance of Storage Tanks Prior to Potential Test

12/82

3.58

P-12

Certificate of Pooling Authority

5/01

3.31, 3.38, 3.40

P-13

Application of Landowner to Condition an Abandoned Well for Fresh Water Production

9/79

3.14

P-15

Statement of Productivity of Acreage Assigned to Proration Units

5/71

3.31

P-17

Application for Exception to Statewide Rules 26 and/or 27 (Commingling)

1/78

3.26, 3.27

P-17A

Interim Commingling/Measurement Application Supplement

6/97

3.26, 3.27

P-18

Skim Oil/Condensate Report

1/86

3.56

PS-79

Application for a Permit to Construct a Sour Gas Pipeline Facility

3/98

3.106

R-1

Monthly Report and Operations Statement for Refineries

1974

3.61

R-2

Monthly Report for Reclaiming and Treating Plants

12/77

3.8, 3.57

R-3

Monthly Report for Gas Processing Plants

10/00

3.54, 3.56,3.60, 3.62

R-4

Gas Processing Plant Report of Gas Injected

9/75

3.54

R-5

Certificate of Compliance (Gasoline Plants and Refineries)

3/72

3.61

R-6

Application for Certificate of Compliance (Cycling Plant)

9/75

3.62

R-7

Pressure Maintenance & Repressuring Plant Report

*

3.54

R-9

Application for Permit to Operate Reclamation Plant

2/90

3.57

S-10

Application for Transfer of Allowable, Casing Leak Well East Texas Field)

2/89

Field Rules

ST-1

Application for Texas Severance Tax Incentive Certification

10/03

3.83, 3.101,3.103

T-1

Monthly Transportation & Storage Report

3/72

3.59

T-4,
T-4A,
T-4C

Forms relating to pipeline permits; under jurisdiction of the Safety Division

T-4: 9/99T-4A: 4/99T-4C: 4/97

3.70

T-6

Pipeline Company Monthly Report of Gas Exported from Texas

1948

Exec. Order

T-7

Dist. 10 Panhandle Fields Monthly Gas Gatherer Report

6/91

Dkt. 10-87017

VCP-1

Voluntary Cleanup Program Application

11/03

4.401 - 4.405

VCP-2

Voluntary Cleanup Program Agreement

11/03

4.401 - 4.405

W-1

Application to Drill, Deepen, Plug Back, or Reenter

9/01
(Revision effective 07/01/04)

3.5

W-1A

Substandard Acreage Drilling Unit Certification

5/01

3.38

W-1D

Supplemental Directional Well Information

07/01/04

3.5

W-1H

Supplemental Horizontal Well Information

07/01/04

3.5

W-1X

Application for Future Re-Entry of Inactive Wellbore and 14(b)(2) Extension Permit

10/03

3.14, 3.78

W-2

Oil Well Potential Test, Completion or Recompletion Report, and Log

4/83

3.4, 3.9, 3.16,3.46, 3.51

W-3

Plugging Record

12/92

3.14

W-3A

Notice of Intention to Plug and Abandon

1/83

3.14

W-4

Application for Multiple Completion

8/69

3.6

W-4A

Sketch of Multiple Completion Installation

8/69

3.6

W-5

Packer Setting Report

8/69

3.6

W-6

Communication or Packer Leakage Test

1/70

3.6

W-7

Bottom-hole Pressure Report

*

3.41

W-9

Net Gas-Oil Ratio Report

7/69

RRC Order, 49

W-10

Oil Well Status Report

7/95

3.26, 3.27,3.52, 3.53

W-12

Inclination Report

1/71

3.11

W-14

Application to Dispose of Oil & Gas Waste by Injection into a Porous Formation Not Productive of Oil or Gas

1/82
Revision effective 05/01/04

3.9

W-15

Cementing Report

4/83

3.8, 3.13, 3.14

WH-1

Application for Oil and Gas Waste Hauler's Permit (formerly Application for Salt Water Hauler's Permit)

4/94

3.8

WH-2

Oil and Gas Waste Hauler's List of Vehicles (formerly Salt Water Hauler's Permit Bond)

4/94

3.8

WH-3

Oil and Gas Waste Hauler's Authority to Use Approved Disposal/Injection System

4/94

3.8

W-21

Application for Exception to Statewide Rule 21 to Produce by Swabbing, Bailing, or Jetting

2/03

3.21

Data Sheet

SWR 32 Exception Data Sheet

2/99

3.32

Data Sheet

SWR 10 Exception Data Sheet

*

3.10

EPA 8700-12

RCRA Subtitle C Site Identification Form (not an RRC form but required)

01/04

3.98

N/A

Claim for Proceeds of Salvage

9/94

Tex. Nat. Res. Code, 89.086

N/A

Request for Notice by Lienholder or Non-Operator

9/94

Tex. Nat.Res. Code, 89.043(c), 89.085(f), 91.115(f)

SAD

Security Administrator Designation (SAD) Form

07/04

3.80