OIL AND GAS FORMS


The following forms/applications are available for either downloading or completion online, or both:

  • Downloadable forms are available in a **PDF format and may be printed out and completed by hand.
  • Online forms are available in a PDF format to allow you to complete the form online and then print and mail the form.

 

The icons associated with forms/applications on this page are links to:
   online PDF icon "online" forms/applications
   online print icon "downloadable" forms/applications
  info icon  Link to the pertinent section of South Dakota's Oil and Gas Conservation Rules, Administrative Rules of South Dakota (ARSD) Article 74:12  section that corresponds to that form. 

 

 

Completed forms should be mailed to the address located at the top of each form.  If you have any problems downloading or filling out a form, please contact Jeff Klenner at Jeff.Klenner@state.sd.us or call 605-773-4201.

 

FORMS REQUIRED TO BE SUBMITTED WITH A PERMIT APPLICATION

 

 online PDF icon    online print icon    info icon Form 2: Application for Permit to Drill
 online PDF icon    online print icon    info icon Form 1: Organization Report
 online PDF icon    online print icon    info icon

Form 3: Plugging and Performance Bond

[$10,000 individual shallow well, $30,000 multiple shallow wells - or - $50,000 individual deep well, $100,000 multiple deep wells] Bonds need to acknowledge the principle and surety. A South Dakota licensed agent must countersign. A Certificate of Deposit is acceptable when made out to SD Dept. Env. & Nat. Resources AND Operator. NEW VERSION POSTED 7/11/13

 online PDF icon    online print icon    info icon Form 8: Permission to Inspect
 online PDF icon    online print icon    info icon Form 9: Certificate of Negotiation NEW VERSION POSTED 6/30/14
 online PDF icon    online print icon    info icon Form 13: Certification of Applicant

 

 

OTHER OIL AND GAS FORMS

 

 online PDF icon    online print icon    info icon Form 4: Well Completion or Recompletion Report
 online PDF icon    online print icon    info icon Form 5: Monthly Report of Production for Oil & Gas Wells
 online PDF icon   online print icon     info icon Form 5A: Monthly Report for Injection Wells
 online PDF icon    online print icon    info icon Form 6: Sundry Notices and Report on Wells NEW VERSION POSTED 10/24/13
 online PDF icon    online print icon    info icon Form 7: Plugging Report
 online PDF icon    online print icon    info icon

Form 12: Notice of Transfer of Operator

If not already on file with the department, this form should be accompanied by an organization report, a plugging and performance bond, a certification of applicant form, and a permission to inspect form.

         online print icon    info icon Class II UIC Permit to Inject