Oil & Gas Conservation Division Forms

Effective January 1, 2011, current versions of KCC forms must be submitted.

(Kansas On-Line Automated Reporting) Forms indicated by a icon can be reported through the KOLAR on-line reporting system.

General Information

General Administrative

KSONA Frequently Asked Questions
NEW OPERATOR License Application OPL-1 (This form is not to be used for License Renewals. For a License Renewal form contact the Licensing Department at 316-337-6194.) (pdf fill-in form)
When applying for a KCC License, you must file a Well Inventory form OWI-1 with your KCC License Application if you are responsible for or operate wells
Well Inventory OWI-1 (pdf fill-in form) or 
    Well Inventory Frequently Asked Questions
    Well Inventory Certification
    Well Inventory Certification Frequently Asked Questions
Sign-Up to Submit KCC Forms thru KOLAR Reporting System (pdf fill-in form)
Request to Add Drilling or Well Servicing Equipment to Operator License
Request for Change of Operator; Transfer of Injection or Surface Pit Permit T-1 (includes KSONA-1) (pdf fill-in form) 

Well Permitting

Notice of Intent to Drill C-1 (includes KSONA-1) (pdf fill-in form) or  
Application for Surface Pit CDP-1 (pdf fill-in form) or 
Haul Off Pit Application Filing Requirements Checklist (pdf fill-in form)
Cathodic Protection Borehole Intent to Drill CB-1 (includes KSONA-1) (pdf fill-in form) or  

Well Completion Reports and Other Well Applications

Well Completion Form ACO-1 (pdf fill-in form)or  
Application for Commingling of Production or Fluids ACO-4 (pdf fill-in form) or 
Application for Dual Completion ACO-5 (pdf fill-in form) or 
Well Location Exception Application Check List ACO-17 (pdf fill-in form)
Application for Venting or Flaring of Gas other than Casinghead Gas ACO-18 (pdf fill-in form) or 
Affidavit for Extended Gas Venting from a Gas Well CG-3 (pdf fill-in form)
Affidavit for Venting of Coalbed Natural Gas CG-4 (pdf fill-in form)
Affidavit for Flaring from a Mississippi Horizontal Well (pdf fill-in form) 
Temporary Abandonment Application CP-111 (pdf fill-in form) or 
Sample Application for an Exception to 10-year Temporary Abandonment Limit 
Verified Affidavit For Vacuum Operations V-1 (pdf fill-in form)

Surface Pits and Waste Transfer

Application for Surface Pit CDP-1 (pdf fill-in form) or  
Haul Off Pit Application Filing Requirements Checklist (pdf fill-in form)
Closure of Surface Pit CDP-4 (pdf fill-in form) or 
Exploration and Production Waste Transfer CDP-5 (pdf fill-in form) or 

Well Plugging Report

Well Plugging Application CP-1 (includes KSONA-1) (pdf fill-in form) or 
Well Plugging Record CP-4 (pdf fill-in form) or 
Seismic Hole Affidavit CP-10 (pdf fill-in form)

Oil & Gas Well Testing Report

Oil Productivity Test & GOR Report C-5 (pdf fill-in form) 
Multi-Point Back Pressure Test CG-1
One Point Stabilized Open Flow or Deliverability Test G-2 (pdf fill-in form)

Gas Gathering Report

Oil and Gas Producer's Report

Acreage Attribution and Well Spacing Report

New Pool and Certificate of Enhancement Projects (Severance Tax Exemptions) Request

Underground Injection Control Report

UIC Application U-1 (pdf fill-in form) 
Sample of completed UIC Application U-1 
Annual Report U3-C (pdf fill-in form) This form is required on an annual basis due each March 1.
U3-C Instructions and Example
Notice of Injection (of commencement or termination of injection) U-5 (pdf fill-in form)
Application to Amend Injection Permit U-8 (pdf fill-in form)
Notice to Modify Injection Permit U-9 (pdf fill-in form)
Sample Newspaper Notice
UIC Assessments

Wireline Service