Oil and Gas Electronic Forms


ODNR Division of Mineral Resources Management - Oil and Gas

Additional Resources:

Interstate Oil and Gas Compact Commission

US Army Corps of Engineers

Ground Water Protection Council

Ohio Oil and Gas Association

Ohio Oil and Gas Energy Education Program

Map to Our Offices:
Fountain Square, Building H-3

Office Hours:
Monday - Friday
8:00 A.M. to 5:00 P.M.

For general information email your questions here.

Public Record Requests can be emailed or directed to (614) 265-6373.

Columbus Address:
Mineral Resources Management
2045 Morse Rd.
Building H-3
Columbus, OH 43229-6693
(614) 265-6633
Fax H-2 (614) 265-7999
Fax H-3 (614) 265-7998

MRM logo

Bonding-Insurance Forms

Authority and Organization (Form 9)
CD Assignment
Certificate of Liability Insurance (Form 19)
Change of Owner (Form 7)
Documents Required for a Domestic Owner
Documents Required for a Non-domestic Owner
Financial Statement Domestic (Form 3A)
Financial Statement Non-domestic (Form 3)
Letter of Credit
Surety Bond (Form 2)

Coal Bearing Township Information

Designated Coal Bearing Areas (pdf)

Idle-Orphan Well Forms

Permitting Forms

Application for Permit (Form 1)
Application for Permit Supplement (Form 1A)
Documents Required for a Domestic Owner
Documents Required for a Non-domestic Owner
Documents Required to File for a Permit
Landowner Waiver (Form 5)
Oil-Gas Affidavit
Requirements for Filing a Mandatory Pooling Application
Restoration Plan (Form 4)
Well Completion Record (Form 8)
Well Plugging Report (Form 55)

Production Forms

Annual Statement of Production (Form 10)

UIC Forms

Aggregate Brine Application Annual Report
Annular Disposal Application
Annular Disposal Well Reporting Sheet (Form 205)
Brine Hauler Annual Report (Form 13)
Brine Hauler Bond (Form 18)
Brine Transporter Registration (Form 12)
ERP Additional Wells (Form 204B)
ERP Affidavit
ERP Annual Report (Form 204)
ERP Supplement (Form 203)
Saltwater Injection Well Affidavit
Saltwater Injection Well Supplement (Form 210)
Solution Mining Project Supplement (Form 206)
Solution Mining Quarterly Report (Form 207)
Surface Application Annual Report (Form 15)
Surface Casing Affidavit
Ground Water Contamination - Presence of Gas
Ground Water Contamination - Disruption Questionnaire
Ground Water Contamination - Presence of Oil
Ground Water Contamination - Presence of Salty Water
Ground Water Disruption - Decreased Supply and Siltation

Water Sampling

Water Sampling form (pdf)
Water Sampling form (xls)