Official Nebraska Government Website


Forms are in Adobe Acrobat v8.1 (.pdf) format. The forms can be downloaded and completed on your computer, printed, signed, and submitted to us at: Nebraska Oil and Gas Conservation Commission, 922 Illinois, P.O. Box 399, Sidney, NE 69162. Please follow these instructions:
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   Form 3A - Oil and Gas Operators Bond

Drilling Permit
   Form 2 - Notice of Intention to Drill or Re-enter
   Form 2A - Permit Application for a Temporary Earthen Reserve Pit
   Example Affidavit to Permit Unorthodox Well
   Affidavit to Permit Unorthodox Well

   Form 11 SWD - Report of Disposal Well Activity
   Form 11 EOR - Report of Injection Project

Lease Reports
   Form 14 - Authorization to Transport Oil and/or Gas From Lease
   Form 15 - Retaining Pit Permit
   Form 15 - Instructions

   Form 7A - Well Status and Monthly Production Report
   Form 7A - Instructions

Well Reports
   Form 4 - Sundry Notice
   Form 5 - Well Completion or Re-Completion Report
   Form 6 - Plugging Record
   Form 13 - Release from Further Plugging Liability

   Report of Spill or Discharge of Oil or Salt Water