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As of Oct. 1, 2025, the Department of Energy and Natural Resources (DENR) has become the Department of Conservation and Energy (C&E). We appreciate your patience as we transition over the coming months. If you cannot find the information needed on this website, please visit our DENR Archive Website or contact us at info@la.gov.
Office of Permitting and Compliance Forms and Documents
- Organization Report for Operators & Transporters (OR-1) – Online Form , User Guide
- Oilfield Site Restoration Contractor Organization Report (OSR-OR-1) - Word , PDF
- Application for Permit to Drill for Minerals (MD-10-R-1) - Excel
- Application to Amend Permit to Drill for Minerals (MD-10-R-A-1) - Excel
- Pre-Entry Notice Affidavit (AFLN-1) - PDF
- Application to Amend Operator - Multiple Wells (MD-10-R-AO) - Excel
- Surface Owner Contact Information (SOCI) - Excel , PDF
- Landowner Use Affidavit (LUA) - Word , PDF
- Orphan Well Affidavit (OSR-A) - Word , PDF
- Pledge of Certificate of Deposit (FS-CDMW) - PDF
- Irrevocable Letter of Credit (FS-LCMW) - PDF
- Performance Bond (FS-PBMW) - PDF
- Exhibit "A" - Blanket – 10 Wells (FS-ExA10) - PDF
- Exhibit "A" - Blanket – 25 Wells (FS-ExA25) - PDF
- Exhibit "A" - Multi-Well - By Footage (FS-ExAFt) - PDF
- Exhibit "A" - Max Financial Security Blanket (FS-ExAMax) - Word
- Exhibit "A" – Amendment (FS-AmdExA) - Word
- Application for Plugging Credits (FS-APCC) - PDF
- Transfer of Plugging Credits (FS-APCCO) - PDF
- Work Permit (DM-4R) - Word , PDF
- Tubingless Completion Form (TC-1) - Excel , PDF
- Application for Dual Completion (ADC) - Excel , PDF
- Packer Setting Certificate (PS-1) - Word
- Packer Leakage Test (PLT-1) - Word , PDF
- State Potential Report (SDM2) - Excel , PDF
- Well Completion or Recompletion Report (COMP) - Word
- Well History and Work Resume Report (WH-1) - Excel , PDF
- WH-1 Supplement for Hydraulic Fracturing - Word , PDF
- Oil Well Potential Report (DM-1R) - Excel , PDF , Instructions
- Gas Well Deliverability Test (DT-1) - Excel , PDF , Instructions
- Inactive Well Report (WR-1) - Excel , PDF
- Reserve Pit Oilfield Waste Disposition (ENG-16) - Word , PDF , Instructions
- E&P Waste Containment Structure Notification (ENG-15) - Word , PDF
- E&P Waste Unauthorized Discharge/Disposal Notification (ENG-15C) - Word , PDF , Instructions
- Reclaimed Oilfield Waste (ROW) Transportation Ticket (ENG-17) - Ordering Information
- 3D Seismic Application (STRP-3D) - Excel , PDF
- Deep Well Application (STRP-DW) - Excel , PDF
- Horizontal Well Application (STRP-HW) - Excel , PDF
- Inactive Well w/ Similar Perfs Application (STRP-IA) - Excel , PDF
- Orphan Well w/ Similar Perfs Application (STRP-OW) - Excel , PDF
- Well Cost Statement (WCS) - Excel , PDF , Instructions
- Water Well Notification Form (GWR-01) – PDF
- Area of Concern Monthly Ground Water Usage Report (GW-03) – PDF
- Water Well Registration LONG Form (GW-01) – PDF
- Water Well Registration SHORT Form (GW-1S) – PDF, Instructions
- Water Well Plugging and Abandonment Form (GW-02) – PDF
- Water Well Variance Request (GW-04) – PDF
- Inactive Water Well Checklist (GW-05) – PDF
- Water Well Transfer Document (WWT) – PDF
- Ground Water Well Prior Notification Form Evaluation Checklist – PDF
- UIC-1 (Class-I Injection Well Application)
- UIC-6 (Class-I Well Integrity Affidavit)
- UIC-14 (Application for Subsurface Disposal of Reserve Pit Fluids)
- UIC-17 (Injection Well Work Permit - Fillable)
- UIC-17 (Injection Well Work Permit)
- UIC-30 (Work Permit to Plug & Abandon a Well utilized for NORM disposal)
- UIC-WH1 (Injection Well Work History)
- UIC-P&A (Injection Well Plug and Abandonment Report)
- CSG-T (Affidavit of Casing Test)
- IMD-1 (Request for Expedited Review)
- UIC-2 (Class-II Injection Well Application for SWD, EOR, & COM)
- UIC-2 SWD & EOR Application Guidance
- UIC-2 Attachments (AOR Well List, FW Well List, Inj Fluid Well List) Template
- Office of Permitting and Compliance - SWD Public Notice Template
- UIC-2 COM Application Guidance
- Commercial Cross-Section Guidance
- Office of Permitting and Compliance - COM Public Notice Template
- UIC-2 SFI COM (Class-II Commercial Slurry Fracture Injection Well Application)
- UIC-2 MASIP (Class-II Request to Amend the Maximum Authorized Surface Injection Pressure)
- UIC-5 (Class-II Well Integrity Affidavit)
- UIC-9 (Class-II Annular Saltwater Disposal Well Application)
- UIC-10 (Instructions for Online Filing)
- UIC-11 (Mechanical Integrity Noncommercial Class II Daily Monitor)
- UIC-13 (Community Saltwater Injection System Application)
- Example of a Community Salt Water Disposal Well Working Agreement
- Example of a Community Enhanced Recovery Well Working Agreement
- UIC-14 (Application for Subsurface Disposal of Reserve Pit Fluids)
- UIC-17 (Injection Well Work Permit - Fillable)
- UIC-17 (Injection Well Work Permit)
- UIC-30 (Work Permit to Plug & Abandon a Well utilized for NORM disposal)
- UIC-32 (Class-II Injection Well Application to Change Disposal/Injection Zone)
- UIC-36 (Injection Pressure & Rate Monitoring Log)
- UIC-WH1 (Injection Well Work History)
- UIC-P&A (Injection Well Plug and Abandonment Report)
- CSG-T (Affidavit of Casing Test)
- IMD-1 (Request for Expedited Review)
- Additional Guidance Below
- UIC-2 HSW (Class-II Hydrocarbon Storage Well Application)
- UIC-2 FS (Formation Storage Well Permit Application)
- UIC-3 BR (Class-III Brine Extraction Well Application)
- UIC-4C (Salt Cavern Safety Inspection Form)
- UIC-17 (Injection Well Work Permit - Fillable)
- UIC-17 (Injection Well Work Permit)
- UIC-43 (Class-II E&P Waste Disposal in a Salt Cavern Application)
- UIC-50 (Salt Cavern Weekly Monitoring Log & Summary Report)
- UIC-55 SCS (Class 5 Storage Well Application)
- UIC-WH1 (Injection Well Work History)
- UIC-P&A (Injection Well Plug and Abandonment Report)
- CSG-TSC (Affidavit of Casing Test for Salt Cavern Wells)
- IMD-1 (Request for Expedited Review)
- UIC-17 (Injection Well Work Permit - Fillable)
- UIC-17 (Injection Well Work Permit)
- UIC-25 (Class-V Well Application)
- UIC-25R (Class V Remediation Area Permit Application)
- UIC-25R Repermit (Class V Remediation Repermit Application)
- UIC-25 Strat Test (Class V Stratigraphic Test Well Permit Application)
- UIC-42 (Class-V Well History and Work Resume Report)
- UIC-42 Strat Test (Class V Stratigraphic Test Well History and Work Resume Report)
- UIC-42R (Class V Remediation Well History and Work Resume Report)
- UIC-45R (P&A Affidavit for Class V Remediation Projects Only)
- UIC-P&A (Injection Well Plug and Abandonment Report)
- CSG-T (Affidavit of Casing Test)
- IMD-1 (Request for Expedited Review)
- UIC-17 (Injection Well Work Permit - Fillable)
- UIC-17 (Injection Well Work Permit)
- UIC-60 CCS (Class VI Well Permit Application)
- Class VI Application Submittal Instructions
- Class VI Complete Application Materials
- Class VI Cross-Section Standards
- Class VI Structure and Isopach Map Standards
- UIC-WH1 (Injection Well Work History)
- CSG-T (Affidavit of Casing Test)
- IMD-1 (Request for Expedited Review)
- Additional Guidance Below
- RTS: Guidelines & Procedures for Disposal Wells Completed w/Tubing and Packer
- RTS: Guidelines & Procedures for Packerless Disposal Wells
- RTS: Guidelines & Procedures for UIC-14 Annular Disposal of Pit Fluids
- RTS: Guidelines & Procedures for UIC-9 Annular Saltwater Disposal Wells
- RTS: Time Drive Guidance
- RTS: Log Sheet
- Cement Bond Logging Guidelines
- Step Rate-Falloff Test Guidelines
- Pressure Falloff Test Guidelines for Class I Wells
- PFOT Data Reporting Sheet
- Cone of Influence Calculation Guidance
- Commercial Facility Monthly Report of Waste Receipts (UIC-19) – PDF, Long Form PDF, Instructions
- Commercial Facility Monthly Summation of Waste Receipts (UIC-19A) – PDF, Instructions
- Commercial E&P Waste Facility Inspection & Test Report (UIC-20) – CES use only
- Commercial Class-II Daily Monitor Log (UIC-21) – PDF, Instructions
- Exploration & Production Waste Determination Request Form – PDF
- Request to Transport E&P Waste to Commercial Facilities or Transfer Stations (UIC-23) – PDF
- Waste Refusal Notification (UIC-26) – PDF
- E&P Waste Shipping Control Ticket Ordering Information (UIC-28) – PDF
- Organization Report for Off-Shore/Out-of-State Operators & Commercial Disposal Facilities ONLY (ENV-OR-1) – 2026 PDF, 2025 PDF
- Laboratory Procedures for Analysis of E&P Waste (LABMAN) – PDF
- Commercial E&P Waste Facility Permit Application (CF-APP) – Word, PDF
- Affidavit of Operator-Owned/Leased Space – Word, PDF