If you have submission questions or issues with any of the information below, please contact us:
Department of Mineral Resources
Oil and Gas Division
600 E Boulevard Ave Dept 474
Bismarck ND 58505-0614
Phone: (701)-328-8020
| Form |
Description |
Submission Process: |
| Form 1 |
Permit To Drill (Vertical or Directional Well) |
Submit the Application for Permit electronically through NorthSTAR.
Sample of forms formerly accepted:
Form 1 PDF (90K)
Form 1 XLS (76K)
|
| Form 1H |
Permit To Drill (Horizontal Well) |
Submit the Application for Permit electronically through NorthSTAR.
Sample of forms formerly accepted:
Form 1H PDF (143K)
Form 1H XLS (90K)
|
| Form 1 TP |
Application For Treating Plant |
Submit hardcopy form below.
Form 1 TP PDF (51K)
Form 1 TP XLS (101K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 2 |
Organization Report |
NorthSTAR submission and hardcopy required for processing.
Submit the Organization Questionnaire electronically through NorthSTAR.
Submit the hardcopy form below:
Form 2 PDF (57K)
|
| Form 2B |
Registration For Persons Proving / Testing / Oil Sampling |
Submit the hardcopy form below:
Form 2B PDF (62K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 3 |
Single Well Bond (2000' in Depth, or Less) |
Submit the hardcopy form below:
Form 3 PDF (47K)
Form 3 XLS (47K)
Bond Information can be viewed electronically in NorthSTAR.
|
| Form 3A |
Single Well Bond (In Excess of 2000' Depth) |
Submit the hardcopy form below:
Form 3A PDF (56K)
Form 3A XLS (75K)
Bond Information can be viewed electronically in NorthSTAR.
|
| Form 3C |
Blanket Bond (Two Or More Wells) |
Submit the hardcopy form below:
Form 3C PDF (54K)
Form 3C XLS (75K)
Bond Information can be viewed electronically in NorthSTAR.
|
| Form 3D |
Treating Plant Bond |
Submit the hardcopy form below:
Form 3D PDF (54K)
Form 3D XLS (74K)
Bond Information can be viewed electronically in NorthSTAR.
|
| Form 3F |
Saltwater Handling Facility Bond |
Submit the hardcopy form below:
Form 3F PDF (54K)
Form 3F XLS (74K)
Bond Information can be viewed electronically in NorthSTAR.
|
| Form 3D3 |
Application to Deposit Cash or Property in Lieu of Surety Bond |
Submit the hardcopy form below:
Form 3D3 PDF (65K)
Form 3D3 XLS (92K)
Bond Information can be viewed electronically in NorthSTAR.
|
| Form 3E |
Remediation Bond |
Submit the hardcopy form below:
Form 3E PDF (50K)
Form 3E XLS (100K)
Bond Information can be viewed electronically in NorthSTAR.
|
| SFN 62585 |
Carbon Dioxide Storage Facility Surety or Insurance |
Submit the hardcopy form below:
SFN 62585 PDF
Bond Information can be viewed electronically in NorthSTAR.
|
| SFN 62586 |
Carbon Dioxide Storage Facility Cash Financial Assurance |
Submit the hardcopy form below:
SFN 62586 PDF
Bond Information can be viewed electronically in NorthSTAR.
|
| Form 4 |
Sundry Notices And Reports On Wells |
Submit the Sundry form electronically through NorthSTAR for the sundries listed in this Sundry Type matrix.
If the sundry you need to submit is NOT listed in the above matrix please submit a hardcopy:
Form 4 PDF (64K)
Form 4 XLS (72K)
*Selecting multiple wells or facilities is currently unavailable in NorthSTAR. Sundries that require this can be submitted by hardcopy.
|
| Form 5 |
Oil Production Report |
Submit electronically through the ND Oil and Gas Division's Electronic Filing system.
Anticipate future transition to electronic submission in NorthSTAR.
Form 5 PDF (175K)
Form 5 XLS (69K)
|
| Form 5A |
Oil Production Report Continuation |
Submit electronically through the ND Oil and Gas Division's Electronic Filing system.
Anticipate future transition to electronic submission in NorthSTAR.
Form 5A PDF (244K)
Form 5A XLS (69K)
|
| Form 5B |
Gas Production Report |
Submit electronically through the ND Oil and Gas Division's Electronic Filing system.
Anticipate future transition to electronic submission in NorthSTAR.
Form 5B PDF (138K)
Form 5B XLS (68K)
|
| Form 5P |
Monthly Treating Plant Report |
Submit the hardcopy form below:
Form 5P PDF (101K)
Form 5P XLS (68K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 5 SWD |
Oil Recovered From Saltwater Disposal Wells |
Submit the hardcopy form below:
Form 5 SWD PDF (82K)
Form 5 SWD XLS (66K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 6 |
Well Completion Or Recompletion Report |
Submit the Well Completion or Plugging Report form electronically through NorthSTAR.
Sample of forms formerly accepted:
Form 6 PDF (193K)
Form 6 XLS (100K)
|
| Form 7 |
Plugging Report |
Submit the Well Completion or Plugging Report form electronically through NorthSTAR.
Sample of forms formerly accepted:
Form 7 PDF (368K)
Form 7 XLS (93K)
|
| Form 8 |
Authorization To Purchase And Transport Oil From Lease |
Submit the hardcopy form below:
Form 8 PDF (70K)
Form 8 XLS (66K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 8A |
Purchaser And Transporter Of Dry Gas Report |
Submit the hardcopy form below:
Form 8A PDF (124K)
Form 8A XLS (66K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 9 |
Gas-Oil Ratio Report |
Submit the Upload Test Results form electronically through NorthSTAR.
Sample of hardcopy forms formerly accepted:
Form 9 PDF (170K)
Form 9 XLS (67K)
|
| Form 9A |
Reservoir Pressure Test |
Submit the Upload Test Results form electronically through NorthSTAR.
Sample of hardcopy forms formerly accepted:
Form 9A PDF (110K)
Form 9A XLS (68K)
|
| Form 9B |
Fluid Level Test |
Submit the Upload Test Results form electronically through NorthSTAR.
Sample of hardcopy forms formerly accepted:
Form 9B PDF (116K)
Form 9B XLS (68K)
|
| Form 10 |
Oil Purchasers Monthly Report |
Submit the hardcopy form below:
Form 10 PDF (147K)
Form 10 XLS (66K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 10A |
Oil Transporters Monthly Report |
Submit the hardcopy form below:
Form 10A PDF (159K)
Form 10A XLS (66K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 10B |
Oil Transporters And Storers Monthly Report |
Submit the hardcopy form below:
Form 10B PDF (138K)
Form 10B XLS (65K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 10RR |
Oil Rail Transporter Monthly Report |
Submit the hardcopy form below:
Form 10RR PDF (138K)
Form 10RR XLS (65K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 11 |
Central Tank Battery Well Test Report |
Submit the Upload Test Results form electronically in NorthSTAR. Sample of hardcopy forms formerly accepted:
Submit the hardcopy form below:
Form 11 PDF (173K)
Form 11 XLS (72K)
|
| Form 11A |
Central Tank Battery Well Test Report Continuation |
Submit the Upload Test Results form electronically in NorthSTAR. Sample of hardcopy forms formerly accepted:
Submit the hardcopy form below:
Form 11A PDF (189K)
Form 11A XLS (71K)
|
| Form 12 |
Gas Processing Plant Report |
Submit the hardcopy form below:
Form 12 PDF (118K)
Form 12 XLS (69K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 12A |
Gas Processing Plant Report Of Receipts From Wells |
Submit the hardcopy form below:
Form 12A PDF (158K)
Form 12A XLS (67K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 13 |
Refiner's Monthly Report |
Submit the hardcopy form below:
Form 13 PDF (79K)
Form 13 XLS (65K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 14 |
Application For Injection |
The Form 14 has been incorporated in to the APD process.
Submit the Application for Permit electronically through NorthSTAR.
Sample of hardcopy forms formerly accepted:
Form 14 PDF (159K)
Form 14 XLS (95K)
|
| Form 15 |
Notice Of Transfer Of Oil And Gas Wells |
Electronic and original required for processing.
Submit the Transfer Assets form electronically through NorthSTAR.
All parties involved (Transferring Party, Acquiring Party, and Bonding Agency) will need to access the online form.
Submit the hardcopy form below:
Form 15 PDF (56K)
Form 15 XLS (69K)
|
| Form 15P |
Notice Of Transfer Of Treating Plant Facility |
Submit the hardcopy form below:
Form 15P PDF (37K)
Form 15P XLS (71K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 16 |
Saltwater Disposal Report |
Submit electronically through the ND Oil and Gas Division's Electronic Filing system.
Anticipate future transition to electronic submission in NorthSTAR.
Sample of hardcopy forms formerly accepted:
Form 16 PDF (127K)
Form 16 XLS (70K)
|
| Form 16A |
Saltwater Disposal Report Continuation |
Submit the hardcopy form below:
Form 16A PDF (146K)
Form 16A XLS (65K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 17 |
Enhanced Recovery Report |
Submit electronically through the ND Oil and Gas Division's Electronic Filing system.
Anticipate future transition to electronic submission in NorthSTAR.
Sample of hardcopy forms formerly accepted:
Form 17 PDF (87K)
Form 17 XLS (71K)
|
| Form 17A |
Enhanced Recovery Source Report |
Submit electronically through the ND Oil and Gas Division's Electronic Filing system.
Anticipate future transition to electronic submission in NorthSTAR.
Sample of hardcopy forms formerly accepted:
Form 17A PDF (115K)
Form 17A XLS (66K)
|
| Form 18 |
Gas Storage Report |
Submit the hardcopy form below:
Form 18 PDF (155K)
Form 18 XLS (70K)
Electronic submittal not currently available.
|
| Form 19 |
Well Integrity Report |
Form 19 Entered by DMR Field Staff Only
Form 19 PDF (92K)
Form 19 XLS (75K)
|
| Form 20 |
Multipoint Back-Pressure Test Report |
Submit the hardcopy form below:
Form 20 PDF (110K)
Form 20 XLS (84K)
Electronic submittal not currently available.
|
| Form 21 |
One-Point Back-Pressure Test Report |
Submit the hardcopy form below:
Form 21 PDF (67K)
Form 21 XLS (89K)
Electronic submittal not currently available.
|
| Form 22 |
Deliverability Test Report |
Submit the hardcopy form below:
Form 22 PDF (68K)
Form 22 XLS (82K)
Electronic submittal not currently available.
|
| Form 23 |
Tank Bottom Cleaning Report |
Submit the hardcopy form below:
Form 23 PDF (108K)
Form 23 XLS (69K)
Anticipate future transition to electronic submission in NorthSTAR.
|
| Form 24 |
Annual Report of Unit Operations |
Submit the hardcopy form below:
Form 24 PDF (78K)
Form 24 XLS (69K)
Electronic submittal not currently available.
|
| Telephonic Affidavit |
Telephonic Communication Affidavit |
Submit the hardcopy form below:
Telephonic PDF (17K)
Electronic submittal not currently available.
|
| Incident/Spill Clean-Up Follow Up Report |
Incident/Spill Clean-Up Follow Up Report |
Submit form below as indicated in the "Instructions" tab:
Spill Clean-Up Report XLS (70K)
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