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894-2109 WELL ABANDONMENT REPORT Submit original plus one copy. This form is to be submitted as an intent whenever a plugging is planned on a borehole. The approved intent shall be valid for twelve months after the approval date after that period a new intent will be required. After the plugging is complete, this form and one copy shall again be submitted as a subsequent report of the work as actually completed. COGCC Operator Number: 0001 Name of Operator: Black Dog Oil Address: 1000 Main St.

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How to fill out the How To Fill Form 6 Sample online

Filling out the How To Fill Form 6 Sample online requires attention to detail and accurate information. This guide provides a clear, step-by-step approach to help users complete the form efficiently.

Follow the steps to successfully complete the form.

  1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editing tool.
  2. Begin by entering the COGCC Operator Number in the designated field. Ensure this number is correct, as it identifies your organization.
  3. Fill in the Name of Operator section with the appropriate company name associated with the well abandonment process.
  4. Provide the complete address, including City, State, and Zip code, where your operation is based.
  5. In the Contact Name & Telephone field, list the name of the primary contact for this submission and their phone number for follow-up.
  6. Input the API Number, which uniquely identifies the specific well you are reporting on.
  7. Fill in the Federal, Indian or State Lease Number, ensuring to include all necessary details.
  8. Indicate the Field Name and Well Number as described, as this information helps to categorize the form correctly.
  9. Complete the Latitude and Longitude fields, using precise GPS data for accurate well location.
  10. Specify the Reason for Abandonment, selecting the appropriate justification for the decision.
  11. Fill out the current and previously abandoned zones, including perforation depths and abandonment dates where applicable.
  12. Detail the plugging procedure, indicating depths and methods utilized, ensuring clarity on each step involved.
  13. Review all sections for accuracy, making sure there are no missing details.
  14. Once the form is complete, save your changes, and then choose to download, print, or share the form as needed.

Start filling out your How To Fill Form 6 Sample online today for a seamless submission experience.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232