Get Fee/fee/federal Well Landowner Authorization Form ... - Blm

This guide provides clear instructions on how to accurately complete the Fee/Fee/Federal Well Landowner Authorization Form, ensuring that all necessary information is provided for approval. By following these steps, users will be able to submit the form with confidence and clarity.

Follow the steps to fill out the authorization form effectively.

1. To obtain the form, click the ‘Get Form’ button and open it in your chosen document editor.
2. Begin by entering your name in the designated space as the surface owner or the representative of the surface owner.
3. In the next field, write the name of the operator who is authorized to drill the Federal well from your private surface estate.
4. Ensure that you guarantee the Bureau of Land Management (BLM) access to the Federal well on your private property by noting it in the provided space.
5. Fill in your complete address as the surface owner, ensuring that all components of the address (street, city, state, zip code) are included.
6. Provide your phone number(s) for contact, making sure to include area codes.
7. Sign the document in the designated area to validate the authorization.
8. Finally, insert the date the document is signed and ensure all information is accurate before submission. Save your changes, and download or print the form as required.

Complete your documentation online and ensure all necessary authorizations are in place.