Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin by filling in the plant file number and oil reporting number at the top of the form. Ensure these correspond to the official records on file with the Commission.
3. Enter the operator's name, month and year of the report, as well as the contact telephone number. Provide the city, address, state, and zip code for the plant.
4. Record the total liquid stored and total residue stored at the beginning of the month, as well as the quantities of oil received and sold, and water disposed.
5. In the section for BS&W source, fill in details about the well name and number, file number, and the location of the source point. Report the BS&W volume.
6. For the disposition of residue, enter the destination name and location, and log the amounts disposed.
7. Finalize your report by signing in the designated area, including your printed name and title. Ensure a witness's name and title are also recorded, along with their signature and the date.
8. Once you have completed the form, remember to save, download, or print your copy. Ensure that the original is submitted to the Industrial Commission of North Dakota by the required deadline.

Complete your documents online today for a smooth filing process.