
K ANSAS CORPORATION COMMISSIONFOR KCC USE ONLYForm OPL1 March 2021OIL & GAS CONSERVATION DIVISIONLICENSE NO:Form must be Typed Form must be Signed All blanks must be FilledKCC LICENSE APPLICATIONEXPIR.
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How to fill out the KS Form OPL-1 online
Filling out the KS Form OPL-1 online is a critical step for individuals and organizations pursuing operational licenses in the oil and gas sector in Kansas. This guide provides clear, step-by-step instructions to ensure users can successfully complete and submit the form with confidence.
Follow the steps to complete the KS Form OPL-1 online.
- Click the ‘Get Form’ button to access the form and open it in the online editor. This action will allow you to begin filling out the necessary information.
- In the first section, enter your name, attention, and address details including city, state, and zip code. Provide a valid phone number and email address to ensure proper communication.
- Select the type(s) of license applicable to your operations by checking all relevant boxes in Item 1. Ensure you read the descriptions related to each license type.
- In Item 2, indicate the business entity type by checking the appropriate option. Also, enter your Federal Employer Identification Number or Social Security Number as applicable.
- If applicable, respond to Item 3 regarding your registration with the Securities and Exchange Commission by selecting ‘Yes’ or ‘No’.
- For corporations or limited partnerships, enter the name, phone number, and address of your registered resident agent in Item 4.
- List all partners or principal officers with their titles, addresses, and phone numbers in Item 5.
- In Item 6, provide details for an emergency contact person who is not the licensee. Include their name, phone number, address, and email.
- Respond to Items 7 and 8 regarding any prior license issues or outstanding penalties by selecting ‘Yes’ or ‘No’ and preparing any necessary statements.
- In Item 9, provide equipment tag numbers, years, makes, models, and types of equipment as listed on your property tax rendition, and ensure to attach the required documentation.
- Fill out Item 10, which includes remittance details for the applicable license and tag fees, confirming the financial responsibility options you have selected.
- Sign in Item 11 to certify the information provided is correct. Ensure your signature is that of an authorized person.
- Have your signature notarized as required in Item 12.
- Complete Item 13 by checking if a well inventory is attached or indicating ‘No wells’ if that applies. Ensure all necessary documentation is included.
- Once all information is entered and verified, save your changes. You may also download, print, or share the form directly from the online editor.
Take the next step toward obtaining your license by completing the KS Form OPL-1 online now.
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