Forms and Reports
Oil & Gas Program Contact
Dustin Holcomb - Fluid Minerals Program Manager
op: 775-684-7045 / cp: 775-721-2726
Send completed forms to:
fluids@minerals.nv.gov
NDOM Oil and Gas Reports
BLM Oil and Gas Information
In the interest of providing better customer service, the Nevada Division of Minerals is providing links to the Bureau of Land Management's (BLM) Oil and Gas web site. Please note that the Division can no longer accept BLM forms. All appropriate Division forms are available for download below the following BLM links.
American Petroleum Institute (API) Documents
The following API documents are available for viewing at the Division of Minerals’ Oil, Gas, and Geothermal office in Carson City, Nevada:
- API Standard 53, 5th Edition – Blowout Prevention Equipment Systems for Drilling Wells
- API Specification 5CT, 11th Edition – Specification for Casing and Tubing
- API Specification 10A, 25th Edition – Specifications for Cements and Materials for Well Cementing
Nevada State Health Laboratory
Nevada Oil Patch
- Monthly Production Reports from 2021 to Present.
- Nevada Oil Patch FY2025 07.2024 thru 12.2024
- Nevada Oil Patch FY2024 07.2023 thru 06.2024
- Nevada Oil Patch FY2023 07.2023 thru 06.2023
- Nevada Oil Patch FY2022 07.2021 thru 06.2022
- Nevada Oil Patch FY2021 07.2020 thru 06.2021
Permitting Guide
- NDWR-NDOM Matrix Table for Oil, Gas & Geothermal Well Drilling Activities
- Interlocal Contract Cooperative Agreement Between Public Agencies (Nevada Division of Minerals and Nevada Division of Environmental Protection)
NDOM Oil and Gas Forms
- The following forms are fillable PDFs. To electronically fill-in these forms, you will need Adobe Acrobat Reader or Adobe Acrobat. -
- Form 01: Oil, Gas, and Geothermal Organization Report
- Form 02: Application for Permit to Drill an Oil or Gas Well
- Form 03B: Oil and Gas Drilling Surety Bond
- Form 04: Oil, Gas, and Geothermal Sundry Notice and Report on Wells
- Form 05: Oil and Gas Well Completion Report
- Form 07: Oil and Gas Producer Monthly Report
- Form 07A: Oil and Gas Report of Subsurface Injections
- Form 08: Gas-Oil Ratio Report
- Form 08A: Oil, Gas, and Geothermal Notice of Change or Transfer of Owner Permit
- Form 10: Oil & Gas Water Well Completion Release
- Form 12: Oil, Gas, and Geothermal Well Plugging Report
- Form 15: Declaration of Compliance with NAC 522.260
- Measurement Inspection Record - Gas
- Oil, Gas, and Geothermal Application for Hearing
- Oil, Gas, and Geothermal Checklist for Injection or Flow Test
- Oil, Gas, and Geothermal Checklist for Stimulation Program
- Oil, Gas, and Geothermal Request for Withdrawal of Application
Oil & Gas Program Contact
Dustin Holcomb - Fluid Minerals Program Manager
op: 775-684-7045 / cp: 775-721-2726
Send completed forms to:
fluids@minerals.nv.gov