{"id":13550,"date":"2021-07-21T11:22:43","date_gmt":"2021-07-21T17:22:43","guid":{"rendered":"https:\/\/www.emnrd.nm.gov\/ocd\/?page_id=13550"},"modified":"2026-05-27T08:03:13","modified_gmt":"2026-05-27T14:03:13","slug":"ocd-forms","status":"publish","type":"page","link":"https:\/\/www.emnrd.nm.gov\/ocd\/ocd-forms\/","title":{"rendered":"OCD Forms"},"content":{"rendered":"

[et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”ce4db8ec-b34b-42ae-b247-103d0a13f28d” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ _module_preset=”1d9c0f5d-35f2-480d-b415-624f9e38b5a0″ global_colors_info=”{}”][et_pb_column type=”4_4″ module_class=”vertical-align” _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_post_title meta=”off” featured_image=”off” _builder_version=”4.16″ _module_preset=”default” title_text_color=”#030303″ custom_margin=”||0px||false|false” global_colors_info=”{}”][\/et_pb_post_title][et_pb_dmb_breadcrumbs font_icon=”5||divi||400″ use_home_icon=”off” _builder_version=”4.16″ _module_preset=”default” body_text_color=”#030303″ body_font_size=”18px” link_text_color=”#030303″ global_colors_info=”{}”][\/et_pb_dmb_breadcrumbs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ specialty=”on” module_class_1=”sidebar” disabled_on=”off|off|off” _builder_version=”4.16″ _module_preset=”default” inner_width=”90%” inner_max_width=”1400px” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Explore Section” use_icon=”on” font_icon=”||divi||400″ icon_color=”#ffffff” icon_placement=”left” image_icon_width=”14px” content_max_width=”100%” disabled_on=”off|off|on” module_class=”blurb-icon-right sidebar-toggle” _builder_version=”4.16″ _module_preset=”c520cd6f-2a5a-44ab-ba51-0c6b314ff487″ header_font=”|600|||||||” header_text_color=”#ffffff” header_font_size=”13px” header_line_height=”1.3em” body_font=”||||||||” body_text_color=”rgba(40,39,40,0.7)” body_font_size=”12px” body_line_height=”1.3em” background_color=”#1D4784″ use_background_color_gradient=”on” background_color_gradient_direction=”145deg” background_color_gradient_start=”#1d4784″ background_color_gradient_end=”#0585a5″ max_width=”100%” module_alignment=”center” custom_margin=”||14px||false|false” custom_padding=”12px|4px|12px|16px|true|false” border_radii=”on|6px|6px|6px|6px” border_width_bottom=”1px” border_color_bottom=”#dedede” icon_font_size=”14px” global_colors_info=”{}”][\/et_pb_blurb][et_pb_sidebar area=”et_pb_widget_area_5″ module_class=”sofia-light nav-side” _builder_version=”4.16″ _module_preset=”default” body_text_color=”#212121″ body_font_size=”15px” body_line_height=”1em” global_colors_info=”{}”][\/et_pb_sidebar][\/et_pb_column][et_pb_column type=”3_4″ specialty_columns=”3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_row_inner _builder_version=”4.16″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”][et_pb_column_inner saved_specialty_column_type=”3_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.6″ _module_preset=”default” custom_padding=”0px|||||” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

For electronic filing of completed OCD forms click <\/strong>HE<\/a><\/span>RE<\/a><\/span><\/span><\/p>\n

If you have questions about a specific form, download this PDF<\/span><\/a> (dated 05\/27\/2026) and search by form number to learn the OCD Staff person\u2019s name, telephone number, and email address.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
<\/th>\nNUMBERED FORMS<\/span><\/th>\n<\/th>\n<\/th>\n<\/tr>\n<\/thead>\n
C-101<\/span><\/td>\n\n

Application for Permit to Drill, Re-enter, Deepen, Plugback or Add a Zone <\/span><\/p>\n

File electronically via OCD Permitting<\/span><\/p>\n<\/td>\n

PDF<\/span><\/a><\/td>\nDOC<\/span><\/a><\/td>\n<\/tr>\n
<\/td>\nForm C-101 Instructions<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-102<\/span><\/td>\nWell Location and Acreage Dedication Plat<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nForm C-102 Instructions<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-103<\/span><\/td>\n\n

Sundry Notices and Reports on Well\u00a0<\/span><\/p>\n

File via OCD Permitting<\/span><\/p>\n<\/td>\n

PDF<\/span><\/a><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\n\n

C-103 Specifically for Subsequent Report of Well Plugging<\/span><\/p>\n

File C-103Q electronically via OCD Permitting<\/span><\/p>\n<\/td>\n

<\/td>\n<\/td>\n<\/tr>\n
C-104<\/span><\/td>\nRequest for Allowable and Authorization to Transport<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nForm C-104 Instructions<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-105\u00a0(Revised 4\/3\/17)<\/span><\/td>\nWell Completion or Recompletion Report\u00a0<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-106<\/span><\/td>\nNotice of Intention to Utilize Automatic Custody Transfer Equipment<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-107A<\/span><\/td>\nApplication for Downhole Commingling<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-107B<\/span><\/td>\nApplication for Surface Commingling (Diverse Ownership)<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-108<\/span><\/td>\nApplication for Authorization to Inject (please print duplex)<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-109<\/span><\/td>\nApplication for Discovery Allowable and Creation of a New Pool<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-111<\/span><\/td>\nGas Transporter’s and Facility Monthly Report<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nForm C-111 Instructions<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-111A<\/span><\/td>\nGas Receipts Continuation Sheet<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-111B<\/span><\/td>\nGas Disposition Continuation Sheet<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-112<\/span><\/td>\nOil Transporter’s or Storer’s Monthly Report<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nForm C-112 Instructions<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-112A<\/span><\/td>\nReceipts Continuation Sheet<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-112B<\/span><\/td>\nDeliveries Continuation Sheet<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-115<\/span><\/td>\n\n

Operator’s Monthly Report <\/span><\/p>\n

Must be filed electronically via OCD Permitting<\/span><\/p>\n<\/td>\n

<\/td>\n<\/td>\n<\/tr>\n
<\/td>\nC-115 Instructions<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-116<\/span><\/td>\nGas – Oil Ratio Test<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-117A<\/span><\/td>\nTank Cleaning, Sediment Oil Removal, Transportation of Miscellaneous Hydrocarbons and Disposal Permit<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-117B (Revised 10\/11\/2022)<\/span><\/td>\nMonthly Sediment Oil Disposal Statement<\/span><\/td>\nPDF<\/span><\/a><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-118 (Revised 10\/11\/2022)<\/span><\/td>\nTreating Plant Operators; Monthly Report<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-120A (Revised 10\/11\/2022)<\/span><\/td>\nMonthly Water Disposal Report — Please submit SWD injection on your C-115.<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-122<\/span><\/td>\nMultipoint and One Point Back Pressure Test for Gas Well<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-122A<\/span><\/td>\nWell Deliverability Test Report<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-123<\/span><\/td>\nRequest for the Creation of a New Pool<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-126<\/span><\/td>\nPermit to Transport Recovered Load Oil<\/span><\/td>\nPDF<\/span><\/a><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-127<\/span><\/td>\nRequest for Allowable Change (Oil)<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-131A<\/span><\/td>\nMonthly Gas Storage Report<\/span><\/td>\nPDF<\/span><\/a><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-131B<\/span><\/td>\nAnnual LPG Storage Report<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-133 (Revised 10\/11\/2024)<\/span><\/td>\nAuthorization to Move Produced Water<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nC-133 Instructions – English (1\/23\/2025)<\/span><\/td>\nPDF<\/span><\/a><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nC-133 Instructions – Spanish (9\/8\/2023)<\/span><\/td>\nPDF<\/span><\/a><\/td>\n\u00a0<\/span><\/td>\n<\/tr>\n
C-135<\/span><\/td>\nGas Well Connection, Reconnection, or Disconnection Notice<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-136<\/span><\/td>\nApplication for Approval to Use an Alternate Gas Measurement Method<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-137\u00a0<\/span><\/td>\nSurface Waste Management Facility Application (Posted Date: November 29, 2022)<\/span><\/td>\nExcel<\/a><\/td>\n\u00a0<\/span><\/td>\n<\/tr>\n
C-137A (Revised 10\/11\/2022)<\/span><\/td>\nApplication for Minor Modification to Surface Waste Management Facility<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-137-EZ (Revised 10\/11\/2022)<\/span><\/td>\nRegistration\/ Final Closure Report for Small Landfarm<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-138 (Revised 10\/11\/2022)<\/span><\/td>\nRequest for Approval to Accept Solid Waste<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
C-139<\/span><\/td>\n\n

Application for Qualification of Production Restoration Project and Certification of Approval\u00a0<\/span><\/p>\n

File via OCD Permitting<\/span><\/p>\n<\/td>\n

PDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-140<\/span><\/td>\n\n

Application for Qualification of Well Workover Project and Certification of Approval<\/span><\/p>\n

File via OCD Permitting<\/span><\/p>\n<\/td>\n

PDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-141<\/span><\/td>\nRelease Notification and Corrective Action<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-144 (Revised 10\/11\/2022)<\/span><\/td>\nPit, Below-Grade Tank, or Proposed Alternative Method Permit or Closure Plan Application<\/span>
File electronically via OCD Permitting<\/em><\/span><\/td>\n		PDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-145\u00a0(Revised 5\/19\/17)<\/span><\/td>\n\n

Change of Operator (Wells)<\/span><\/p>\n

Generated by OCD Permitting<\/span><\/p>\n<\/td>\n

<\/td>\n<\/td>\n<\/tr>\n
<\/td>\nC-145 Instructions-Wells (03\/06\/2023)<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nChange of Facility Operator<\/span><\/td>\nPDF<\/span><\/a><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nF<\/span>acilities Transfer Form<\/span><\/td>\nExcel<\/span><\/a><\/td>\n<\/td>\n<\/tr>\n
C-146<\/span><\/td>\n\n

Change of Operator Name <\/span><\/p>\n

Generated by OCD Permitting<\/span><\/p>\n<\/td>\n

<\/td>\n<\/td>\n<\/tr>\n
\u00a0<\/span><\/td>\nC-146 Instructions (03\/29\/2023)<\/span><\/td>\nPDF<\/a><\/td>\n<\/td>\n<\/tr>\n
C-147 “Long”<\/span>
(Revised 10\/22\/2022)<\/span><\/td>\n		Permit or Registration for Recycling and Re-use of Produced Water, Drilling Fluids and Liquid Oil Field Waste (Including Recycling Containment)<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-147 “Short”<\/span>
(Revised 10\/22\/2022)<\/span><\/td>\n		Permit or Registration for Recycling and Re-use of Produced Water, Drilling Fluids and Liquid Oil Field Waste<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
C-148<\/span><\/td>\nReporting for Recycling and Re-use of Produced Water, Drilling Fluids and Liquid Oil Field Waste<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nUNNUMBERED FORMS<\/span><\/td>\n<\/td>\n<\/td>\n<\/tr>\n
<\/td>\nAdministrative Application Checklist — This form must be filed with all administrative applications<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nAdministrative Application Instructions<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nAffidavit of Responsibility for Conversion to Water Well<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nBradenhead Test Report – District 3 Aztec Office<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nDischarge Permit Application Form and Guidance Document<\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nDischarge Plan Application for Brine Extraction Facilities<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nNatural Gas Management Plan Form<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\n\n

Operator Administrator Registration Form <\/span><\/p>\n

File via OCD Permitting<\/span><\/p>\n<\/td>\n

PDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
<\/td>\nPacker Leakage Test – Northwest Only<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nPacker Leakage Test – Southeast Only<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nPacker Leakage Test Instructions – SE<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nPit Inventory Form<\/span><\/td>\nPDF<\/a><\/span><\/td>\nDOC<\/a><\/span><\/td>\n<\/tr>\n
<\/td>\nBOND FORMS<\/span><\/td>\n<\/td>\n<\/td>\n<\/tr>\n
O&G CB<\/span>
(Revised 12\/14\/2022)<\/span><\/td>\n		Cash Bond<\/span><\/td>\nPDF<\/span><\/a><\/td>\n<\/td>\n<\/tr>\n
O&G CBA<\/span>
(Revised 11\/20\/2020)<\/span><\/td>\n		Assignment of Cash Collateral<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
O&G SB<\/span>
(Revised 12\/14\/2022)<\/span><\/td>\n		Surety Bond<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
O&G LOC<\/span>
(Revised 12\/14\/2022)<\/span><\/td>\n		Irrevocable Letter of Credit<\/span><\/td>\nPDF<\/a><\/span><\/td>\n<\/td>\n<\/tr>\n
Instructions for Bond Rider (9\/8\/2021)<\/span><\/td>\nInstructions for Providing a Bond Rider<\/span><\/td>\nPDF<\/a><\/span><\/span><\/td>\n<\/td>\n<\/tr>\n
Well Assurance Release Request (3\/24\/26)<\/span><\/td>\nWell Assurance Release Request<\/td>\nPDF
(Right Click to Save)<\/a><\/td>\n		<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

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Supplemental Template Files<\/strong><\/p>\n

[\/et_pb_text][et_pb_code _builder_version=”4.27.5″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n

<\/div>\n

[\/et_pb_code][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

For electronic filing of completed OCD forms click HERE If you have questions about a specific form, download this PDF (dated 05\/27\/2026) and search by form number to learn the OCD Staff person\u2019s name, telephone number, and email address. NUMBERED FORMS C-101 Application for Permit to Drill, Re-enter, Deepen, Plugback or Add a Zone File […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-13550","page","type-page","status-publish","hentry"],"yoast_head":"\nOCD Forms - Oil Conservation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.emnrd.nm.gov\/ocd\/ocd-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"OCD Forms - Oil Conservation\" \/>\n<meta property=\"og:description\" content=\"For electronic filing of completed OCD forms click HERE If you have questions about a specific form, download this PDF (dated 05\/27\/2026) and search by form number to learn the OCD Staff person\u2019s name, telephone number, and email address. 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