FORM 1021 – HARDSHIP WELL APPLICATION
This presentation will assist you in the completion of the Form The hardship well application. Date of Last Revision: 2001 Rule Requirement: (h) Explanation of Form: The applicant shall file Form 1021 and the necessary attachments with the Technical Services Department for review prior to any hearing for priority one hardship classification. In addition, a formal application for hearing must be filed with the Court Clerk's Office of the Commission. [Reference 165: ] Question concerning this Form: For more information contact the Geology Department at (405)
FORM 1021 – HARDSHIP WELL APPLICATION OPERATOR NAME
FORM 1021 – HARDSHIP WELL APPLICATION OTC/OCC OPERATOR NUMBER
FORM 1021 – HARDSHIP WELL APPLICATION MAILING ADDRESS, PHONE NUMBER, CITY, STATE, AND ZIP CODE
FORM 1021 – HARDSHIP WELL APPLICATION PIPELINE COMPANY
FORM 1021 – HARDSHIP WELL APPLICATION PHONE NUMBER OF PIPELINE COMPANY
FORM 1021 – HARDSHIP WELL APPLICATION OTC/OCC NUMBER
FORM 1021 – HARDSHIP WELL APPLICATION LEASE NAME AND NUMBER
FORM 1021 – HARDSHIP WELL APPLICATION LOCATION WITH THE SECTION: quarter section calls, section, township and range and the county location
FORM 1021 – HARDSHIP WELL APPLICATION OTC PRODUCTION UNIT NUMBER
FORM 1021 – HARDSHIP WELL APPLICATION API NUMBER
FORM 1021 – HARDSHIP WELL APPLICATION WELL COMPLETION DATE
FORM 1021 – HARDSHIP WELL APPLICATION TOTAL DEPTH OF THE WELL
FORM 1021 – HARDSHIP WELL APPLICATION PRODUCING ZONE(S)
FORM 1021 – HARDSHIP WELL APPLICATION PERFORATIONS
FORM 1021 – HARDSHIP WELL APPLICATION COMMINGLED OR DUALLY COMPLETED
FORM 1021 – HARDSHIP WELL APPLICATION ORDER NUMBER AND DATE OF THE ORDER IF ALL OF THE INFORMATION ABOVE THIS POINT HAS NOT BEEN COMPLETED DO NOT SUBMIT THIS REPORT AS IT WILL NOT BE PROCESSED
FORM 1021 – HARDSHIP WELL APPLICATION LAST TEST DATE
FORM 1021 – HARDSHIP WELL APPLICATION GAS (IN MCF/D)
FORM 1021 – HARDSHIP WELL APPLICATION OIL (IN BBLS/D)
FORM 1021 – HARDSHIP WELL APPLICATION WATER (IN BBLS/D)
FORM 1021 – HARDSHIP WELL APPLICATION LAST MONTH – NUMBER OF DAYS ONLINE THIS HISTORICAL TEST DATA IS VERY IMPORTANT AND MUST BE SUBMITTED
FORM 1021 – HARDSHIP WELL APPLICATION GAS PRODUCED
FORM 1021 – HARDSHIP WELL APPLICATION OIL PRODUCED
FORM 1021 – HARDSHIP WELL APPLICATION WATER PRODUCED
FORM 1021 – HARDSHIP WELL APPLICATION LAST 2 MONTHS – DAYS ONLINE
FORM 1021 – HARDSHIP WELL APPLICATION GAS PRODUCED FOR LAST 2 MONTHS
FORM 1021 – HARDSHIP WELL APPLICATION OIL PRODUCED FOR LAST 2 MONTHS
FORM 1021 – HARDSHIP WELL APPLICATION WATER PRODUCED FOR LAST 2 MONTHS
FORM 1021 – HARDSHIP WELL APPLICATION LAST 3 MONTHS – DAYS ONLINE
FORM 1021 – HARDSHIP WELL APPLICATION GAS PRODUCED FOR THE LAST 3 MONTHS
FORM 1021 – HARDSHIP WELL APPLICATION OIL PRODUCED FOR THE LAST 3 MONTHS
FORM 1021 – HARDSHIP WELL APPLICATION WATER PRODUCED FOR THE LAST 3 MONTHS
FORM 1021 – HARDSHIP WELL APPLICATION PRODUCTION PROBLEMS – EXPLAIN PROBLEM
FORM 1021 – HARDSHIP WELL APPLICATION HAS LOGOFF PRODUCTION TEST BEEN RUN ON THIS WELL
FORM 1021 – HARDSHIP WELL APPLICATION IF NO, PLEASE EXPLAIN
FORM 1021 – HARDSHIP WELL APPLICATION IF YES, WHAT WERE THE RESULTS OF THE TEST
FORM 1021 – HARDSHIP WELL APPLICATION TEST DATE
FORM 1021 – HARDSHIP WELL APPLICATION TEST LENGTH
FORM 1021 – HARDSHIP WELL APPLICATION NUMBER OF FLOW RATES
FORM 1021 – HARDSHIP WELL APPLICATION TEST RESULTS (ENCLOSE A GRAPH OR CHART OF THE RESULTS)
FORM 1021 – HARDSHIP WELL APPLICATION MINIMUM RATE NEEDED TO SUSTAIN PRODUCTION IN MCF
FORM 1021 – HARDSHIP WELL APPLICATION BARRELS/WATER PER MCF AT MINIMUM RATE
FORM 1021 – HARDSHIP WELL APPLICATION WERE THE PIPELINE COMPANY AND THE OFFSET OPERATORS AWARE OF THE LOGOFF TEST
FORM 1021 – HARDSHIP WELL APPLICATION ADDITIONAL DATA REQUIREMENTS EXHIBITS ARE REQUIRED. DO NOT SUBMIT THIS FORM WITHOUT YOUR EXHIBITS
FORM 1021 – HARDSHIP WELL APPLICATION OPERATOR’S SIGNATURE BLOCK
FORM 1021 – HARDSHIP WELL APPLICATION FOR OCC USE ONLY – Do not write below this line