Well Construction & Drilling Forms

Well Construction Forms


For more information, visit the Well Construction page.


Low Temperature Geothermal Resource Well Forms

Note: Use Application for Drilling Permit under Well Permit Forms above for Low Temp Geo application.



For more information, visit the Well Construction page.


Geothermal Resource Well Forms

For forms with two versions available, use the PDF version to print and complete offline, and use the DOC version to complete online and print.


Form Number Form Name PDF DOC XLS
4003-1 Application for Permit to Drill for Geothermal Resources PDF    
4003-2 Application for Permit to Alter a Geothermal Well PDF DOC  
4003-3 Application for Permit to Convert a well to a Geothermal Injection Well
Note: Also requires permitting through UIC Program.
PDF DOC  
4003-5 Geothermal Resources Surety Bond PDF DOC  
4003-7 Notice of Intent to Abandon a Well PDF DOC  
4003-9 Report of Abandonment of a Well PDF DOC  
4010-1 Monthly Injection Report for Geothermal Wells
Note: Other forms may be used with prior approval by the Department.
  DOC  
4010-2 Monthly Energy Report for Geothermal Wells
Note: Other forms may be used with prior approval by the Department.
  DOC  
  Monthly Injection/Monthly Energy Report Spreadsheet     XLS

For more information, visit the Well Construction page.


Deep Injection Well Forms


For more information, visit the Deep Injection Well page.


Shallow Injection Well Forms


For more information, visit the Shallow Injection Well page.