Geothermal Forms and Reports

BLM Geothermal Forms

In the interest of providing better customer service, the Nevada Division of Minerals is providing links to the Bureau of Land Management's (BLM) Geothermal 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.

• BLM Geothermal Information

American Petrolium 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, 4th Edition, November 2012 - Blowout Prevention Equipment Systems for Drilling Wells

Geothermal Monthly Reports

• May 2019
• April 2019
• March 2019
• February 2019
• Janurary 2019
• December 2018
• November 2018
• October 2018
• September 2018
• August 2018
• July 2018
• July 2017 thru June 2018 (FY 2018)
• July 2016 thru June 2017 (FY 2017)

NDOM Geothermal Reports

• Interlocal Contract Cooperative Agreement Between Public Agencies (Nevada Division of Minerals and Nevada Division of Environmental Protection)

NDOM Geothermal 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 03: Oil, Gas, and Geothermal Drilling Surety Bond $10,000
• Form 03A: Oil, Gas, and Geothermal Statewide Drilling Surety Bond $50,000
• Form 04: Oil, Gas, and Geothermal Sundry Notice and Report on Wells
• Form 08A: Oil, Gas, and Geothermal Notice of Change or Transfer of Owner Permit
• Form 12: Oil, Gas, and Geothermal Well Plugging Report
• Calendar Year Report Geothermal Power Production
• Calendar Year Report Geothermal Producers Yearly Report for Dehydration Plant or Space Heating
• Calendar Year Report Geothermal Subsurface Injection Yearly Report for Dehydration Plant or Space Heating
• Commercial and Industrial Class Geothermal Electric Producers Monthly Report
• Commercial and Industrial Class Geothermal Subsurface Injection Monthly Report
• Geothermal Injection Well Permit Application
• Geothermal Project Area Permit Application
• Geothermal Resource Development Permit Application - For domestic, industrial, commercial, observation, and thermal gradient wells
• Geothermal Well Completion Report
• Oil, Gas, and Geothermal Application for Hearing
• Oil, Gas, and Geothermal Checklist For Injection Or FlowTest
• Oil, Gas, and Geothermal Checklist For Stimulation Program
• Oil, Gas, and Geothermal Request for Withdrawal of Application
• Report for Domestic Geothermal Resources