Form preview

Get the free AFFIDAVIT AND PLUGGING REPORT - kcc state ks

Get Form
This document is used for reporting the details of well plugging for core, exploratory, or seismic holes that do not penetrate salt water, to be filed within 60 days after holes are plugged.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign affidavit and plugging report

Edit
Edit your affidavit and plugging report form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your affidavit and plugging report form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit affidavit and plugging report online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to use a professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit affidavit and plugging report. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out affidavit and plugging report

Illustration

How to fill out AFFIDAVIT AND PLUGGING REPORT

01
Begin by filling out the top section with your name, address, and contact information.
02
Specify the title 'Affidavit and Plugging Report' prominently at the top.
03
Include details about the well, such as its name, location, and identification number.
04
Indicate the type of plugging activity undertaken and provide a summary of the work completed.
05
List materials used for plugging, including quantities and types.
06
Attach any necessary supplemental documentation, such as photographs or engineering reports.
07
Sign the affidavit in the presence of a notary public to ensure its validity.
08
Submit the completed report to the appropriate regulatory agency.

Who needs AFFIDAVIT AND PLUGGING REPORT?

01
Individuals or companies responsible for the plugging of abandoned wells.
02
Environmental regulatory agencies that require documentation of well plugging activities.
03
Landowners or operators needing to demonstrate compliance with local or state regulations.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
30 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

An Affidavit and Plugging Report is a legal document that verifies the proper plugging and abandonment of oil and gas wells, ensuring that they are sealed according to regulatory standards to prevent environmental contamination.
Operators or owners of oil and gas wells that are being plugged and abandoned are required to file an Affidavit and Plugging Report with the relevant regulatory authority.
To fill out the Affidavit and Plugging Report, ensure you provide accurate information regarding the well's location, the methods used for plugging, date of plugging, and any relevant certifications from plugging companies or personnel.
The purpose of the Affidavit and Plugging Report is to demonstrate compliance with environmental regulations by documenting the proper sealing of wells to prevent leaks and protect groundwater resources.
The report must include well identification details, plugging methods used, dates of plugging operations, signatures of responsible parties, and any required logs or supporting documentation.
Fill out your affidavit and plugging report online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.