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Organizational Report

All well owners, operators, drillers and pluggers must file a notarized copy of the Oil and Gas Organizational Form with the Division of Mineral Resources before commencing any regulated activity, including preparatory work on the well site.

The well owner, operator, driller or plugger may authorize other persons to sign all subsequent submittals to the department by listing them on the Organizational Report form. An updated Organizational Report must be filed with the Department when a change in address or corporate structure occurs.

Download an Organizational Report (PDF, 156KB) form which allows electronic filling and printing. Open the form in Adobe Acrobat, click within the area you want to fill in and begin typing. When the form is complete, print, sign, notarize and mail it to the Division of Mineral Resources, NYS DEC, 625 Broadway, Albany, New York 12233-6500.

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    Division of Mineral Resources
    625 Broadway
    3rd Floor
    Albany NY 12233-6500
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