Form 208 "Well Completion or Recompletion Report and Log"

What Is Form 208?

This is a legal form that was released by the U.S. Department of the Interior - Indian Affairs, Osage Agency on March 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest available edition released by the U.S. Department of the Interior - Indian Affairs, Osage Agency;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 208 by clicking the link below or browse more documents and templates provided by the U.S. Department of the Interior - Indian Affairs, Osage Agency.

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Form 208 (rev)
FORM APPROVED
(March 2015)
OMB No. [1076-0180]
Expires 3/31/2023
UNITED STATES
5. Lease Serial No.
DEPARTMENT OF THE INTERIOR
OSAGE AGENCY
6. If Indian, Allotee or Tribe Name
WELL COMPLETION OR RECOMPLETION REPORT AND LOG
1a. Type of Well:
Oil Well
Gas Well □ Dry □ Other
7. If Unit or CA Agreement, Name and No.
8. Lease Name and Well No.
1b. Type of Completion: □ New Well
□ Work Over
□ Deepen
□ Plug Back
□ Diff. Reserv.,
□ Other:
2. Name of Operator
9. API Well No.
3 Address
3a Phone No. (include area code)
10. Field and Pool, or Exploratory
4. Location of Well (Report location clearly*)
11. Sec., T.R.M. on Block And Survey or
At surface
Area
At top prod. Interval reported below
At total depth
12. Country or
13. State
Parish
14. Date Spudded
15. Date T.D. Reached
16. Date Completed
17. Elevations (DF, RKB, RT, GL)*
□ D&A
□ Ready to Prod.
18. Total Depth: MD
19. Plug Back T.D.: MD
20. Depth Bridge Plug Set
MD
TVD
TVD
TVD
21. Type Electric & Other Mechanical Logs Run
22. What was cored?
No
Yes
(Submit Analysis)
(Submit copy of each)
Was DTS run?
No
Yes
(Submit Report)
Directional Survey?
No
Yes
(Submit Copy)
23. Casting and Linear Record (Report all strings in well)
Hole Size
Size/Grade
Wt.(#/ft)
Top (MD)
Bottom
Stage
No. of Sks.
Slurry Vol.
Cement
Amount
(MD)
Cementer
& Type of
(BBL)
Top*
Pulled
Depth
Cement
24. Tubing Record
Size
Depth Set
Packer
Size
Depth Set
Packer
Size
Depth Set
Packer Depth (MD)
(MD)
Depth (MD)
(MD)
Depth (MD)
(MD)
25. Producing Intervals
26. Perforation Record
Formation
Top
Bottom
Perforated Interval
Size
No. Holes
Perf. Status
A)
B)
C)
D)
27. Acid, Fracture, Treatment, Cement Squeeze, etc.
Depth Interval
Amount and Type of Material
28. Production – Interval A
Date First
Test Date
Hours
Test
Oil BBL
Gas MCF
Water BBL
Oil Gravity
Gas Gravity
Production
Produced
Tested
Production
Corr. API
Method
Choke Size
Tbg. Press.
Csg. Press.
24 Hr. Rate
Oil BBL
Gas MCF
Water BBL
Gas/Oil
Well Status
Flwg. SI
Ratio
28a. Production – Interval B
Date First
Test Date
Hours
Test
Oil BBL
Gas MCF
Water BBL
Oil Gravity
Gas Gravity
Production
Form 208 (rev)
FORM APPROVED
(March 2015)
OMB No. [1076-0180]
Expires 3/31/2023
UNITED STATES
5. Lease Serial No.
DEPARTMENT OF THE INTERIOR
OSAGE AGENCY
6. If Indian, Allotee or Tribe Name
WELL COMPLETION OR RECOMPLETION REPORT AND LOG
1a. Type of Well:
Oil Well
Gas Well □ Dry □ Other
7. If Unit or CA Agreement, Name and No.
8. Lease Name and Well No.
1b. Type of Completion: □ New Well
□ Work Over
□ Deepen
□ Plug Back
□ Diff. Reserv.,
□ Other:
2. Name of Operator
9. API Well No.
3 Address
3a Phone No. (include area code)
10. Field and Pool, or Exploratory
4. Location of Well (Report location clearly*)
11. Sec., T.R.M. on Block And Survey or
At surface
Area
At top prod. Interval reported below
At total depth
12. Country or
13. State
Parish
14. Date Spudded
15. Date T.D. Reached
16. Date Completed
17. Elevations (DF, RKB, RT, GL)*
□ D&A
□ Ready to Prod.
18. Total Depth: MD
19. Plug Back T.D.: MD
20. Depth Bridge Plug Set
MD
TVD
TVD
TVD
21. Type Electric & Other Mechanical Logs Run
22. What was cored?
No
Yes
(Submit Analysis)
(Submit copy of each)
Was DTS run?
No
Yes
(Submit Report)
Directional Survey?
No
Yes
(Submit Copy)
23. Casting and Linear Record (Report all strings in well)
Hole Size
Size/Grade
Wt.(#/ft)
Top (MD)
Bottom
Stage
No. of Sks.
Slurry Vol.
Cement
Amount
(MD)
Cementer
& Type of
(BBL)
Top*
Pulled
Depth
Cement
24. Tubing Record
Size
Depth Set
Packer
Size
Depth Set
Packer
Size
Depth Set
Packer Depth (MD)
(MD)
Depth (MD)
(MD)
Depth (MD)
(MD)
25. Producing Intervals
26. Perforation Record
Formation
Top
Bottom
Perforated Interval
Size
No. Holes
Perf. Status
A)
B)
C)
D)
27. Acid, Fracture, Treatment, Cement Squeeze, etc.
Depth Interval
Amount and Type of Material
28. Production – Interval A
Date First
Test Date
Hours
Test
Oil BBL
Gas MCF
Water BBL
Oil Gravity
Gas Gravity
Production
Produced
Tested
Production
Corr. API
Method
Choke Size
Tbg. Press.
Csg. Press.
24 Hr. Rate
Oil BBL
Gas MCF
Water BBL
Gas/Oil
Well Status
Flwg. SI
Ratio
28a. Production – Interval B
Date First
Test Date
Hours
Test
Oil BBL
Gas MCF
Water BBL
Oil Gravity
Gas Gravity
Production
Produced
Tested
Production
Corr. API
Method
Choke Size
Tbg. Press.
Csg. Press.
24 Hr. Rate
Oil BBL
Gas MCF
Water BBL
Gas/Oil
Well Status
Flwg. SI
Ratio
28b. Production – Interval C
Date First
Test Date
Hours
Test
Oil BBL
Gas MCF
Water BBL
Oil Gravity
Gas Gravity
Production
Produced
Tested
Production
Corr. API
Method
Choke Size
Tbg. Press.
Csg. Press.
24 Hr. Rate
Oil BBL
Gas MCF
Water BBL
Gas/Oil
Well Status
Flwg. SI
Ratio
28c. Production – Interval D
Date First
Test Date
Hours
Test
Oil BBL
Gas MCF
Water BBL
Oil Gravity
Gas Gravity
Production
Produced
Tested
Production
Corr. API
Method
Choke Size
Tbg. Press.
Csg. Press.
24 Hr. Rate
Oil BBL
Gas MCF
Water BBL
Gas/Oil
Well Status
Flwg. SI
Ratio
29. Disposition of Gas (Solid, used for fuel, vented, etc.)
30. Summary of Porous Zones (Include Aquifers):
31. Formation (Log) Markers
Show all important zones of porosity and contents thereof: Cored
intervals and all drill-stem tests, including depth interval tested, cushion
used, time tool open, flowing and shut-in pressures and recoveries.
Formation
Top
Bottom
Descriptions,
Name
Top
Contents, etc.
Meas. Depth
32. Additional remarks (including plugging procedure):
33. Indicate which items have been attached by placing a check in the appropriate boxes:
Electrical/Mechanical Logs (1 full set req’d)
Geological Report
DST Report
Directional Survey
Notice for plugging and cement verification
Core Analysis
Other:
34. I hereby certify that the foregoing and attached information is completed and correct as determined from all available records (see attached
instructions)*
Name (please print)
Title
Signature
Date
Title 18 U.S.C., Section 1001 and Title 43 U.S.C., Section 1212, make it a crime for any person knowingly and willfully to make to any department or agency of the
United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.
INSTRUCTIONS
GENERAL: This form is designed for submitting a complete and correct well completion/recompletion report and log on all types of
wells on Indian leases to a Federal agency, pursuant to applicable Federal laws and regulations. Any necessary special instructions
concerning the use of this form and the number of copies to be submitted, particularly with regard to local, area, or regional procedures
and practices, either are shown below or will be issued by, or may be obtained from local Federal offices.
ITEM 4: Locations on Indian land should be described in accordance with Federal requirements. Consult local Federal offices for
specific instructions.
ITEM 17: Indicate which reported elevation is used as reference (where not otherwise shown) for depth measurements give in other
spaced on this form and in any attachments.
ITEM 23: Show how reported top(s) of cement were determined, i.e. circulated (CIR), or calculated (CAL), or cement bond log (CBL),
or temperature survey (TS).
NOTICES
The Privacy Act of 1974 and regulation in 25 C.F.R. 226.34(b) provide that you be furnished the following information in connection
with information required by this application.
AUTHORITY: 25 C.F.R. Part 226, 200 DM 1, 209 DM 8, 230 DM 1, 3 IAM 4.1 and Muscogee Area Addendum 9901 to 3 IAM 4
PRINCIPAL PURPOSES: The information will be used to evaluate the actual operations performed in the drilling, completing and
testing of a well on a Federal or Indian lease.
ROUTINE USE: (1) Evaluate the equipment and procedures used during the drilling and completing/recompleting of a well. (2) The
review of geologic zones and formation encountered during drilling. (3) Analyze future applications to drill in light of data obtained
and methods used. (4) Information from the record and/or the record will be transferred to appropriate Federal, State, and local or
foreign agencies, when relevant to civil, criminal or regulatory investigations or prosecution, in connection with congressional
inquiries and for regulatory responsibilities.
EFFECT OF NOT PROVIDING INFORMATION: Filing of this application and disclosure of the information is mandatory once a
well drilled on a Federal or Indian lease is complete/recompleted.
The Paperwork Reduction Act of 1995 requires us to inform you that:
The BIA/Osage Agency collects this information to allow evaluation of the technical, safety, and environmental factors involved with
drilling for oil and/or gas on Federal and Indian oil and gas leases. This information will be used to analyze and approve applications.
Response to this request is mandatory only if the operator elects to initiate drilling or reentry operations on an oil and gas lease. The
BIA/Osage Agency would like you to know that you do not have to respond to this or any other Federal agency-sponsored information
collection unless it displays a valid OMB Control Number.
BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average 8 hours per response, including the
time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding
the burden estimate or any other aspect of this form to: Information Collection Clearance Officer – Indian Affairs, 1849 C Street,
N.W., Mail Stop 3642, Washington, DC 20240.
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