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Reporting Forms
Reporting forms, known as the 7520 forms (for their Office of Management and Budget number), are how EPA and primacy states collect and report the information they need to determine whether injection wells are operating properly and protecting public health. This page provides links to the UIC Program’s reporting forms.
- Regional and State summary forms provide EPA Headquarters with information to assess the effectiveness of the UIC Program.
- Forms submitted by well owners and operators inform permitting authorities about the operating status of individual injection wells and testing results.
The UIC Program reporting forms are available for download below. Each file includes instructions for completing the form.
- For more information, contact Bob Smith (smith.robert-eu@epa.gov).
You will need Adobe Reader to view some of the files on this page. See EPA's PDF page to learn more.
Regional and State Summary Forms
- Part I: Permit Review and Issuance/Wells in the Area of Review (PDF) (2 pp, 116K)
- Part II: Compliance Evaluation (PDF) (2 pp, 119K)
- Part II: Compliance Evaluation - Significant Noncompliance (PDF) (2 pp, 125K)
- Part III: Inspections - Mechanical Integrity Testing (PDF) (2 pp, 161K)
- Part IV: Quarterly Exceptions List (PDF) (2 pp, 249K)
- Part V: Summary of UIC Grant Utilization (PDF) (2 pp, 56K)
- Information to Assist States and Regions to Report on the Underground Injection Control (UIC) Program’s National Water Program Guidance Program Activity Measures (PDF) (13 pp, 107K)
Owner/Operator UIC Program Forms
- Permit Application (PDF) (6 pp, 100K)
- Application to Transfer Permit (PDF) (2 pp, 54K)
- Injection Well Monitoring Report (PDF) (2 pp, 71K)
- Completion Form For Injection Wells (PDF) (2 pp, 59K)
- Completion Report For Brine Disposal, Hydrocarbon Storage, or Enhanced Recovery (PDF) (2 pp, 81K)
- Annual Disposal/Injection Well Monitoring Report (PDF) (2 pp, 77K)
- Well Rework Record (PDF) (2 pp, 84K)
- Plugging and Abandonment Plan (PDF) (2 pp, 92K)
- Inventory of Injection Wells (PDF) (3 pp, 109K)
- Pre-closure notification form (PDF) (114 pp, 611K)