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Forms

The following are forms located throughout this website.

National Operator Registry Forms
 
Operator Assignment Request (Form)
PHMSA F 1000.1 (Form)
 
Operator Assignment Request (Instructions)
PHMSA F 1000.1 (Instructions)
 
Operator Registry Notification (Form)
PHMSA F 1000.2 (Form)
 
Operator Registry Notification (Instructions)
PHMSA F 1000.2 (Instructions)
Drug & Alcohol Forms
Accident/Incident/Annual Reporting Forms
 
PHMSA F 7000-1 (Accident Report Form) Hazardous Liquid Pipeline Systems (Accident Report)  
 
PHMSA F 7000-1 (Instructions for Form) Hazardous Liquid Pipeline Systems (Accident Report Instructions)  
 
PHMSA F 7000-1.1 (Annual Report Form) Hazardous Liquid or Carbon Dioxide Systems (Annual Report)  
 
PHMSA F 7000-1.1 (Instructions for Completing Form) Hazardous Liquid or Carbon Dioxide Systems (Annual Report Instructions)  
 
PHMSA F 7100.1 (Incident Report Form) Gas Distribution System (Incident Report)  
 
PHMSA F 7100.1 (Instructions for Completing Form) Gas Distribution System (Incident Report Instructions)  
 
PHMSA F 7100.1-1 (Annual Report Form) Gas Distribution System (Annual Report)  
 
PHMSA F 7100.1-1 (Instructions for Completing Form) Gas Distribution System ( Annual Report Instructions)  
 
PHMSA F 7100.1-2 (Instructions for Completing Form) Mechanical Fitting Failure Form (Annual Report Instructions)  
 
PHMSA F 7100.1-2 (Mechanical Fitting Failure Report Form) Mechanical Fitting Failure Report Form  
 
PHMSA F 7100.2 (Incident Report Form) Gas Transmission and Gathering Systems (Incident Report)  
 
PHMSA F 7100.2 (Instructions for Completing Form) Gas Transmission and Gathering Systems (Incident Report Instructions)  
 
PHMSA F 7100.2-1 (Annual Report Form) Gas Transmission and Gathering Systems (Annual Report)  
 
PHMSA F 7100.2-1 (Instructions for Completing Form) Gas Transmission and Gathering Systems (Annual Report Instructions)  
 
PHMSA F 7100.3 (Incident Report Form) Liquefied Natural Gas (LNG) Facilities (Incident Report)  
 
PHMSA F 7100.3 (Instructions for Completing Form) Liquefied Natural Gas (LNG) Facilities (Incident Report Instructions)  
 
PHMSA F 7100.3-1 (Annual Report Form) Liquefied Natural Gas (LNG) Facilities (Annual Report)  
 
PHMSA F 7100.3-1 (Instructions for Completing Form) Liquefied Natural Gas (LNG) Facilities (Annual Report Instructions)  
Inspection, Evaluation, and Qualification Forms
 
PHMSA Form-01
Standard Inspection Report of a Gas Transmission Pipeline
 
PHMSA Form-02
Standard Inspection Report of Gas Distribution Operator
 
PHMSA Form-03
Standard Inspection of a Liquid Pipeline Carrier
 
PHMSA Form-04
Standard Inspection Report of an LNG Facility
 
PHMSA Form-05
Evaluation Report of Gas Pipeline & Compressor Station Construction
 
PHMSA Form-07
Evaluation Report of Liquid Pipeline Construction
 
PHMSA Form-10
Breakout Tank Inspection Form
 
PHMSA Form-11
Pipeline Failure Investigation Report
 
PHMSA Form-12
Gas Storage Field Review
 
PHMSA Form-13
PHMSA Pipeline Drug & Alcohol Questions
 
PHMSA Form-14
Operator Qualification Inspection Form
 
PHMSA Form-15
Operator Qualification Field Inspection Protocol Form
 
PHMSA Form-16
Gas IMP Field Verification Inspection
 
PHMSA Form-17
Supplemental SCC Questionnaire Gas Transmission or Liquid Pipeline
 
PHMSA Form-18
Evaluation of LNG Facility Siting, Design, Construction, and Equipment
 
PHMSA Form-19
Hazardous Liquid IMP Field Verification Inspection
 
PHMSA Form-20
Ethanol Pipeline Transportation Questions
 
PHMSA Form-21
Public Awareness Program Effectiveness Inspection Form
 
PHMSA Form-22
Distribution Integrity Management Program Inspection Form
 
PHMSA Form-23
Distribution Integrity Management Program Inspection Form for Master Meter and Small LPG Operators
 
PHMSA GT Integrity Management (IA Equivalent)
GT Integrity Management Question Set
 
PHMSA HL Integrity Management (IA Equivalent)
HL Integrity Management Question Set
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