Commonly Requested Underground Injection Control Forms and Checklists

Revised Injection Well Monthly Report(If you have Acrobat Reader Version 5 or higher, you can complete the form using the hand tool. Click on the hand on the Tool Bar. When the hand is over an area that will accept data, it changes to an I-bar.)

Checklists and Inspection Forms

Class I UIC Permit Checklist  
Class V Injection Inventroy Sheet  
EPA Forms (Forms 7520 series)
Permit Application Application To Transfer Permit
ANNUAL DISPOSAL/INJECTION WELL MONITORING REPORT Completion Form For Injection Wells
PLUGGING AND ABANDONMENT PLAN WELL REWORK RECORD