form 1006

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FORM 1006 – SURETY
BOND
FORM 1006 – SURETY
BOND
This presentation will assist you in the
completion of the Form 1006. The
Date of Last Revision: 2003
Rule Requirement: OAC 165:10-1-12
Explanation of Form: Prior to drilling and/or
operating a well, the operator shall furnish
the Conservation Division a surety bond
($25,000.00) or other present alternate
surety, Form 1006A or 1006C. Operator must
file the original copy only with a copy of the
power of attorney from the bonding
company. The name and address of the
Oklahoma resident service agent shall be
endorsed on the bond form. [Reference
165:10-1-10 and 165:10-1-12]
Question concerning this Form: Contact the
Surety Department (405) 521-2246
FORM 1006 – SURETY
BOND
OTC/OCC OPERATOR NUMBER – leave
this space blank if you are a new
operator and filing for surety the very
first time
FORM 1006 – SURETY
BOND
Bond Number – this number is given
by the company that is underwriting
the bond
FORM 1006 – SURETY
BOND
Will this bond be for continuous
coverage or issued for a specified time
period (OCC Rules requires all sureties
to be issued for not less than a one
year period at a minimum)
FORM 1006 – SURETY
BOND
NAME OF OPERATOR – the name of
the operator must the name that is
filed on the Form 1006B and at the
Oklahoma Secretary of State
FORM 1006 – SURETY
BOND
ALL OPERATORS ARE REQUIRED TO
PROVIDE A PHYSICAL ADDRESS EVEN IF
THE OPERATOR RECEIVES THEIR MAIL
AT A POST OFFICE BOX
FORM 1006 – SURETY
BOND
PHONE NUMBER, FAX NUMBER, A
CONTACT PERSON AND E-MAIL
ADDRESS ARE REQUESTED
FORM 1006 – SURETY
BOND
SURETY COMPANY INFORMATION
FORM 1006 – SURETY
BOND
AMOUNT OF SURETY – blanket
coverage is $25,000, if any amount less
the operator needs to get a Form
1006D completed by a licensed well
plugger and submit it along with the
Form 1006 and Form 1006B
FORM 1006 – SURETY
BOND
SIGNATURE BLOCK – Both the Surety
Company Representative and a
Representative of the Oil and Gas
Operator must sign this document.
Only originals will be accepted. No
faxed or emailed copies will be
accepted.
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