Companies must complete and submit forms in accordance with our liability management requirements. These forms are associated with the following liability management programs:
- Oil and Gas Liability Programs - forms can be found with their respective directive here
- Mine Financial Security Program
- Geothermal and Brine-Hosted Mineral Resources
- Site-Specific Liability Assessments
- Orphan Wells and Facilities
Learn more about these programs on our Liability Management Programs and Processes page.
This page also contains a form for companies wanting to submit a working interest cost claim. The entire process for working interest claims is set out on the Orphan Well Association’s website under Producers > Working Interest Claims
Please be aware that forms may be removed from this page as we continue to transfer application processes to OneStop.
Forms
Geothermal and Brine-Hosted Mineral Resources
- Geothermal and Brine-Hosted Mineral Liability Estimate form [PDF]
Mine Financial Security Program (MFSP)
- MFSP Schedule 1 [PDF]
- MFSP Schedule 2 [PDF]
- MFSP Schedule 3 [PDF]
- MFSP Schedule 4 [PDF]
- Surety Bond Form [PDF] This form will not work in a browser. Download it to your desktop/drive and complete it using Adobe Acrobat or Adobe Reader. A free version of Adobe Reader is available here. When opening in Adobe, ensure you click the “Enable All Features” button for the form to load correctly.
Orphan Wells and Facilities
- Working Interest Cost Claim (updated February 2023) This form is for submitting claims for suspension, abandonment, remediation, or reclamation. The update involved converting the form from a pdf to an online form. (This form cannot be used to request reimbursement for costs funded under the Site Rehabilitation Program). See the Orphan Well Association’s website for further information about working interest claims.
