Form 1006B at a glance
What it is: Form 1006B is the Operator's Agreement to Plug Oil, Gas, and Service Wells within the State of Oklahoma.
Who signs: Sign the Signature of Operator, Officer, Partner, or Principal of Operator and enter the Federal Employer Identification Number (FEIN).
All operators of oil, gas, injection, disposal, and service wells within the State of Oklahoma are required to file a Form 1006B Operator's Agreement on an annual basis and to supply the information contained in OAC 165:10-1-10(e).
A filled-in Form 1006B example: an operator files its annual agreement

How to fill out Form 1006B, box by box
Operator, addresses and contact
Enter the OPERATOR and the OPERATOR NUMBER.
Enter the MAILING ADDRESS, then the CITY, STATE and ZIP CODE.
The PHYSICAL ADDRESS cannot be a PO BOX; then enter the CITY, STATE and ZIP CODE.
Enter the PHONE NO, the CONTACT and the EMAIL ADDRESS.
Business addresses, telephone numbers, and e-mail addresses are to be provided in this Form and in attachments to this Form.
One box must be checked
Signature of Operator and the agreement

Sign the Signature of Operator, Officer, Partner, or Principal of Operator and enter the Federal Employer Identification Number (FEIN).
Fill in the date in Dated this day of.
Type or Print Name of Operator, Officer, Partner, or Principal of Operator.
The operator states that the operator is authorized to do business within the State of Oklahoma.
The operator hereby agrees to drill, operate and plug each such well in compliance with the laws of the State of Oklahoma and the rules and orders of the Corporation Commission of the State of Oklahoma.
The operator hereby agrees that if the Commission determines, after notice and hearing, that the operator has neglected, failed, or refused to plug and abandon, or cause to be plugged and abandoned, or replug any well or has neglected, failed or refused to close any surface impoundment or remove or cause to be removed trash and equipment in compliance with the rules of OAC 165:10, then the operator shall forfeit from the operator's bond, letter of credit, or negotiable instrument or shall pay to this State, through the Commission for deposit in the State Treasury, a sum equal to the cost of plugging the well, closure of any surface impoundment, or removal of trash and equipment.
“I declare and state that I have personal knowledge of the contents of this Operator's Agreement to Plug Oil, Gas, and Service Wells within the State of Oklahoma, which was prepared by me or under my supervision and direction, with the data and facts stated herein to be true, correct, and complete to the best of my knowledge and belief. I declare that the operator has met the requirements in OAC 165:10-1-10. Any person who shall verify under oath any report, map or drawing or other statement or document authorized or required by the provisions of 52 O.S. § 86.1 et seq. or by any order, rule or regulation of the Commission made under the provisions of 52 O.S. § 86.1 et seq. to be filed with the Commission or with the Secretary of the Commission, or with any other officer, and who files or causes the same to be filed with the Secretary of the Commission or other officer, which states or contains any material matter which he or she knows to be false is guilty of perjury and upon conviction thereof shall be punished by imprisonment in the State Penitentiary for not less than two (2) years, nor more than ten (10) years.”
More rules for Form 1006B
The OIL AND GAS CONSERVATION DIVISION is at P.O. Box 171, Oklahoma City, OK 73101, 405-521-2331, occcentralprocessing@occ.ok.gov.
If your situation is different
The operator is required to file a Form 10-K with the United States Securities and Exchange Commission
If the operator is required to file a Form 10-K with the United States Securities and Exchange Commission, the operator must submit a current Form 10-K with the Form 1006B.
The operator must complete page one of the Form 1006B, and the Form 10-K is submitted in lieu of other required information on the Form 1006B.
All officers, directors, partners or principals of the operator
For ALL OFFICERS, DIRECTORS, PARTNERS OR PRINCIPALS OF OPERATOR, full first, middle, & last names, and any applicable suffix are required to be provided.
OAC 165:10-1-10 (e) * Indicates a required field and must contain information, please do not leave any required field blank.
Do not write N/A, initials, or leave any line blank, if any individual doesn't have a middle name or email, please write 'none' on the line provided.
If the middle name is an initial only, please provide the initial then write '(initial only)' on the line provided.
All service agents for the operator
For all service agents for operator, enter name, address, city, state, ZIP code and email address.
All insiders and affiliates of the operator
All insiders and affiliates of operator and all officers, directors, partners, principals or other persons pertaining to insiders and affiliates of operator are listed.
"Affiliate" means an entity which owns twenty percent (20%) or more of the operator, or an entity of which twenty percent (20%) or more is owned by the operator. [OAC 165:10-1-10(i)(1)].
For all service agents for insiders and affiliates of operator, enter name, address, city, state and ZIP code.
Common questions about Form 1006B
Where do I file it?
Oklahoma City Mailing Address: Attn: Central Processing, PO Box 171, Oklahoma City, OK 73101 (Checks or money orders only). Send questions about payments to OCCRevenue@occ.ok.gov.
Sources
[1] Form 1006B, Operator's Agreement to Plug Oil, Gas, and Service Wells, Oklahoma Corporation Commission (the Official source link on this page).

