As you may know, the Form 8000 FM is an important document for businesses in the United States. The form is used to report income and expenses, and it's essential that all businesses complete it accurately and on time. In this blog post, we'll provide a brief overview of the Form 8000 FM, including what information it contains and when it's due. We'll also provide some tips for completing the form efficiently. Thanks for reading!
| Question | Answer |
|---|---|
| Form Name | Form 8000 Fm Oogm0099 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | DEP, OGO, 8000-FM-OOGM0118, certifies |
COMMONWEALTH OF PENNSYLVANIA |
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DEPARTMENT OF ENVIRONMENTAL PROTECTION |
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OFFICE OF OIL AND GAS MANAGEMENT |
OPERATOR’S GENERAL INFORMATION FORM
DEP USE ONLY
Client Id #
OGO #
Agent’s Id #
Before completing this form, please read the instructions on the back. This information will be used to establish or verify our computer records about you or your organization as an oil or gas well operator in Pennsylvania. Any applicant who has not previously conducted business with the DEP Oil and Gas Program must submit this form when applying for an oil or gas approval/permit.
GENERAL OPERATOR
INFORMATION
Enter the name and address under which you or your organization operate (and bond) oil and gas wells in Pennsylvania.
Type of Organization / Code |
Corporate, Company, Partnership or Registered Fictitious Name |
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Federal Tax ID# |
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Individual or Partner - Last Name |
First Name |
MI |
Suffix |
Social Sec # |
Individual or Partner - Last Name |
First Name |
MI |
Suffix |
Social Sec # |
Individual or Partner - Last Name |
First Name |
MI |
Suffix |
Social Sec # |
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Mailing Address |
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Check if this is a new address.
City |
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State |
ZIP+4 |
Country (If Other Than USA) |
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Phone (Daytime) |
Ext. |
FAX |
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Email Address |
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Person to Contact - Last Name |
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First Name |
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MI |
Suffix |
Title |
Parent or Subsidiary
Information
Any changes to business structure must be provided to the Oil and Gas Program within 30 days of the change. If there is currently no parent or subsidiary, check the applicable boxes below. If there is, you must attach the Ownership and Control form
Check if no parent:
Check if no subsidiaries:
FIELD OFFICE
Person to Contact - Last Name
Fill in this part if the person or branch office responsible for operations in Pennsylvania is at a location other than the corporate address above.
First Name |
MI |
Suffix |
Title |
Mailing Address |
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City |
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State |
ZIP+4 |
Country (If Other Than USA) |
Phone (Daytime) |
Ext. |
FAX |
Email Address |
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OPERATOR’S
AGENT
Agent’s Name |
Mailing Address |
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Check if this is a new agent. |
City |
State ZIP+4 |
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Check if only for change of current agent’s address.
Phone (Daytime)
CERTIFICATION
The undersigned certifies that the above information is correct as of this date, and until DEP is notified otherwise it applies to all future oil or gas well permit applications from this organization or individual.
Signature |
Type or print name and title of signer |
Date |
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