RAILROAD COMMISSION OF TEXAS CERT
ADMINISTRATION DIVISION
CENTRAL RECORDS DEPARTMENT
REQUEST FOR RECORDS
Date: R-______
Company/Person’s Name: / Rec’d By:Address: / Contact Person:
City: / State: / Zip: / Phone No:
( ) -
E-Mail: / Fax No:
( ) -
Email completed form to or fax to (512) 463-7200. For questions/comments contact the Open Records @ (512) 463-6882.
Type of Records Needed
Oil & Gas Well Records / Production Records: Beginning Date to Ending Date / See AttachedHearing Files / Docket No. / Fluid Injection No.
Additional Info:
Email completed form to or fax to (512) 463-7200. For questions/comments contact the Open Records @ (512) 463-6882.
Well Information
Dist: / County: / Oil Lse. No. / Gas ID No. / Dry HoleOperator Name: / Operator No.
Lease Name: / Well No.
Field Name:
Location: (Sec. Blk. Survey Name, Abstract No.)
API No. 42- - / Permit No. / Date Drilled:
Additional Info:
Email completed form to or fax to (512) 463-7200. For questions/comments contact the Open Records @ (512) 463-6882.
Well Information
Dist: / County: / Oil Lse. No. / Gas ID No. / Dry HoleOperator Name: / Operator No.
Lease Name: / Well No.
Field Name:
Location: (Sec. Blk. Survey Name, Abstract No.)
API No. 42- - / Permit No. / Date Drilled:
Additional Info:
Email completed form to or fax to (512) 463-7200. For questions/comments contact the Open Records @ (512) 463-6882.
Charges (For RRC use only)
Copies: (paper) ______@ $.10 = $ ______(micro) ______@ $.10 = $ ______/Total $ ______
/ Other Charges$ ______
Certifications / ______@ $1.00 = $ ______/ Total $ ______
Over Size Copies (maps / logs) / ______@ $.40 per sq. ft. = $ ______/ Total $ ______ / Date Called ______
GIS Maps Plots / No. ______= $ ______/ Total $ ______ / Paid by:
Computer Generated Reports / Set up Fee _____ @ $6.10 / No. _____ = $ ______/ Total $ ______ / Credit Card
Postage / Weight ______/ Total $ ______ / Check
Research Fee / ______@ $5.00 per half hour = $ ______/ Total $ ______ / Total Charges Due:
$ ______
Labor Charge / ______@ $6.00 per 20 min. = $ ______/ Total $ ______
Email completed form to or fax to (512) 463-7200. For questions/comments contact the Open Records @ (512) 463-6882.
Date Picked Up: ______/ Worked By: ______/ Date Completed: ______/ Total Time: ______Notes:
Prints Mailed By: ______/ Date: ______
Company/Persons Name:
Contact Person: / Phone No:
( ) -
Type of Records Needed
Oil & Gas Well Records / Production Records: Beginning Date to Ending Date / See AttachedHearing Files / Docket No. / Fluid Injection No.
Well Information
Dist: / County: / Oil Lse. No. / Gas ID No. / Dry HoleOperator Name: / Operator No.
Lease Name: / Well No.
Field Name:
Location: (Sec. Blk. Survey Name, Abstract No.)
API No. 42- - / Permit No. / Date Drilled:
Additional Info:
Well Information
Dist: / County: / Oil Lse. No. / Gas ID No. / Dry HoleOperator Name: / Operator No.
Lease Name: / Well No.
Field Name:
Location: (Sec. Blk. Survey Name, Abstract No.)
API No. 42- - / Permit No. / Date Drilled:
Additional Info:
Well Information
Dist: / County: / Oil Lse. No. / Gas ID No. / Dry HoleOperator Name: / Operator No.
Lease Name: / Well No.
Field Name:
Location: (Sec. Blk. Survey Name, Abstract No.)
API No. 42- - / Permit No. / Date Drilled:
Additional Info:
Additional Information
Email completed form to or fax to (512) 463-7200. For questions/comments contact the Open Records @ (512) 463-6882.