Form W-3C, Certification of Surface Equipment Removal for an: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering the OPERATOR NAME exactly as shown on your P-5 Organization Report in the designated field.
Fill in the OPERATOR ADDRESS, ensuring you include the city, state, and zip code.
Input your OPERATOR P-5 NUMBER. If filing for a single well, complete fields 4 through 10 with relevant information such as LEASE NAME, API NUMBER, and FIELD NAME.
If certifying multiple wells, leave fields 4 through 10 blank and enter the number of wells and pages in Item 11.
Check all applicable certification boxes (A-D) based on your compliance status regarding surface equipment removal.
Sign and date the form at the bottom. Ensure that all entries are clear and legible.

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