Texas RRC - Forms

<!DOCTYPE html>     <html lang="en" dir="ltr" class="no-js" itemscope itemtype="http://ogp.me/ns">  <head><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://www.rrc.state.tx.us:80/pipeline-safety/forms/","20180122225102","https://web.archive.org/","web","/_static/", "1516661462"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" />  <meta charset="utf-8"> <title>Texas RRC - Forms</title> <meta http-equiv="X-UA-Compatible" content="IE=edge,requiresActiveX=true"> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no,minimal-ui"> <meta name="robots" content="noodp, noydir"> <meta name="googlebot" content="noarchive"> <link rel="alternate" type="application/rss+xml" href="#" title="Feed"> <link rel="canonical" href="#"> <link rel="author" href="#" title="titleoflink"> <link rel="search" href="#" title="titleoflink"> <meta name="keywords" content="TDRF, Texas, Damage, Report, Forms, Pipeline, form, master, meter, forms"> <meta name="description" content="Pipeline Safety Forms"> <meta name="author" content=""> <meta property="og:title" content=""> <meta property="og:type" content=""> <meta property="og:url" content=""> <meta property="og:image" content="/web/20180122225102im_/http://www.rrc.state.tx.us/pipeline-safety/forms/"> <meta property="og:description" content=""> <meta property="og:locale" content="en_US"> <meta property="article:author" content=""> <meta property="article:section" content=""> <meta property="article:published_time" content=""> <meta property="article:modified_time" content=""> <meta name="google-site-verification" content="eT-QPRXYsp0OzhUE-UfMiUDDEIuZ35RlucZihtkUsGw"> <link rel="icon" href="/web/20180122225102im_/http://www.rrc.state.tx.us/favicon.ico"/> <link rel="canonical" href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/"> <link href="/web/20180122225102cs_/http://www.rrc.state.tx.us/css/bootstrap.min.css" rel="stylesheet"> <link href="/web/20180122225102cs_/http://www.rrc.state.tx.us/css/styles.min.css" rel="stylesheet"> <link href="/web/20180122225102cs_/http://www.rrc.state.tx.us/css/main.css" rel="stylesheet">   <script src="//web.archive.org/web/20180122225102js_/http://cdnjs.cloudflare.com/ajax/libs/modernizr/2.7.1/modernizr.min.js"></script> </head> <body itemscope itemtype="http://schema.org/WebPage"> <div class="layout-wrapper"> <a class="sr-only" title="Skip to main content" href="#content">Skip to main content</a> <header id="header" class="navbar navbar-inverse navbar-fixed-top" role="banner" itemscope itemtype="http://schema.org/WPHeader"> <div id="top-bar" class="top-bar" role="navigation"> <div class="container-fluid"> <div class="row"> <div class="col-sm-8 col-md-8"> <div class="text-right"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/contact-us/" class="btn btn-link" itemprop="url">Contact Us</a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/rrc-a-to-z/" class="btn btn-link" itemprop="url">RRC A to Z</a> <a href="https://web.archive.org/web/20180122225102/https://webapps.rrc.state.tx.us/security/login.do" class="btn btn-link" itemprop="url">RRC Online Log In</a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/Jobs/" class="btn btn-link" itemprop="url">Jobs</a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/resource-center/" class="btn btn-link" itemprop="url">Resource Center</a> </div> <div class="clearfix"></div> </div> <div class="col-sm-4 col-md-4"> <form class="form-inline pull-right input-group" method="get" action="/web/20180122225102/http://www.rrc.state.tx.us/search-result"> <label class="sr-only" for="search-query">Search</label> <input class="form-control" placeholder="Search" id="search-query" name="q" autocomplete="off" spellcheck="false" type="text"> <span class="input-group-btn"> <button class="btn btn-default" type="submit"><span class="sr-only">Search</span><em class="fa fa-search"></em></button> </span> </form> </div> </div> </div> </div> <div class="container-fluid"> <div class="row"> <div class="navbar-header"> <div id="logo" class="navbar-brand"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/" itemprop="url"><img src="/web/20180122225102im_/http://www.rrc.state.tx.us/imgs/rrclogo.svg" alt="The Railroad Commission of Texas Logo"></a> <div class="h1 sr-only navbar-brand">The Railroad Commission of Texas</div> </div> </div> <nav class="collapse navbar-collapse bs-navbar-collapse mainmenu pull-right visible-lg visible-md" role="navigation"> <ul class="nav navbar-nav" role="menu"> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/" title="About Us" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">About Us</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/announcements/" title="About Us" itemprop="name" tabindex="-1">Announcements</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/audience-pages/" title="About Us" itemprop="name" tabindex="-1">Audience Pages</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/commissioners/" title="About Us" itemprop="name" tabindex="-1">Commissioners</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/complaints/" title="About Us" itemprop="name" tabindex="-1">Complaints</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/contact-us/" title="About Us" itemprop="name" tabindex="-1">Contact Us</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/doing-business-with-the-rrc/" title="About Us" itemprop="name" tabindex="-1">Doing Business with the RRC</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/history/" title="About Us" itemprop="name" tabindex="-1">History</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/jobs/" title="About Us" itemprop="name" tabindex="-1">Jobs</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/organization-activities/" title="About Us" itemprop="name" tabindex="-1">Organization & Activities</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/railroads/" title="About Us" itemprop="name" tabindex="-1">Railroads</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/resource-center/" title="About Us" itemprop="name" tabindex="-1">Resource Center</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/" title="Oil & Gas" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">Oil & Gas</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/announcements/" title="Oil & Gas" itemprop="name" tabindex="-1">Announcements</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/applications-and-permits/" title="Oil & Gas" itemprop="name" tabindex="-1">Applications and Permits</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/complaints/" title="Oil & Gas" itemprop="name" tabindex="-1">Complaints</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/compliance-enforcement/" title="Oil & Gas" itemprop="name" tabindex="-1">Compliance & Enforcement</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/district-offices/" title="Oil & Gas" itemprop="name" tabindex="-1">District Offices</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/environmental-cleanup-programs/" title="Oil & Gas" itemprop="name" tabindex="-1">Environmental Cleanup Programs</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/events/" title="Oil & Gas" itemprop="name" tabindex="-1">Events</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/forms/" title="Oil & Gas" itemprop="name" tabindex="-1">Forms</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/major-oil-and-gas-formations/" title="Oil & Gas" itemprop="name" tabindex="-1">Major Oil and Gas Formations</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/oil-gas-workshops-and-seminars/" title="Oil & Gas" itemprop="name" tabindex="-1">Oil & Gas Workshops and Seminars</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/operator-and-organization-requirements-and-responsibilities/" title="Oil & Gas" itemprop="name" tabindex="-1">Operator and Organization Requirements and Responsibilities</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/publications-and-notices/" title="Oil & Gas" itemprop="name" tabindex="-1">Publications and Notices</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/oil-gas/research-and-statistics/" title="Oil & Gas" itemprop="name" tabindex="-1">Research and Statistics</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/alternative-fuels/" title="Alternative Fuels" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">Alternative Fuels</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/alternative-fuels/safety-licensing-training-and-certification/" title="Alternative Fuels" itemprop="name" tabindex="-1">Safety, Licensing, Training and Certification</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/" title="Gas Services" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">Gas Services</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/announcements/" title="Gas Services" itemprop="name" tabindex="-1">Announcements</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/common-carrier-pipeline-tariffs/" title="Gas Services" itemprop="name" tabindex="-1">Common Carrier Pipeline Tariffs</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/complaint-filing/" title="Gas Services" itemprop="name" tabindex="-1">Complaint Filing</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/curtailment-plan/" title="Gas Services" itemprop="name" tabindex="-1">Curtailment Plan</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/dockets/" title="Gas Services" itemprop="name" tabindex="-1">Dockets</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/forms/" title="Gas Services" itemprop="name" tabindex="-1">Forms</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/gas-utility-annual-reports/" title="Gas Services" itemprop="name" tabindex="-1">Gas Utility Annual Reports</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/natural-gas-tariffs-and-rate-schedules/" title="Gas Services" itemprop="name" tabindex="-1">Natural Gas Tariffs and Rate Schedules</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/non-submetered-master-meter-disconnections/" title="Gas Services" itemprop="name" tabindex="-1">Non-Submetered Master Meter Disconnections</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/propane-distribution-systems/" title="Gas Services" itemprop="name" tabindex="-1">Propane Distribution Systems</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/publications-statistics/" title="Gas Services" itemprop="name" tabindex="-1">Publications & Statistics</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/rules/" title="Gas Services" itemprop="name" tabindex="-1">Rules</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/gas-services/texas-energy-reliability-council/" title="Gas Services" itemprop="name" tabindex="-1">Texas Energy Reliability Council</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/" title="Pipeline Safety" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">Pipeline Safety</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/announcements/" title="Pipeline Safety" itemprop="name" tabindex="-1">Announcements</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/complaint-filing/" title="Pipeline Safety" itemprop="name" tabindex="-1">Complaint Filing</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/pipeline-damage-prevention-program/" title="Pipeline Safety" itemprop="name" tabindex="-1">Pipeline Damage Prevention Program</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/enforcement/" title="Pipeline Safety" itemprop="name" tabindex="-1">Enforcement</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/events/" title="Pipeline Safety" itemprop="name" tabindex="-1">Events</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/forms/" title="Pipeline Safety" itemprop="name" tabindex="-1">Forms</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/mapping/" title="Pipeline Safety" itemprop="name" tabindex="-1">Mapping</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/master-meter/" title="Pipeline Safety" itemprop="name" tabindex="-1">Master Meter</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/notices-to-operators/" title="Pipeline Safety" itemprop="name" tabindex="-1">Notices to Operators</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/permitting/" title="Pipeline Safety" itemprop="name" tabindex="-1">Permitting</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/reports/" title="Pipeline Safety" itemprop="name" tabindex="-1">Reports</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/rules/" title="Pipeline Safety" itemprop="name" tabindex="-1">Rules</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/" title="Mining & Exploration" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">Mining & Exploration</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/announcements/" title="Mining & Exploration" itemprop="name" tabindex="-1">Announcements</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/events/" title="Mining & Exploration" itemprop="name" tabindex="-1">Events</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/forms-publications/" title="Mining & Exploration" itemprop="name" tabindex="-1">Forms & Publications</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/historical-coal-mining/" title="Mining & Exploration" itemprop="name" tabindex="-1">Historical Coal Mining</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/other-sites-of-interest/" title="Mining & Exploration" itemprop="name" tabindex="-1">Other Sites of Interest</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/permits/" title="Mining & Exploration" itemprop="name" tabindex="-1">Permits</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/programs/" title="Mining & Exploration" itemprop="name" tabindex="-1">Programs</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/quarry-pit-safety/" title="Mining & Exploration" itemprop="name" tabindex="-1">Quarry & Pit Safety</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/mining-exploration/complaints/" title="Mining & Exploration" itemprop="name" tabindex="-1">Complaints</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/hearings/" title="Hearings" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">Hearings</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/hearings/dockets/" title="Hearings" itemprop="name" tabindex="-1">Dockets</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/hearings/current-hearing-schedules/" title="Hearings" itemprop="name" tabindex="-1">Current Hearing Schedules</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/hearings/forms/" title="Hearings" itemprop="name" tabindex="-1">Forms</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/hearings/hearings-division-contact-information/" title="Hearings" itemprop="name" tabindex="-1">Hearings Division Contact Information</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu has-children" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/general-counsel/" title="General Counsel" itemprop="name" aria-haspopup="true" aria-expanded="false"><span class="menu-text">General Counsel</span></a> <ul class="dropdown-menu"> <li> <div class="menu-column"> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/general-counsel/announcements/" title="General Counsel" itemprop="name" tabindex="-1">Announcements</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/general-counsel/enforcement-actions-master-agreed-orders/" title="General Counsel" itemprop="name" tabindex="-1">Enforcement Actions - Master Agreed Orders</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/general-counsel/policies-and-guidelines/" title="General Counsel" itemprop="name" tabindex="-1">Policies and Guidelines</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/general-counsel/open-records/" title="General Counsel" itemprop="name" tabindex="-1">Open Records</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/general-counsel/rules/" title="General Counsel" itemprop="name" tabindex="-1">Rules</a></div> <div class="menu-item" itemprop="url"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/general-counsel/open-meetings/" title="General Counsel" itemprop="name" tabindex="-1">Open Meetings</a></div> </div> <div class="clearfix"></div> </li> </ul> </li> <li class="mega-menu visible-xs"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/contact-us/" title="Contact Us" tabindex="-1"><span class="menu-text">Contact Us</span></a></li> <li class="mega-menu visible-xs"><a href="https://web.archive.org/web/20180122225102/https://webapps.rrc.state.tx.us/security/login.do" title="RRC Online Log In" tabindex="-1"><span class="menu-text">RRC Online Log In</span></a></li> <li class="mega-menu visible-xs"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/Jobs/" title="Jobs" tabindex="-1">Jobs</a></li> <li class="mega-menu visible-xs"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/resource-center/" title="Resource Center" tabindex="-1"><span class="menu-text">Resource Center</span></a></li> </ul> </nav> <div id="mobile-menu-wrapper" class="visible-navrcc" data-skin="0"> <span class="sr-only">Toggle navigation</span><a class="mobile-menu-icon" href="#mobile-menu" tabindex="-1"><em class="fa fa-bars"></em></a> <div class="mobile-menu-content"> </div> </div> </div> </div> </header> <section class="bodycontent" id="content" role="main" itemscope itemprop="mainContentOfPage" itemtype="http://schema.org/Article"> <div class="container-fluid"> <div class="row"> <ol class="breadcrumb"> <li><a href="/web/20180122225102/http://www.rrc.state.tx.us/" title="The Railroad Commission of Texas" itemprop="title">Home</a></li> <li><a href="/web/20180122225102/http://www.rrc.state.tx.us/pipeline-safety/" title="Pipeline Safety" itemprop="title">Pipeline Safety</a></li> <li class="active"></li> </ol> <div class="col-md-8"> <article class="content"> <h1 itemprop="headline">Forms</h1> <h3>These pages provide links to Pipeline Safety related forms.<br/><br/><br/></h3> <div><p>All PDF forms, unless otherwise indicated, are created using Adobe Acrobat. To view the files you need to have the Adobe Acrobat Reader version 6.0 or higher, available free from <a href="https://web.archive.org/web/20180122225102/http://www.adobe.com/">Adobe</a>.</p> <table class="table table-bordered"> <tbody> <tr> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2271/ps81.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a> - PDF Form available</td> <td><img style="width: 30px; height: 38px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="Fillable PDF Form" rel="30,38"/>- fillable PDF Form available</td> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2271/ps81.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a> - PDF instructions available</td> </tr> </tbody> </table> <p> </p> <table> <tbody> <tr> <td><span class="ng-binding"><a href="https://web.archive.org/web/20180122225102/http://webapps.rrc.texas.gov/TPD/publicHomeAction.do">Texas Damage Reporting Form (TDRF) for <strong>Excavators</strong></a></span></td> </tr> <tr> <td><a href="https://web.archive.org/web/20180122225102/http://webapps.rrc.texas.gov/TPD/publicHomeAction.do"><span class="ng-binding"><span class="ng-binding">No Damage Non-Compliance Reporting Form</span></span></a><strong><span class="ng-binding"><br/></span></strong></td> </tr> </tbody> </table> <br/><strong><br/><a id="GeneralPipeline"></a>General Pipeline Forms</strong><br/><br/> <table width="570"> <tbody> <tr> <td width="84" style="text-align: center;"> <p><strong>Form Number</strong></p> </td> <td width="310" style="text-align: center;"> <p><strong>Form Name</strong></p> </td> <td width="81" style="text-align: center;"> <p align="center"><strong>PDF Form</strong></p> </td> <td width="75" style="text-align: center;"> <p align="center"><strong>Fillable PDF</strong></p> </td> </tr> <tr> <td rowspan="2"> <p>PS-81</p> </td> <td> <p>Annual Plastic Pipe Inventory</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2271/ps81.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td> </td> </tr> <tr> <td> <p>EDI Specifications</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/33766/ps-81-edi-specificatons.pdf" title="PS-81 EDI Specificatons.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td> </td> </tr> <tr> <td> <p>PS-82</p> </td> <td> <p>Plastic Pipeline Installation and/or Removal Report</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2249/form82.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td> </td> </tr> <tr> <td> <p>PS-86A</p> </td> <td> <p>Texas School Facilities Gas Pipe Testing</p> </td> <td> </td> <td style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2272/schooltest.pdf"><img style="width: 30px; height: 38px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="Fillable PDF Form" rel="30,38"/></a></td> </tr> <tr> <td> <p>PS-86B</p> </td> <td> <p>Texas School Facilities Gas Pipe Test Results Form</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2266/ps-86b-schlpipe.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td> </td> </tr> <tr> <td> <p>PS-87</p> </td> <td> <p>Gas & Liquid Transmission Pipeline Proximity to Public Schools</p> </td> <td> </td> <td style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2268/ps87.pdf"><img style="width: 30px; height: 38px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="Fillable PDF Form" rel="30,38"/></a></td> </tr> <tr> <td rowspan="2"> <p>PS-95</p> </td> <td> <p>Semi-Annual Leak Report</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2270/ps95-leak_reporting.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td> </td> </tr> <tr> <td> <p>EDI Specification</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.state.tx.us/media/33765/ps-95-edi-specification.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td> </td> </tr> <tr> <td> <p> N/A</p> </td> <td> <p>Integrity Management – Liquid Pipelines Form</p> </td> <td> </td> <td style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2259/imlp.pdf"><img style="width: 30px; height: 38px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="Fillable PDF Form" rel="30,38"/></a></td> </tr> <tr> <td> <p> N/A</p> </td> <td> <p>Integrity Management – Natural Gas Form</p> </td> <td> </td> <td style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2260/imng.pdf"><img style="width: 30px; height: 38px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="Fillable PDF Form" rel="30,38"/></a></td> </tr> <tr> <td> <p> N/A</p> </td> <td> <p>Master Meter Evaluation Form</p> </td> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/28521/mm-evaluation.pdf" title="Master Meter Evaluation Form"><img style="width: 40px; height: 40px; display: block; margin-left: auto; margin-right: auto;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> <td style="text-align: center;"> </td> </tr> <tr> <td> N/A</td> <td>Hazardous Liquid Evaluation Form</td> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/28525/hl-evaluation.pdf" title="Hazardous Liquid Evaluation Form"><img style="width: 40px; height: 40px; display: block; margin-left: auto; margin-right: auto;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> <td style="text-align: center;"> </td> </tr> <tr> <td> N/A</td> <td>Gas Transmission Evaluation Form</td> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/28522/gt-evaluation.pdf" title="Gas Transmission Evaluation Form"><img style="width: 40px; height: 40px; display: block; margin-left: auto; margin-right: auto;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> <td style="text-align: center;"> </td> </tr> <tr> <td> N/A</td> <td>Gas Distribution Evaluation Form</td> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/28523/gd-evaluation.pdf" title="Gas Distribution Evaluation Form"><img style="width: 40px; height: 40px; display: block; margin-left: auto; margin-right: auto;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> <td style="text-align: center;"> </td> </tr> <tr> <td> N/A</td> <td>Pipeline Company/Unit/System Data Form</td> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/28524/companyunitsystemdata.pdf" title="Company Unit System Data"><img style="width: 40px; height: 40px; display: block; margin-left: auto; margin-right: auto;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> <td style="text-align: center;"> </td> </tr> </tbody> </table> <br/><br/><strong><a id="MasterMeter"></a>Master Meter Sample Forms</strong><br/><br/> <table width="570"> <tbody> <tr> <td width="92" style="text-align: center;"> <p><strong>Form Number</strong></p> </td> <td width="373" style="text-align: center;"> <p><strong>Form Name</strong></p> </td> <td width="89" style="text-align: center;"> <p align="center"><strong>PDF Form</strong></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Atmospheric Corrosion Control Inspection</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2240/atmosphericcorrosioncontrolinspection.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Cathodic Protection Worksheet</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2242/cathodicprotectionworksheet.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Corrosion Control-Rectifier Inspection</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2243/corrosioncontrolrectifierreport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Gas Distribution Inspection & Leak Repair</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2244/gasdistributioninspectionandleakagerepair.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Gas Leak & Repair Report</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2245/gasleakandrepairreport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Monthly Leak Log</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2241/gasleakcomplaintlog-inform.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Monthly Odorization Report</p> </td> <td style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2428/monthlyodorizationreport.pdf" title="MonthlyOdorizationReport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Patrolling Form</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2251/patrollingform.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Patrolling of Pipeline System Form</p> </td> <td> <p align="center"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2250/patrollingofpipelinesystem.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Pipeline Test Report</p> </td> <td> <div style="text-align: center;"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/media/2252/pipelinetestreport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></div> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Regulator Test Report</p> </td> <td> <div style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2252/pipelinetestreport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></div> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Regulator Inspection Report</p> </td> <td> <div style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2253/regulatorinspectionreport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></div> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Relief Valve Inspection Report</p> </td> <td> <div style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2254/reliefvalveinspectionreport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></div> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Sniff Test Form</p> </td> <td> <div style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2258/snifftestform.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></div> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Telephonic Report of Customer Leak Report</p> </td> <td> <div style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2255/telephonicreportofcustomerleak.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></div> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Valve Inspection Report</p> </td> <td> <div style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2257/valveinspectionreport.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></div> </td> </tr> <tr> <td> <p>N/A</p> </td> <td> <p>Valve Location Report</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/2256/valvelocations.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> </tr> </tbody> </table> <br/><br/> <strong><a id="PipelinePermitting"></a>Pipeline Permitting Forms</strong><br/><br/> <table width="570"> <tbody> <tr> <td width="100"> <p style="text-align: center;"><strong>Form Number</strong></p> </td> <td width="372" style="text-align: center;"> <p><strong>Form Name</strong></p> </td> <td width="131" style="text-align: center;"> <p align="center"><strong>PDF Form</strong></p> </td> <td colspan="4" style="text-align: center;"> <p align="center"><strong>Instructions</strong></p> </td> <td width="55"> <p style="text-align: center;" align="center"><strong>Fillable PDF</strong></p> </td> <td width="55"> <p style="text-align: center;" align="center"><strong>User's Guide</strong></p> </td> <td width="55"> <p style="text-align: center;" align="center"><strong>Online Filing</strong></p> </td> </tr> <tr> <td>T-4</td> <td>Gas Operators - Application for permit to Operate a Pipeline in Texas (PS-8000A imbedded in form)</td> <td> </td> <td colspan="4"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/32263/2016_t-4-instructions-modified.pdf" title="Form T-4 instructions"><img style="display: block; margin-left: auto; margin-right: auto;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> <td> <p style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/32841/2016-fillable-combo-t4-ps8000a-for-gas.pdf"><img src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="Fillable PDF Form" rel="30,38"/></a></p> </td> <td><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/32799/pops-user-guide.pdf">POPS User's Guide</a></td> <td><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/about-us/resource-center/forms/online-filing-at-rrc/">Online filing available</a></td> </tr> <tr> <td> <p>T-4</p> </td> <td> <p>Liquid Operators -  Application for permit to Operate a Pipeline in Texas  (PS-8000A imbedded in form)</p> </td> <td> </td> <td colspan="4"> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/32263/2016_t-4-instructions-modified.pdf" title="Form T-4 instructions"><img src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td> <p style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/32492/2016-fillable-combo-t4-ps8000a-for-liquids.pdf" title="Form T-4 for liquid operators (4)"><img src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="Fillable PDF Form" rel="30,38"/></a> </p> </td> <td> <p style="text-align: left;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/32799/pops-user-guide.pdf">POPS User's Guide</a></p> </td> <td> <p style="text-align: left;"><a href="https://web.archive.org/web/20180122225102/http://www.rrc.texas.gov/about-us/resource-center/forms/online-filing-at-rrc/">Online filing available</a></p> </td> </tr> <tr> <td> <p>T-4B</p> </td> <td> <p>Pipeline Transfer Certification (File with T-4)</p> </td> <td> </td> <td colspan="4"> </td> <td> <p style="text-align: center;"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/media/27101/t4b-2015-auto-fill.pdf" title="T4B-2015-auto-fill.pdf"><img style="width: 34px; height: 43px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="/media/23486/pdf_fillable_icon" rel="30,38"/></a></p> </td> <td> <p style="text-align: center;"> </p> </td> <td> <p style="text-align: center;"> </p> </td> </tr> <tr> <td> </td> <td> <p>Non-Utility Certificate</p> </td> <td> </td> <td colspan="4"> </td> <td> <p style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/27102/non-utility-cert-2015.pdf" title="NON-UTILITY-CERT-2015.pdf"><img style="width: 34px; height: 43px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="/media/23486/pdf_fillable_icon" rel="30,38"/></a></p> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td> <p>Guidance for Natural Gas Operators/Economic Operators</p> </td> <td> </td> <td colspan="4"> </td> <td> <p style="text-align: center;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/27100/guidance-for-nat-gas-post-3-1-2015.pdf" title="Guidance for Nat Gas Post 3-1-2015.pdf"><img style="width: 34px; height: 43px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23486/pdf_fillable_icon.gif" alt="/media/23486/pdf_fillable_icon" rel="30,38"/></a></p> </td> <td> </td> <td> </td> </tr> <tr> <td> <p> PS-48</p> </td> <td> <p>New Construction Report (Updated June 2013)</p> </td> <td> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/6410/ps48-jun-20-2013.pdf"><img style="width: 40px; height: 40px;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></p> </td> <td colspan="4"> </td> <td> <p> </p> </td> <td> </td> <td> </td> </tr> </tbody> </table> <br/><br/> <a id="mapping"></a><strong>Pipeline Mapping Forms</strong><br/><br/> <table width="570"> <tbody> <tr> <td width="100"> <p style="text-align: center;"><strong>Form Number</strong></p> </td> <td width="372" style="text-align: center;"> <p><strong>Form Name</strong></p> </td> <td width="131" style="text-align: center;"> <p align="center"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/40789/pipelinemaprequestform.pdf"><strong>PDF Form</strong></a></p> </td> </tr> <tr> <td>N/A</td> <td>Pipeline Map Request</td> <td style="text-align: left;"><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/40789/pipelinemaprequestform.pdf"> <img style="width: 40px; height: 40px; display: block; margin-left: auto; margin-right: auto;" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/23559/pdf-icon.png" alt="Image for PDF File" width="41" height="43" rel="96,96"/></a></td> </tr> </tbody> </table> <br/><br/> <table width="570"> <tbody> <tr> <td colspan="9"> <p><strong>Sample Cover Letters</strong></p> </td> </tr> <tr> <td colspan="9"> <p><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/39900/sample-cover-letter_kristi.pdf" title="Sample Cover Letter_Example 1">T-4 Submission:  Amendment, Merge or Transfer (Linked to Sample Overview Map #1, multiple counties)</a></p> </td> </tr> <tr> <td colspan="9"> <p><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/39901/sample-cover-letter2_kristi.pdf" title="Sample Cover Letter_Example 2">T-4 Submission:  Amendment, Merge or Transfer (Linked to Sample Overview Map #2, 1-2 counties)</a></p> </td> </tr> <tr> <td colspan="9"> <p><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/39902/sample-cover-letter3_renewal.pdf" title="Sample Cover Letter_Example 3">T 4 Submission: Renewal (Digital & Overview Map NOT required)</a></p> </td> </tr> <tr> <td colspan="9"> <p><strong>Sample Overview Maps<br/><br/><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/39898/overview-maps_examples_map1.pdf" title="Overview Maps_Example 1">Sample of map for multiple counties (more than 2)</a><br/><br/><a href="/web/20180122225102/http://www.rrc.state.tx.us/media/39899/overview-maps_examples_map2.pdf" title="Overview Maps_Example2">Sample of map for 1-2 counties</a><br/><br/></strong></p> </td> </tr> </tbody> </table> <br/><br/><br/><br/><br/></div> <p><small><em>Last Updated: 7/21/2017 11:18:16 AM </em></small></p> </article> </div> <div class="col-md-4"> <aside class="content" role="complementary" itemscope itemtype="http://schema.org/WPSideBar"> <div class="panel panel-default sidelinks right-panel"> <div class="panel-heading">On This Page</div> <ul class="list-group"> <li class="list-group-item"><a href="#GeneralPipeline" title="General Pipeline Forms" itemprop="url"> <span class="list-group-color">General Pipeline Forms</span> </a></li> <li class="list-group-item"><a href="#MasterMeter" title="Master Meter Forms" itemprop="url"> <span class="list-group-color">Master Meter Forms</span> </a></li> <li class="list-group-item"><a href="#PipelinePermitting" title="Pipeline Permitting Forms" itemprop="url"> <span class="list-group-color">Pipeline Permitting Forms</span> </a></li> <li class="list-group-item"><a href="https://web.archive.org/web/20180122225102/http://webapps.rrc.texas.gov/TPD/publicHomeAction.do" title="Texas Damage Reporting Form (TDRF) for Excavators" itemprop="url"> <span class="list-group-color">Texas Damage Reporting Form (TDRF) for Excavators</span> </a></li> <li class="list-group-item"><a href="https://web.archive.org/web/20180122225102/http://webapps.rrc.texas.gov/TPD/publicHomeAction.do" title="No Damage Non-Compliance Report Form" itemprop="url"> <span class="list-group-color">No Damage Non-Compliance Report Form</span> </a></li> <li class="list-group-item"><a href="#mapping" title="Pipeline Mapping Forms" itemprop="url"> <span class="list-group-color">Pipeline Mapping Forms</span> </a></li> </ul> </div> </aside> </div> </div> </div> </section> <section class="rrcsubfooter"> <div class="container-fluid"> <div class="row"> <div class="col-xs-12 col-sm-6 col-md-4 col-lg-3 commissioners"> <div class="panel panel-default"> <div class="panel-heading"> <h3 class="panel-title">Commissioners</h3> </div> <div class="media"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/commissioners/craddick/" class="pull-left"> <img class="media-object" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/1004/commcraddick50-50.png" alt="Chairman Christi Craddick"/> </a> <div class="media-body"> <h4 class="media-heading"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/commissioners/craddick/">Chairman Christi Craddick</a></h4> </div> </div> <div class="media"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/commissioners/sitton/" class="pull-left"> <img class="media-object" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/25762/sitton-50-50.jpg" alt="Commissioner Ryan Sitton"/> </a> <div class="media-body"> <h4 class="media-heading"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/commissioners/sitton/" title="Sitton">Commissioner Ryan Sitton</a></h4> </div> </div> <div class="media"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/commissioners/christian/" class="pull-left"> <img class="media-object" src="/web/20180122225102im_/http://www.rrc.state.tx.us/media/37441/christian50x50.jpg" alt="Commissioner Wayne Christian"/></a> <div class="media-body"> <h4 class="media-heading"><a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/commissioners/christian/"> Commissioner Wayne Christian</a></h4> </div> </div> </div> </div> <div class="col-xs-12 col-sm-6 col-md-4 col-lg-3"> <div class="panel panel-default"> <div class="panel-heading"> <h3 class="panel-title">Audiences</h3> </div> <div class="list-group"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/audience-pages/consumers/" title="Consumers" class="list-group-item" itemprop="name"> Consumers </a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/audience-pages/landmineral-owners/" title="Land & Mineral Owners" class="list-group-item" itemprop="name"> Land & Mineral Owners </a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/audience-pages/mediapress/" title="Media & Press" class="list-group-item" itemprop="name"> Media & Press </a> </div> </div> </div> <div class="clearfix visible-sm visible-xs"></div> <div class="col-xs-12 col-sm-6 col-md-4 col-lg-3"> <div class="panel panel-default"> <div class="panel-heading"> <h3 class="panel-title">Research</h3> </div> <div class="list-group"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/resource-center/research/gis-viewers/" title="Maps - Public GIS Viewers" class="list-group-item" itemprop="name"> Maps - Public GIS Viewers </a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/resource-center/research/online-research-queries/" title="Data - Online Research Queries" class="list-group-item" itemprop="name"> Data - Online Research Queries </a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/resource-center/forms/all-forms/" title="Forms" class="list-group-item" itemprop="name"> Forms </a> </div> </div> </div> <div class="col-xs-12 col-sm-6 col-md-4 col-lg-3"> <div class="panel panel-default"> <div class="panel-heading"> <h3 class="panel-title">General</h3> </div> <div class="list-group"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/all-events/" title="Upcoming Events" class="list-group-item" itemprop="name"> Upcoming Events </a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/all-announcements/" title="Announcements" class="list-group-item" itemprop="name"> Announcements </a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/organization-activities/" title="What We Do" class="list-group-item" itemprop="name"> What We Do </a> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/organization-activities/rrc-locations/" title="RRC Locations" class="list-group-item" itemprop="name"> RRC Locations </a> </div> </div> </div> </div> </div> </section> <section class="rrcsubfooter active-section" style="background-color: #58658F; padding-top: 10px;padding-bottom: 15px;"> <div class="container-fluid"> <div class="row"> <div class="col-xs-12 col-sm-6 col-md-6"> <div id="tweet-container"> <a class="twitter-timeline" href="https://web.archive.org/web/20180122225102/https://twitter.com/txrrc" data-widget-id="660100972924964865" data-chrome="noheader nofooter noborders transparent" data-tweet-limit="1">Tweets by @txrrc</a> <script>!function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=/^http:/.test(d.location)?'http':'https';if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+"://platform.twitter.com/widgets.js";fjs.parentNode.insertBefore(js,fjs);}}(document,"script","twitter-wjs");</script> </div> </div> <div class="col-xs-12 col-sm-6 col-md-6" style="color: #ffffff;"> <div class="row"> <div class="col-xs-12 col-sm-12 col-md-12 text-center"> <p class="text-uppercase" style="font-size:36px">Connect with us</p> </div> <div class="col-xs-12 col-sm-12 col-md-12 text-center" style="font-size:24px"> <a href="https://web.archive.org/web/20180122225102/https://www.facebook.com/railroadcommissionoftexas" target="_blank"><i class="fa fa-facebook-square fa-6" style="padding-left: 15px;padding-right: 15px;color:#ffffff;"></i></a> <a href="https://web.archive.org/web/20180122225102/https://twitter.com/txrrc" target="_blank"><i class="fa fa-twitter-square fa-6" style="padding-left: 15px;padding-right: 15px; color:#ffffff;"></i></a> <a href="https://web.archive.org/web/20180122225102/https://www.instagram.com/railroadcommissionoftexas/" target="_blank"><i class="fa fa-instagram fa-6" style="padding-left: 15px;padding-right: 15px; color:#ffffff;"></i></a> <a href="https://web.archive.org/web/20180122225102/https://www.linkedin.com/company/railroad-commission-of-texas" target="_blank"><i class="fa fa-linkedin-square fa-6" style="padding-left: 15px;padding-right: 15px; color:#ffffff;"></i></a> <a href="https://web.archive.org/web/20180122225102/https://www.youtube.com/railroadcommissionoftexas" target="_blank"><i class="fa fa-youtube-square fa-6" style="padding-left: 15px;padding-right: 15px; color:#ffffff;"></i></a> </div> </div> </div> </div> </div> </section> <section class="footer"> <div class="container-fluid"> <div class="row"> <div class="col-xs-12 col-md-3"> <img src="/web/20180122225102im_/http://www.rrc.state.tx.us/imgs/RRseal.svg" alt="Texas RRC"> </div> <div class="col-xs-12 col-md-3" role="navigation"> <ul class="list-unstyled"> <li itemprop="name"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/site-policies/compact-with-texans/" title="Compact with Texans" itemprop="name"> Compact with Texans </a> </li> <li itemprop="name"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/site-policies/open-records/" title="Open Records" itemprop="name"> Open Records </a> </li> <li itemprop="name"> <a href="https://web.archive.org/web/20180122225102/http://www.texashomelandsecurity.com/" target="_blank" title="Texas Homeland Security" itemprop="name"> Texas Homeland Security </a> </li> <li itemprop="name"> <a href="https://web.archive.org/web/20180122225102/https://veterans.portal.texas.gov/en/Pages/default.aspx" target="_blank" title="Texas Veterans Portal" itemprop="name"> Texas Veterans Portal </a> </li> <li itemprop="name"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/site-policies/civil-rights/" title="Civil Rights" itemprop="name"> Civil Rights </a> </li> </ul> </div> <div class="col-xs-12 col-md-3" role="navigation"> <ul class="list-unstyled"> <li itemprop="name"> <a href="https://web.archive.org/web/20180122225102/https://www.tsl.texas.gov/trail/index.html" target="_blank" title="TRAIL Search" itemprop="name"> TRAIL Search </a> </li> <li itemprop="name"> <a href="https://web.archive.org/web/20180122225102/https://www.texas.gov/" target="_blank" title="Texas Online" itemprop="name"> Texas Online </a> </li> <li itemprop="name"> <a href="https://web.archive.org/web/20180122225102/https://sao.fraud.texas.gov/" target="_blank" title="Reporting Fraud, Waste & Abuse" itemprop="name"> Reporting Fraud, Waste & Abuse </a> </li> <li itemprop="name"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/site-policies/rrc-agency-expenditures/" title="RRC Expenditures-Where the Money Goes" itemprop="name"> RRC Expenditures-Where the Money Goes </a> </li> </ul> </div> <div class="col-xs-12 col-md-3" role="navigation"> <ul class="list-unstyled"> <li itemprop="name"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/site-policies/railroad-commission-of-texas-site-policies/" title="Site Policies" itemprop="name"> Site Policies </a> </li> <li itemprop="name"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/site-policies/site-map/" title="Site Map" itemprop="name"> Site Map </a> </li> <li itemprop="name"> <a href="https://web.archive.org/web/20180122225102/http://agency.governmentjobs.com/texasrrc/default.cfm" target="_blank" title="Jobs" itemprop="name"> Jobs </a> </li> <li itemprop="name"> <a href="/web/20180122225102/http://www.rrc.state.tx.us/about-us/resource-center/subscription-services/" title="Subscription Services" itemprop="name"> Subscription Services </a> </li> <li itemprop="name"> <a href="https://web.archive.org/web/20180122225102/http://rrc.texas.gov/" title="Copyright 2018 | 漏 Railroad Commission of Texas" itemprop="name"> Copyright 2018 | © Railroad Commission of Texas </a> </li> </ul> </div> </div> </div> </section> </div> <script src="//web.archive.org/web/20180122225102js_/http://code.jquery.com/jquery-1.10.2.min.js"></script> <script src="//web.archive.org/web/20180122225102js_/http://netdna.bootstrapcdn.com/bootstrap/3.0.3/js/bootstrap.min.js"></script> <script src="//web.archive.org/web/20180122225102js_/http://cdnjs.cloudflare.com/ajax/libs/waypoints/2.0.3/waypoints.min.js"></script> <script src="//web.archive.org/web/20180122225102js_/http://cdnjs.cloudflare.com/ajax/libs/placeholders/3.0.2/placeholders.min.js"></script> <script src="/web/20180122225102js_/http://www.rrc.state.tx.us/scripts/vendor/jquery.mmenu.min.all.js"></script> <script src="/web/20180122225102js_/http://www.rrc.state.tx.us/scripts/vendor/jquery-ui-1.10.4.custom.min.js"></script> <script src="/web/20180122225102js_/http://www.rrc.state.tx.us/scripts/vendor/jquery.stellar.min.js"></script> <script src="/web/20180122225102js_/http://www.rrc.state.tx.us/scripts/vendor/texasrrc.menu.js"></script> <script src="/web/20180122225102js_/http://www.rrc.state.tx.us/scripts/vendor/holder.js"></script> <script src="/web/20180122225102js_/http://www.rrc.state.tx.us/scripts/jquery.scrollTo.min.js"></script> <script src="/web/20180122225102js_/http://www.rrc.state.tx.us/scripts/rrc-application.js"></script> <script type="text/javascript"> (function(i,s,o,g,r,a,m){ i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) })(window,document,'script','//web.archive.org/web/20180122225102/http://www.google-analytics.com/analytics.js','ga'); ga('create', 'UA-35520483-2', 'auto'); ga('send', 'pageview'); $(document).ready(function () { $("#alert-rrc").bind('closed.bs.alert', function () { var date = new Date(); var expireDays = 1; date.setTime(date.getTime() + expireDays * 24 * 3600 * 1000); document.cookie = "alert_rrc=true;expires=" + date.toGMTString() + ";path=/"; }); if(document.cookie.indexOf("alert_rrc=true")>=0){ $("#alert-rrc").remove(); } }); $("body").removeAttr("style"); </script> </body> </html>

CINXE.COM

Texas RRC - Forms