Forms | Bureau of Land Management

Electronic Forms

The BLM's National Operation Center provides most publicly available forms electronically through the links below. We update these forms regularly. Please check back often to ensure that you are using the most recent version of a form.

For questions regarding which form to use or how to complete a form, please contact your local BLM office.

For accessibility questions or if you require assistance with filling out a form, please contact Brianna Huerta, BLM Section 508 Program Manager, at bhuerta@blm.gov. This contact will not be able to identify the correct form to use. Please contact your local BLM office to assist you with identifying the proper form to use.

Miscellaneous

Miscellaneous Forms, 1600-1699

Number	Revision Date	OMB Number	OMB Exp Date	Title	Category
1822-003	Sept 2019			Bid Bond
1822-004	Sept 2019			Cash Bond (Fillable Form)	Forestry

Lands and Realty, Recreation and Visitor

Number	Revision Date	OMB Number	OMB Exp Date	Title	Category
2001-001	June 2014			Bidder Registration Form - Competitive Land Sale	Lands and Realty
2520-001	Nov 2018	1004-0004	9/30/2021	Desert Land Entry Application	Lands and Realty
2540-001	Sept 2019	1004-0029	10/31/2021	Color of Title Application	Lands and Realty
2540-002	Sept 2019	1004-0029	10/31/2021	Conveyances Affecting Color or Claim of Title	Lands and Realty
2540-003	Sept 2019	1004-0029	10/31/2021	Color of Title Tax Levy and Payment Record	Lands and Realty
2740-001	May 2016	1004-0012	3/31/2019	Application for Land for Recreation or Public Purposes	Lands and Realty
2920-001	April 2017	1004-0009	03/31/2020	Land Use Application and Permit	Lands and Realty
2930-001	Feb 2017	1004-0119	01/31/2020	Special Recreation Permit Application	Lands and Realty
8400-001	March 2018			Scenic Quality Field Inventory	Recreation
8400-004	June 2018			Visual Contrast Rating Worksheet	Recreation
8400-005	August 2017			Scenic Quality Rating Summary	Recreation
8400-006	March 2018			Sensitivity Level Rating Sheet	Recreation

Fluid and Solid Minerals, Mining Claims

Fluid and Solid Minerals, Mining Claims Forms, 3000-3999

Fixed Cost Recovery Fees

Number Revision Date OMB Number OMB Exp Date Title Category
3000-002 07/01/2012 Competitive Oil and Gas or Geothermal Resources Lease Bid Oil and Gas Geothermal
3000-003 August 2018 1004-0034 06/30/2021 Assignment of Record Title Interest in a Lease for Oil and Gas or Geothermal Resource Oil and Gas Geothermal
3000-003a August 2018 1004-0034 06/30/2021 Transfer of Operating Rights (Sublease) in a Lease for Oil and Gas or Geothermal Resources Oil and Gas Geothermal
3000-004 January 2020 Oil and Gas or Geothermal Lease Bond Oil and Gas Geothermal
3000-004a January 2020 Oil and Gas or Geothermal Exploration Bond Oil and Gas Geothermal
3100-011 10/01/2008 Offer to Lease and Lease for Oil and Gas Oil and Gas
3104-003 07/01/1974 Statewide or Nationwide Mineral Lease Bond Oil and Gas
3104-005 12/01/1972 Bond Under Permit to Prospect for Deposits Oil and Gas
3104-008a 12/01/1985 1004-0162 Statewide or Nationwide Oil and Gas Lease Bond Rider Oil and Gas
3150-004 Nov 2018 1004-0162 10/31/2021 Notice of Intent to Conduct Oil and Gas Geophysical Exploration Operations Oil and Gas
3150-005 Nov 2018 1004-0137 10/31/2021 Notice of Completion of Oil and Gas Geophysical Exploration Operations Oil and Gas
3160-003 June 2019 1004-0137 10/31/2021 Application for Permit to Drill or Reenter Oil and Gas
3160-004 June 2019 1004-0137 10/31/2021 Well Completion or Re-completion Report and Log Oil and Gas
3160-005 June 2019 10/31/2021 Sundry Notices and Reports on Wells Oil and Gas
3160-008 02/01/1987 Designation of Operator Oil and Gas
3160-019 05/01/2010 Bond for Surface Owner Protection Oil and Gas
3160-021 02/01/2006 1004-0179 Notification of Well Spud Oil and Gas
3195-001 November 2018 10/31/2021 Calculation of Excess Refining Capacity Oil and Gas
3195-002 November 2018 1004-0179 10/31/2021 Refiners' Annual Tolling Report Oil and Gas
3195-003 November 2018 1004-0179 10/31/2021 Refiners' Tolling Occurrence Report Oil and Gas
3200-009 April 2019 1004-0132 02/29/2020 Notice of Intent to Conduct Geothermal Resource Exploration Operations Geothermal
3200-010 12/01/1973 Notice of Completion of Geothermal Resource Exploration Operations Geothermal
3200-024 11/01/2001 Offer to lease and Lease for Geothermal Resources Geothermal
3200-024a 09/01/2008 Offer to Lease and Lease for Geothermal Resources (For New Leases Issued Under the Energy Policy Act of 2005) Geothermal
3203-001 Sept 2019 1004-0132 02/29/2020 Nomination of Lands for Competitive Geothermal Leasing Geothermal
3260-002 April 2019 1004-0132 02/29/2020 Geothermal Drilling Permit Geothermal
3260-003 April 2019 1004-0132 02/29/2020 Geothermal Sundry Notice Geothermal
3260-004 April 2019 1004-0132 02/29/2020 Geothermal Well Completion Report Geothermal
3260-005 April 2019 1004-0132 02/29/2020 Monthly Report of Geothermal Operations Geothermal
3400-012 July 2018 1004-0073 01/31/2020 Coal Lease Coal
3440-001 Dec 2019 1004-0073 01/31/2020 Application and License to Mine Coal - Free Use Coal
3504-001 08/01/2016 1004-0121 08/31/2019 Personal Bond and Power of Attorney under Mineral Lease or Prospecting Permit for Mining Minerals Management
3504-003 08/01/2016 1004-0121 08/31/2019 Bond under Lease for Mining Deposits Minerals Management
3504-004 08/01/2016 1004-0121 08/31/2019 Statewide or Nationwide Personal Mineral Bond for Prospecting Permits and Leases (Coal, Sodium, Phosphate, Potassium, Sulphur, and Other Mineral) Minerals Management
3510-001 08/01/2016 1004-0121 08/31/2019 Prospecting Application and Permit Minerals Management
3510-002 08/01/2016 1004-0121 08/31/2019 Phosphate or Sodium Use Permit Minerals Management
3510-007 08/01/2016 1004-0121 08/31/2019 Lease for Non-energy Leasable Minerals Minerals Management
3600-009 Oct 2019 1004-0103 12/31/2020 Contract for the Sale of Mineral Materials Minerals Management
3604-001 06/01/2013 1004-001 08/31/2016 Free Use Permit Application Mineral Material Minerals Management
3604-001a Feb 2017 1004-001 12/31/2019 Free Use Permit Application Minerals Management
3604-001b Feb 2017 1004-001 12/31/2019 Mineral Material Free Use Permit Minerals Management
3809-001 May 2020 1004-0194 04/30/2023 Surface Management Surety Bond Minerals Management
3809-002 May 2020 1004-0194 04/30/2023 Surface Management Personal Bond Minerals Management
3809-004 May 2020 1004-0194 04/30/2023 Form for Bond Rider Extending Coverage of Bond to Assume Liabilities for Operations Conducted by Parties Other Than the Principal (Consent of Surety) Rider Minerals Management
3809-004a May 2020 1004-0194 04/30/2023 Surface Management Personal Bond Rider Minerals Management
3809-005
May 2020
1004-0194 04/30/2023 Notification of Change of Operator and Assumption of Past Liability Minerals Management
3830-002 April 2020 1004-0114 04/30/2023 Maintenance Fee Waiver Certification Mining Claims
3830-003 April 2020 1004-0114 04/30/2023 Notice of Intent to Locate a Lode or Placer Mining Claim(s) and/or Tunnel Site(s) on Lands Patented under the Stock-raising Homestead Act of 1916 as Amended by the Act of April 16, 1993 Mining Claims
3830-004 April 2020 1004-0114 04/30/2023 Affidavit of Annual Assessment Work Mining Claims
3830-005 July 2019 Maintenance Fee Payment Form for Lode Claims, Mill Sites, and Tunnel Sites Mining Claims
3830-005a July 2019 Maintenance Fee Payment Form for Placer Mining Claims Mining Claims
3860-002 March 2019 1004-0025 03/31/2022 Certificate of Title on Mining Claims Mining Claims
3860-005 March 2019 1004-0025 03/31/2022 Application for Survey of Mining Claim Mining Claims

Number	Revision Date	OMB Number	OMB Exp Date	Title	Category
3000-002	07/01/2012			Competitive Oil and Gas or Geothermal Resources Lease Bid	Oil and Gas Geothermal
3000-003	August 2018	1004-0034	06/30/2021	Assignment of Record Title Interest in a Lease for Oil and Gas or Geothermal Resource	Oil and Gas Geothermal
3000-003a	August 2018	1004-0034	06/30/2021	Transfer of Operating Rights (Sublease) in a Lease for Oil and Gas or Geothermal Resources	Oil and Gas Geothermal
3000-004	January 2020			Oil and Gas or Geothermal Lease Bond	Oil and Gas Geothermal
3000-004a	January 2020			Oil and Gas or Geothermal Exploration Bond	Oil and Gas Geothermal
3100-011	10/01/2008			Offer to Lease and Lease for Oil and Gas	Oil and Gas
3104-003	07/01/1974			Statewide or Nationwide Mineral Lease Bond	Oil and Gas
3104-005	12/01/1972			Bond Under Permit to Prospect for Deposits	Oil and Gas
3104-008a	12/01/1985	1004-0162		Statewide or Nationwide Oil and Gas Lease Bond Rider	Oil and Gas
3150-004	Nov 2018	1004-0162	10/31/2021	Notice of Intent to Conduct Oil and Gas Geophysical Exploration Operations	Oil and Gas
3150-005	Nov 2018	1004-0137	10/31/2021	Notice of Completion of Oil and Gas Geophysical Exploration Operations	Oil and Gas
3160-003	June 2019	1004-0137	10/31/2021	Application for Permit to Drill or Reenter	Oil and Gas
3160-004	June 2019	1004-0137	10/31/2021	Well Completion or Re-completion Report and Log	Oil and Gas
3160-005	June 2019		10/31/2021	Sundry Notices and Reports on Wells	Oil and Gas
3160-008	02/01/1987			Designation of Operator	Oil and Gas
3160-019	05/01/2010			Bond for Surface Owner Protection	Oil and Gas
3160-021	02/01/2006	1004-0179		Notification of Well Spud	Oil and Gas
3195-001	November 2018		10/31/2021	Calculation of Excess Refining Capacity	Oil and Gas
3195-002	November 2018	1004-0179	10/31/2021	Refiners' Annual Tolling Report	Oil and Gas
3195-003	November 2018	1004-0179	10/31/2021	Refiners' Tolling Occurrence Report	Oil and Gas
3200-009	April 2019	1004-0132	02/29/2020	Notice of Intent to Conduct Geothermal Resource Exploration Operations	Geothermal
3200-010	12/01/1973			Notice of Completion of Geothermal Resource Exploration Operations	Geothermal
3200-024	11/01/2001			Offer to lease and Lease for Geothermal Resources	Geothermal
3200-024a	09/01/2008			Offer to Lease and Lease for Geothermal Resources (For New Leases Issued Under the Energy Policy Act of 2005)	Geothermal
3203-001	Sept 2019	1004-0132	02/29/2020	Nomination of Lands for Competitive Geothermal Leasing	Geothermal
3260-002	April 2019	1004-0132	02/29/2020	Geothermal Drilling Permit	Geothermal
3260-003	April 2019	1004-0132	02/29/2020	Geothermal Sundry Notice	Geothermal
3260-004	April 2019	1004-0132	02/29/2020	Geothermal Well Completion Report	Geothermal
3260-005	April 2019	1004-0132	02/29/2020	Monthly Report of Geothermal Operations	Geothermal
3400-012	July 2018	1004-0073	01/31/2020	Coal Lease	Coal
3440-001	Dec 2019	1004-0073	01/31/2020	Application and License to Mine Coal - Free Use	Coal
3504-001	08/01/2016	1004-0121	08/31/2019	Personal Bond and Power of Attorney under Mineral Lease or Prospecting Permit for Mining	Minerals Management
3504-003	08/01/2016	1004-0121	08/31/2019	Bond under Lease for Mining Deposits	Minerals Management
3504-004	08/01/2016	1004-0121	08/31/2019	Statewide or Nationwide Personal Mineral Bond for Prospecting Permits and Leases (Coal, Sodium, Phosphate, Potassium, Sulphur, and Other Mineral)	Minerals Management
3510-001	08/01/2016	1004-0121	08/31/2019	Prospecting Application and Permit	Minerals Management
3510-002	08/01/2016	1004-0121	08/31/2019	Phosphate or Sodium Use Permit	Minerals Management
3510-007	08/01/2016	1004-0121	08/31/2019	Lease for Non-energy Leasable Minerals	Minerals Management
3600-009	Oct 2019	1004-0103	12/31/2020	Contract for the Sale of Mineral Materials	Minerals Management
3604-001	06/01/2013	1004-001	08/31/2016	Free Use Permit Application Mineral Material	Minerals Management
3604-001a	Feb 2017	1004-001	12/31/2019	Free Use Permit Application	Minerals Management
3604-001b	Feb 2017	1004-001	12/31/2019	Mineral Material Free Use Permit	Minerals Management
3809-001	May 2020	1004-0194	04/30/2023	Surface Management Surety Bond	Minerals Management
3809-002	May 2020	1004-0194	04/30/2023	Surface Management Personal Bond	Minerals Management
3809-004	May 2020	1004-0194	04/30/2023	Form for Bond Rider Extending Coverage of Bond to Assume Liabilities for Operations Conducted by Parties Other Than the Principal (Consent of Surety) Rider	Minerals Management
3809-004a	May 2020	1004-0194	04/30/2023	Surface Management Personal Bond Rider	Minerals Management
3809-005	May 2020	1004-0194	04/30/2023	Notification of Change of Operator and Assumption of Past Liability	Minerals Management
3830-002	April 2020	1004-0114	04/30/2023	Maintenance Fee Waiver Certification	Mining Claims
3830-003	April 2020	1004-0114	04/30/2023	Notice of Intent to Locate a Lode or Placer Mining Claim(s) and/or Tunnel Site(s) on Lands Patented under the Stock-raising Homestead Act of 1916 as Amended by the Act of April 16, 1993	Mining Claims
3830-004	April 2020	1004-0114	04/30/2023	Affidavit of Annual Assessment Work	Mining Claims
3830-005	July 2019			Maintenance Fee Payment Form for Lode Claims, Mill Sites, and Tunnel Sites	Mining Claims
3830-005a	July 2019			Maintenance Fee Payment Form for Placer Mining Claims	Mining Claims
3860-002	March 2019	1004-0025	03/31/2022	Certificate of Title on Mining Claims	Mining Claims
3860-005	March 2019	1004-0025	03/31/2022	Application for Survey of Mining Claim	Mining Claims

Rangeland Resources, Wild Horse and Burros

Rangeland Resources, Wild Horse and Burros Forms, 4000-4999

Number	Revision Date	OMB Number	OMB Exp Date	Title	Category
4120-006	May 2020	1004-0019	03/31/2023	Cooperative Range Improvement Agreement	Rangeland Resources
4120-007	May 2020	1004-0019	03/31/2023	Application and Approval for Range Improvement Permit - For Removable and/or Temporary Improvements	Rangeland Resources
4130-001	Jan 2018	1004-0041	12/31/2020	Grazing Schedule - Grazing Application	Rangeland Resources
4130-001a	Jan 2018	1004-0041	12/31/2020	Grazing Preference Application and Preference Transfer Application (Base Property Preference Attachment and Assignment)	Rangeland Resources
4130-001b	Jan 2018	1004-0041	12/31/2020	Grazing Application - Supplemental Information	Rangeland Resources
4130-004	Jan 2018	1004-0041	12/31/2020	Application for Exchange of Use Grazing Agreement	Rangeland Resources
4130-005	Jan 2018	1004-0041	12/31/2020	Actual Grazing Use Report	Rangeland Resources
4710-010	July 2020	1004-0042	02/28/2021	Application for Adoption of Wild Horse(s) or Burro(s)	Rangeland Resources
4710-024	July 2020	1004-0042	02/28/2021	Facility Certification Form	Rangeland Resources

Forestry

Forestry Forms, 5000-5999

Number	Revision Date	OMB Number	OMB Exp Date	Title	Category
SBA 723				Small Business Certification Required on all Preferential Sales of Set-aside Timber
5430-001	May 1965			Self Certificate Clause Bidders Statement
5430-011	Nov 2011			Independent Price Determination Certificate
5440-009	Jan 2018			Deposit & Bid for Timber and other Vegetative Resource Sales
5450-003	Dec 2011			Contract for the sale of Timber – Lump Sum Sale
5450-017	June 2016	1004-0058	11/30/2022	Export Determination	Forestry
5450-020	Jan 2017	1004-0194	01/31/2020	Notification of Change of Operator and Assumption of Past Liability	Forestry
5450-022	Nov 2011			Cash Bid Bond
5460-017	Dec 2019	1004-0058	11/30/2022	Substitution Determination	Forestry
5510-001	April 2017	1004-001	12/31/2019	Free Use Application and Permit - Vegetation or Mineral Material	Forestry

Frequently Used GSA Form: SF-299, Application for Transportation and Utility Systems and Facilities on Federal Lands.

There are two types of PDF forms: fillable and static. Fillable PDF Forms can be filled in online and then printed. Static PDF Forms can be printed and information can be handwritten or typed on the paper copy. To view, complete and print PDF forms you will need the freely available Adobe Acrobat® Reader software installed on your computer.