Find Utah Underground Injection Control (UIC) Program Forms and Applications downloads, instructions, and contact information. Contact UIC Program staff before completing these forms or applications to ensure that the appropriate one is used or required.

General Forms

These forms are applicable to owners / operators of all Class I, III, IV and V injection wells.

• Written Notice of Inspection
• Permit Actions for Existing UIC Permits

Class I Forms and Applications

Permit application fees apply to Class I injection wells. Read more …

• Class I Non-Hazardous Injection Well Permit Application Package

Class III Forms and Applications

Permit application fees apply to Class III injection wells. Read more …

• Class III Permit Application Package for Solution Mining of Salts or Potash
• Class III Permit Application Package for In Situ Copper Recovery

Class IV Forms

None.

Class V Forms and Applications

• Class V General Permit Application Package

Note: Permit fees will be based on $100 per hour of staff time in reviewing permit application and preparing permit.

• Class V Permit Application Package for Aquifer Storage and Recovery

Permit application fees apply to Class V Aquifer Storage and Recovery injection wells. Read more …

Class V Inventory Information Forms

Beginning on July 1, 2023 a UIC inventory review fee of $230 will be required at the time the UIC Inventory Information Form is submitted. Read more …

Owners or operators of all Class V injection wells, existing and new, must submit inventory information according to Section R317-7-6.4(C) of the Utah Administrative Rules for the Underground Injection Control Program. Required information includes: facility name and location; name and address of legal contact; ownership of facility; nature and type of injection wells; and operating status of injection wells. Inventory information must be submitted prior to injection for new wells.

The UIC Class V Injection Well Inventory Submission Web Application replaces the previous paper UIC Class V Inventory forms and is designed to assist owners or operators to comply with the inventory submission requirement and to collect sufficient information regarding proposed injection activity for new wells such that authorization-by-rule status can be assessed. To access the UIC Class V Injection Well Inventory Submission Web Application:

Reference the User Guide for detailed instructions on submitting inventory information using the UIC Class V Injection Well Inventory Submission Web Application. 

The following forms can be used to submit update information to an existing UIC facility/Site relative to the originally submitted UIC Inventory Information Form. Do not use these forms to submit original UIC Inventory Information. Original UIC Inventory Information can be submitted via the UIC Class V Injection Well Inventory Submission Web Application:

• UIC Class V Inventory Add Well Update Form
• UIC Class V Inventory Facility Contact Update Form
• UIC Class V Inventory Well Change of Operating Status Update Form

Contacts

Contact Porter Henze (pkhenze@utah.gov) with questions or comments.