Leasing Records Request Form

  • REQUEST TO VIEW RECORDS READILY AVAILABLE FOR PUBLIC INSPECTION

    Certain Division of Oil & Gas (DO&G) records are readily available for public inspection during state business hours in DO&G's office in Anchorage. See 2 AAC 96.100(b). Upon request, DO&G will determine if there is a readily available record and make any such records available for inspection.

    Requestors may be required to pay search and copying costs, including personnel costs, and payment may be required before records are disclosed. See AS 40.25.110 - 40.25.115; 2 AAC 96.210; 2 AAC 96.360; 2 AAC 96.460.

    Records reviewed at DO&G cannot be marked or otherwise altered or removed from the room where made available.

    DO&G will respond within 10 working days of receiving the request. See 2 AAC 96.325. The response may provide requested records, request clarification, require advance payment, and/or notify the Requestor that more time is needed to respond.

    Name:
    Company:
    Phone #: [e.g. (XXX) XXX-XXXX]
    Mailing Address:
    City:
    State:
    Zip Code: [e.g. XXXXX]
    Email Address:

    Records Requested:


    If requesting review of records at DO&G Office, please indicate the date and time you would like to view the records below. DO&G Staff will respond to your request and confirm staff will be available at that time or will propose an alternate time for viewing the records.

    Requested Viewing Date (e.g. mm/dd/yyyy):
    Requested Viewing Time (e.g. 1:00 p.m.):

    *Note for Copy Type, leave both boxes unchecked if no copy is desired.
    *Note for Information Request Details, specify ADL number and what portion of file being requested.

    # Review at DNR? Copy Type: Information Request Details:
    1 Yes
    No
    Printed
    Digital
    2 Yes
    No
    Printed
    Digital
    3 Yes
    No
    Printed
    Digital
    4 Yes
    No
    Printed
    Digital
    5 Yes
    No
    Printed
    Digital
    6 Yes
    No
    Printed
    Digital
    7 Yes
    No
    Printed
    Digital
    8 Yes
    No
    Printed
    Digital
    9 Yes
    No
    Printed
    Digital
    10 Yes
    No
    Printed
    Digital