Permit application P-171-G (09/05 revision) is available in Microsoft Word or Excel, and Adobe Acrobat PDF formats. These formats will allow you to enter information onto the form electronically . See Free Viewers below.

General instructions for completing the form are included at the top of the form. Questions on the permit application should be directed to MPSC production staff.

To view and print the Word or Excel version of this form, use Microsoft's free viewers for Word or Excel. To convert the Word or Excel version of this form to an earlier version, use Microsoft's free converters for Word or Excel. Both are available at office.microsoft.com/downloads.

The Michigan Public Service Commission and the Department of Environmental Quality, Office of Geological Survey (OGS) now use a single monthly production reporting form 7101 for reporting production to both agencies. This form replaces all forms previously used to report production beginning with the June 1998 production month.

Form 7101 is available in Microsoft Word and Adobe Acrobat PDF formats. These formats will allow you to enter information onto the form electronically. See Free Viewers below.

Instructions for completing the form are included under each column heading on the form. Questions on gas production reporting should be directed to MPSC production staff.

Production reports are due 45 days after the end of the month. Completed copies of the monthly production reporting form for gas wells and oil wells that produce gas are to be mailed to both the MPSC and OGS.  

Oil well production reports should be submitted to the OGS only. Oil well reporting questions should be directed to John McTiernan, GLMD (517) 241-1507.