PHMSA - Forms

Forms

The following are forms located throughout this website.

National Operator Registry Forms

	Operator Assignment Request (Form)
	PHMSA F 1000.1 (Form)

	Operator Assignment Request (Instructions)
	PHMSA F 1000.1 (Instructions)

	Operator Registry Notification (Form)
	PHMSA F 1000.2 (Form)

	Operator Registry Notification (Instructions)
	PHMSA F 1000.2 (Instructions)

Drug & Alcohol Forms

Inspection Forms

Reporting Forms

Accident/Incident/Annual Reporting Forms

PHMSA F 7000-1 (Accident Report Form)

Hazardous Liquid Pipeline Systems (Accident Report)

PHMSA F 7000-1 (Instructions for Form)

Hazardous Liquid Pipeline Systems (Accident Report Instructions)

PHMSA F 7000-1.1 (Annual Report Form)

Hazardous Liquid or Carbon Dioxide Systems (Annual Report)

PHMSA F 7000-1.1 (Instructions for Completing Form)

Hazardous Liquid or Carbon Dioxide Systems (Annual Report Instructions)

PHMSA F 7100.1 (Incident Report Form)

Gas Distribution System (Incident Report)

PHMSA F 7100.1 (Instructions for Completing Form)

Gas Distribution System (Incident Report Instructions)

PHMSA F 7100.1-1 (Annual Report Form)

Gas Distribution System (Annual Report)

PHMSA F 7100.1-1 (Instructions for Completing Form)

Gas Distribution System ( Annual Report Instructions)

PHMSA F 7100.1-2 (Instructions for Completing Form)

Mechanical Fitting Failure Form (Annual Report Instructions)

PHMSA F 7100.1-2 (Mechanical Fitting Failure Report Form)

Mechanical Fitting Failure Report Form

PHMSA F 7100.2 (Incident Report Form)

Gas Transmission and Gathering Systems (Incident Report)

PHMSA F 7100.2 (Instructions for Completing Form)

Gas Transmission and Gathering Systems (Incident Report Instructions)

PHMSA F 7100.2-1 (Annual Report Form)

Gas Transmission and Gathering Systems (Annual Report)

PHMSA F 7100.2-1 (Instructions for Completing Form)

Gas Transmission and Gathering Systems (Annual Report Instructions)

PHMSA F 7100.3 (Incident Report Form)

Liquefied Natural Gas (LNG) Facilities (Incident Report)

PHMSA F 7100.3 (Instructions for Completing Form)

Liquefied Natural Gas (LNG) Facilities (Incident Report Instructions)

PHMSA F 7100.3-1 (Annual Report Form)

Liquefied Natural Gas (LNG) Facilities (Annual Report)

PHMSA F 7100.3-1 (Instructions for Completing Form)

Liquefied Natural Gas (LNG) Facilities (Annual Report Instructions)

Inspection, Evaluation, and Qualification Forms

	PHMSA Form-01
	Standard Inspection Report of a Gas Transmission Pipeline

	PHMSA Form-02
	Standard Inspection Report of Gas Distribution Operator

	PHMSA Form-03
	Standard Inspection of a Liquid Pipeline Carrier

	PHMSA Form-04
	Standard Inspection Report of an LNG Facility

	PHMSA Form-05
	Evaluation Report of Gas Pipeline & Compressor Station Construction

	PHMSA Form-07
	Evaluation Report of Liquid Pipeline Construction

	PHMSA Form-10
	Breakout Tank Inspection Form

	PHMSA Form-11
	Pipeline Failure Investigation Report

	PHMSA Form-12
	Gas Storage Field Review

	PHMSA Form-13
	PHMSA Pipeline Drug & Alcohol Questions

	PHMSA Form-14
	Operator Qualification Inspection Form

	PHMSA Form-15
	Operator Qualification Field Inspection Protocol Form

	PHMSA Form-16
	Gas IMP Field Verification Inspection

	PHMSA Form-17
	Supplemental SCC Questionnaire Gas Transmission or Liquid Pipeline

	PHMSA Form-18
	Evaluation of LNG Facility Siting, Design, Construction, and Equipment

	PHMSA Form-19
	Hazardous Liquid IMP Field Verification Inspection

	PHMSA Form-20
	Ethanol Pipeline Transportation Questions

	PHMSA Form-21
	Public Awareness Program Effectiveness Inspection Form

	PHMSA Form-22
	Distribution Integrity Management Program Inspection Form

	PHMSA Form-23
	Distribution Integrity Management Program Inspection Form for Master Meter and Small LPG Operators

	PHMSA GT Integrity Management (IA Equivalent)
	GT Integrity Management Question Set

	PHMSA HL Integrity Management (IA Equivalent)
	HL Integrity Management Question Set