Oil and Gas Electronic Forms Filing Login Agreement

By requesting an OCC ID and password, I declare that I have full authority to obtain this authorization for the electronic filing of applications and forms to the Oil and Gas Division for the entity requesting electronic filings. I understand that electronic submission of documents using the OCC e-filing system will constitute approval of the filing entity, thereby foregoing an original signature on these documents.

I, hereby, agree to keep the OCC assigned ID and password confidential and that both the filing entity and I will be responsible for any unauthorized use of the assigned ID and password.

All applicable fees related to a charge, merchant fee or convenience fee will not be refunded by the OCC.

This authorization will remain in effect until written notification is provided by a representative or an authorized agent of the filing entity.