Section 1 - General
BLM Office
-- Please Select --
CO - Kremmling
CO - Tres Rios
CO - White River
WY - Buffalo
WY - Cody
WY - Newcastle
WY - Pinedale
Lease Type
Federal
Indian
Allotted?
Yes
No
Tribe
-- Select --
Drop-down List Item 1
Drop-down List Item 2
Drop-down List Item 3
User
Scott Herman
Title
Sr. Planner
Designated Agent?
Yes
No
APD Operator
-- Please Select --
Operator 1
Operator 2
Operator 3
Designated Agent Info
Agent Address
Agent PO Box
Agent City
State
--
Zip
Agent Phone
Agent Internet Address
Operator Info
Operator Address
Operator PO Box
Operator City
State
--
CO
WY
Zip
Operator Phone
Operator Internet Address