| Field # | Name | Start | End | Length | Type | Description |
| 1 | Product Code (17) | 1 | 2 | 2 | Numeric | Product Code |
| 2 | Tax ID | 3 | 12 | 10 | Numeric | Ten digit Louisiana Tax Number. |
| 3 | Severance Account Number | 13 | 18 | 6 | AlphaNumeric | Producer or transporter code (up to 6 digits) assigned by Conservation or reporting co. # assigned by LDR. For 4 and 5-digit codes, pad with a leading |
| 4 | Tax Period | 19 | 22 | 4 | Numeric | Period for which tax is reduced. |
| 5 | Certification Code | 23 | 23 | 1 | AlphaNumeric | Code assigned by the Department of Revenue. |
| 6 | Conservation Well Serial Number | 24 | 29 | 6 | Numeric | A code assigned by Louisiana Office of Conservation that may be up to six digits. Number can be less than 6 digits. |
| 7 | Continuity Status Code | 30 | 30 | 1 | AlphaNumeric | Status is continuing, new this month, or deleted. |
| 8 | Parish Code | 31 | 32 | 2 | Numeric | Parish where production occured. |
| 9 | Field | 33 | 36 | 4 | Numeric | Four digit code assigned by Louisiana Office of Conservation. |
| 10 | Producer Code | 37 | 42 | 6 | AlphaNumeric | Producer code assigned by Louisiana Office of Conservation that may be up to six digits. For 4 and 5-digit codes, pad with a leading zero(s). |
| 11 | Lease Code | 43 | 48 | 6 | Numeric | Six digit code assigned by Louisiana Office of Conservation. Number must be 6 digits. |
| 12 | Well Number | 49 | 55 | 7 | AlphaNumeric | A number assigned by Louisiana Office of Conservation to a specfic well for identification purposes (may be up to seven digits). |
| 13 | Production Barrels | 56 | 65 | 10 | Decimal(9,2) | Total gross barrels produced or severed during the taxable period. |
| 14 | Number of Prod. Days | 66 | 67 | 2 | Numeric | Number of days the well produced during this taxable period. |
| 15 | Avg Daily Prod | 68 | 75 | 8 | Decimal(7,2) | Production divided by the number of producing days. Round off two places. |
| 16 | Disposition Barrels | 76 | 87 | 12 | Decimal(11,2) | Total taxable barrels for the taxable period for which codes on the line item are applicable. |
| 17 | Taxpayer Code | 88 | 93 | 6 | AlphaNumeric | Producer or transporter code (up to 6 digits) assigned by Conservation or reporting co. # assigned by LDR. For 4 and 5-digit codes, pad with leading |