Form LB183 "Place in Service Report" - Michigan 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Business Name', 'Address', 'City', 'State', 'County', and 'Zip code' fields. Ensure that all information is printed legibly.
  3. In the 'Device Information' section, enter the 'Date of Service' and check if it's a new establishment. Record the NTEP Certificate of Conformance Number in the designated column.
  4. For each device, provide details such as 'Type', 'Manufacturer', 'Model', and 'Rated Capacity/Flow'. Indicate whether you are returning the device to service or if it’s a new installation.
  5. Complete the 'Service agency information' section with your name, contact details, MI Registration No., and address.
  6. Finally, sign and date the form to certify that all information is accurate and compliant with applicable requirements.

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