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Form LB183 "Place in Service Report" - Michigan 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the 'Business Name', 'Address', 'City', 'State', 'County', and 'Zip code' fields. Ensure that all information is printed legibly.
- 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.
- 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.
- Complete the 'Service agency information' section with your name, contact details, MI Registration No., and address.
- Finally, sign and date the form to certify that all information is accurate and compliant with applicable requirements.
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