NB-136, Replacement of Stamped Data Form - The National Board - nationalboard 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Submitted To' section with the P.O. number, job number, jurisdiction name, address, and telephone number.
3. In the 'Submitted By' section, enter the name of the owner or certificate holder along with their address and telephone number.
4. Complete the 'Manufactured By' and 'Manufactured For' sections by providing the respective names and addresses.
5. Fill in the 'Location of Installation' and 'Date Installed' fields accurately.
6. Indicate if a Manufacturer’s Data Report is attached and whether the item is registered with the National Board by selecting YES or NO.
7. Provide detailed item identification including type, dimensions, manufacturer serial number, MAWP psi, and jurisdiction number.
8. Complete any additional requirements on the reverse side regarding nameplate information or traceability documentation as needed.
9. Finally, ensure all signatures are obtained where required before submitting your form for processing.

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