HUD-203 Lost Label Report

U.S. Department of Housing and Urban Development
Lost Label Report
Office of Manufactured Housing Programs
IPIA/Manufacturer/
Losing Party
(Must be completed within 5 days of discovery of loss)

OMB Approval No. 2502-0233
(expires 08/31/2019)

The Manufactured Housing Procedural and Enforcement Regulations 24 CFR Chapter XX Part 3282 Section 552 requires manufacturers to report certification
label usage on a monthly basis. The information collected here will be used to report home distribution, collect fees, and reimburse parties as appropriate under
these Regulations. Public reporting burden for this collection of information is estimated to average 0.5 hours per response including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Response to
this information collection is mandatory. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently
valid OMB control number. There are no assurances of confidentiality.
Manufacturer's Name & Address

Factory Name & Address

Manufacturer's Representative

Phone

Date (mm/dd/yyyy)

All certification labels for HUD code manufactured housing that are lost or unaccounted for by manufacturers or other parties must be reported to HUD's Office of
Manufactured Housing Programs for accountability of all labels. Labels can be lost through a variety of means including simple loss, theft, mail distribution, or
sale for scrap or salvage.

Lost Certification Labels

(to be completed by manufacturer or losing party)

Quantity:

Date certification label(s) affixed to unit:

Lost before the certification labels were affixed to unit? Yes ___

No ___

If “Yes”, identify the range of certification label numbers below:
Lost certification label numbers ______ - _______________ through and including ______ - _______________
If “No”, complete the required information in the table below:
Unit
Unit Sold
Date Loss
Totally
as
Lost Certification New Certification
Serial Number
Discovered
Wrecked? Salvage? Label Number
Label Number
Y/N
Y/N

Previous editions obsolete

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First Location of Home Shipment (Destination)
Purchaser or Retailer

City

State

Form HUD-203 (09/16)

Was a Police or private investigator contacted or used?
If Yes, By W hom?

_____________________________________________________ Date

_______________
mm/dd/yyyy

Results (include police or investigator reports):

If No, Why?

Explanation of Loss

(to be completed by manufacturer or losing party)

Losing party's detailed written explanation of the events that led to the lost certification label(s), and efforts made towards label
recovery.

IPIA Recommendation
(to be completed by IPIA)

IPIA's detailed statement setting forth the circumstances of the loss and that repaired/rebuilt unit(s) have been inspected and found
to meet HUD code. Submit the complete package to HUD or HUD’s Monitoring Agent. Note: Free replacement labels are not
provided in the case of negligence on the manufacturer’s part or when manufacturer receives insurance payment.

IPIA Authorized Label Administrator

Printed Name and signature

When manufacturers sell units for scrap or salvage

(to be completed by manufacturer)

If a manufacturer sells a scrap or salvage unit, the manufacturer must remove the label. The manufacturer must keep a
permanent record of the label, and return the label to HUD or HUD's Monitoring Agent (with a damaged label report HUD Form
203B). All labels must be removed from all homes sold for scrap or salvage and the home can no longer be considered a HUD
code home. Labels will not be replaced.
Name & Address of scrap or salvage company

Name & Address of Manufacturer

Phone Number of scrap or salvage company

Label Numbers from scrap or salvage units

Previous editions obsolete

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Form HUD-203 (09/16)