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 11/30/2022)

The Manufactured Housing Procedural and Enforcement Regulations 24 C.F.R. Chapter XX Part 3280 Section 11 and Part 3282 Sections 204 and 205 requires
manufacturers to affix a certification label. Manufacturers report affixed labels through reports required by 24 CFR Chapter XX Part 3282 Sections 209 and 552,
providing usage data on a monthly basis. In turn the Inspection Primary Inspection Agencies (IPIAs) are required to monitor and provide Manufacturers a supply of
certification label and request them from HUD in accordance with 24 C.F.R. Chapter XX Part 3282 Section 362(b). The information collected here will be used to
monitor 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 under 42 U.S.C. 5413(c)(3) and (f). 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.
Privacy Notice:
HUD collects information in accordance with 42 U.S.C. 5413(c)(3) of the National Manufactured Housing Construction and Safety Standards Act of 1974 which
requires manufacturers, under 42 U.S.C. 5413(f), to maintain records, make reports and provide such information as HUD requires to determine whether the
manufacturer is in compliance with the standards established under 42 U.S.C. 5403.
Purpose of this collection is necessary for accurate dispensation of program benefits and credits. Failure to comply with these regulations may subject the party in
question to the civil and criminal penalties provided for in section 611 of the Act, 42 U.S.C. 5410. While HUD generally only discloses this data in response to a
Freedom of Information or audit request, any information collected pursuant to 42 U.S.C. 5413(b), (c), (f), or (g) which contains or relates to a trade secret that
would result in a substantial competitive disadvantage if disclosed shall be considered confidential and shall not be further disclosed except as required or permitted
under 42 U.S.C. 5413(h).

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:

Previous editions obsolete

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Form HUD-203 (09/16)

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 (10/15)

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

_____________________________________________________ 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)