HUD-203 Lost Label Report

U.S. Department of Housing and Urban Development
Lost Label Report
Office of Regulatory Affairs and Manufactured Housing
IPIA/Manufacturer/Losing Party

OMB Approval No. 2502-0233
expires xx/xx/xxxx

(Must be completed within 5 days of discovery or loss)
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.
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 must be reported to HUD's Office of Manufactured
Housing Programs for accountability of all homes and labels. Labels can be lost through a variety of means including simple loss, theft, mail distribution, or sale
for scrap or salvage.

Lost Labels
(to be completed by manufacturer or losing party)

Quantity

certification labels. Date certification label affixed to unit

New certification label number affixed to unit

Date loss discovered

Certification label numbers

through and including

Serial Number:

Destination:

(mm/dd/yyyy)
(mm/dd/yyyy)

Name and address of person who last had possession of certification label(s) when loss was discovered:
Name
Address
Name and address of person who discovered loss:
Name
Address

Distribution
Original - HUD's Contracting Agent
Copies to: IPIA
Manufacturer
Previous editions obsolete

page 1 of 2

Form HUD-203 (06/09)

Was a Police or private investigator contacted or used?
Yes

By Whom?

Date

(mm/dd/yyyy)

Results (include police or investigator reports):

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 Recommendations
(to be completed by IPIA)

IPIA's detailed statement setting forth the circumstances of the loss. Give specific reasons for recommendation to HUD if free
replacement of a lost certification label is requested. Submit complete package to HUD’s Contracting Agent, which will act upon
HUD's final decision.

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, or return the label to HUD's Contracting Agent. All labels must be removed from all homes sold
for scrap or salvage.
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

Distribution
Original - HUD's Contracting Agent
Copies to: IPIA
Manufacturer
Previous editions obsolete

page 2 of 2

Form HUD-203 (06/09)