MH and RV Complaint Registration

In the case of a homeowner wanting to file a complaint with the Department Highway Safety and Motor Services in the State of Florida, the following affidavit has to be used.

Extracted Text for Proper Search

Dear H om eo w ner: 	
 	
T his  is  in  resp onse  to  y o ur re quest  f o r in fo rm atio n o n f iling  a  c o m pla in t.  T here  a re  e x is tin g St ate  L aw s a n d Federa l	 	
Regulations  g o vern ing  t h e l im itatio ns o n m obile  h o m e w arra ntie s. P lease  revie w  t h e i nf or matio n ou tlin ed  b el ow  b efo re	 	
co m ple ting  t h e e n cl osed  M ob ile H om e C om pla in t R eg is trati on f o rm . 	
 	
Florida  Stat ute  320. 836 s tates,  t h e c o nsu mer  mu st s u b m it  th eir  cla im  i n  w riting  to  t h e m an u fact urer  o r d ealer  s tatin g 
t h e	
 su b sta n ce  of t h e w arra nty  d efe ct.  P lease  s u ppl y this  doc um en tation  w ith  y o ur c o m pla in t r e g is tratio n p ac ket.  	
 	
Florida  Stat ute  320. 835 re quires  t h e m anuf acturer  to  w arra nt t h e m ajo r c o m po nen ts  o f t h e h o m e f o r o ne y ear  f r o m  d ate  o f	 	
deliv ery . T he d ealer  w arra nts  h is  s et  u p  ope ratio ns p erfo rm ed  o n t h e h o m e f o r o ne y ear  a n d as su res  t h e h o m e h as b een  s et  
to
 t h e m anuf acture r’s  i n str u cti ons. 	
 	
If  y o ur h o m e i s  o ver  o ne  yea r o ld  a n d  p ro d uced  b y a  F lo rida  m an ufa ctu re r,  w e w ill  no tify  t h e m an uf ac tu rer  o f y o ur	 	
co m pla in t f o r t h eir  f o llo w-u p  un der  t h e Fe deral  P ro gra m, we  w ill  als o  a d vis e  y o u  of t h eir  f in d in gs. H ow ev er, if  y o ur h o m e	 	
was p rodu ced b y an  o ut  o f s ta te  m an ufa ctu rer  a n d  i s  o ver  o ne  yea r o ld , w e w ill  no tify  t h e HUD  State A dm in is trati ve	 	
A gen cy  ( S A A) located  in  t h e s tate  o f m anuf acture  a n d  t h ey  w ill f o llo w-u p  w ith  t h e f a ctor y. W e w ill  not  b e a b le  to  ta ke	 	
fu rth er  actio n. 	
 	
O ur j u ri sd iction  is  li m ited  to  s tr uct ural,  m ec han ical,  electri cal,  p lu mbing , h eat ing , f ire  a n d  lif e s a fe ty . W e h av e n o  
j u ri sd iction	
 over  n o nstr uctu ral,  c os metic  i te m s s u ch  as  f lo or c o verin gs, p an el  b le m is h es,  p ai nt s h ad es,  e tc.  	
 	
If y o u p urc hased  a  u sed  h o m e, it  must h av e b een  p urc hased  fro m a  Florida  lice nsed  d ealer.  W e h av e n o  j u ri sd iction  
o ver	
 p ri vate  s ales.  O ur j u ri sd iction  f o r u sed  h o m es  are  li m ited  to  t h e c o ntrac tu al  a g re em en ts  p ro vided  b y t h e s e lling  
d ealer  a n d	
 doc um en ted  acco rd ing ly . 	
 	
A ll  sale  a g re em en ts  m ust b e doc um en ted  in  w rit in g, w e h av e no  ju ris d iction  o ver  v erb al,  
n o ndoc um en ted	
 ag re em en ts . 	
 	
When  you c o m plete  the  enc lo sed  a ffida vit,  there  is a  m in im um  o f inf orm ation  t hat  w e m ust ha ve to  pr oces s 
your	
 c o m plaint:  	
 	
1. Name a n d  m ailing  a ddress  (if  d if fe re n t t h an  ph ysic al a ddr ess o f h o m e locatio n) a n d  an  a cti ve 
d ay ti m e	
 tele pho ne n u m ber. 	
 	
2. C op y o f t h e s al es c o ntract  p ro vided  b y y o ur d ealer  at  t h e t im e o f t h e s ale.  	
 	
3. Name a n d  a ddress  o f t h e h o m e's  m an u fact urer  a n d  t h e c o m plete  s e rial  nu m ber  o f t h e h o m e. 	
 	
4. A  b rief  d escription  o f t h e p rob lem s y o u a re  e x p erie ncin g  w ith  y o ur h o m e a n d  t h e d ates  y o u 
h av e	
 spo ken  to  t h e d ealer /m an u fact ure r. 	
 	
Ple ase  a llow  2  to  4  w ee ks p ro cess ing t im e, depe nding  o n  o ffice  w ork lo ad,  
f o r a  res pons e to  y o ur  c o m pla int.

MH/RV COMPLAINT REGISTRATION 	
(Please type or print)	 	 	
Filed By:	 	 	 	Date of Purchase:	 	 	
Address:	 	  	Date of Delivery	   	 	
 	MH:  	  RV:  	          	NEW:	  	    	USED  	 	
Mailing Address:	     	           	 	                   	(CHECK ONE)	 	 	          	(CHECK ONE)	 	     (If different from above)	 	 
 	Current License Decal #:	   	 
 	
County of Residence:	 	 	Serial #:	 	 	
Phone 	#: 	 	 	 	HUD Label #:	 	 	
                          	(Home)	 	 	    	(Work)	 	                                   	(Red/Silver metal tag on rear of unit)	 	
 	 	
Installer Name:	 	 	Has County passed final inspection and/or	 	
issued a Certificate of Occupancy?   YES  /  NO	 	Installer License #:	   	 	
Date Installed:	 	 	Label	 #: 	 	                                                                                                  	(Circle One)	 	
 	
DEALER INFORMATION	 	 	MANUFACTURER INFORMATION	 	
 	
 	
 	
 	
(Name of Dealer)	 	(Name of Manufacturer)	 	
 	
 	
 	
 	
(Address of Dealer)	 	(Address of Manu	facturer)	 	
 	
 	
 	
 	
(City / State / Zip)	 	(City / State / Zip)	 	
 	
 	
 	
 	
(Telephone Number)	 	(Telephone Number)	 	
 	 	
Have you contacted the Dealer in writing concerning your 
problems?	 	
Have you contacted the Manufacturer in writing concerning	 	
your problems?    Y	es  /  No .     Please give dates and persons	 	
Yes  /  No	 	Please Give Dates and Persons 	
Contacted.	 	 	
 	Contacted	 	 	
 
 	
 
 	
 	 	
 
NATURE OF COMPLAINT	 	 	NOTE:   If there are contractual problems, please attach copies of all supporting documents	\ 	              	 Including purchase agreement, contract, etc.	 	
 	
 
 
 
(Use reverse side of this form if additional space is needed) 
If your home is not located in a park, please provide directions to your home  
from a major highway in your area 
 	
MAIL TO:	  M	anufactured Housing	 Section	 	
                   	5701 E. Hillsborough Avenue	 	
                   	Net Park, Suite 2228	 	
                   	Tampa, Florida 33610	  	
 	 	 	 	 	             	  	 	 	 	              	(Signature of Complainant)	                                                        	 (Date Signed)	 	
 	
Ph:  813/612	-7140  Fax:  813/612	-7131	 	 	OFFICE USE ONLY	 	
                                                	TBR  NJ	 	
 	 	 	 	              	SPI    R	 	
                           	(Inspector)	 	
   
 
            	 	
 	 	
Please allow 2 to 4 weeks processing ti	me, depending on office	 	Workload, for a response to your complaint.