Form HUD-NPMA-99-B at a glance
What it is: Form HUD-NPMA-99-B is the New Construction Subterranean Termite Service Record, a record of specific treatment information for the prevention of termites.
Who signs: Sign on the Authorized Signature line and enter the Date.
This form is completed by the licensed Pest Control company.
This report is submitted for informational purposes to the builder on proposed (new) construction cases when treatment for prevention of subterranean termite infestation is specified by the builder, architect, or required by the lender, architect, FHA, or the Department of Veterans Affairs (VA).
A filled-in Form HUD-NPMA-99-B example: a slab treated with a soil liquid termiticide
How to fill out Form HUD-NPMA-99-B, box by box
Section 1: General Information
In Section 1, General Information (Pest Control Company Information), enter the Company Name, the Company Address, City, State, and ZIP Code, the Company Business License No., and the Company Phone No.
Enter the FHA/VA Case No. (if any).
Section 2: Builder Information
In Section 2, Builder Information, enter the Company Name and the Phone No.
Section 3: Property Information
In Section 3, Property Information, enter the Location of Structure(s) Treated (Street Address or Legal Description, City, State, and Zip).
Section 4: Service Information
In Section 4, Service Information, enter the Date(s) of Service(s).
For Type of Construction, check Slab, Basement, Crawl space, or Other; more than one box may be checked.
Check all that apply
Check all that apply: A. Soil Applied Liquid Termiticide, B. Wood Applied Liquid Termiticide, C. Bait System Installed, D. Physical Barrier System Installed.
For A. Soil Applied Liquid Termiticide, enter the Brand Name of Termiticide and the EPA Registration No.
For A. Soil Applied Liquid Termiticide, enter the Approx. Dilution (%) and the Approx. Total Gallons Mix Applied.
For A. Soil Applied Liquid Termiticide, mark Yes or No for Treatment Completed on Exterior.
For B. Wood Applied Liquid Termiticide, enter the Brand Name of Termiticide and the EPA Registration No.
For B. Wood Applied Liquid Termiticide, enter the Approx. Dilution (%) and the Approx. Total Gallons Mix Applied.
For C. Bait System Installed, enter the Name of System, the EPA Registration No., and the Number of Stations Installed.
For D. Physical Barrier System Installed, enter the Name of System.
Common mistake: For D. Physical Barrier System Installed, attach installation information (required).
Service Agreement Available?
Mark Yes or No for Service Agreement Available?
Some State laws require service agreements to be issued. This form does not preempt State law.
Attachments (List) and Comments
Enter the Attachments (List) and the Comments.
Name of Applicator(s)
Enter the Name of Applicator(s) and the Certification No. (if required by State law).
SIGN
The applicator has used a product in accordance with the product label and State requirements. All materials and methods used comply with State and Federal regulations.
The undersigned certify under penalty of perjury that the information provided on this form and in any accompanying documentation is true and accurate.
Sign on the Authorized Signature line and enter the Date.
More rules for Form HUD-NPMA-99-B
Builders, pest control companies, lenders, homebuyers, and HUD will use the information collected as a record of termite treatment for specific homes.
All contracts for services are between the Pest Control company and builder, unless stated otherwise.
Common questions about Form HUD-NPMA-99-B
Where do I file it?
This form requires a licensed Pest Control company to send it to the builder as a record of specific treatment information for the prevention of termites.
Is there a penalty?
Anyone who knowingly submits a false claim, or makes false statements is subject to criminal and/or civil penalties, including confinement for up to 5 years, fines, and civil and administrative penalties.
Sources
[1] Form HUD-NPMA-99-B (07/2022), New Construction Subterranean Termite Service Record, U.S. Department of Housing and Urban Development (the Official source link on this page).