HomeMy WebLinkAboutClaim of Loss MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723.3800 Ma Only(8001 392-6108,FAX(8001 851-8424
8/22/2018
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.36
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTI4 YARMOUTH MA 02664
Re: Insured: CRAIG LEBLANC
Property Address: g CAPTAIN NOYES RD.SOUTH YARMOUTH,MA 02664
Policy Number: 0766834
Type Loss: Personal Article Floater
Date of Loss: 06/19/2018
Claim Number: 431656
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned Insured,location,policy number,date of loss
and claim or file number.
MPIUA Claims Division
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CMA00021
RECEIVED
AUG 27 2018
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3UILD
ING DEPARTA40.17