HomeMy WebLinkAboutClaim of Loss MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723.3800 Ma Only(8001 392-6108,FAX(8001851.8424
9/7/2018
Form of Notice of Casualty Loss to Building
Under Mass.Gen_Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: PAUL LUCEY AND ANNE LUCEY
Property Address: 44 STUDLEY RD,SOUTH YARMOUTH, MA 02664
Policy Number: 1433354
Type Loss: All Other Section I Losses
Date of Loss: 05/01/2018
Claim Number: 432026
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
CMA00021 -
