HomeMy WebLinkAboutClaim of Loss 11/28/18 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
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� Form of Notice of Casualty Loss to Building
By` Under Mass.Gen.Laws,Ch.139.Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: SUSAN HANDEL
Property Address: 184 SOUTH SEA AVE.WEST YARMOUTH.MA 02673
Policy Number: 1406799
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 11/26/2018
Claim Number. 434143
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