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
1/8/2019
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139.Sec.3B
YARMOUTH BUILDING DEPT RECEIVED
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 JAN 14 2019
BUILDING DEPARTMENT
Re: Insured: THOMAS WILLIAMSON
Property Address: 43 WITCHWOOD RD.SOUTH YARMOUTH,MA 02664
Policy Number: 1457989
Type Loss: Other Physical Damage
Date of Loss: 01/03/2019
Claim Number: 434876
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
CMA0002t