HomeMy WebLinkAboutInsurance Claim MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(8001 392-6108,FAX(800)851-8424
10/22/2019
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec,3B
RECEIVED
YARMOUTH BUILDING DEPT
1146 ROUTE 28 _pp OCT 2 5 2019
SOUTH YARMOUTH MA 02664 ...._ _.
BUiL.DING �EPARTM^N..
1 �v ,— _ e
Re: Insured: EDWARD WHELDEN
Property Address: 11 PLAYGROUND LN,YARMOUTH, MA 02675
Policy Number: 1460276
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 10/17/2019
Claim Number: 443477
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