HomeMy WebLinkAboutInsurane claims MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
1617)723-3800 Ma Only(8001392.6108, FAX 18001851-8424
10/24/2019
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: JUDITH CONNOR
Property Address: 40 WINSLOW GRAY RD,WEST YARMOUTH, MA 02673
Policy Number: 1233249
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 10/17/2019
Claim Number: 443649
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