HomeMy WebLinkAbout2022 Property Loss Notice MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(8001 392-6108, FAX(800)851-8424
5/21/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: MALCOLM E.AND MARY ANN TAYLOR
Property Address: 38 WOOD ROAD, SOUTH YARMOUTH, MA 02664
Policy Number: 0928923
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 05/14/2022
Claim Number: 465469
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
RECEIVED
CMA00021 HAY 2 6 2022
HEALTH DEPT