HomeMy WebLinkAbout2022 Property Loss Notice MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851.8424
6/21/2022
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: CRAIG AND ROBIN BRICKLEY
Property Address: 38 GARDINER LANE, SOUTH YARMOUTH, MA 02664
Policy Number: 1176784
Type Loss: Smoke
Date of Loss: 03/31/2022
Claim Number: 465964
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 REC WED
JUN 2 ?K2
HEALTH DEPT.