HomeMy WebLinkAbout2022 Property Loss Notice MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723-3800 Ma Only(8001 392-6108, FAX(8001 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: DIANE MOCION
Property Address: 20 FORTUNE ROAD,YARMOUTHPORT, MA 02675
Policy Number: 1408196
Type Loss: Theft RECEIVED
Date of Loss: 05/27/2022 JUN 2 2 2022
Claim Number: 465936
HEALTH DEPT.
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