HomeMy WebLinkAbout2022 Property Loss Notice MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171 723-3800 Ma Only(8001392-6108, FAX(8001 851-8424
1/7/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH HEALTH DEPT
1146 ROUTE 28 REalrgGs-DD
SOUTH YARMOUTH MA 02664
JANil2023
HEALTH DEPT.
Re: Insured: STEVEN R HARVEY
Property Address: 8 YACHT AVE.W YARMOUTH. MA 02673
Policy Number: 0367876
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 12/23/2022
Claim Number: 469490
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