HomeMy WebLinkAboutNotice of Loss 2323 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
2/11/2023
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: HILARY TOLMAN
Property Address: 2 CAPTAIN SMALL RD, SOUTH YARMOUTH, MA 02664
Policy Number: 0824253
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 02/03/2023
Claim Number: 470299
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
FEB 172023
BUILDING DEPARTMENT
By -