HomeMy WebLinkAboutNotice of Loss 020423 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(8001 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: KAREN ONEIL
Property Address: 12 WHISTLER LANE,YARMOUTHPORT, MA 02675
Policy Number: 1046268
Type Loss: Freezing
Date of Loss: 02/04/2023
Claim Number: 470347
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 17 2023
BUILDING 0EPARTMENT
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