HomeMy WebLinkAboutnotice of loss 012623 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723.3800 Ma Only(8001392-6108, FAX(8001851-8424
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: GREGG PASQUALE AND MELISSA WHITE
Property Address: 30 DRIFTWOOD LANE, S YARMOUTH, MA 02664
Policy Number: 1477224
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 01/26/2023
Claim Number: 470888
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
RECEIVED
[F-------EB , 72023
BUILDING DEPARTMENT