HomeMy WebLinkAboutInsurance Claim MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
10/15/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
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YARMOUTH BUILDING DEPT
1146 ROUTE 28 f0CT2o2o22
SOUTH YARMOUTH MA 02664
By ivrtl47
Re: Insured: JOSEPH FERNS AND AUDREY FERNS
Property Address: 54B FOREST RD, S YARMOUTH, MA 02664
Policy Number: 1462982
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 10/14/2022
Claim Number: 467976
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