HomeMy WebLinkAboutINSURANCE LOSS 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 OCT 2 Q z022
SOUTH YARMOUTH MA 02664 ;;
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By _
Re: Insured: SUZANNE O'CONNOR
Property Address: 108 HIGGINS CROWELL RD,W YARMOUTH, MA 02673
Policy Number: 1550286
Type Loss: Water Damage. All Other Water Damage
Date of Loss: 07/01/2022
Claim Number: 467961
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts Genera 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