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
4/8/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT RECEIVED
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 APR 13 2023
BUILDING DEPARTMENT
By:-_______---
Re: Insured: ADAM&SUSAN,JAMIESON
Property Address: 63 WILLIAMS ROAD,WEST YARMOUTH, MA 02673
Policy Number: 0859254
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 04/01/2023
Claim Number: 472046
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