HomeMy WebLinkAboutNotice of loss 8823 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392-6108, FAX(8001 851-8424
8/12/2023
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: TERI MARINELLO-MAZUR
Property Address: 109 QUARTERMASTER ROW, SOUTH YARMOUTH, MA 02664
Policy Number: 1625799
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 08/08/2023
Claim Number: 474279
Claim has been made involving loss, damage od Laws, n of the Chapter143vsection e 6 to be applicable.ned property, hlf any
notice exceed$1000.00 or cause Massachusetts General
notice under Massachusetts General Laws, Chapter 139, Section 36 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
AUG 16 2023
BUILDING DEPARTMENT
BY:_ ----