HomeMy WebLinkAboutNotice of Loss 8823 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723-3800 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: SHEILA SMITH
Property Address: 60 WITCH WOOD ROAD, SOUTH YARMOUTH, MA 02664
Policy Number: 1125586
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 08/08/2023
Claim Number: 474433
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
W.ED
CMA00021 RECE
AUG 16 2023
BUILDING DEPARTMENT