HomeMy WebLinkAboutNotice of Loss 52022 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392.6108, FAX(800)851-8424
8/27/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
11
YARMOUTH BUILDING DEPT S,
1146 ROUTE 28 EP 0 1 2012
SOUTH YARMOUTH MA 02664 e U �N/� N
r G
``D�PA��ENT
Re: Insured: DEBRA GIBLIN &GAIL WHITNEY
Property Address: 32 PEREGRINE LANE, SOUTH YARMOUTH, MA 02664
Policy Number: 0791588
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 05/20/2022
Claim Number: 467092
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