HomeMy WebLinkAboutNotice of Loss 60423 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
RFCEI,V._E- 1) Two Center Plaza
Boston,Massachusetts 02108-1904
JUN 15 2023 (617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
BUILoiNit. uLHAK1 NIENT
6/10/2023
HY 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: JOHN &JUDY DAVIS
Property Address: 481 BUCK ISLAND RD UNIT 16 C,WEST YARMOUTH, MA 02673
Policy Number: 0789755
Type Loss: Water Damage: Plumbing Systems
Date of Loss: 06/04/2023
Claim Number: 472982
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