HomeMy WebLinkAboutNotice of Loss 121822 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
12/24/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
RECEIVED
YARMOUTH BUILDING DEPT
1146 ROUTE 28 r DEC 3 0 2022_.
SOUTH YARMOUTH MA 02664 L_ __
BUILDING DEPARTMENT
By Re: Insured: THOMAS VOLPE AND GRACE M LORAS
Property Address: 34 HIALEAH AVE,WEST YARMOUTH. MA 02673
Policy Number: 1571814
Type Loss: Furnace/Boiler
Date of Loss: 12/18/2022
Claim Number: 468928
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 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