HomeMy WebLinkAboutProperty Loss Notice 2024 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171 723-3800 Ma Only(800)392.6108, FAX(800)851-8424
1/20/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH HEALTH DEPT G �gU 7L
1146 ROUTE 28 JAN 2 9 2024
SOUTH YARMOUTH MA 02664
HEALTH DEPT.
Re: Insured: JOHN DALTON
Property Address: 119 RUN POND RD,YARMOUTH. MA 02675
Policy Number: 0833018
Type Loss: All Other Section I Losses
Date of Loss: 12/09/2023
Claim Number: 477875
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