HomeMy WebLinkAboutNotice of Loss 022524 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108. FAX(800)851-8424
3/2/2024
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: DOROTHY&WILLIAM LACOUTURE
Property Address: 64 FREEMAN ROAD,YARMOUTHPORT, MA 02675
Policy Number: 0817755
Type Loss: All Other Section I Losses
Date of Loss: 02/25/2024
Claim Number: 478484
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
RFCFIVE
MAR 0 6 2024
BUILDING DEPARTMENT
By: