HomeMy WebLinkAboutNotice of Loss 33024 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
4/6/2024
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: ALISSA RENAUD
Property Address: 55 JEFFERSON AVE,WEST YARMOUTH, MA 02673
Policy Number: 1548566
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 03/30/2024
Claim Number: 479061
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
RECEIVED
APR 112024
BUILDING DEPARTMENT
By