HomeMy WebLinkAboutProperty Loss Notice 2024 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
4/20/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B
YARMOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: ROBERT C&PATRICIA NEWELL
Property Address: 269 OLD MAIN ST. SOUTH YARMOUTH. MA 02664
Policy Number: 0646384
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 04/14/2024
Claim Number: 479433
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
APR 2 5 2024
HEALTH DEPT.