HomeMy WebLinkAboutNotice of Loss 6/13/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
RECEIVED (617)723.3800 Ma Only(800)392-6108.FAX(800)851-8424
JUL 03 202516/28/2025
Form of Notice of Casualty Loss to Building
BUILDING DEPARTMENT Under Mass.Gen.Laws,Ch.139,Sec.3B
BY
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: JOHN MERCK
Property Address: 19 ELTON RD.WEST YARMOUTH.MA 02673
Policy Number: 1579111
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 06/13/2025
Claim Number: 486113
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