HomeMy WebLinkAboutNotice of Loss 9/25/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723.3800 Ma Only(8001392.6108.FAX(8001851.8424
OCT 0 2 2025 9/27/2025
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: SAMANTHA JOSEPH
Property Address: 31 S SHORE DR,S YARMOUTH,MA 02664
Policy Number: 1660229
Type Loss: Other Physical Damage
Date of Loss: 09/25/2025
Claim Number: 487691
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