HomeMy WebLinkAbout25 Crest Loss NoticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(61il 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139, Sec.3B
51212026
YARMOUTH HEALTH DEPT
1 146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
MARY E GIBBONS
25 CREST CIR. WEST YARMOUTH. MA
1664277
All Other Section I Losses
04t24t2026
492950
02673
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. lf any
notice under ltlassachusetts 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
cMAO0021