HomeMy WebLinkAbout222 Buck u56 Loss NoticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(617) 723-3800 Ma Onlv (800) 392'6108. FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Mass. Gen.h.139 Sec.
5t9t2026
YARI\,,IOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
MEGAN NICHOLS
222 BUCK ISLAND ROAD. UNIT 56. WEST YARI\4OUTH, MA 02673
1752953
Water Damage: Plumbing Systems
0510712026
493105
Claim has been made involving loss, damage or destruction of the above captloned property, which may either
exceed $1000.00 or cause l\,4assach General Laws, Chaoter '143. section 6 to be applicable. lf any
notice under sachusetts General Chaoter 139,3B is appropriate, please direct it to the
attention of the writer and include a refelence to the captioned insured, location, policy number, date of loss
and claim or file number,
MPIUA Claims Division
Cl\,1A00021
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number: