HomeMy WebLinkAbout2025 Property Loss NoticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.1904
(617) 723.3800 Ma 0nlv (800) 392.6108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen., Ch.'139, Sec.3B
3t22t2025
YARMOUTH HEALTH DEPT
'1146 RoUTE 28
SOUTH YARI\,4OUTH MA 02664
JAMES THIEI\4AN AND GAIL THIEMAN
3SWOODRD.SYARMOUTH.MA 02664
1689886
Water Damage: All Other Water Damage
03t17t2025
484556
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 6to be applicable. lfany
notice under [.4assachusetts General Laws, Chaoter 139. Section 38 is appropriate, please direct it to the
attention of the writer and include a reference to the captroned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division
ct4A00021
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number: