HomeMy WebLinkAboutinsurance claim 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723-3800 Ma 0nlv (800) 392-5108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.'139, Sec.38
6t21t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\4OUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JON MICHAEL COHEN & LINDA COHEN
2 ROGERS AVENUE. SOUTH YARMOUTH. MA
1079474
All Other Section I Losses
06110t2025
486027
02664
Claim has been made involving loss, damage or destruction of the above captroned property, which may either
exceed $1000,00 or cause Massachusetts General Laws. Chaoter 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 captioned insured, location, policy number, date of loss
and claim or flle number.
[4PlUA Claims Division
ct,1A00021