HomeMy WebLinkAboutNotice of Casualty Loss - Watere Damage - 44 TEE:-l
MASSACHUSETTS 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
lJnder Mass. Gen., Ch.139, Sec.38
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YARI\,4OUTH HEALTH DEPT
1146 RoUTE 28
SOUTH YARii4OUTH t\4A 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JUNQING XU AND HONG YU
44 TEE WAY, S YARI\4OUTH. MA 02664
1634309
Water Damage: All Other Water Damage
07t06t2025
486362
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7 t12t2025
Re
ctvA00021
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000,00orcause l\4assachusetts General Laws. Chaoter 143. section 6 to be applicable. lf any
notice under Massachusetts General Laws, Chapter '139. Section 38 is appropriate, please direct it to the
attention of the wnter and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number,
IVPIUA Claims Division
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