HomeMy WebLinkAboutHiggins Crowell 123001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723.3800 Ma Onlv (800) 392.5108, FAX (800) 85i.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.38
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
MARILYN CRONIN. JAY & MARY DERWN
123 HIGGINS CROWELL ROAD. WEST YARMOUTH. MA
0809520
All Other Section I Losses
03t15t2025
485961
02673
clajm has been made involving loss, damage or destructron of the above captioned property, which may either
exceed $1000.00 or cause [rassachusetts 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.
[.4PlUA Claims Division
cMA00021
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