HomeMy WebLinkAboutINSURANCE CLAIM water damage 03.17.2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723.3800 Ma Onlv (800) 392.6,l08. FAx (800) 85,l.8424
Form of Notice of Casualty Loss to Building
Under [.4ass. Gen.Ch.'139. Sec,38
5117 t2025
YARI\4OUTH FIRE DEPT
96 OLD t\4AlN ST
SOUTH YARMOUTH MA 02664
Re: Insured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
REXNORD JEAN
72 POND ST. S YARMOUTH, MA 02664
'1546307
Water Damage: All Other Water Damage
03117t2025
485450
claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause Massachusetts General Laws. Chaoter 143. section 6 to be applicable. lfany
notice under Massachusetts General Laws, chaoter 139. sectron 3B 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 file number.
MPIUA Claims Division
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