HomeMy WebLinkAboutINSURANCE CLAIM other loss 05.10.20255111t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\,IOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
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, Cha0ter 143, section 6to be applicable. lfany
notice under l\4assachusetts General Laws. chaoter 139. section 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.
l\,4PlUA Claims Division
cr\,,1A00021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.,l904
(617) 723-3800 Ma Onlv (800) 392.6108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139. Sec.3B
STEPHEN P SIKALIS TRUSTEE OF THE
I PlLGRll!| RD, WEST YARMoUTH, MA 02673
1584107
All Other Section I Losses
05t10t2025
485446