HomeMy WebLinkAboutwater damage 7.23.2024MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1904
(6'17) 723.3800 Ma Onlv (800) 392-6108, FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under l\,4ass. Gen. Laws, Ch,139, Sec.3B
3t8t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re:lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ANTHONY PINO
54 FOREST RD. SOUTH YARMOUTH. MA
1058869
Water Damage: All Other Water Damage
07t23t2024
4U228
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000'00orcaUSe@tobeapp|icab|e.lfany
notice under Massachusetts General Laws. Chaoter 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.
MPIUA Claims Division
cMAo0021