HomeMy WebLinkAboutinsurance claim 3.8.2025TIASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-'1904
(617) 723-3800 Ma 0nlv (800) 392-6,108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch,139, Sec.3B
3115t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
CATHERINE SILVA AND STEPHEN SILVA
28 FROST AVE. WEST YARMOUTH. MA 02673
1677324
All Other Section I Losses
03/08/2025
4U412
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcause@tobeapplicable.|fany
notice under Massachusetts General Laws, Chaoter 139, Section 3B 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
cMA00021