HomeMy WebLinkAboutlightning damage 3.10.2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, ilassachusetts 021 08-1904
(617) 723.3800 Ma Onlv (800) 392-6,108, FAx (800) 8s1-8424
Form ol Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.38
3t15t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re
ct\,,lA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
02664
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. Chapter 143, section 6to be applicable. lfany
notice under Massachusetts General Laws, Chaoter 139. Section 38 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
JANET REARDON
7 CHESLEYS WAY, S YARMOUTH. MA
1709017
Fire (including Fire caused by Lightning
03110t2025
4U440