HomeMy WebLinkAboutwater damage 1.18.2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(617) 723-3800 Ma 0nlv (800) 392-5108. FAX {800) 85'l-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
1t18t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
LUIZ SANTOS
22 WARBLER LANE. WEST YARMOUTH. MA
1323616
Water Damage: All Other Water Damage
01t14t2025
48U47
02675
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. Chaoter 143. sectron 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.
l\.4PlUA Claims Division
cMA00021