HomeMy WebLinkAboutwater damage 2.1.2024MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l08..l904
(617) 723.3800 Ma 0nlv (800| 392-6108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under l\.4ass. Gen. Laws, Ch.139. Sec.38
8t17t2024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA O26M
lnsured:
Properg Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
SANDRA SCARBOROUGH
2 CAPTAIN PERCIVAL RD. S YARMOUTH, MA
1606506
Water Damage: All Other Water Damage
02t01t2024
481250
Re
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, Chaoter 143, section 6 to be applicable. lfany
notice under Massachusetts 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.
MPIUA Claims Division
cMA00021