HomeMy WebLinkAboutwater damage 2024MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 08.'1904
(617) 723.3800 Ma 0nlv (800) 392.6108. FAX {800) 851.8424
Form of Notlce of Casualty Loss to Building
Under lvlass. Gen. Laws, Ch.139. Sec.38
9t7 t2024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
MARIE BURKE
29 FORTUNE RD. YARMOUTH PORT. MA
1668181
Water Damage: Plumbing Systems
09t03t2024
481625
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. section 6 to be applicable. lfany
notice under Massachusetts General Laws, chapter 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
ct\.4A00021