HomeMy WebLinkAboutNOTICE OF CAUSALTY LOSS - 2025BEGEIr,E]
AUG 13 ?C25
H EALTH DEPT,
Re
YARMOUTH HEALTH DEPT
1146 ROUIE 28
SOUTH YARMOUIH MA 02664
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08'1904
(617) 723-3800 Ma onlv (800) 392.6108. FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Under Mass, Gen. Laws. Ch.139. Sec.3B
8t9t2025
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
WILLIAM NOBLE AND MARINA NOBLE
,168 HIGGINS CROWELL RD. WEST YARMOUTH. MA
1338647
Water Damage: All Other Water Damage
07t30t2025
486961
02673
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 6to be applicable lf any
notice under Massach usetts 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 flle number.
MPIUA Claims Division
c[/A00021