HomeMy WebLinkAboutinsurance claim 2024001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.1904
(6,l7) 723-3800 Ma Onlv (800) 392.6,l08. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under l\,lass.Gen. Laws, Ch.139, Sec.38
9t1412024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\'OUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KATHLEEN DELLAROCCO
2 WEST RD. WEST YARMOUTH. MA
'1476900
All Other Section I Losses
08t022024
481679
02673
l/PIUA Claims Division
c[,1A00021
CIaim has been made involving loss, damage or destructlon of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts General Laws, Chaoter 143. section 6 to be applicable. Ifany
notice under Massachusetts General Laws, Chapter 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.