HomeMy WebLinkAboutwater damage 2024MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center plaza
Boston, Massachusetts 021 0g-1904
(617) 723.3000 Ma Ontv (800) 392.G108. FAX (800) 051.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.13g, Sec.3B
11t16t2024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re: lnsured:
Propedy Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JACINTHA DEVILLIER AND DELINA DEVILLIER
18 ARTHUR LANE. YARMOUTHPORT. MA 02675
1439729
Water Damage: Appliance failure
11t0812024
482598
MPIUA Claims Division
claim has been made invorving ross, damage or destruction of the above captioned property, which may eitherexceed $1000.00 or cause Massachusetts Generar Laws, cha,ter 143. section 6to be appricabre. rfanynotice under Massachusefts Generar Laws. chaoter 13g, section 38 rs appropriate, prease direct it to theattention of the writer and incrude a reference to the captioned rnsured, rocation, poricy number, date of rossand claim or file number.
ct\,4A00021