HomeMy WebLinkAboutwater damage 2024MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-'l 904
(617) 723-3800 Ma 0nlv (800) 392.6108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
10t5t2024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH I\,4A 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
LOUIS RICCIAND BARBARA RICCI
23 MERRYMOUNT RD. WEST YARMOUTH. MA
1645302
Water Damage: Plumbing Systems
09t30t2024
482011
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, Cha0te|143, section 6to be applicable. lfany
notice under lr.4assachusetts 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
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