HomeMy WebLinkAboutFORM OF NOTICE OF CASUALTY LOSS - 27 WITCHWOODMASSACHUSETTS 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 Bujlding
Under I\.4ass. Gen. Laws ch.139 Sec.3B
8t16t2025
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ERIC WESTCOTT AND JESSICA WESTCOTT
27 WITCHWOOD RD, S YARiT4OUTH. MA 02664
'1709903
Water Damage: Plumbing Systems
0810712025
487005
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Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00orcause Massachusetts General Laws. Chaoter 143. section 6to be applicable. lfany
notice under Massachusetts General Laws. Cha0ter 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.
l\.4PlUA Claims Division
cMA0002't
YARMOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARI\4OUTH MA 02664