HomeMy WebLinkAboutwater damage 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1904
(617) 723-3800 Ma Onlv (8001392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139. Sec.3B
8t1612025
YARI\,IOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\,4OUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ERIC WESTCOTT AND JESSICA WESTCOTT
2TWITCHWOODRD.SYARMOUTH.MA O26M
1709903
Water Damage: Plumbing Systems
08107t2025
487005
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 6 to be applicable. lf any
notice under Massachusetts 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 file number.
[4PlUA Claims Division
ctvA00021