HomeMy WebLinkAboutwater damage 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02.l 08-1904
(617) 723'3800 Ma Onlv (800) 392-6108. FAX (800) 85'l-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
8t23t202s
YARN4OUTH FIRE DEPT
96 OLD I\4AIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JULIO BUTTER
32.34 DANBURY ST. S YARMOUTH. I\,IA
1705247
Water Damage: All other Water Damage
08117t2025
487115
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause Massachusetts General Laws. Chaoter 143. section 6 to be applicable. lf any
notice under Massachusetts General Laws, Chaoter 139. Sectron 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 Divlslon
cr\.4A00021