HomeMy WebLinkAboutwater damage 2025MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 0E.1 904
(617) 723.3800 Ma Onlv (800) 392-6108. FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under l\4ass. Gen., Ch.'139, Sec.3B
YAR[,,IOUTH FIRE DEPT
96 OLD I\4AIN ST
SOUTH YARMOUTH i,4A 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
EVANGELINE FREEI\4AN AND BRYCE FREE[/AN
159WOOD RD. SYARMOUTH. MA 02664
1706452
Water Damage: All Other Water Damage
09t06t2025
487407
Re
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 6to be applicable. lfany
notice under Massachusetts General Laws, Chapte|l39. Section 38 is approprjate, please direct it to the
attention of the Miter and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
l\,4PlUA Claims Division
cMA00021
9t13t2025