HomeMy WebLinkAboutNotice of Loss 10/13/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
10/18/2025
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT ! OCT 2
1146 ROUTE 28 fi 3 t;>c5
SOUTH YARMOUTH MA 02664 REF'R N` T '
Re: Insured: ROBERT GIALLONGO AND WALDA GIALLONGO
Property Address: 48 AMOS ROAD,WEST YARMOUTH. MA 02673
Policy Number: 1404013
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 10/13/2025
Claim Number: 487966
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, Chapter 143, section 6 to be applicable. If any
notice under Massachusetts General Laws, Chapter 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
CMA00021