HomeMy WebLinkAboutwater damage 2017MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'108-1904
(6171723-3800 Ma Onlv (8001392-6108, FAX (8001851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
112712017
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re
cMAo0021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
DAVID J. PRATT & SANDRA S. PRATT
1 ANGELOS ROAD. SOUTH YARMOUTH. MA
1217205
Water Damage: All Other Water Damage
01t24t2017
411666
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000'00orcaUse@tobeapplicable.lfany
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.
MPIUA Claims Division