HomeMy WebLinkAboutmold damage 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108',l904
(617) 723-3800 Ma 0nlv (800) 392'6108' FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Under . Gen. Laws. Ch.'139 . Sec.3B
11t8t2025
YARI\,4OUTH FIRE DEPT
96 OLD [/AIN ST
SOUTH YARI,4OUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
IRMGARD BELANGER
9 PAULA LN. WEST YARMOUTH. MA
1380464
Other Causes ol consequential Mold
09129t2025
488401
02673
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, ChaDter 143, section 6tobe applicable lfany
notice under Massach usetts General Laws, Chaoter 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 ol loss
and claim or file number.
lr.4PlUA Claims Division
cMA00021