HomeMy WebLinkAboutmold from water damage 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l0E.1904
(617) 723-3800 Na Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.'139. Sec.3B
11122t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
PAMELA ANDERSON
17 UNCLE EPHRIAMS RD. S YARMOUTH. MA
1472239
Mold caused by: Water Damage
04101t2024
488599
02664
CIaim 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 [4assachusetts General Laws. Chaoter 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
ctvA00021