HomeMy WebLinkAboutinsurance claim 2015MASSACHUSETTS PROPERTY INSURANCE UNOERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800 Ma 0nlv (800) 392-6108, FAx (800) 851-8424
Form of Notice of Casualty Loss to Building
Under L4ass. Gen. Laws, Ch.139, Sec,3B
5t31t2015
YARMOUTH FIRE DEPI
96 OLD IVAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
LELA KALLAS
22 ACRES AVE. WEST YARMOUTH, MA
0800539
All Other Section I Losses
05t21t2015
339671
02673
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. 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
Cli/A00021