HomeMy WebLinkAboutinsurance claim 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.'1904
(617) 723-3800 Ma Onlv (800) 392-6108, FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch,'139, Sec,38
6t4t2015
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\,,IOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
PAUL E. NADER & CHERYL A. NADER
80 CAPTAIN SHIVARICK ROAD. SOUTH YARMOUTH, MA
0966684
All Other Section I Losses
06/03/2015
339883
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause l\,lassachusetts General Laws. Chaoter 143. section 6to be applicable. lfany
notice under i/assachusetts General Laws. Chaoter '139. Sectjon 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