HomeMy WebLinkAboutice dams 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08- l 904
(617) 723.3800 Ma Onlv (800) 392-6108, FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under l\.4ass. Gen. Laws, Ch.139. Sec.38
6t4t2415
YARMOUTH FIRE DEPT
96 OLD IVAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
DANIEL & SUZANNE GARRITY
9 DIANE AVENUE. SOUTH YARMOUTH, MA 02664
0813886
lce Dams
aaut2015
339903
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. Chaoter 143, section 6 to be applicable lf any
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 llle number.
l\4PlUA Claims Division
cMA00021