HomeMy WebLinkAboutice dams 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
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUIH I\,IA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Humber:
THOMAS AND BARBARA STECK
24 EBB ROAD. YARMOUTHPORT. MA
1005455
lce Dams
02t\5t2015
33946'l
02675
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcause@tobeapplicable,lfany
notice is appropriate, please direct it to the
attention ofthe writer and include a reference to the captjoned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division
5t23t2015
ct/Ao0021