HomeMy WebLinkAboutwater damage 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'108.1 904
(6171723-3800 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
515i2015
YARMOUTH FIRE DEPT
96 OLD fuIAIN ST
SOUIH YARMOUIH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
CLARE C GLYNN
1 1 1 3 HEATHERWOOD. YAR[4OUTHPORT. MA
1196599
Water Damage: Plumbing Systems
05/01/2015
338M2
Re
02675
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause Massachusetts General Laws. Chaoter '143. section 6 to be applicable. lfany
notice under Massachusetts General Laws, Cha0ter 139. Section 3B is appropriate, please direct it to the
attention ol the writer and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
IVPIUA Claims Division
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