HomeMy WebLinkAboutwater damage 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723.3800 iita Ontv (800) 392.6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139. Sec.3B
12t6t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
RUTH S. HOLLAND
108 CENTER ST.. YARMOUTH PORT, MA
1159382
Water Damage: All other Water Damage
1A$12025
488737
Re
02675
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. Chapter 143, section 6to be applicable, lfany
notice under Massachusetts General Laws. Chaoter '139, Section 3B is appropriate, please djrect 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.
l\.,lPlUA CIaims Division
cMA00021