HomeMy WebLinkAboutNotice of Damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08'1904
(6,l7) 723-3800 lrla Onlv (800) 392'5108. FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. ch.1 9. Sec.3B
1t10t2026
YARI\4OUTH HEALTH DEPT
1 146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JAN .i q ZUZ6
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause Massachu General Laws. Chaoter 43, section 6 to be appllcable. lf any
notice under setts General Laws, Chaoter '139. Section 38 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
ct\.,1A000 21
ANTHONY R FARINA. PAULA F POLLIS.
43 GRANDVIEW DR. SOUTH YARMOUTH. MA 02664
0774271
Water Damage: All Other Water Damage
01t0212026
489199