HomeMy WebLinkAboutwater damage 2026Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH IVIA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ANTHONY R FARINA. PAULA F POLLIS.
43 GRANDVIEW DR, SOUTH YARI4OUTH, I\4A
0774271
Water Damage: All Other Water Damage
ut042026
489199
026U
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 6to be applicable. lfany
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 file number,
MPIUA Claims Division
cr\,1A00021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l08.,l904
(617) 723.3800 Ma Onlv (8001 392-6,l08. FAX (800) 851-8424
1t10t2026