HomeMy WebLinkAboutNotice of Loss 11/18/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
R EC �� Boston,Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392.6108,FAX(800)851.8424
NOV 26 2025 11/22/2025
BUILDING-_ oef<riT rr-- Form of Notice of Casualty Loss to Building
By ._ __�� Under Mass.Gen.Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: JESAL PATEL
Property Address: 959 W YARMOUTH RD,YARMOUTH PORT.MA 02675
Policy Number: 1697651
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 11/18/2025
Claim Number: 488585
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 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 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
CMA00021