HomeMy WebLinkAboutNotice of Loss 9/29/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
11/8/2025
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws,Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: IRMGARD BELANGER
Property Address: 9 PAULA LN,WEST YARMOUTH. MA 02673
Policy Number: 1380464
Type Loss: Other Causes of consequential Mold
Date of Loss: 09/29/2025
Claim Number: 488401
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 I ._—
1
I 1 NOV 13 2025
BUILDING�DEPARTIC NT