HomeMy WebLinkAboutNotice of DamageMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(617) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under l\,4ass. Gen. Laws, Ch.139, Sec.3B
1t24t2026
YARMOUTH HEALTH DEPT
1146 RoUTE 28
SOUTHYARMOUTH I/A 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
Heatth DePartment
3 0 JAil ?020
LINDA B BOGLE
76 NORTON RD. WEST YARMOUTH. MA
1538875
Mold caused by: Water Damage
uzt2026
489467
02613
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 [.4as 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.
l\.4PlUA Claims Division
cl\/A00021