HomeMy WebLinkAboutNotice of DamageMASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723-3800 Ma Onlv (800) 392.6108. FAX (8001851-8424
Form of Notice of Casualty Loss to Building
1t2412026
Under Gen. Laws. Ch.1
W
. Sec.38
YARMOUTH HEALTH DEPT
1 146 ROUTE 28
SOUTH YARMOUTH MA 02664
Insured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KERRY A, KING
8 TIDE LN. S YARMOUTH, MA
1546067
Freezing
01121t2026
489460
Re
ct\,4A00021
02664
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 6 to be applicable. lf any
notice under l\,,lassachusetts General Laws. Chaoter 139 . Section 38 is appropriate, please direct it to the
attention of the writer and include a refelence to the captioned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division