HomeMy WebLinkAboutwater and mold damage 2026MASSACHUSETTS 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 Mass. Gen Ch.'139. Sec.38
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re; lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
LINDA B BOGLE
76 NORTON RD. WESTYARMOUTH. MA
1538875
Mold caused by: Water Damage
01t21t2026
489467
02673
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. sectlon 6to be applicable. lfany
notice under Massachusetts General . Chaoter '139. Section 38 is appropriate, please direct it to the
attention of the writer and include a reference to the captroned insured, location, policy number, date of loss
and claim orfile number.
MPIUA Claims Division
1t2412026
cr\,4A00021