HomeMy WebLinkAboutinsurance claim freezing 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1904
(617) 723-3800 Ma Onlv (800) 392-6,l08. FAx (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139, Sec.3B
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YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KERRY A. KING
8 TIDE LN. S YARMOUTH. MA
1546067
Freezing
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489460
Re
02664
Claim has been made involving loss, damage or deslruction of the above captioned property, which may either
exceed$1000.00orcauSe@tobeapplicable.lfany
notice under Massachusetts 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 o, loss
and claim or file number.
l\,lPlUA Claims Division
ct\,4A00021