HomeMy WebLinkAboutwater damage 2026MASSACHIJSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.1904
(6171 723-3800 Ma Onlv (800) 392-5108. FAX (8001 851'8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen.ws. Ch.139. Sec.3B
1t31t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
WLER SURDUT AND LIANA SURDUT
39FINCHLN.WESTYARMOUTH.MA 02673
1270921
Water Damage: All Other Water Damage
0112612026
489503
Re
Ct\,'1A00021
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, ChaDter 143. section 6 to be applicable ll any
notice under setts General Laws, Chaoter '139, Section 38 is appropriate, please direct it to the
attention of the wnter and include a relerence to the captioned insured, location, policy number, date of loss
and claim or file number.
lr.,lPlUA Claims Division