HomeMy WebLinkAboutfreezing damage 2026MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723.3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139, Sec.3B
1t31t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsu red:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
SOPHIE BLAKEMORE
5 EVERGREEN ST. SYARMOUTH. MA 02664
1514482
Freezing
u,26n026
489514
Re
Claim has been made involving loss, damage or destruction of lhe 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 wnter and include a reference to the captioned insured, location, policy number, dale of loss
and claim or file number.
MPIUA Claims Division
Ctr,'1A00021