HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, ilassachusetts 021 08'1904
(617) 723-3800 Ma Onlv (800) 392'6108. FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Under Gen. Laws. Ch.1 9. 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:
Re
02673
Claim has been made involving loss, damage or destruction of the above captioned propery, which may either
exceed $1000,00 or cause Massachusetts General Laws, Chaoter 143, section 6tobeapplicable 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 of loss
and claim or file number.
MPIUA Claims Division
cMA00021
ADRIEN LEBEAU
3 CADET LANE. WEST YARMOUTH, MA
1387Ml
Water Damage: All Other Water Damage
01t2712026
489575