HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02.l08'1904
(617) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 85,l'8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
WILLIAM LAPLANTE, JR AND ANDREA LAPLANTE
TSSALTBOXRD. SYARMOUTH, MA 02664
1637890
Water Damage: Plumbing Systems
02105t2026
489959
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. section 6to be applicable. lf any
notice under l\4 usetts General , Chaoter '139,38is 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
c[,4A00021
2t7t2026