HomeMy WebLinkAboutwater damage 2026IT|ASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Jtlassachusetts 02108.,l904
(617) 723-3800 Ma Onlv (800) 392-6108, FAX (800185,|'8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen Ch.'139. Sec.3B
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA O26M
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
CHARLOTTE DEWITT
14 GEORGETOWN LANDING ROAD. SOUTH YARMOUTH. MA 0266
0915623
Water Damage: Plumbing Systems
02t05t2026
489951
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcaUSe@tobeapp|icab|e.lfany
notice under Massachusetts General Laws. Chaoter 139. Section 38 is appropnate, please dhect it to the
attention of the wnter and include a reference to the captioned insured, location, policy number, date ol loss
and claim or file number.
MPIUA Claims Division
ct\4A00021
2t7t2026