HomeMy WebLinkAboutinsurance claim 2025MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetls 02108-1904
(617I723-3800 Ma Onlv (800) 392-5108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
2t7 t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
JUDITH GANNON
136 SULLIVAN RD. WEST YARMOUTH. MA
1692553
All other Section I Losses
09t03t2025
489957
Claim has been made involving loss, damage or desttuctlon of the above captioned property, which may either
exceed $1000.00 or cause N4assachusetts General Chaoter 143. section 6 to be applicable. lf any
notice under [,,lassachusetts General , 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 lile number.
i/PIUA Claims Division
Ct\,1A00021
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
02673