HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 08-1 904
(6,l7) 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
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KELLY WILSON
27 STATION AVE. SOUTH YARMOUTH. MA
1289473
Water Damage: Plumbing Systems
02t0412026
489921
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause l\,lassachusetts General Laws. Chapter 143. section 6 to be applicable. lfany
notice under Massachusetts General Laws. Chaoter 139, Section 38 is appropnate, 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 flle number.
[.4PlUA Claims Division
cMA00021
2t7t2026