HomeMy WebLinkAboutblizzard damage 2026MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, ltlassachusetts 021 08'1 904
(617) 723.3800 Ma Onlv (800) 392-6108. FAX (8001851'8424
Form of Notice of Casualty Loss to Building
Under Mass, Gen Ch.139. Sec.38
2t28t2026
YARI/OUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re
ClvlA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
02673
Claim has been made involving loss, damage or destructton of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts General Laws. Chaoter 143. section 6to be applicable. lfany
notice under Massachusetts General Laws, Chaoter 139, Section 38 is appropriate, please direct it to the
aftention of the wnter and include a reference to the capttoned insured, location, policy number, date of loss
and claim or file number.
l,4PlUA Claims Division
STEVEN JONES AND SHEILA JONES
15 HUDSON RD. WEST YARMOUTH. MA
1688430
Windstorm other than Hunicane or Tomad
0423t2026
490921