HomeMy WebLinkAboutblizzard damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Jtlassachusetts 02,l08-'1904
(617) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen Ch.139. Sec.3B
2t28t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
RACHEL GILLIS
129 LEWIS RD. WEST YARMOUTH, MA
16397'19
Water Damage: Plumbing Systems
02t2612026
490874
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts General Chaoter 143. section 6 to be applicable. lf any
notice under lMassachusetts 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 file number,
MPIUA Claims Division
cMA00021
02673