HomeMy WebLinkAboutinsurance claim 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.1904
(617) 723-3800 Ma Onlv (800) 392'6108. FAX (8001851'8424
Form of Notice of Casualty Loss to Building
Under i,4ass. Gen.. Ch.139, Sec.3B
3nt2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA O26M
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
GERALD CAPALOITRUSTEE OF THE
.IO ELIZABETH LN. WEST YARMOUTH. MA
1608914
All Other Section I Losses
02t2312026
491161
02673
Re
ct\.4A00021
[4PlUA Claims Division
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts General Laws. ChaDter 143. section 6to be applicable. lfany
notice under Massachusetts General Laws. 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,