HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1904
(6'17) 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
3t21t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
RYAN HAYES AND MICHELLE HAYES
7 DEEP BROOK RD. WEST YARMOUTH. MA
1628664
Water Damage: All Other Water Damage
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492025
Re
02673
Claim has been made involving loss, damage or deshuction of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts General Laws. Chapter 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 ol loss
and claim or file number.
MPIUA Claims Division
cMA00021
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