HomeMy WebLinkAboutNotice of Loss 1/27/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
1/31/2026
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: ADRIEN LEBEAU
Property Address: 3 CADET LANE.WEST YARMOUTH, MA 02673
Policy Number: 1387441
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 01/27/2026
Claim Number: 489575
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,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B 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
r /_ 2025
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