HomeMy WebLinkAboutinsurance claim 2026MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.1 904
(6,l7) 723-3800 Ma Onlv (800) 392.6,l08, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under l\4ass. Gen. Laws, Ch.139, Sec.3B
414t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Insured;
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
THE JUDITH A OBRIEN 2018 IRREVOCABLE
12 BLACK DUCK LN, WEST YARMOUTH. MA
1679405
AII Other Section I Losses
03t2912026
492372
Re
02673
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause Massachusetts General Laws. Chaoter 143. section 6to be applicable. lf any
notice under l\4assachusetts General Laws. Cha0ter 139. Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured, Iocation, policy number, date of loss
and claim or file number.
[.4PlUA Claims Division
ctvA00021