HomeMy WebLinkAboutinsurance claim 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l08-1904
(617) 723.3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice ol Casualty Loss to Building
Under l\,4ass. Gen. Laws . Ch.139. Sec.3B
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARIVOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
MARY E GIBBONS
25 CREST CIR. WEST YARMOUTH. MA
16U277
All other Section I Losses
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4929s0
02673
Claim has been made invotving loss, damage or destruction of the above captioned property, whlch may either
exceed $1000.00orcause Massachusetts General Laws. Chaoter 143. section 6 to be applicable lf any
notice under Massach usetts General Laws. Chaoter 1 39. 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.
[.4PlUA Claims Division
ct A00021
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