HomeMy WebLinkAboutmold from water damage 2026Form of Notice of Casualty Loss to Building
Under l\4ass. Gen. Laws, Ch.139, Sec.3B
6t6t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH I\4A 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KENNETH AND JOANNE ROBERTS
125 BREEZY POINT ROAD. SOUTH YARMOUTH. MA
09'14324
Mold caused by: Water Damage
05t21t2026
493635
02664
Claim has been made involving loss, damage or destructlon of the above captioned property, which may either
exceed $1000,00 orcause Massachusetts General Laws. Chaoter 143. section 6 to be applicable. lfany
notice under Massach usetts 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 frle number.
MPIUA Claims Division
cMA00021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusefts 02108-1904
(617) 723-3800 Na 0nlv (800) 392-6108, FAX (800I851'8424