HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 081 904
(6171723'3800 Ma Onlv (8001392'6108, FAX (800| 851'8424
Form of Notice of Casualty Loss to Building
Under ftrlass. Gen. Laws, Ch.139, Sec.3B
7t11t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
Re
02673
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. Chaoter 143. section 6to be applicable lf any
notice under l assachusetts General Laws, Chaoter 139.38 is appropriate, please direct it to the
attention ol the wnter and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division
c[4A0002'1
ERNEST O AND DONNA E DALPE
26 MOCKINGBIRD LANE. WEST YARMOUTH. MA
0922939
Water Damage: Appliance failure
0710712026
494209