HomeMy WebLinkAboutUnit A - insurance claim 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l08'1904
(6171723-3800 Ma onlv (800) 392'6108. FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
under Mass. Gen. Laws. Ch.139. Sec.3B
7t11t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
MARY CAULEY AND RYAN CAULEY
33A BAXTER AVENUE. WEST YARMOUTH. MA
1v4802
All other Section I Losses
04t16t2026
494189
02673
Claim has been made involving loss. damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause l\.4assach usetts General . Chaoter 143,section 6 to be applicable. lf any
notice under setts General Laws, Chaoter 139,38 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.
MPIUA Claims Division
crvA00021