HomeMy WebLinkAboutNotice of Loss 7/7/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
� Two Center Plaza
RECEIVED Boston,Massachusetts 02108-1904
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I .9A. 16 2026 1
7/11/2026
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BuILcING DEPA RTm1ENT Form of Notice of Casualty Loss to Building
°°..----.-- —= Under Mass.Gen.Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: ERNEST 0 AND DONNA E DALPE
Property Address: 26 MOCKINGBIRD LANE,WEST YARMOUTH,MA 02673
Policy Number: 0922939
Type Loss: Water Damage:Appliance failure
Date of Loss: 07/07/2026
Claim Number: 494209
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,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B 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
CMA00021