HomeMy WebLinkAboutNotice of Loss 8/4/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
_ (617)723-3800 Ma Only(800)392-6108. FAX(800)851-8424
RECEIVED 8/8/2026
11
AUG 122026 Form of Notice of Casualty Loss to Building
Under Mass.Gen. Laws, Ch.139, Sec.3B
BUILDING DEPARTMENT
By
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: DALE ROBERTS
Property Address: 40 PLEASANT ST, S YARMOUTH, MA 02664
Policy Number: 1562527
Type Loss: Water Damage: Plumbing Systems
Date of Loss: 08/04/2026
Claim Number: 494702
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