HomeMy WebLinkAboutwater damage 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, ltlassachusetts 02'l 08-1 904
(617) 723-3800 iila Onlv (8001392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen,. Ch.139. Sec.38
8t15t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re:lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
QINGWEI FU AND HONGYAN SUN
58 CAPTAIN BLOUNT RD. S YARMOUTH, MA
1679545
Water Damage: All Other Water Damage
07 t03t2025
49488/
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcaUse@tobeapp|icable.|fany
notice under Massachusetts General Laws. Chaoter 139. Section 38 is appropriate, please direct it to the
attention of the wnter and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division
ci,llA00021