HomeMy WebLinkAboutwater damage 2018MASSACHUSETTS PROPERW INSURANCE UIIDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetls 02108-'1904
(617) 723-3800 Ma Onlv (8001 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss tc Building
Under [.4ass. Gen. Laws, Ch.139. Sec.3B
2t16t?018
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
DAVID ROCHA
85 CAPTAIN CHASE RD. YARMOUTH. I,|lA
1418774
Waler Damage: All Other Water Damage
0211512018
422614
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcause@tobeapplicable.lfany
notice is appropriate, please direct it to the
attention ol 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