HomeMy WebLinkAboutwindstorm damages 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-.l904
(617) 723.3800I1a Onlv (800) 392-6108, FAX (80018514424
Form of Notice of Casualty Loss to Building
Under l\4ass. Gen. Laws, Ch.139, Sec.3B
2t1t2015
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
WILLIAM AND JOANNE MARTIN
1.I1 CAPTAIN SMALL ROAD. SOUTH YARMOUTH. MA
1102576
Windstorm other than Hunicane or Tornad
01t27D015
329355
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 approprjate, 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