HomeMy WebLinkAboutwater damage 2017MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Centor Plaza
Boston, Massachus6tts 02108-1 904
(61n 723.3E00 Ma Onlv (800) 392-6108, FAX (8001 851.8424
Form of Notice ol Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.38
8t22t2017
YARMOUTH FIRE DEPT
96 OLD I\,,!AIN ST
SOUTH YARMOUTH MA 02664
Re
cMA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ALFRED MAZOLA
7 CAPTAIN WEILER ROAD. SOUTH YARMOUTH. MA
0915727
Water Damage: All Other Water Damage
08t19t2017
416894
026&
Claim has been made involving loss, damage or destruclion of the above captioned property, which may either
exceed $1000.00 orcause@to be applicable. lf any
notice under Massachusetts General Laws. Chaoter 139. Section 38 is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured, location, policy number, date ol loss
and daim or file number.
MPlL,A Claims Division