HomeMy WebLinkAboutwater damage claims 2014MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-'l 904
(617) 723-3800 Ma Onlv (800) 392-6108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under [,1ass. Gen. Laws. Ch.139, Sec.38
11113t2014
YARMOUTH FIRE DEPT
96 OLD I\.4AIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
LUCILLE NOBLE
,16 CARVER RD. WESTYARMOUTH, MA
0651352
Water Damage: All Other Water Damage
11t1212014
327464
02673
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. lfany
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 of loss
and claim or file number,
MPIUA Claims Division
cMAo0021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
{617) 723-3800 Ma Onlv (800) 392-6108. FAX (800} 851-8424
Form o[ Notice of Casualty Loss to Building
Under Mass, Gen. Laws, Ch.139, Sec.38
10128t2014
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
LUCILLE NOBLE
16 CARVER RD. WEST YARMOUTH, MA
0651352
Water Damage: Plumbing Systems
0912712014
326972
02673
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 of the writer and include a reference to the captjoned insured, location, policy number, date of loss
and claim or flle number.
l\4PlUA Claims Division
cr\rA00021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-l 904
(617) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under i.4ass. Gen. Laws, Ch.139, Sec.3B
10t2812014
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re
cM400021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
02673
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause [.4assachusetts General . Chaoter 143. section 6 to be applicable. lf any
notice under Massachusetts General Laws. Chaoter 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 Divisron
LUCILLE NOBLE
16 CARVER RD. WEST YARMOUTH. MA
0651352
All other Section I Losses
09115t2014
326974