HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, i/lassachusetts 02108.,l904
(6'17) 723-3800 Ma Onlv (800) 392'6,l08, FAX (800) 85,l'8424
Form of Notice of Casualty Loss to Building
Under l\.4ass. Gen. Laws. Ch.139, Sec.3B
9t19t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH N,IA 02664
Re lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ALPHONSE J FANARA
14 SHALLOW BROOK ROAD. SOUTH YARMOUTH. MA
1171521
Water Damage: Plumbing Systems
09tfl2026
495337
02644
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000'00orcause@tobeappIicable.|fany
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
ct\.,rA00021