HomeMy WebLinkAboutProperty Loss Notice 9.12.26MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723.3800 Ma onlv (800) 392-6108, FAx (8001851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARI\,,IOUTH HEALTH DEPT
1146 RoUTE 28
SOUTH YARN,,IOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
RECEIVED
stP 2 B 2026
HEALTH DEi-T.
ALPHONSE J FANARA
14 SHALLOW BROOK ROAD. SOUTH YARMOUTH. MA
1171521
Water Damage: Plumbing Systems
09112t2026
495337
02644
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. Cha0ter 143. section 6 to be applicable. lf any
notice under Massachusetts General Laws. Chaoter 139. Section 38 is appropriate, please direct it to the
attention o{ the writer and include a reference to the captioned insured, location, policy number, date of loss
and claim or flle number.
MPIUA Claims Division
cMAo0021
9t19t2026