HomeMy WebLinkAboutmold 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6,l7) 723.3800 Ma Onlv (800) 392-6,l08, FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
10t3t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
DEBORAH COLLINS
21 CANDLEWOOD LN. WEST YARMOUTH. MA
'1575230
Other Causes of consequential Mold
1010212026
495838
02673
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $'1000.00 or cause l\4assachusetts General Laws. Chaoter 143, section 6 to be applicable. lf any
notice under Massachusetts General Laws. Chaotel139. Section 3B ts appropriate, please direct it to the
attention of the wnter and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
It/PIUA Claims Division
ctvA00021