HomeMy WebLinkAboutNotice of Loss 10.2.26MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723-3800 Ma 0nlv (800) 392-6108. FAX (800) 851-8424
Form of Notice ol Casualty Loss to Building
Under Mass. Gen. Laws, Ch.'139, Sec.38
10t3t2026
YARMOUTH HEALTH DEPT
1146 RoUTE 28
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
RECEIVED
Ocr n I 20?6
HEALTH DEP]:
Re DEBORAH COLLINS
21 CANDLEWOOD LN. WEST YARI4OUTH, [,llA
1575230
Other Causes of consequential Mold
10t042026
495838
02673
Claim has been made involving loss, damage or destruction of the above captioned property, which may etther
exCeed$1000'00orcaUSe@tobeapp|icable'|fany
notice under Massachusetts General Laws, Chapter 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
c[,,1A00021