HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-l 904
(6,l7) 723.3800 ltla Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.'139. Sec.3B
10t1012026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
SHANNON DANNE-FEENEY
64 BRAY FARM RD N. YARMOUTH PORT. MA
1665672
Water Damage: Plumbing Systems
10/09/2026
496012
Re
cMA00021
02675
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000'00orcaUSe@tobeapplicable.lfany
notice under l\4assachusetts General Laws. Chapter 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 Division