To file for Workers compensation, call Atlantic Charter within the first 2 days to assure they have a claim number from them to use for medical care. Next, complete the 30c form here. One signed copy should be faxed to the district of injury. One copy should be sent certified mail/return receipt requested to your Employer. Mail a third copy regular mail to Atlantic Charter (Attn: Paul Hammond, Sr. Claims/Loss Control Specialist at Atlantic Charter, 25 New Chardon St, Boston MA 02114). Always keep one copy for yourself.
If you have further questions, contact Paul Hammond at Atlantic Charter (Phone: 617-488-6546; Fax: 617-207-4344; Email: phammond@atlanticcharter.com). You can also reach out to 1199’s Workers Comp organizer, Alison Sylvia, for questions or to get help at asylvia@seiu1199ne.org or by calling the Union at 860-549-1199.