Instant access to the forms you need.

As a Convergence co-employer client, you have access to all the forms you need to hire and terminate employees, as well as submit Workers’ Comp claims and request Workers’ Comp certificates.

Client Forms

Employee Application

Employee Application (Georgia)

Employee Application (Alabama)

Solicitud De Empleado

W-4

W-4 (Spanish)

Workers' Compensation Forms

Compensación a los Trabajadores

Employee Direct Deposit Form

Direct Deposit Cancellation

Separation Notice

Deduction Agreement Form

Employee Change Form

Broker Submission Forms

Client Set Up Sheet

Employer Account Change Form

Client Underwriting Submission Form – Request for Approval

Workers' Comp Loss History Affidavit

ACH Bank Approval Forms