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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

Convergence Employee Leasing serves Florida, Georgia and Alabama.

Call 904-731-9014 to discuss your employee leasing needs!


Proud Member of the Florida Association of Professional Employer Organizations

FAPEO

CAREERS


Copyright © Convergence Employee Leasing, Inc. – All rights reserved. – EL-348, EL-413, EL-426
9393-1 Mill Springs Drive – Jacksonville, FL 32257 – 904-731-9014
Jacksonville’s Premier PEO
Web Design by Ward Design Group, St. Augustine, Florida

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