Important Notice: EVV is Live in Your State
W2 Information
Acumen consistently exceeds 95% Customer Service Ratings across all of the programs we serve throughout the United States.
To contact Acumen Fiscal Agent, please call (866) 235-4745 or fax (844) 343-2590.
Participant Employer Forms
Form 2678 Form SS-4 Form W-9 OR Client & Employer Change Information Form OR DOR Tax Information Authorization Form OR Employee Termination Form OR ICP Acumen Authorization Form OR ICP Cash Benefit Auto Withdrawal Form OR ICP Cash Benefit Payment Agreement OR ICP Employer Agreement Form OR ICP Request for Vendor Reimbursement Form OR Individual & Employer Business Information OR SUTA POA -FORM 2553 Rev 03 OR Tax Authorization Rep Form Oregon Combined Payroll Tax Business Change in Status Form Employer’s Previous Business Information FormDirect Care Employee Forms
Form I-9 Form OR-W-4 Form OR-W-4 Spanish Form W-4 OR Employee Change Information Form OR ICP Employee Agreement Form OR ICP Application for Tax Exemptions OR Pay Selection & Direct Deposit Form OR ICP EVV Only Report Schedule July 2026 to June 2027 OR ICP Payroll Schedule July 2026 to June 2027 OR Mobile App Voice AttestationEmployer of Record Forms
Coming Soon!
In-Home Worker Forms
Coming Soon!