The CEM-2501 Fringe Benefit Statement is issued by the California Department of Transportation (Caltrans). Contractors and subcontractors on federal-aid construction projects use this form to report the fringe benefits they provide to workers. Benefits covered include health and welfare coverage, pension contributions, vacation pay, subsistence allowances, travel pay, and apprenticeship or training fees.
You must submit the CEM-2501 with your first certified payroll for each contract. Resubmit any time benefit amounts change during the project. Labor compliance officers and resident engineers compare the form against your certified payroll records to confirm workers receive the full benefit package required by the prevailing wage determination. Each contractor and subcontractor files a separate form. A form submitted by the prime contractor does not cover benefits paid by a subcontractor.
The form also supports accessibility requirements. Contractors can request alternate formats for employees with sensory disabilities. Keeping accurate records on the CEM-2501 protects workers and helps contractors stay in compliance with California and federal labor regulations throughout the project.
| Question | Answer |
|---|---|
| Form Name | Cem 2501 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | california cem 2501, state of california cem 2501, cem 2501 fringe benefit statement, cem 2501 fillable |