Form CEM-2502 "Contractor Payroll/Subcontractor Payroll" - California

What Is Form CEM-2502?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2001;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CEM-2502 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-2502 "Contractor Payroll/Subcontractor Payroll" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR PAYROLL
SUBCONTRACTOR PAYROLL
PERSONAL INFORMATION NOTICE
Pursuant to the Federal Privacy Act (P.L. 93-579) and the Information Practices Act of 1977 (Civil Code Sections 1798, et seq.), notice is hereby given for the request of
CEM-2502 (REV 4/2001)
personal information by this form. The requested personal information is voluntary. The principle purpose of the voluntary information is so the department can fulfill
ADA Notice
the need of the form. The failure to provide all or any part of the requested information may delay processing of this form. No disclosure of personal information will be
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410
made unless permissible under Article 6, Section 1798.24 of the IPA of 1977. Each individual has the right upon request and proper identification, to inspect all
or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
personal information in any record maintained on the individual by an identifying particular. Direct any inquiries on information maintenance to your IPA Officer.
CONTRACTOR/SUBCONTRACTOR
BUSINESS ADDRESS
PAYROLL NO. FOR WEEK ENDING
PROJECT AND LOCATION
CONTRACT NUMBER
FEDERAL AID NUMBER
DAY AND DATE
GROSS AMOUNT
DEDUCTIONS
NUMBER
NET
ST
EARNED
(BASED ON GROSS AMOUNT EARNED - ALL PROJECTS)
OF
WAGES
EMPLOYEE
CK.
WORK CLASSIFICATION
OR
WITH-
PAID
NAME, ADDRESS AND SOCIAL SECURITY NUMBER
NO.
HOLDING
FOR
FICA
OT
EXEMPTIONS
FED
WEEK
TOTAL
RATE
THIS
ALL
(SOCIAL
STATE
TOTAL
HOURS WORKED EACH DAY
TAX
HRS.
OF PAY
PROJECT
PROJECTS
SECURITY)
TAX
SDI
VAC
OTHER
DEDUCTIONS
S
O
S
O
S
O
S
O
S
O
S
O
S
O
S
O
S
O
CEM-2502 (REV 4/2001)
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
CONTRACTOR PAYROLL
SUBCONTRACTOR PAYROLL
PERSONAL INFORMATION NOTICE
Pursuant to the Federal Privacy Act (P.L. 93-579) and the Information Practices Act of 1977 (Civil Code Sections 1798, et seq.), notice is hereby given for the request of
CEM-2502 (REV 4/2001)
personal information by this form. The requested personal information is voluntary. The principle purpose of the voluntary information is so the department can fulfill
ADA Notice
the need of the form. The failure to provide all or any part of the requested information may delay processing of this form. No disclosure of personal information will be
For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410
made unless permissible under Article 6, Section 1798.24 of the IPA of 1977. Each individual has the right upon request and proper identification, to inspect all
or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
personal information in any record maintained on the individual by an identifying particular. Direct any inquiries on information maintenance to your IPA Officer.
CONTRACTOR/SUBCONTRACTOR
BUSINESS ADDRESS
PAYROLL NO. FOR WEEK ENDING
PROJECT AND LOCATION
CONTRACT NUMBER
FEDERAL AID NUMBER
DAY AND DATE
GROSS AMOUNT
DEDUCTIONS
NUMBER
NET
ST
EARNED
(BASED ON GROSS AMOUNT EARNED - ALL PROJECTS)
OF
WAGES
EMPLOYEE
CK.
WORK CLASSIFICATION
OR
WITH-
PAID
NAME, ADDRESS AND SOCIAL SECURITY NUMBER
NO.
HOLDING
FOR
FICA
OT
EXEMPTIONS
FED
WEEK
TOTAL
RATE
THIS
ALL
(SOCIAL
STATE
TOTAL
HOURS WORKED EACH DAY
TAX
HRS.
OF PAY
PROJECT
PROJECTS
SECURITY)
TAX
SDI
VAC
OTHER
DEDUCTIONS
S
O
S
O
S
O
S
O
S
O
S
O
S
O
S
O
S
O
CEM-2502 (REV 4/2001)