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Forms Used For Contract Administration
Instructions for filling out on-line forms
The following official forms are used by Caltrans personnel while administering construction projects. They are also used by contractors, subcontractors, and suppliers to meet contract requirements.
Please note the forms are in Adobe Acrobat Portable Document Format (PDF). You can open and complete the form but not save a finished copy on your computer.
Some forms are of a newer type and require a newer Adobe Reader which you can get here if you have any problems viewing them. 
To prepare a copy for submittal or for your records, print the completed copy.
For further information about the application of specific forms, please refer to the Construction Manual
Division of Construction Forms
- Form CEM-20CC, Attachment CC Water Pollution Control Best Management Practices List
- Form CEM-20DAPP, Appendix D Notification Log
- Form CEM-20DCON, SWPPP/WPCP Attachment D Contractor Personnel Training Record
- Form CEM-20DSUB, SWPPP/WPCP Attachment D Subcontractor Personnel Stormwater Training Record
- Form CEM-20EE, SWPPP Attachment EE Stormwater Sampling Locations
- Form CEM-0101, Resident Engineer’s Report of Assignment
- Form CEM-0501, Relief from Maintenance
- Form CEM-0601, Construction Safety Report
- Form CEM-0602, Project Safety Program Statement
- Form CEM-0603, Major Construction Incident Notification
- Form CEM-0606, Construction Safety Checklist
- Form CEM-1101, Documents Bond of State Highway Oversight Projects
- Form CEM-1201, Subcontracting Request
- Form CEM-1202, Contractor Action Request Change of Name/Address Assignment of Contract Monies
- Form CEM-1203, Contractor Action Request Assignment of Contract Performance
- Form CEM-1204, American Recovery and Reinvestment Act (ARRA) Monthly Employment Report
- Form CEM-1901, Burial Location of Soil Containing Aerially Deposited Lead
- Form CEM-1902, Burial Location of Soil Containing Naturally Occurring Asbestos
- Form CEM-2001, National Pollution Discharge Elimination System Annual Certification
- Form CEM-2002, Notification of Construction
- **NOTE** Form CEM-2003 is obsolete and has been replaced by form CEM-2090
- Form CEM-2004, Notification of Construction (Desert Areas)
- Form CEM-2005, Notification of Rainfall Erosivity Waiver
- Form CEM-2006, Legally Responsible Person Authorization of Approved Signatory
- Form CEM-2006T, Legally Responsible Person Authorization of Approved Signatory - Lake Tahoe Hydrologic Unit
- Form CEM-2008, SWPPP/WPCP Amendment Certification and Acceptance
- Form CEM-2009, SWPPP/WPCP Amendments Log
- Form CEM-2023, Stormwater Training Record
- Form CEM-2024, Stormwater Training Log
- Form CEM-2030, Stormwater Site Inspection Report
- Form CEM-2031, Daily Stormwater Site Inspection Report
- Form CEM-2034, Stormwater Best Management Practices Status Report
- Form CEM-2035, Stormwater Site Inspection Report Corrective Actions Summary
- Form CEM-2040, Weather Forecast Log
- Form CEM-2041, Weather Monitoring Log
- Form CEM-2045, Rain Event Action Plan—Highway Construction Phase
- Form CEM-2045T, Rain Event Action Plan—Highway Construction Phase - Lake Tahoe Hydrologic Unit
- Form CEM-2046, Rain Event Action Plan—Plant Establishment Phase
- Form CEM-2047, Rain Event Action Plan—Inactive Project
- Form CEM-2048, Storm Event Sampling and Analysis Plan
- Form CEM-2049, Qualifying Rain Event Sampling and Analysis Plan
- Form CEM-2049T, Qualifying Rain Event Sampling and Analysis Plan - Lake Tahoe Hydrologic Unit
- Form CEM-2050, Sample Information, Identification, and Chain-of-Custody Record
- Form CEM-2051, Stormwater Sampling and Analysis Log
- Form CEM-2052, Stormwater Sample Field Test Report
- Form CEM-2054, Stormwater Sample Laboratory Test Report
- Form CEM-2055, Stormwater Equipment Maintenance Log
- Form CEM-2056, Stormwater Turbidity Meter Calibration Record
- Form CEM-2057, Stormwater pH Meter Calibration Record
- Form CEM-2058, Stormwater Meter Calibration Record
- Form CEM-2061, Notice of Discharge Report
- Form CEM-2062, Numeric Action Level Exceedance Report
- Form CEM-2062T, Numeric Action Level Exceedance Report - Lake Tahoe Hydrologic Unit
- Form CEM-2063, Numeric Effluent Limitation Violation Report
- Form CEM-2063T, Numeric Effluent Limitation Violation Report - Lake Tahoe Hydrologic Unit
- Form CEM-2065, Notice of Discharge Log Instructions
- Form CEM-2070, SWPPP/WPCP Annual Certification of Compliance
- Form CEM-2075, Project Stormwater Annual Report
- Form CEM-2090, Notice of Completion of Construction
- Form CEM-2101, COZEEP Daily Report
- Form CEM-2102, COZEEP/MAZEEP Task Order
- Form CEM-2103, COZEEP/MAZEEP Cancellation Form
- Form CEM-2401, Substitution Report for Disadvantaged Business Enterprise (DBE) or Underutilized Disadvantaged Business Enterprise (UDBE)
- Form CEM-2402(F), Final Report Utilization of Disadvantaged Business Enterprises (DBE), First tier Subcontractors
- Form CEM-2402 (S), Final Report Utilization of Disabled Veteran Business Enterprises (DVBE)State Funded Projects Only
- Form CEM-2403(F), Disadvantaged Business Enterprises (DBE) Certification Status Change
- Form CEM-2404(F), Monthly DBE/UDBE Trucking Verification
- Form CEM-2501, Fringe Benefit Statement
- Form CEM-2502, Contractor or Subcontractor Payroll
- Form CEM-2503, Statement of Compliance
- Form CEM-2504, Employee Interview: Labor Compliance/EEO
- Form CEM-2504 (Spanish), Entrevista de Empleado: Labor Compliance/EEO
- Form CEM-2505, Owner Operator Listing Statement of Compliance
- Form CEM-2506, Labor Compliance Wage Violation
- Form CEM-2507, Labor Violation: Case Summary
- Form CEM-2508, Contractor Payroll Source Document Audit Summary
- Form CEM-2509, Checklist Source Document Audit
- Form CEM-2510, Truck Owner-Operator Certification of Ownership
- Form CEM-2601, Construction Progress Chart
- Form CEM-2701, Weekly Statement of Working Days
- Form CEM-2702, Overrun in Contract Time
- Form CEM-3101, Notice of Materials to be Used
- Form CEM-3501, Hot Mix Asphalt Production Report
- Form CEM-3502, Hot Mix Asphalt Placement Report
- Form CEM-3511, Contractor Job Mix Formula Proposal
- Form CEM-3512, Contractor Hot Mix Asphalt Design Data
- Form CEM-3513, Caltrans Hot Mix Asphalt Verification
- Form CEM-3514, Contractor Job Mix Formula Renewal
- Form CEM-3701, Test Result Summary
- Form CEM-3702, Relative Compaction Summary
- From CEM-3703, Caltrans Production Start-Up Evaluation
- From CEM-3801, Request for Assignment of Inspectors, Samplers, and Testers
- From CEM-3802, Quality Control Inspector Affidavit of Proficiency
- From CEM-3803, Daily Summary of Quality Control Testing
- From CEM-3804, Hot Mix Asphalt Inspection and Testing Summary
- Form CEM-4101, Materials Release Summary
- Form CEM-4102, Material Inspected and Released on Job
- Form CEM-4202, Material Plant Safety Checklist
- Form CEM-4401, Solid Waste Disposal and Recycling Report
- Form CEM-4501, Resident Engineer’s Daily Report or Assistant Resident Engineer’s Daily Report
- Form CEM-4601, Assistant Resident Engineer’s Daily Report
- Form CEM-4701, Drainage System Summary
- Form CEM-4801, Quantity Calculations
- Form CEM-4900, Contract Change Order
- Form CEM-4901, Contract Change Order Input
- Form CEM-4902, Extra Work Bill—(Short Form)
- Form CEM-4902A, Extra Work Bill—Title Page
- Form CEM-4902B, Extra Work Bill—Labor Charges
- Form CEM-4902C, Extra Work Bill—Equipment Charges
- Form CEM-4902D, Extra Work Bill Material Charges
- Form CEM-4903, Contract Change Order Memorandum
- Form CEM-4904, Caltrans Authorization for Using Internet Extra Work Bill System
- Form CEM-4905, Contractor Authorization To Use Internet Extra Work Bill System
- Form CEM-5101, Request for Payment for Materials on Hand
- Form CEM-5501, Partnering Facilitator Evaluation—Kickoff
- Form CEM-5502, Partnering Facilitator Evaluation—Close-out
- Form CEM-6002, Contract Administration System—Report Requests
- Form CEM-6003, Progress Pay—Estimate Project Initiation or Update
- Form CEM-6004, Contract Transactions Input
- Form CEM-6101, Project Record—Estimate Request
- Form CEM-6201, Notice of Potential Claim
- Form CEM-6201A, Initial Notice of Potential Claim
- Form CEM-6201B, Supplemental Notice of Potential Claim
- Form CEM-6201C, Full and Final Documentation of Potential Claim
- Form CEM-6201D, Initial Potential Claim Record
- Form CEM-6201E, Supplemental Potential Claim Record
- Form CEM-6201F, Full and Final Potential Claim Record
- Form CEM-6202, Disputes Review Board Establishment
- Form CEM-6203, Dispute Review Board Update Report
- Form CEM-6204, Dispute Review Board Issue Report
- Form CEM-6205, Dispute Review Board Completion Report
- Form CEM-6206, Dispute Resolution Advisor Establishment Report
- Form CEM-6207, Dispute Resolution Advisor Dispute Meeting Report
- Form CEM-6208, Dispute Resolution Ladder Establishment
- Form CEM-6209, Elevation of a Dispute
- Form CEM-6301, Contract Acceptance
- Form CEM-6302, Final Materials Certification
- Form CEM-6303, Final Acceptance Checklist for Federal-Aid High-Profile Projects
- Form CEM-9001, Construction Manual Proposed Change
- Form LA-17, Report of Chemical Spray Operations
- Form EEO-0014, Small Business Utilization Report
- Form OFG-1, Oversight Engineer's Preconstruction Checklist
- Form OFG-2, Local Agency and Oversight Engineer PreConstruction Conference Checklist
- Form OFG-3, Resident Engineer Contract Provisions Checklist
- Form OFG-4, Oversight Engineer's Construction Contract Administration Verification Checklist
- Form OFG-5, Federal-Aid Projects
- Form OFG-6, Final Acceptance Checklist for Caltrans Oversight Projects