Contractor fringe benefit statement fillable pdf 2025

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A fringe benefit statement form is a document that an employer must provide to each employee for whom they provide fringe benefits. The form must list all of the benefits provided, the value of each benefit, and any applicable taxes that were withheld.
The information that must be reported on a fringe benefit statement form includes the name and address of the employer, the employees name, Social Security number, and address, the type of benefit provided, the amount of the benefit, the period of time it was provided, any applicable taxes, and any other applicable
If the recipient of a taxable fringe benefit is your employee, the benefit is generally subject to employment taxes and must be reported on Form W-2, Wage and Tax Statement. However, you can use special rules to withhold, deposit, and report the employment taxes.
Here are seven popular fringe benefits to consider as part of a compensation package: Health insurance. Retirement plans. Dependent care assistance plans. Group-term life insurance. Adoption assistance plans. Educational assistance plans (EAP). Work flexibility.
Fringe costs (or fringe benefits) encompass expenses tied to your workforce, such as health insurance, retirement contributions, paid time off, and holiday pay.

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The SCA includes an illustrative list of bona fide fringe benefits, which includes, for instance, medical care, compensation for injuries or illness, and pensions for retirement or death, as well as insurance to provide such items.
The fringe benefit statement (FBS) captures all payments made directly to a fund, plan, or program, such as health benefits, a trust fund or to a fund authorized by the employee, for example, a 401k plan.

examples of fringe benefits