What information does the Sub-Contractor Information Addendum request?

It provides spaces for contractor names, HICPA numbers, mailing addresses, phone and cell numbers, insurance status, and each contractor’s portion of the job.

Who uses the Sub-Contractor Information Addendum?

Contractors completing an application for plan review and building permit approval can use it to provide information about subcontractors working on the job.

Paxtang, PA · Dauphin County

No notary required

Sub-Contractor Information Addendum

This addendum records subcontractor details for contractors submitting information with an application for plan review and building permit approval.

What this form is

The addendum provides space to list four contractors and record each contractor’s name, HICPA number, mailing address, phone and cell numbers, and the portion of the job being completed. It also asks whether insurance is attached or on file. The document identifies itself as an addendum to an application for plan review and building permit approval.

Who needs it

Contractors completing an application for plan review and building permit approval can use this addendum to provide information for subcontractors working on the job.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This addendum has no notary block and mentions no notarized attachment or sworn step; its text does not specify a signature or date field.

How to submit this form

1
Download The Addendum
Download the Sub-Contractor Information Addendum PDF.
2
Complete Contractor Details
Enter each contractor’s name, HICPA number, mailing address, phone and cell numbers, and portion of the job.
3
Indicate Insurance Status
For each contractor, indicate whether insurance is attached or on file.
4
Submit To The City
Submit the addendum to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Sub-Contractor Information Addendum request?: It provides spaces for contractor names, HICPA numbers, mailing addresses, phone and cell numbers, insurance status, and each contractor’s portion of the job.
Who uses the Sub-Contractor Information Addendum?: Contractors completing an application for plan review and building permit approval can use it to provide information about subcontractors working on the job.
Do I need a notary for the Sub-Contractor Information Addendum?: No. The addendum has no notary block and mentions no notarized attachment or sworn step; its text does not specify a signature or date field.
How do I submit the Sub-Contractor Information Addendum?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Sub-Contractor Information Addendum doesn’t need a notary — but if you have another Paxtang form that does, a commissioned online notary can help.