The Pennsylvania Supplemental Information Addendum to Application As A Group Workers Compensation Fund is a form used by employers in the state of Pennsylvania to provide additional information to the Pennsylvania Workers Compensation Fund when submitting an application. This form is used to provide details about the employer's business, including the type of business, location, contact information, and any other relevant information. The form also includes questions about the employer's safety practices, workers compensation insurance coverage, and any additional information that may be requested. The Pennsylvania Supplemental Information Addendum to Application As A Group Workers Compensation Fund is divided into three sections: Group Member Information, Group Policy Information, and Group Member Employer Information. Group Member Information includes the name, address, contact information, and other pertinent information of each of the members of the group. Group Policy Information includes the type of policy, policy limits, and any additional information that may be requested. Group Member Employer Information includes details about the employer's safety practices, workers compensation insurance coverage, and any additional information that may be requested. There are two types of Pennsylvania Supplemental Information Addendum to Application As A Group Workers Compensation Fund: the Standard Addendum and the Nonstandard Addendum. The Standard Addendum is used for employers that meet the criteria set by the Pennsylvania Workers Compensation Fund. The Nonstandard Addendum is used for employers who do not meet the criteria set by the Pennsylvania Workers Compensation Fund and require additional information.