{"id":687,"date":"2023-03-20T10:12:16","date_gmt":"2023-03-20T09:12:16","guid":{"rendered":"https:\/\/mybestcase.heffner.consulting\/personnel-questionnaire\/"},"modified":"2023-04-26T14:06:09","modified_gmt":"2023-04-26T12:06:09","slug":"personnel-questionnaire","status":"publish","type":"page","link":"https:\/\/mybestcase.de\/en\/personnel-questionnaire\/","title":{"rendered":"Personnel questionnaire"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-265\"><form id=\"wpforms-form-265\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"265\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/687\" data-token=\"6e13397af9397d43f277e63a8df849ab\" data-token-time=\"1777950694\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-265-field_94-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"94\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_94\">Employer <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_94\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][94]\" required><\/div><div id=\"wpforms-265-field_1-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"1\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_2\">  Personnel no.<\/label><input type=\"text\" id=\"wpforms-265-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_3\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_4\">First name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_5-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"5\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_9-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_9\">Born at <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_9\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][9][date]\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_6\">Birth name<\/label><input type=\"text\" id=\"wpforms-265-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_7\">Birthplace <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_8\">  Nationality<\/label><input type=\"text\" id=\"wpforms-265-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_10-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"10\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_11\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-265-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_13\">  E-mail address<\/label><input type=\"email\" id=\"wpforms-265-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" spellcheck=\"false\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_12\">Country<\/label><input type=\"text\" id=\"wpforms-265-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-265-field_14-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_14\">Phone<\/label><input type=\"tel\" id=\"wpforms-265-field_14\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][14]\" aria-label=\"Phone\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_15-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"15\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_16\">Bank details<\/label><input type=\"text\" id=\"wpforms-265-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_17\">BIC<\/label><input type=\"text\" id=\"wpforms-265-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_18\">  IBAN<\/label><input type=\"text\" id=\"wpforms-265-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_19-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"19\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_20\">  Training as<\/label><input type=\"text\" id=\"wpforms-265-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_21\">  hired as (job title)<\/label><input type=\"text\" id=\"wpforms-265-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_22-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"22\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_23-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_23\">  Application from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_23\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][23][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_24-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_24\">  Contract conclusion on<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_24\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][24][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_26-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_26\">Vacation<\/label><input type=\"number\" id=\"wpforms-265-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" step=\"any\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_27\">Monthly \/ weekly hours<\/label><input type=\"text\" id=\"wpforms-265-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_28-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"28\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_29-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_29\">  Admission on<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_29\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][29][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_30-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_30\">  Exit<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_30\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][30][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_31-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"31\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_32\">  Driving license\/class<\/label><input type=\"text\" id=\"wpforms-265-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_33-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_33\">since<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_33\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][33][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_34\">Vehicle type<\/label><input type=\"text\" id=\"wpforms-265-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_35\">  Amtl. Indicator. for company car<\/label><input type=\"text\" id=\"wpforms-265-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_36-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"36\"><h3 id=\"wpforms-265-field_36\">Tax information<\/h3><\/div><div id=\"wpforms-265-field_37-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"37\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_38\">Tax class <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_39\">  Factor (only for tax class 4)<\/label><input type=\"text\" id=\"wpforms-265-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_40\">Denomination<\/label><input type=\"text\" id=\"wpforms-265-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_41\">Denomination (marriage) partner<\/label><input type=\"text\" id=\"wpforms-265-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_45-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"45\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_42\">Identification number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" required><\/div><div id=\"wpforms-265-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"46\"><label class=\"wpforms-field-label\">Amount type<\/label><ul id=\"wpforms-265-field_46\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-265-field_46_1\" name=\"wpforms[fields][46]\" value=\"LSt allowance\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_46_1\">LSt allowance<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_46_2\" name=\"wpforms[fields][46]\" value=\"Add-on amount\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_46_2\">Add-on amount<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_43\">Child allowance<\/label><input type=\"text\" id=\"wpforms-265-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" ><\/div><div id=\"wpforms-265-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_47\">  Amount annually \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_44-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"44\"><label class=\"wpforms-field-label\">Employer<\/label><ul id=\"wpforms-265-field_44\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-265-field_44_1\" name=\"wpforms[fields][44]\" value=\"Main employer\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_44_1\">Main employer<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_44_2\" name=\"wpforms[fields][44]\" value=\"Secondary employer\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_44_2\">Secondary employer<\/label><\/li><\/ul><\/div><div id=\"wpforms-265-field_48-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_48\">  Amount monthly \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_49-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"49\"><h3 id=\"wpforms-265-field_49\">Social security information<\/h3><\/div><div id=\"wpforms-265-field_50-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"50\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-67-33\"><div class=\"wpforms-layout-column wpforms-layout-column-67\" ><div id=\"wpforms-265-field_51-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_51\">  Social security no. <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_51\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][51]\" required><\/div><div id=\"wpforms-265-field_53-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_53\">  Statutory health insurance (for privately insured persons for the deduction of the RV) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_53\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][53]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_52-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"52\"><label class=\"wpforms-field-label\">Eligible children for PV supplement? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-265-field_52\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-265-field_52_1\" name=\"wpforms[fields][52]\" value=\"Yes\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_52_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_52_2\" name=\"wpforms[fields][52]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_52_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-265-field_54-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"54\"><label class=\"wpforms-field-label\">  Voluntary health insurance? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-265-field_54\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-265-field_54_1\" name=\"wpforms[fields][54]\" value=\"Yes\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_54_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_54_2\" name=\"wpforms[fields][54]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_54_2\">No<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_55-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"55\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_56-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"56\"><label class=\"wpforms-field-label\">  Private health insurance? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-265-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_56_1\" name=\"wpforms[fields][56]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_56_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-265-field_56_2\" name=\"wpforms[fields][56]\" value=\"No\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_56_2\">No<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_57-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_57\">  Total contribution KV\/PV \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_57\" class=\"wpforms-field-medium\" name=\"wpforms[fields][57]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-265-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_58\">  Basic contribution KV\/PV<\/label><input type=\"text\" id=\"wpforms-265-field_58\" class=\"wpforms-field-medium\" name=\"wpforms[fields][58]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_59-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"59\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_60-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"60\"><label class=\"wpforms-field-label\">Highest vocational training qualification<\/label><ul id=\"wpforms-265-field_60\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_60_1\" name=\"wpforms[fields][60][]\" value=\"without vocational qualification\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_60_1\">without vocational qualification<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_60_2\" name=\"wpforms[fields][60][]\" value=\"Completion of recognized vocational training\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_60_2\">Completion of recognized vocational training<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_60_3\" name=\"wpforms[fields][60][]\" value=\"Master craftsman\/technician or equivalent technical college degree\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_60_3\">Master craftsman\/technician or equivalent technical college degree<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_60_4\" name=\"wpforms[fields][60][]\" value=\"Bachelor\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_60_4\">Bachelor<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_60_6\" name=\"wpforms[fields][60][]\" value=\"Diploma\/Master&#039;s degree\/State examination\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_60_6\">Diploma\/Master&#8217;s degree\/State examination<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_60_8\" name=\"wpforms[fields][60][]\" value=\"Promotion\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_60_8\">Promotion<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_60_7\" name=\"wpforms[fields][60][]\" value=\"Degree unknown\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_60_7\">Degree unknown<\/label><\/li><\/ul><div class=\"wpforms-field-description\">(Activity code 2010: 7th digit) &#8211; Please mark with a cross where applicable<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_61-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"61\"><label class=\"wpforms-field-label\">Highest general school leaving certificate<\/label><ul id=\"wpforms-265-field_61\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_61_1\" name=\"wpforms[fields][61][]\" value=\"Without school diploma\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_61_1\">Without school diploma<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_61_2\" name=\"wpforms[fields][61][]\" value=\"Secondary\/elementary school diploma\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_61_2\">Secondary\/elementary school diploma<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_61_4\" name=\"wpforms[fields][61][]\" value=\"Secondary school leaving certificate or equivalent qualification\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_61_4\">Secondary school leaving certificate or equivalent qualification<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_61_5\" name=\"wpforms[fields][61][]\" value=\"High school diploma\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_61_5\">High school diploma<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-265-field_61_6\" name=\"wpforms[fields][61][]\" value=\"Degree unknown\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_61_6\">Degree unknown<\/label><\/li><\/ul><div class=\"wpforms-field-description\">(Activity key 2010: 6th digit) &#8211; Please mark with a cross where applicable\n<\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_62-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"62\"><h3 id=\"wpforms-265-field_62\">Details of other income<\/h3><\/div><div id=\"wpforms-265-field_63-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"63\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_64-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"64\"><label class=\"wpforms-field-label\">Remuneration from other employment subject to compulsory insurance? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-265-field_64\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_64_1\" name=\"wpforms[fields][64]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_64_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_64_2\" name=\"wpforms[fields][64]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_64_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-265-field_65-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"65\"><label class=\"wpforms-field-label\">  Is marginal employment being performed?*   <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-265-field_65\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_65_1\" name=\"wpforms[fields][65]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_65_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-265-field_65_2\" name=\"wpforms[fields][65]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-265-field_65_2\">No<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-265-field_66-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_66\">Charge in \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_67-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"67\"><h3 id=\"wpforms-265-field_67\">Accounting<\/h3><\/div><div id=\"wpforms-265-field_68-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"68\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_69-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_69\">  Gross salary \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_69\" class=\"wpforms-field-medium\" name=\"wpforms[fields][69]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_70-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_70\">from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_70\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][70][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_71-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_71\">  Gross salary \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_71\" class=\"wpforms-field-medium\" name=\"wpforms[fields][71]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_72-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"72\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_72\">from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_72\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][72][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_77-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"77\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_73-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_73\">  Hourly wage \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_73\" class=\"wpforms-field-medium\" name=\"wpforms[fields][73]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_74-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"74\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_74\">from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_74\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][74][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_75\">  Hourly wage \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_75\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_76-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_76\">from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_76\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][76][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_78-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"78\"><h3 id=\"wpforms-265-field_78\">VWL \/ direct insurance<\/h3><\/div><div id=\"wpforms-265-field_79-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"79\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_79\">  VWL \/ direct insurance with<\/label><input type=\"text\" id=\"wpforms-265-field_79\" class=\"wpforms-field-large\" name=\"wpforms[fields][79]\" ><\/div><div id=\"wpforms-265-field_80-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"80\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_81-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"81\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_81\">  Contract no.<\/label><input type=\"text\" id=\"wpforms-265-field_81\" class=\"wpforms-field-medium\" name=\"wpforms[fields][81]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_82-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"82\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_82\">  Amount \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_82\" class=\"wpforms-field-medium\" name=\"wpforms[fields][82]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_83-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"83\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_83\">  Grant \u20ac<\/label><input type=\"text\" id=\"wpforms-265-field_83\" class=\"wpforms-field-medium\" name=\"wpforms[fields][83]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_84-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"84\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_84\">from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_84\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][84][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-265-field_85-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"85\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_85\">Note<\/label><textarea id=\"wpforms-265-field_85\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85]\" ><\/textarea><\/div><div id=\"wpforms-265-field_86-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"86\"><h3 id=\"wpforms-265-field_86\">Declaration of the employee<\/h3><div class=\"wpforms-field-description\">I certify that the above information is true and correct. I undertake to notify my employer immediately of any changes, in particular with regard to further employment (in terms of type, duration and remuneration).<\/div><\/div><div id=\"wpforms-265-field_87-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"87\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_88-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"88\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_88\">Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_88\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][88][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_92-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"92\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_92\">Employees <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-265-field_92\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][92]\" autocomplete=\"off\" inputmode=\"none\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-265-field_92-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_89-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"89\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_89\">Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-265-field_89\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"d.m.Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][89][date]\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-265-field_93-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"93\"><label class=\"wpforms-field-label\" for=\"wpforms-265-field_93\">Employer<\/label><input type=\"text\" id=\"wpforms-265-field_93\" class=\"wpforms-signature-input wpforms-screen-reader-element\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][93]\" autocomplete=\"off\" inputmode=\"none\" ><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-265-field_93-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear 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