{"id":281,"date":"2023-05-16T10:19:49","date_gmt":"2023-05-16T08:19:49","guid":{"rendered":"https:\/\/myconsilium.heffner.consulting\/personnel-questionnaire\/"},"modified":"2023-05-16T10:41:34","modified_gmt":"2023-05-16T08:41:34","slug":"personnel-questionnaire","status":"publish","type":"page","link":"https:\/\/myconsilium.de\/en\/personnel-questionnaire\/","title":{"rendered":"Personnel questionnaire"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-733fde46-06b3-44f3-b521-fa6d910f9237 wpforms-render-modern\" id=\"wpforms-239\"><form id=\"wpforms-form-239\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"239\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/281\" data-token=\"80b929ede34df46645578b7853f42bb5\" data-token-time=\"1777393405\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-239-field_94-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"94\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_94\">Arbeitgeber <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_94\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][94]\" aria-errormessage=\"wpforms-239-field_94-error\" required><\/div><div id=\"wpforms-239-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-239-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_2\"> Personal-Nr.<\/label><input type=\"text\" id=\"wpforms-239-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-239-field_2-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_3\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-239-field_3-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_4\">Vorname <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-239-field_4-error\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_9-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_9\">Geb. am <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_9-error\" 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-239-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_6\">Geburtsname<\/label><input type=\"text\" id=\"wpforms-239-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-239-field_6-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_7\">Geburtsort <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-239-field_7-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_8\"> Nationalit\u00e4t<\/label><input type=\"text\" id=\"wpforms-239-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-239-field_8-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_11\">Adresse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-239-field_11-error\" required><\/div><div id=\"wpforms-239-field_13-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_13\"> E-Mail-Adresse<\/label><input type=\"email\" id=\"wpforms-239-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" spellcheck=\"false\" aria-errormessage=\"wpforms-239-field_13-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-239-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_12\">Land<\/label><input type=\"text\" id=\"wpforms-239-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-239-field_12-error\" ><\/div><div id=\"wpforms-239-field_14-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_14\">Telefon<\/label><input type=\"tel\" id=\"wpforms-239-field_14\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][14]\" aria-label=\"Telefon\" aria-errormessage=\"wpforms-239-field_14-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_16\">Bankverbindung<\/label><input type=\"text\" id=\"wpforms-239-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-239-field_16-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_17\">BIC<\/label><input type=\"text\" id=\"wpforms-239-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-239-field_17-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_18\"> IBAN<\/label><input type=\"text\" id=\"wpforms-239-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-239-field_18-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_20\"> Ausbildung als<\/label><input type=\"text\" id=\"wpforms-239-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-239-field_20-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-239-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_21\"> eingestellt als (Berufsbezeichnung)<\/label><input type=\"text\" id=\"wpforms-239-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-239-field_21-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_23-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_23\"> Bewerbung vom<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_23-error\" ><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-239-field_24-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_24\"> Vertragsabschluss am<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_24-error\" ><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-239-field_26-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_26\">Urlaub<\/label><input type=\"number\" id=\"wpforms-239-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" step=\"any\" aria-errormessage=\"wpforms-239-field_26-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_27\">Monats- \/ Wochenstunden<\/label><input type=\"text\" id=\"wpforms-239-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-239-field_27-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_29-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_29\"> Eintritt am<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_29-error\" ><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-239-field_30-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_30\"> Austritt<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_30-error\" ><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-239-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-239-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_32\"> Fahrerlaubnis\/Klasse<\/label><input type=\"text\" id=\"wpforms-239-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-239-field_32-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_33-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_33\">seit<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_33-error\" ><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-239-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_34\">Kfz-Typ<\/label><input type=\"text\" id=\"wpforms-239-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-239-field_34-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_35\"> Amtl. Kennz. bei Dienstwagen<\/label><input type=\"text\" id=\"wpforms-239-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" aria-errormessage=\"wpforms-239-field_35-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-field_36-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"36\"><h3 id=\"wpforms-239-field_36\" aria-errormessage=\"wpforms-239-field_36-error\">Steuerliche Angaben<\/h3><\/div><div id=\"wpforms-239-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-239-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_38\">Steuerklasse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-239-field_38-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_39\"> Faktor (nur bei Steuerklasse 4)<\/label><input type=\"text\" id=\"wpforms-239-field_39\" class=\"wpforms-field-medium\" name=\"wpforms[fields][39]\" aria-errormessage=\"wpforms-239-field_39-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_40\">Konfession<\/label><input type=\"text\" id=\"wpforms-239-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-239-field_40-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_41\">Konfession (Ehe-)Partner<\/label><input type=\"text\" id=\"wpforms-239-field_41\" class=\"wpforms-field-medium\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-239-field_41-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_42\">Identifikationsnummer <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" aria-errormessage=\"wpforms-239-field_42-error\" required><\/div><div id=\"wpforms-239-field_46-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">Betragsart<\/legend><ul id=\"wpforms-239-field_46\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-239-field_46_1\" name=\"wpforms[fields][46]\" value=\"LSt-Freibetrag\" aria-errormessage=\"wpforms-239-field_46_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_46_1\">LSt-Freibetrag<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_46_2\" name=\"wpforms[fields][46]\" value=\"Hinzurechnungsbetrag\" aria-errormessage=\"wpforms-239-field_46_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_46_2\">Hinzurechnungsbetrag<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_43\">Kinderfreibetrag<\/label><input type=\"text\" id=\"wpforms-239-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" aria-errormessage=\"wpforms-239-field_43-error\" ><\/div><div id=\"wpforms-239-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_47\"> Betrag j\u00e4hrlich \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" aria-errormessage=\"wpforms-239-field_47-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_44-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"44\"><fieldset><legend class=\"wpforms-field-label\">Arbeitgeber<\/legend><ul id=\"wpforms-239-field_44\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-239-field_44_1\" name=\"wpforms[fields][44]\" value=\"Hauptarbeitgeber\" aria-errormessage=\"wpforms-239-field_44_1-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_44_1\">Hauptarbeitgeber<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_44_2\" name=\"wpforms[fields][44]\" value=\"Nebenarbeitgeber\" aria-errormessage=\"wpforms-239-field_44_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_44_2\">Nebenarbeitgeber<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-239-field_48-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_48\"> Betrag monatlich \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\" aria-errormessage=\"wpforms-239-field_48-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-field_49-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"49\"><h3 id=\"wpforms-239-field_49\" aria-errormessage=\"wpforms-239-field_49-error\">Sozialversicherungsrechtliche Angaben<\/h3><\/div><div id=\"wpforms-239-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-239-field_51-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_51\"> Sozialversicherungs-Nr. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_51\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][51]\" aria-errormessage=\"wpforms-239-field_51-error\" required><\/div><div id=\"wpforms-239-field_53-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_53\"> Gesetzliche Krankenversicherung (bei privat Versicherten f\u00fcr die Abf\u00fchrung der RV) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-field_53\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][53]\" aria-errormessage=\"wpforms-239-field_53-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_52-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"52\"><fieldset><legend class=\"wpforms-field-label\">Ber\u00fccksichtigungsf\u00e4hige Kinder f\u00fcr PVZuschlag? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-239-field_52\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-239-field_52_1\" name=\"wpforms[fields][52]\" value=\"Ja\" aria-errormessage=\"wpforms-239-field_52_1-error\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_52_1\">Ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_52_2\" name=\"wpforms[fields][52]\" value=\"Nein\" aria-errormessage=\"wpforms-239-field_52_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_52_2\">Nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-239-field_54-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"54\"><fieldset><legend class=\"wpforms-field-label\"> Freiwillig krankenversichert? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-239-field_54\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-239-field_54_1\" name=\"wpforms[fields][54]\" value=\"Ja\" aria-errormessage=\"wpforms-239-field_54_1-error\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_54_1\">Ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_54_2\" name=\"wpforms[fields][54]\" value=\"Nein\" aria-errormessage=\"wpforms-239-field_54_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_54_2\">Nein<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_56-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"56\"><fieldset><legend class=\"wpforms-field-label\"> Privat krankenversichert? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-239-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_56_1\" name=\"wpforms[fields][56]\" value=\"Ja\" aria-errormessage=\"wpforms-239-field_56_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_56_1\">Ja<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-239-field_56_2\" name=\"wpforms[fields][56]\" value=\"Nein\" aria-errormessage=\"wpforms-239-field_56_2-error\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_56_2\">Nein<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_57-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_57\"> Gesamtbeitrag KV\/PV \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_57\" class=\"wpforms-field-medium\" name=\"wpforms[fields][57]\" aria-errormessage=\"wpforms-239-field_57-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-239-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_58\"> Basisbeitrag KV\/PV<\/label><input type=\"text\" id=\"wpforms-239-field_58\" class=\"wpforms-field-medium\" name=\"wpforms[fields][58]\" aria-errormessage=\"wpforms-239-field_58-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-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-239-field_159-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"159\"><fieldset><legend class=\"wpforms-field-label\">H\u00f6chster beruflicher Ausbildungsabschluss<\/legend><ul id=\"wpforms-239-field_159\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_159_1\" name=\"wpforms[fields][159]\" value=\"ohne beruflichen Abschluss\" aria-errormessage=\"wpforms-239-field_159_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_159_1\">ohne beruflichen Abschluss<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_159_2\" name=\"wpforms[fields][159]\" value=\"Abschluss einer anerkannten Berufsausbildung\" aria-errormessage=\"wpforms-239-field_159_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_159_2\">Abschluss einer anerkannten Berufsausbildung<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_159_3\" name=\"wpforms[fields][159]\" value=\"Meister-\/Techniker oder gleichwertiger Fachschulabschluss\" aria-errormessage=\"wpforms-239-field_159_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_159_3\">Meister-\/Techniker oder gleichwertiger Fachschulabschluss<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_159_7\" name=\"wpforms[fields][159]\" value=\"Bachelor\" aria-errormessage=\"wpforms-239-field_159_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_159_7\">Bachelor<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_159_6\" name=\"wpforms[fields][159]\" value=\"Diplom\/Magister\/Master\/Staatsexamen\" aria-errormessage=\"wpforms-239-field_159_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_159_6\">Diplom\/Magister\/Master\/Staatsexamen<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_159_5\" name=\"wpforms[fields][159]\" value=\"Promotion\" aria-errormessage=\"wpforms-239-field_159_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_159_5\">Promotion<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_159_4\" name=\"wpforms[fields][159]\" value=\"Abschluss unbekannt\" aria-errormessage=\"wpforms-239-field_159_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_159_4\">Abschluss unbekannt<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-239-field_160-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"160\"><fieldset><legend class=\"wpforms-field-label\">H\u00f6chster allgemein bildender Schulabschluss<\/legend><ul id=\"wpforms-239-field_160\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_160_1\" name=\"wpforms[fields][160]\" value=\"Ohne Schulabschluss\" aria-errormessage=\"wpforms-239-field_160_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_160_1\">Ohne Schulabschluss<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_160_2\" name=\"wpforms[fields][160]\" value=\"Haupt-\/Volksschulabschluss\" aria-errormessage=\"wpforms-239-field_160_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_160_2\">Haupt-\/Volksschulabschluss<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_160_3\" name=\"wpforms[fields][160]\" value=\"Mittlere Reife oder gleichwertiger Abschluss\" aria-errormessage=\"wpforms-239-field_160_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_160_3\">Mittlere Reife oder gleichwertiger Abschluss<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_160_5\" name=\"wpforms[fields][160]\" value=\"Abitur\/Fachabitur\" aria-errormessage=\"wpforms-239-field_160_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_160_5\">Abitur\/Fachabitur<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_160_4\" name=\"wpforms[fields][160]\" value=\"Abschluss unbekannt\" aria-errormessage=\"wpforms-239-field_160_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_160_4\">Abschluss unbekannt<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><div id=\"wpforms-239-field_62-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"62\"><h3 id=\"wpforms-239-field_62\" aria-errormessage=\"wpforms-239-field_62-error\">Angaben zu weiteren Einnahmen<\/h3><\/div><div id=\"wpforms-239-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-239-field_64-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"64\"><fieldset><legend class=\"wpforms-field-label\">Arbeitsentgelt aus einer anderen versicherungspflichtigen Besch\u00e4ftigung? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-239-field_64\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_64_1\" name=\"wpforms[fields][64]\" value=\"Ja\" aria-errormessage=\"wpforms-239-field_64_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_64_1\">Ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_64_2\" name=\"wpforms[fields][64]\" value=\"Nein\" aria-errormessage=\"wpforms-239-field_64_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_64_2\">Nein<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-239-field_65-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"65\"><fieldset><legend class=\"wpforms-field-label\"> Wird eine geringf\u00fcgige Besch\u00e4ftigung ausge\u00fcbt?*  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-239-field_65\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_65_1\" name=\"wpforms[fields][65]\" value=\"Ja\" aria-errormessage=\"wpforms-239-field_65_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_65_1\">Ja<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-239-field_65_2\" name=\"wpforms[fields][65]\" value=\"Nein\" aria-errormessage=\"wpforms-239-field_65_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-239-field_65_2\">Nein<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-239-field_66-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_66\">Entgelt in \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" aria-errormessage=\"wpforms-239-field_66-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-239-field_67-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"67\"><h3 id=\"wpforms-239-field_67\" aria-errormessage=\"wpforms-239-field_67-error\">Abrechnung<\/h3><\/div><div id=\"wpforms-239-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-239-field_69-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_69\"> Bruttogehalt \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_69\" class=\"wpforms-field-medium\" name=\"wpforms[fields][69]\" aria-errormessage=\"wpforms-239-field_69-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_70-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_70\">ab<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_70-error\" ><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-239-field_71-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_71\"> Bruttogehalt \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_71\" class=\"wpforms-field-medium\" name=\"wpforms[fields][71]\" aria-errormessage=\"wpforms-239-field_71-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_72-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"72\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_72\">ab<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_72-error\" ><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-239-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-239-field_73-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_73\"> Stundenlohn \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_73\" class=\"wpforms-field-medium\" name=\"wpforms[fields][73]\" aria-errormessage=\"wpforms-239-field_73-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_74-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"74\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_74\">ab<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_74-error\" ><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-239-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_75\"> Stundenlohn \u20ac<\/label><input type=\"text\" id=\"wpforms-239-field_75\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75]\" aria-errormessage=\"wpforms-239-field_75-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_76-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_76\">ab<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_76-error\" ><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-239-field_78-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"78\"><h3 id=\"wpforms-239-field_78\" aria-errormessage=\"wpforms-239-field_78-error\">VWL \/ Direktversicherung<\/h3><\/div><div id=\"wpforms-239-field_79-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"79\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_79\"> VWL \/ Direktversicherung bei<\/label><input type=\"text\" id=\"wpforms-239-field_79\" class=\"wpforms-field-large\" name=\"wpforms[fields][79]\" aria-errormessage=\"wpforms-239-field_79-error\" ><\/div><div id=\"wpforms-239-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-239-field_81-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"81\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_81\"> Vertrags-Nr.<\/label><input type=\"text\" id=\"wpforms-239-field_81\" class=\"wpforms-field-medium\" name=\"wpforms[fields][81]\" aria-errormessage=\"wpforms-239-field_81-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_82-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"82\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_82\">Betrag in Euro<\/label><input type=\"text\" id=\"wpforms-239-field_82\" class=\"wpforms-field-medium\" name=\"wpforms[fields][82]\" aria-errormessage=\"wpforms-239-field_82-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_83-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"83\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_83\">Zuschuss in Euro<\/label><input type=\"text\" id=\"wpforms-239-field_83\" class=\"wpforms-field-medium\" name=\"wpforms[fields][83]\" aria-errormessage=\"wpforms-239-field_83-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-239-field_84-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"84\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_84\">VWL ab<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-239-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]\" aria-errormessage=\"wpforms-239-field_84-error\" ><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-239-field_85-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"85\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_85\">Notiz<\/label><textarea id=\"wpforms-239-field_85\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85]\" aria-errormessage=\"wpforms-239-field_85-error\" ><\/textarea><\/div><div id=\"wpforms-239-field_86-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"86\"><h3 id=\"wpforms-239-field_86\" aria-errormessage=\"wpforms-239-field_86-error\" aria-describedby=\"wpforms-239-field_86-description\">Erkl\u00e4rung des Arbeitnehmers<\/h3><div id=\"wpforms-239-field_86-description\" class=\"wpforms-field-description\">Ich versichere, dass die vorstehenden Angaben der Wahrheit entsprechen. 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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-239-field_92-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"92\"><label class=\"wpforms-field-label\" for=\"wpforms-239-field_92\">Arbeitnehmer <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-239-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\" aria-errormessage=\"wpforms-239-field_92-error\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-239-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-239-field_89-container\" class=\"wpforms-field 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