{"id":11,"date":"2016-08-25T06:41:32","date_gmt":"2016-08-25T05:41:32","guid":{"rendered":"https:\/\/iku.schadenanwaelte.ch\/?page_id=11"},"modified":"2016-10-11T12:27:14","modified_gmt":"2016-10-11T11:27:14","slug":"iku_test","status":"publish","type":"page","link":"https:\/\/iku.schadenanwaelte.ch\/?page_id=11","title":{"rendered":"IKU Onlinefragebogen"},"content":{"rendered":"<div style=\"display:none\" class=\"fm-form-container fm-theme1\"><div id=\"fm-pages21\" class=\"fm-pages wdform_page_navigation \" show_title=\"false\" show_numbers=\"true\" type=\"none\"><\/div><form name=\"form21\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F11\" method=\"post\" id=\"form21\" class=\"fm-form form21  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"fm_page_id21\" value=\"11\" name=\"fm_page_id21\" \/><input type=\"hidden\" id=\"fm_current_post_type21\" value=\"page\" name=\"fm_current_post_type21\" \/><input type=\"hidden\" id=\"counter21\" value=\"91\" name=\"counter21\" \/><input type=\"hidden\" id=\"Itemid21\" value=\"\" name=\"Itemid21\" \/><input type=\"hidden\" id=\"fm_shake21\" value=\"1\" name=\"fm_shake21\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation21\" value=\"\" name=\"fm_empty_field_validation21\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view1\" class=\"wdform_page\" page_title=\"Startseite\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"false\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h1><strong>Allgemeine Hinweise zum\u00a0Ablauf<\/strong><\/h1><p>Um einen reibungslosen Ablauf zu gew\u00e4hrleisten, sollten die aktuellen Akten der Versicherung (insb. IV Akten) auf einem Datentr\u00e4ger (CD) vorhanden sein. Am Ende des Fragebogens erhalten Sie die Zugangsdaten zu unserer Online Plattform als Neukunde per Post. Sie k\u00f6nnen die Daten sodann auf unseren gesicherten Server laden. Der Datenaustausch findet \u00fcber die verschl\u00fcsselte Plattform statt. Sie erhalten automatisch ein Email, wenn sich neue Dokumente in der Cloud befinden.<\/p><p>Telefon: 058 252 52 52<br>Mail: <a href=\"mailto:iku@schadenanwaelte.ch\" data-mce-href=\"mailto:iku@schadenanwaelte.ch\">iku@schadenanwaelte.ch<br><\/a>Link Plattform: <a data-mce-href=\"https:\/\/cloud.schadenanwaelte.ch\" href=\"https:\/\/cloud.schadenanwaelte.ch\">cloud.schadenanwaelte.ch<\/a><\/p><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table; padding-top:10px;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav1\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><\/div><div id=\"page_numbers211\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">1\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_1\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view3\" page_title=\"Art der Streitigkeit\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"12\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Streitigkeit<\/strong><\/h2><p>Um welche Art der Streitigkeit handelt es sich? Es sind mehrere Antworten m\u00f6glich.<\/p><\/div><\/div><div wdid=\"11\" class=\"wdform_row\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-wrap wd-flex-column\" style=\"max-width: 200px;\">    <label  class=\"wdform-label\">Art der Streitigkeit<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_11_element21\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element210\" name=\"wdform_11_element210\" value=\"Invalidenversicherung\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element210\"><span><\/span>Invalidenversicherung<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element211\" name=\"wdform_11_element211\" value=\"Unfallversicherung\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element211\"><span><\/span>Unfallversicherung<\/label><\/div><\/div><div class=\"wd-flex wd-flex-row\"><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element212\" name=\"wdform_11_element212\" value=\"Pensionskasse\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element212\"><span><\/span>Pensionskasse<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element213\" name=\"wdform_11_element213\" value=\"Obligatorische Krankenpflegeversicherung (KVG)\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element213\"><span><\/span>Obligatorische Krankenpflegeversicherung (KVG)<\/label><\/div><\/div><div class=\"wd-flex wd-flex-row\"><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element214\" name=\"wdform_11_element214\" value=\"AHV \/ Erg\u00e4nzungsleistungen\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element214\"><span><\/span>AHV \/ Erg\u00e4nzungsleistungen<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element215\" name=\"wdform_11_element215\" value=\"Arbeitslosenversicherung\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element215\"><span><\/span>Arbeitslosenversicherung<\/label><\/div><\/div><div class=\"wd-flex wd-flex-row\"><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_11_element216\" name=\"wdform_11_element216\" value=\"Private Versicherung (nach VVG)\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element216\"><span><\/span>Private Versicherung (nach VVG)<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\" other=\"1\" id=\"wdform_11_element217\" name=\"wdform_11_element217\" value=\"Andere\" onclick=\"if(set_checked(&quot;wdform_11&quot;,&quot;7&quot;,&quot;21&quot;)) show_other_input(&quot;wdform_11&quot;,&quot;21&quot;);\"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_11_element217\"><span><\/span>Andere<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav3\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_3\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers213\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">2\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_3\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view4\" page_title=\"Entscheid\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"16\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Entscheid<\/strong><\/h2><p>Haben Sie bereits einen Entscheid erhalten? Um was f\u00fcr einen Entscheid handelt es sich? Es sind mehrere Antworten m\u00f6glich.<\/p><\/div><\/div><div wdid=\"15\" class=\"wdform_row\"><div type=\"type_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_checkbox\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-wrap wd-flex-column\" style=\"max-width: 200px;\">    <label  class=\"wdform-label\">Entscheid<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_15_element21\" value=\"\" \/><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_15_element210\" name=\"wdform_15_element210\" value=\"Vorbescheid\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_15_element210\"><span><\/span>Vorbescheid<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_15_element211\" name=\"wdform_15_element211\" value=\"Verf\u00fcgung\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_15_element211\"><span><\/span>Verf\u00fcgung<\/label><\/div><\/div><div class=\"wd-flex wd-flex-row\"><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_15_element212\" name=\"wdform_15_element212\" value=\"Einspracheentscheid\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_15_element212\"><span><\/span>Einspracheentscheid<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_15_element213\" name=\"wdform_15_element213\" value=\"Kant. Gerichtsentscheid\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_15_element213\"><span><\/span>Kant. Gerichtsentscheid<\/label><\/div><\/div><div class=\"wd-flex wd-flex-row\"><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_15_element214\" name=\"wdform_15_element214\" value=\"Bundesgerichtsentscheid\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_15_element214\"><span><\/span>Bundesgerichtsentscheid<\/label><\/div><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\"  id=\"wdform_15_element215\" name=\"wdform_15_element215\" value=\"Nein\"    \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_15_element215\"><span><\/span>Nein<\/label><\/div><\/div><div class=\"wd-flex wd-flex-row\"><div class=\"checkbox-div wd-choice wd-flex wd-flex-row\"><input type=\"checkbox\" other=\"1\" id=\"wdform_15_element216\" name=\"wdform_15_element216\" value=\"Andere\" onclick=\"if(set_checked(&quot;wdform_15&quot;,&quot;6&quot;,&quot;21&quot;)) show_other_input(&quot;wdform_15&quot;,&quot;21&quot;);\"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_15_element216\"><span><\/span>Andere<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav4\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_4\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers214\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">3\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_4\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view5\" page_title=\"Rechtsmittelfrist\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"19\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Rechtsmittelfrist<\/strong><\/h2><p>L\u00e4uft zur Zeit eine Rechtsmittelfrist? Bitte geben Sie das Datum des Entscheids an. F\u00fcr die Berechnung der Rechtsmittelfrist ist zudem das Empfangsdatum massgebend.<\/p><\/div><\/div><div wdid=\"18\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-wrap wd-flex-column\" style=\"max-width: 100px;\">    <label  class=\"wdform-label\">Rechtsmittelfrist<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_18_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_18_element210\" name=\"wdform_18_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_18&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_18_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_18_element211\" name=\"wdform_18_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_18&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_18_element211\"><span><\/span>Nein<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_18_element212\" name=\"wdform_18_element21\" value=\"Weiss nicht\" onclick=\"set_default(&quot;wdform_18&quot;,&quot;2&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_18_element212\"><span><\/span>Weiss nicht<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"20\" class=\"wdform_row\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_date_new\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_20_element21\" class=\"wdform-label\">Entscheid datiert vom:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" style=\"max-width: 200px;\"><input class=\"wd-width-100\" autocomplete=\"off\" onchange=\"wd_validate(this)\" data-form-id=\"21\" data-wdid=\"20\" data-valid-type=\"date\" type=\"text\" id=\"wdform_20_element21\" data-value=\"\" value=\"\" name=\"wdform_20_element21\"   \/><span id=\"fm-calendar-20\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-inline-block\"><\/span><input type=\"hidden\" class=\"hidden_date\" data-format=\"d\/m\/yy\" data-min=\"\" data-max=\"today\" id=\"wdform_20_button21\" value=\"\" \/><\/div><\/div><\/div><div wdid=\"57\" class=\"wdform_row\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_date_new\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_57_element21\" class=\"wdform-label\">Entscheid erhalten am:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" style=\"max-width: 200px;\"><input class=\"wd-width-100\" autocomplete=\"off\" onchange=\"wd_validate(this)\" data-form-id=\"21\" data-wdid=\"57\" data-valid-type=\"date\" type=\"text\" id=\"wdform_57_element21\" data-value=\"\" value=\"\" name=\"wdform_57_element21\"   \/><span id=\"fm-calendar-57\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-inline-block\"><\/span><input type=\"hidden\" class=\"hidden_date\" data-format=\"d\/m\/yy\" data-min=\"\" data-max=\"today\" id=\"wdform_57_button21\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav5\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_5\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers215\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">4\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_5\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view6\" page_title=\"Gesundheitliche Probleme\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"21\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Gesundheitliche Probleme<\/strong><\/h2><p>Bitte schildern Sie kurz, welche gesundheitlichen Probleme\u00a0vorliegen? (Kurze Angabe der wichtigsten Diagnose(n) und H\u00f6he der Arbeitsf\u00e4higkeit sofern bekannt)<\/p><\/div><\/div><div wdid=\"22\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_textarea\" ><div class=\"wdform-label-section wd-width-30 wd-hidden \" style=\"max-width: 200px;\">    <label  for=\"wdform_22_element21\" class=\"wdform-label\">Gesundheitliches Problem<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 400px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_22_element21\"                      name=\"wdform_22_element21\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 100px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav6\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_6\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers216\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">5\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_6\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view7\" page_title=\"Sachverhalt\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"59\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Behandelnde \u00c4rzte<\/strong><br><\/h2><p>Bei welchen \u00c4rzten ist der Klient\u00a0zur Zeit in Behandlung? Bitte geben Sie den Namen des Hausarztes und\/oder der behandelnden Spezial\u00e4rzte an.<br><\/p><\/div><\/div><div wdid=\"72\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_textarea\" ><div class=\"wdform-label-section wd-width-30 wd-hidden \" style=\"max-width: 200px;\">    <label  for=\"wdform_72_element21\" class=\"wdform-label\">\u00c4rzte<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 400px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_72_element21\"                      name=\"wdform_72_element21\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 200px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav7\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_7\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers217\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">6\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_7\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view8\" page_title=\"Rechtsschutzversicherung\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"23\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Sachverhalt<\/strong><\/h2><p>Wieso erh\u00e4lt der Klient keine Leistungen? Wie hoch ist der IV-Grad? Wurde der Klient medizinisch begutachtet? Schildern Sie kurz den Sachverhalt bzw. das Problem.<\/p><\/div><\/div><div wdid=\"26\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_textarea\" ><div class=\"wdform-label-section wd-width-30 wd-hidden \" style=\"max-width: 200px;\">    <label  for=\"wdform_26_element21\" class=\"wdform-label\">Sachverhalt<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 400px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_26_element21\"                      name=\"wdform_26_element21\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 200px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav8\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_8\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers218\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">7\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_8\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view9\" page_title=\"Beobachter\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"71\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Erwartungen\u00a0Klient<\/strong><br><\/h2><p>F\u00fcr die Einsch\u00e4tzung des Falles ist es wichtig zu wissen, was der Klient von der Versicherung erwartet und in welchem Masse er sich selber arbeitsf\u00e4hig f\u00fchlt. Ist der Klient an beruflichen Massnahmen interessiert oder geht es vorwiegend um Rentenleistungen?<br><\/p><\/div><\/div><div wdid=\"73\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_textarea\" ><div class=\"wdform-label-section wd-width-30 wd-hidden \" style=\"max-width: 200px;\">    <label  for=\"wdform_73_element21\" class=\"wdform-label\">Erwartungen Klient<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 400px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_73_element21\"                      name=\"wdform_73_element21\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 100px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav9\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_9\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers219\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">8\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_9\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view10\" page_title=\"Gewerkschaft\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"24\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Rechtsschutzversicherung<\/strong><\/h2><p>Liegt eine Rechtsschutzversicherung vor?\u00a0Viele Personen sind \u00fcber die Krankenversicherung rechtsschutzversichert, bitte \u00fcberpr\u00fcfen Sie deshalb die Krankenkassenpolice des Kunden auf allf\u00e4llige Zusatzversicherungen.<\/p><\/div><\/div><div wdid=\"25\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-wrap wd-flex-column\" style=\"max-width: 100px;\">    <label  class=\"wdform-label\">Rechtsschutzversicherung<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_25_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_25_element210\" name=\"wdform_25_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_25&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_25_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_25_element211\" name=\"wdform_25_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_25&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_25_element211\"><span><\/span>Nein<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_25_element212\" name=\"wdform_25_element21\" value=\"Weiss nicht\" onclick=\"set_default(&quot;wdform_25&quot;,&quot;2&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_25_element212\"><span><\/span>Weiss nicht<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"47\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 200px;\">    <label  for=\"wdform_47_element21\" class=\"wdform-label\">Name der Versicherung<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 200px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_47_element21\"                           name=\"wdform_47_element21\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"48\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 200px;\">    <label  class=\"wdform-label\">Wurde der Fall bereits gemeldet?<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_48_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_48_element210\" name=\"wdform_48_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_48&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_48_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_48_element211\" name=\"wdform_48_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_48&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_48_element211\"><span><\/span>Nein<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"49\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 280px;\">    <label  class=\"wdform-label\">Wurde eine Kostengutsprache erteilt?<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_49_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_49_element210\" name=\"wdform_49_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_49&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_49_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_49_element211\" name=\"wdform_49_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_49&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_49_element211\"><span><\/span>Nein<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_49_element212\" name=\"wdform_49_element21\" value=\"Weiss nicht\" onclick=\"set_default(&quot;wdform_49&quot;,&quot;2&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_49_element212\"><span><\/span>Weiss nicht<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav10\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_10\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2110\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">9\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_10\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view11\" page_title=\"Kontaktdaten\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"27\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Beobachter Abonnent<\/strong><\/h2><p>Ist der Klient Mitglied beim Beobachter respektive Beobachter Abonnent?<\/p><\/div><\/div><div wdid=\"28\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-wrap wd-flex-column\" style=\"max-width: 100px;\">    <label  class=\"wdform-label\">Beobachter<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_28_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_28_element210\" name=\"wdform_28_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_28&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_28_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_28_element211\" name=\"wdform_28_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_28&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_28_element211\"><span><\/span>Nein<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_28_element212\" name=\"wdform_28_element21\" value=\"Weiss nicht\" onclick=\"set_default(&quot;wdform_28&quot;,&quot;2&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_28_element212\"><span><\/span>Weiss nicht<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"52\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 300px;\">    <label  class=\"wdform-label\">Wurde der Fall bereits angemeldet?<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_52_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_52_element210\" name=\"wdform_52_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_52&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_52_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_52_element211\" name=\"wdform_52_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_52&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_52_element211\"><span><\/span>Nein<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav11\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_11\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2111\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">10\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_11\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view12\" page_title=\"Auswahl Leistung\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"29\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Gewerkschaft \/ Berufsverband<\/strong><\/h2><p>Ist der Klient Mitglied einer Gewerkschaft oder eines Berufsverbandes (UNIA, KV Verband etc.)?<\/p><\/div><\/div><div wdid=\"84\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-wrap wd-flex-column\" style=\"max-width: 100px;\">    <label  class=\"wdform-label\">Gewerkschaft<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_84_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_84_element210\" name=\"wdform_84_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_84&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_84_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_84_element211\" name=\"wdform_84_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_84&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_84_element211\"><span><\/span>Nein<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_84_element212\" name=\"wdform_84_element21\" value=\"Weiss nicht\" onclick=\"set_default(&quot;wdform_84&quot;,&quot;2&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_84_element212\"><span><\/span>Weiss nicht<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"50\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 200px;\">    <label  for=\"wdform_50_element21\" class=\"wdform-label\">Welche Gewerkschaft?<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 200px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_50_element21\"                           name=\"wdform_50_element21\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav12\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_12\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2112\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">11\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_12\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view13\" page_title=\"Kontaktangaben\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"77\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Klientenangaben<br><\/strong><\/h2><p>Zur Dossierer\u00f6ffnung ben\u00f6tigen wir lediglich die Initialen und das Geburtsdatum des Klienten.<\/p><\/div><\/div><div wdid=\"89\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 200px;\">    <label  for=\"wdform_89_element21\" class=\"wdform-label\">Initialen des Klienten:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 200px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_89_element21\"                           name=\"wdform_89_element21\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"87\" class=\"wdform_row\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-30 wdform_date_fields wd-flex-row\" style=\"max-width: 200px;\">    <label  for=\"wdform_87_day21\" class=\"wdform-label\">Geburtsdatum<\/label><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_87_day21\" name=\"wdform_87_day21\" class=\"wdform_select_day\" style=\"width: 60px;\" ><option value=\"\"><\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><label for=\"wdform_87_day21\" class=\"mini_label\">Tag<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_87_month21\" name=\"wdform_87_month21\" class=\"wdform_select_month\" style=\"width: 100px;\" ><option value=\"\"><\/option><option value=\"01\"   >Januar<\/option><option value=\"02\" >Februar<\/option><option value=\"03\" >M\u00e4rz<\/option><option value=\"04\"  >April<\/option><option value=\"05\"  >Mai<\/option><option value=\"06\"  >Juni<\/option><option value=\"07\"  >Juli<\/option><option value=\"08\"  >August<\/option><option value=\"09\"  >September<\/option><option value=\"10\"  >Oktober<\/option><option value=\"11\" >November<\/option><option value=\"12\"  >Dezember<\/option><\/select><label for=\"wdform_87_month21\" class=\"mini_label\">Monat<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_87_year21\" name=\"wdform_87_year21\"  from=\"1901\" to=\"2016\" class=\"wdform_select_year\" style=\"width: 80px;\" ><option value=\"\"><\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><\/select><label for=\"wdform_87_year21\" class=\"mini_label\">Jahr<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav13\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_13\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2113\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">12\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_13\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view14\" page_title=\"Kontaktangaben Klient\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"76\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><strong>Ihre Angaben<\/strong><\/h2><p>Damit wir Sie kontaktieren k\u00f6nnen ben\u00f6tigen wir Ihre Angaben (nicht diejenigen des Klienten).<br><\/p><\/div><\/div><div wdid=\"86\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 100px;\">    <label  for=\"wdform_86_element21\" class=\"wdform-label\">Organisation:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 200px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_86_element21\"                           name=\"wdform_86_element21\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><div wdid=\"32\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_name\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 100px;\">    <label  for=\"wdform_32_element_first21\" class=\"wdform-label\">Name:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" style=\"max-width: 100px;\"><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_32_element_first21\" name=\"wdform_32_element_first21\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_32_element_first21\">Vorname<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_32_element_last21\" name=\"wdform_32_element_last21\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_32_element_last21\">Nachname<\/label><\/div><\/div><\/div><\/div><div wdid=\"33\" class=\"wdform_row\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_address\" ><div class=\"wdform-label-section wd-width-30 wdform_address wd-flex-column\" style=\"max-width: 100px;\">    <label  for=\"wdform_33_street121\" class=\"wdform-label\">Adresse:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-70\" style=\"max-width: 300px;\"><span class=\"wd-width-100 wd-address\" id=\"wdform_33_address_0\">                <input class=\"wd-width-100 wdform_33_address_0\" type=\"text\" id=\"wdform_33_street121\" name=\"wdform_33_street121\" value=\"\"  \/>                <label for=\"wdform_33_street121\" class=\"mini_label\">Strasse<\/label><\/span><span class=\"wd-width-100 wd-address\" id=\"wdform_33_address_1\">                <input class=\"wd-width-100 wdform_33_address_1\" type=\"text\" id=\"wdform_33_street221\" name=\"wdform_34_street221\" value=\"\"  \/>                <label for=\"wdform_33_street221\" class=\"mini_label\">Zusatz<\/label><\/span><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\" id=\"wdform_33_address_2\">                <input class=\"wd-width-100 wdform_33_address_2\" type=\"text\" id=\"wdform_33_city21\" name=\"wdform_35_city21\" value=\"\"  \/>                <label for=\"wdform_33_city21\" class=\"mini_label\">Ort<\/label><\/span><span class=\"wd-width-49 wd-address\" id=\"wdform_33_address_4\">              <input class=\"wd-width-100 wdform_33_address_4\" type=\"text\" id=\"wdform_33_postal21\" name=\"wdform_37_postal21\" value=\"\"  \/>              <label for=\"wdform_33_postal21\" class=\"mini_label\">PLZ<\/label><\/span><\/span><\/div><\/div><\/div><div wdid=\"39\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_submitter_mail\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 100px;\">    <label  for=\"wdform_39_element21\" class=\"wdform-label\">E-mail:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" style=\"max-width: 200px;\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_39_element21\" name=\"wdform_39_element21\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('39', '21', 'Dies ist keine g\u00fcltige E-Mail-Adresse.')\" \/><\/div><\/div><\/div><div wdid=\"40\" class=\"wdform_row\"><div type=\"type_phone\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_phone\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 100px;\">    <label  for=\"wdform_40_element_first21\" class=\"wdform-label\">Telefon:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" style=\"max-width: 135px;\"><div class=\"wd-flex wd-flex-column wd-width-20\">                <input type=\"text\" class=\"wd-phone-first\" id=\"wdform_40_element_first21\" name=\"wdform_40_element_first21\" value=\"\" title=\"\" placeholder=\"\" >                <label for=\"wdform_40_element_first21\" class=\"mini_label wd-flex-column\">Vorwahl<\/label>              <\/div>              <div>                <div class=\"wd-flex wd-flex-column \">&nbsp;-&nbsp;<\/div>              <\/div>              <div class=\"wd-flex wd-flex-column wd-width-80\">                <input type=\"text\" class=\"wd-flex-column wd-width-100\" id=\"wdform_40_element_last21\" name=\"wdform_40_element_last21\" value=\"\" title=\"\" placeholder=\"\"  \/>                <label for=\"wdform_40_element_last21\" class=\"wd-flex-column mini_label\">Nummer<\/label>              <\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav14\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_14\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2114\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">13\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_14\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view15\" page_title=\"Leistung\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"74\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><span id=\"_mce_caret\" data-mce-bogus=\"true\"><strong>Gew\u00fcnschte Leistung<\/strong><\/span><\/h2><p>Sie k\u00f6nnen eine m\u00fcndliche Kurzbeurteilung Ihres Falles in Auftrag geben.<\/p><\/div><\/div><div wdid=\"61\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-wrap wd-flex-row\" style=\"max-width: 100px;\">    <label  class=\"wdform-label\">Gew\u00fcnschte Leistung<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_61_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_61_element210\" name=\"wdform_61_element21\" value=\"Falleinsch\u00e4tzung m\u00fcndlich (Fr. 300.00 zuz\u00fcgl. MwSt)\" onclick=\"set_default(&quot;wdform_61&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_61_element210\"><span><\/span>Falleinsch\u00e4tzung m\u00fcndlich (Fr. 300.00 zuz\u00fcgl. MwSt)<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav15\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_15\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2115\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">14\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_15\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view16\" page_title=\"R\u00fcckruf\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"75\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2><span id=\"_mce_caret\" data-mce-bogus=\"true\" mce-data-marked=\"1\"><strong>Kontaktaufnahme<\/strong><\/span><\/h2><\/div><\/div><div wdid=\"60\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 250px;\">    <label  class=\"wdform-label\">W\u00fcnschen Sie vorab einen R\u00fcckruf<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_60_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_60_element210\" name=\"wdform_60_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_60&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_60_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_60_element211\" name=\"wdform_60_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_60&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_60_element211\"><span><\/span>Nein<\/label><\/div><\/div><\/div><\/div><\/div><div wdid=\"90\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_radio\" ><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 250px;\">    <label  class=\"wdform-label\">Sind Sie bereits IKU Kunde (Haben Sie bereits Zugangsdaten)?<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_90_element21\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_90_element210\" name=\"wdform_90_element21\" value=\"Ja\" onclick=\"set_default(&quot;wdform_90&quot;,&quot;0&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_90_element210\"><span><\/span>Ja<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_90_element211\" name=\"wdform_90_element21\" value=\"Nein\" onclick=\"set_default(&quot;wdform_90&quot;,&quot;1&quot;,&quot;21&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_90_element211\"><span><\/span>Nein<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav16\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_16\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2116\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">15\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_16\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images\" style=\"display: table; border-width: 1px; border-top-style: solid; border-top-color: black;\"><div id=\"21form_view17\" page_title=\"Best\u00e4tigung\" class=\"wdform_page\" next_title=\"Weiter\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Zur\u00fcck\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\" style=\"border: none;\"><div wdid=\"42\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2>Best\u00e4tigung der Angaben<\/h2><p>Bitte beachten Sie, dass durch das Ausf\u00fcllen dieses Formulars oder dem Zustellen von Unterlagen kein Mandatsverh\u00e4ltnis mit schadenanwaelte.ch entsteht. F\u00fcr die Wahrung von Fristen und Terminen (Verj\u00e4hrungsfristen und Rechtsmittelfristen) bleiben Sie resp. Ihr Klient bis zur Unterzeichnung einer Anwaltsvollmacht verantwortlich.<\/p><p>Nach Best\u00e4tigung erhalten Sie die Zugangsdaten zur gesicherten Plattform bei erstmaliger Benutzung per Post (andernfalls verwenden Sie die bereits bekannten Zugangsdaten). Die Akten k\u00f6nnen Sie danach auf die Plattform laden. Sobald die Akten auf der Plattform sind, erhalten Sie in der Regel innerhalb von 2-5 Arbeitstagen die m\u00fcndliche Auskunft.<\/p><p>Mit der Best\u00e4tigung akzeptieren Sie unsere <a href=\"https:\/\/iku.schadenanwaelte.ch\/?page_id=36\" target=\"_blank\">Konditionen<\/a>.<br data-mce-bogus=\"1\"><\/p><\/div><\/div><div wdid=\"44\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset\" ><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('21');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Best\u00e4tigen und Absenden<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(21);\" >Zur\u00fcck<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"21page_nav17\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_17\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Zur\u00fcck<\/span><\/div><div id=\"page_numbers2117\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers21\">16\/16<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_17\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Weiter<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><input type=\"hidden\" name=\"fm-current-page\" value=\"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F11\" \/><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-11","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=\/wp\/v2\/pages\/11","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11"}],"version-history":[{"count":7,"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=\/wp\/v2\/pages\/11\/revisions"}],"predecessor-version":[{"id":53,"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=\/wp\/v2\/pages\/11\/revisions\/53"}],"wp:attachment":[{"href":"https:\/\/iku.schadenanwaelte.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}