{"id":110,"date":"2021-09-17T14:49:56","date_gmt":"2021-09-17T12:49:56","guid":{"rendered":"https:\/\/m.dicks-tiefbau.de\/?page_id=110"},"modified":"2022-12-19T08:33:07","modified_gmt":"2022-12-19T07:33:07","slug":"elementor-110","status":"publish","type":"page","link":"https:\/\/m.dicks-tiefbau.de\/?page_id=110","title":{"rendered":"Unfallmeldung"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"110\" class=\"elementor elementor-110\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a67766 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5a67766\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-edfffc4\" data-id=\"edfffc4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3e944aa elementor-widget elementor-widget-heading\" data-id=\"3e944aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Digitale Unfallmeldung<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99697c5 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"99697c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;N\\u00e4chster&quot;,&quot;step_previous_label&quot;:&quot;Voriger&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Neues Formular\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"110\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"99697c5\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_afff44f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_afff44f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWer hat die Unfallmeldung erstellt\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_afff44f]\" id=\"form-field-field_afff44f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c539cd1 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c539cd1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVorname\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c539cd1]\" id=\"form-field-field_c539cd1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_7e16596 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7e16596\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeburtsdatum\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_7e16596]\" id=\"form-field-field_7e16596\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_dbf836f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dbf836f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStra\u00dfe + Hausnummer\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_dbf836f]\" id=\"form-field-field_dbf836f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_5b7a33f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5b7a33f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPLZ\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_5b7a33f]\" id=\"form-field-field_5b7a33f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" min=\"1\" max=\"99999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2acddf5 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2acddf5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOrt\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2acddf5]\" id=\"form-field-field_2acddf5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_f760a50 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f760a50\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGeschlecht\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"M\u00e4nnlich\" id=\"form-field-field_f760a50-0\" name=\"form_fields[field_f760a50]\"> <label for=\"form-field-field_f760a50-0\">M\u00e4nnlich<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Weiblich\" id=\"form-field-field_f760a50-1\" name=\"form_fields[field_f760a50]\"> <label for=\"form-field-field_f760a50-1\">Weiblich<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_202787f elementor-col-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_202787f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStaatsangeh\u00f6rigkeit\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_202787f]\" id=\"form-field-field_202787f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_bab70cd elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bab70cd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLeiharbeiter\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-field_bab70cd-0\" name=\"form_fields[field_bab70cd]\"> <label for=\"form-field-field_bab70cd-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-field_bab70cd-1\" name=\"form_fields[field_bab70cd]\"> <label for=\"form-field-field_bab70cd-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d49aa09 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d49aa09\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAuszubildender\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ja\" id=\"form-field-field_d49aa09-0\" name=\"form_fields[field_d49aa09]\"> <label for=\"form-field-field_d49aa09-0\">Ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Nein\" id=\"form-field-field_d49aa09-1\" name=\"form_fields[field_d49aa09]\"> <label for=\"form-field-field_d49aa09-1\">Nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_f864352 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f864352\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVersicherte Person ist\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_f864352]\" id=\"form-field-field_f864352\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Bitte Ausw\u00e4hlen\">Bitte Ausw\u00e4hlen<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Angestellter\">Angestellter<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Unternehmer\">Unternehmer<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f46571b elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f46571b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKrankenkasse\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f46571b]\" id=\"form-field-field_f46571b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"AOK, TK, Knappschaft oder \u00e4hnlich\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_7cab1d9 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7cab1d9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUnfalldatum\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_7cab1d9]\" id=\"form-field-field_7cab1d9\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"tt.mm.jjjj\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_40b8989 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_40b8989\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUnfall Zeitpunkt\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"time\" name=\"form_fields[field_40b8989]\" id=\"form-field-field_40b8989\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\" placeholder=\"HH:MM\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fa0d4b8 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fa0d4b8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUnfallort (genaue Orts- und Stra\u00dfenangabe mit PLZ)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fa0d4b8]\" id=\"form-field-field_fa0d4b8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8766de0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8766de0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tT\u00f6dlicher Unfall\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ja\" id=\"form-field-field_8766de0-0\" name=\"form_fields[field_8766de0]\"> <label for=\"form-field-field_8766de0-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-field_8766de0-1\" name=\"form_fields[field_8766de0]\"> <label for=\"form-field-field_8766de0-1\">nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_96446dd elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_96446dd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAusf\u00fchrliche Schilderung des Unfallhergangs\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_96446dd]\" id=\"form-field-field_96446dd\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8103a32 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8103a32\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiese Angaben beruhen auf \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Schilderung des Versicherten\" id=\"form-field-field_8103a32-0\" name=\"form_fields[field_8103a32]\"> <label for=\"form-field-field_8103a32-0\">Schilderung des Versicherten<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Schilderung einer anderen Person\" id=\"form-field-field_8103a32-1\" name=\"form_fields[field_8103a32]\"> <label for=\"form-field-field_8103a32-1\">Schilderung einer anderen Person<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ac4fa49 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ac4fa49\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVerletzes K\u00f6rperteil\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ac4fa49]\" id=\"form-field-field_ac4fa49\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8ff575a elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8ff575a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tArt der Verletzung\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8ff575a]\" id=\"form-field-field_8ff575a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_743f22a elementor-col-75\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_743f22a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWer hat von dem Unfall zuerst Kenntnis genommen? (Name, Anschrift des Zeugen)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_743f22a]\" id=\"form-field-field_743f22a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_1b2cdfc elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1b2cdfc\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWar diese Person Augenzeuge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ja\" id=\"form-field-field_1b2cdfc-0\" name=\"form_fields[field_1b2cdfc]\"> <label for=\"form-field-field_1b2cdfc-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-field_1b2cdfc-1\" name=\"form_fields[field_1b2cdfc]\"> <label for=\"form-field-field_1b2cdfc-1\">nein<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_775efe3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_775efe3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName und Anschrift des erstbehandelnden Artzes\/Krankenhaus\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_775efe3]\" id=\"form-field-field_775efe3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_27a93c9 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_27a93c9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHat die Versicherte Person die Arbeit eingestellt?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ja\" id=\"form-field-field_27a93c9-0\" name=\"form_fields[field_27a93c9]\"> <label for=\"form-field-field_27a93c9-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-field_27a93c9-1\" name=\"form_fields[field_27a93c9]\"> <label for=\"form-field-field_27a93c9-1\">nein<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"sp\u00e4ter\" id=\"form-field-field_27a93c9-2\" name=\"form_fields[field_27a93c9]\"> <label for=\"form-field-field_27a93c9-2\">sp\u00e4ter<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_9cd1a79 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9cd1a79\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWenn sp\u00e4ter, dann eintragen wann\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_9cd1a79]\" id=\"form-field-field_9cd1a79\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-time elementor-field-group elementor-column elementor-field-group-field_1ab6314 elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1ab6314\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tUhrzeit\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"time\" name=\"form_fields[field_1ab6314]\" id=\"form-field-field_1ab6314\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-time-field\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_faf312f elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_faf312f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKrankschreibung liegt vor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"ja\" id=\"form-field-field_faf312f-0\" name=\"form_fields[field_faf312f]\"> <label for=\"form-field-field_faf312f-0\">ja<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"nein\" id=\"form-field-field_faf312f-1\" name=\"form_fields[field_faf312f]\"> <label for=\"form-field-field_faf312f-1\">nein<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"folgt\" id=\"form-field-field_faf312f-2\" name=\"form_fields[field_faf312f]\"> <label for=\"form-field-field_faf312f-2\">folgt<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-field_a8ee689 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a8ee689\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tKrankmeldung zum Unfall\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[field_a8ee689]\" id=\"form-field-field_a8ee689\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Senden<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Digitale Unfallmeldung<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-110","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=\/wp\/v2\/pages\/110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=110"}],"version-history":[{"count":10,"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=\/wp\/v2\/pages\/110\/revisions"}],"predecessor-version":[{"id":228,"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=\/wp\/v2\/pages\/110\/revisions\/228"}],"wp:attachment":[{"href":"https:\/\/m.dicks-tiefbau.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}