{"id":2944,"date":"2025-06-02T15:19:43","date_gmt":"2025-06-02T15:19:43","guid":{"rendered":"https:\/\/excent.ch\/payroll-application-for-family-allowances\/"},"modified":"2025-11-28T14:29:29","modified_gmt":"2025-11-28T14:29:29","slug":"payroll-application-for-family-allowances","status":"publish","type":"page","link":"https:\/\/excent.ch\/en\/payroll-application-for-family-allowances\/","title":{"rendered":"Payroll | Application for family allowances"},"content":{"rendered":"\n<p>Your submissions will normally be processed within 2 business days.<\/p>\n\n\n\n<p>Please complete the following form. Please note that only the fields marked with an asterisk* are mandatory. <\/p>\n\n\n<div id=\"quform-ab09c7\" class=\"quform quform-28 quform-theme-simple quform-support-page-caching quform-is-first-page\"><form id=\"quform-form-ab09c7\" class=\"quform-form quform-form-28\" action=\"\/en\/wp-json\/wp\/v2\/pages\/2944#quform-ab09c7\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:28,&quot;uniqueId&quot;:&quot;ab09c7&quot;,&quot;theme&quot;:&quot;simple&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:{&quot;128&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;452&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;108&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;125&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;109&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;125&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;113&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;125&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;114&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;125&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;450&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;125&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;136&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;450&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;135&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;450&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;151&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;135&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;570&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;151&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;divorced&quot;}]},&quot;304&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;151&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;465&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;464&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;471&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;466&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;employed&quot;}]},&quot;472&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;466&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;self-employed&quot;}]},&quot;486&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;470&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;494&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;498&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]},&quot;512&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;511&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;No&quot;}]},&quot;519&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;511&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;},{&quot;elementId&quot;:&quot;498&quot;,&quot;operator&quot;:&quot;gt&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;1&quot;}]},&quot;529&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;511&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;No&quot;}]},&quot;536&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;528&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;},{&quot;elementId&quot;:&quot;498&quot;,&quot;operator&quot;:&quot;gt&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;2&quot;}]},&quot;546&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;511&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;No&quot;}]},&quot;572&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;498&quot;,&quot;operator&quot;:&quot;not_empty&quot;,&quot;optionId&quot;:null,&quot;value&quot;:&quot;&quot;}]}},&quot;dependents&quot;:{&quot;452&quot;:[128],&quot;125&quot;:[108,109,113,114,450],&quot;450&quot;:[136,135],&quot;135&quot;:[151],&quot;151&quot;:[570,304],&quot;464&quot;:[465],&quot;466&quot;:[471,472],&quot;470&quot;:[486],&quot;498&quot;:[494,519,536,572],&quot;511&quot;:[512,519,529,546],&quot;528&quot;:[536]},&quot;elementIds&quot;:[128,108,109,113,114,450,136,135,151,570,304,465,471,472,486,494,512,519,529,536,546,572],&quot;dependentElementIds&quot;:[&quot;452&quot;,&quot;125&quot;,&quot;450&quot;,&quot;135&quot;,&quot;151&quot;,&quot;464&quot;,&quot;466&quot;,&quot;470&quot;,&quot;498&quot;,&quot;511&quot;,&quot;528&quot;],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:true,&quot;pages&quot;:[1,306,491],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-28\"><input type=\"hidden\" name=\"quform_form_id\" value=\"28\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"ab09c7\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/excent.ch\/en\/wp-json\/wp\/v2\/pages\/2944\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"1\" \/><input type=\"hidden\" name=\"quform_loaded\" value=\"1777054598|2abdb399522f35a9bff8dd4055b982bb\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"MOKyx2T8iAxYBIt1p4lU74yElUUzroJWnCOi83CE\" \/><div class=\"quform-elements quform-elements-28 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-page-progress quform-page-progress-type-numbers\"><div class=\"quform-page-progress-bar\" style=\"width: 33%;\"><span class=\"quform-page-progress-text\">Page <span class=\"quform-page-progress-number\">1<\/span> of 3<\/span><\/div><\/div><div class=\"quform-element quform-element-page quform-page-1 quform-page-28_1 quform-cf quform-group-style-plain quform-first-page quform-current-page\"><div class=\"quform-page-title-description\"><h3 class=\"quform-page-title\">Employee details<\/h3><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-28_95 quform-cf\"><div class=\"quform-spacer\"><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_451 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-text quform-element-28_452 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_452\"><label class=\"quform-label-text\" for=\"quform_28_452_ab09c7\">Employer<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_452\"><div class=\"quform-input quform-input-text quform-input-28_452 quform-cf\"><input type=\"text\" id=\"quform_28_452_ab09c7\" name=\"quform_28_452\" class=\"quform-field quform-field-text quform-field-28_452\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_128 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Information about the employee\/applicant<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_99 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_100\"><div class=\"quform-element quform-element-text quform-element-28_102 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_102\"><label class=\"quform-label-text\" for=\"quform_28_102_ab09c7\">First name(s)<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_102\"><div class=\"quform-input quform-input-text quform-input-28_102 quform-cf\"><input type=\"text\" id=\"quform_28_102_ab09c7\" name=\"quform_28_102\" class=\"quform-field quform-field-text quform-field-28_102\" \/><\/div><p class=\"quform-description quform-description-below\">First name of the employee<\/p><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_101\"><div class=\"quform-element quform-element-text quform-element-28_103 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_103\"><label class=\"quform-label-text\" for=\"quform_28_103_ab09c7\">Last name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_103\"><div class=\"quform-input quform-input-text quform-input-28_103 quform-cf\"><input type=\"text\" id=\"quform_28_103_ab09c7\" name=\"quform_28_103\" class=\"quform-field quform-field-text quform-field-28_103\" \/><\/div><p class=\"quform-description quform-description-below\">Employee's last name<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-28_105 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_106\"><div class=\"quform-element quform-element-date quform-element-28_124 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_124\"><label class=\"quform-label-text\" for=\"quform_28_124_ab09c7\">Date of birth<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-28_124\"><div class=\"quform-input quform-input-date quform-input-28_124 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_28_124_ab09c7\" name=\"quform_28_124\" class=\"quform-field quform-field-date quform-field-28_124\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;28_124&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><p class=\"quform-description quform-description-below\">Date of birth of the employee<\/p><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_107\"><div class=\"quform-element quform-element-text quform-element-28_125 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_125\"><label class=\"quform-label-text\" for=\"quform_28_125_ab09c7\">Social security number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_125\"><div class=\"quform-input quform-input-text quform-input-28_125 quform-cf\"><input type=\"text\" id=\"quform_28_125_ab09c7\" name=\"quform_28_125\" class=\"quform-field quform-field-text quform-field-28_125\" \/><\/div><p class=\"quform-description quform-description-below\">Employee's social security number<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-28_294 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_295\"><div class=\"quform-element quform-element-text quform-element-28_108 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_108\"><label class=\"quform-label-text\" for=\"quform_28_108_ab09c7\">Street<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_108\"><div class=\"quform-input quform-input-text quform-input-28_108 quform-cf\"><input type=\"text\" id=\"quform_28_108_ab09c7\" name=\"quform_28_108\" class=\"quform-field quform-field-text quform-field-28_108\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_297\"><div class=\"quform-element quform-element-text quform-element-28_109 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_109\"><label class=\"quform-label-text\" for=\"quform_28_109_ab09c7\">Number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_109\"><div class=\"quform-input quform-input-text quform-input-28_109 quform-cf\"><input type=\"text\" id=\"quform_28_109_ab09c7\" name=\"quform_28_109\" class=\"quform-field quform-field-text quform-field-28_109\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-28_110 quform-3-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_111\"><div class=\"quform-element quform-element-text quform-element-28_113 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_113\"><label class=\"quform-label-text\" for=\"quform_28_113_ab09c7\">Postal code<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_113\"><div class=\"quform-input quform-input-text quform-input-28_113 quform-cf\"><input type=\"text\" id=\"quform_28_113_ab09c7\" name=\"quform_28_113\" class=\"quform-field quform-field-text quform-field-28_113\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_112\"><div class=\"quform-element quform-element-text quform-element-28_114 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_114\"><label class=\"quform-label-text\" for=\"quform_28_114_ab09c7\">Municipality<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_114\"><div class=\"quform-input quform-input-text quform-input-28_114 quform-cf\"><input type=\"text\" id=\"quform_28_114_ab09c7\" name=\"quform_28_114\" class=\"quform-field quform-field-text quform-field-28_114\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_115\"><div class=\"quform-element quform-element-text quform-element-28_450 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_450\"><label class=\"quform-label-text\" for=\"quform_28_450_ab09c7\">Country<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_450\"><div class=\"quform-input quform-input-text quform-input-28_450 quform-cf\"><input type=\"text\" id=\"quform_28_450_ab09c7\" name=\"quform_28_450\" class=\"quform-field quform-field-text quform-field-28_450\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-28_287 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_288\"><div class=\"quform-element quform-element-text quform-element-28_136 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_136\"><label class=\"quform-label-text\" for=\"quform_28_136_ab09c7\">Phone<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_136\"><div class=\"quform-input quform-input-text quform-input-28_136 quform-cf\"><input type=\"text\" id=\"quform_28_136_ab09c7\" name=\"quform_28_136\" class=\"quform-field quform-field-text quform-field-28_136\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_290\"><div class=\"quform-element quform-element-email quform-element-28_135 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_135\"><label class=\"quform-label-text\" for=\"quform_28_135_ab09c7\">E-Mail address<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-28_135\"><div class=\"quform-input quform-input-email quform-input-28_135 quform-cf\"><input type=\"email\" id=\"quform_28_135_ab09c7\" name=\"quform_28_135\" class=\"quform-field quform-field-email quform-field-28_135\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-28_445 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_446\"><div class=\"quform-element quform-element-radio quform-element-28_151 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_151\"><label class=\"quform-label-text\" id=\"quform_28_151_ab09c7_label\">Marital status<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-28_151\"><div class=\"quform-input quform-input-radio quform-input-28_151 quform-cf\"><div class=\"quform-options quform-cf quform-options-inline quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_28_151_ab09c7_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_28_151\" id=\"quform_28_151_ab09c7_1\" class=\"quform-field quform-field-radio quform-field-28_151 quform-field-28_151_1\" value=\"single\" \/><label for=\"quform_28_151_ab09c7_1\" class=\"quform-option-label quform-option-label-28_151_1\"><span class=\"quform-option-text\">single<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_28_151\" id=\"quform_28_151_ab09c7_2\" class=\"quform-field quform-field-radio quform-field-28_151 quform-field-28_151_2\" value=\"married\" \/><label for=\"quform_28_151_ab09c7_2\" class=\"quform-option-label quform-option-label-28_151_2\"><span class=\"quform-option-text\">married<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_28_151\" id=\"quform_28_151_ab09c7_3\" class=\"quform-field quform-field-radio quform-field-28_151 quform-field-28_151_3\" value=\"legally separated\" \/><label for=\"quform_28_151_ab09c7_3\" class=\"quform-option-label quform-option-label-28_151_3\"><span class=\"quform-option-text\">legally separated<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_28_151\" id=\"quform_28_151_ab09c7_4\" class=\"quform-field quform-field-radio quform-field-28_151 quform-field-28_151_4\" value=\"divorced\" \/><label for=\"quform_28_151_ab09c7_4\" class=\"quform-option-label quform-option-label-28_151_4\"><span class=\"quform-option-text\">divorced<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_28_151\" id=\"quform_28_151_ab09c7_5\" class=\"quform-field quform-field-radio quform-field-28_151 quform-field-28_151_5\" value=\"widowed\" \/><label for=\"quform_28_151_ab09c7_5\" class=\"quform-option-label quform-option-label-28_151_5\"><span class=\"quform-option-text\">widowed<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_28_151\" id=\"quform_28_151_ab09c7_6\" class=\"quform-field quform-field-radio quform-field-28_151 quform-field-28_151_6\" value=\"registered partnership\" \/><label for=\"quform_28_151_ab09c7_6\" class=\"quform-option-label quform-option-label-28_151_6\"><span class=\"quform-option-text\">registered partnership<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_28_151\" id=\"quform_28_151_ab09c7_7\" class=\"quform-field quform-field-radio quform-field-28_151 quform-field-28_151_7\" value=\"dissolved partnership\" \/><label for=\"quform_28_151_ab09c7_7\" class=\"quform-option-label quform-option-label-28_151_7\"><span class=\"quform-option-text\">dissolved partnership<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-file quform-element-28_570 quform-cf quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_570\"><label class=\"quform-label-text\" for=\"quform_28_570_ab09c7\">Divorce decree<\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-28_570\"><div class=\"quform-input quform-input-file quform-input-28_570 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_28_570_ab09c7\" name=\"quform_28_570[]\" class=\"quform-field quform-field-file quform-field-28_570 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:570,&quot;identifier&quot;:&quot;28_570&quot;,&quot;name&quot;:&quot;quform_28_570&quot;,&quot;max&quot;:1,&quot;size&quot;:10485760,&quot;allowedExtensions&quot;:[&quot;jpg&quot;,&quot;jpeg&quot;,&quot;png&quot;,&quot;gif&quot;,&quot;pdf&quot;],&quot;notAllowedTypeWithFilename&quot;:&quot;File type of &#039;%filename%&#039; is not allowed&quot;,&quot;tooBigWithFilename&quot;:&quot;File &#039;%filename%&#039; exceeds the maximum allowed file size&quot;,&quot;tooMany&quot;:&quot;You cannot upload more than %max% file(s)&quot;,&quot;buttonType&quot;:&quot;button&quot;,&quot;buttonText&quot;:&quot;Select file...&quot;,&quot;buttonIcon&quot;:&quot;qicon-file_upload&quot;,&quot;buttonIconPosition&quot;:&quot;right&quot;}\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_304 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">When do family allowances start?<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-date quform-element-28_454 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_454\"><label class=\"quform-label-text\" for=\"quform_28_454_ab09c7\">Date<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-28_454\"><div class=\"quform-input quform-input-date quform-input-28_454 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_28_454_ab09c7\" name=\"quform_28_454\" class=\"quform-field quform-field-date quform-field-28_454\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;28_454&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-28_2 quform-cf quform-button-style-theme\"><div class=\"quform-button-next quform-button-next-default quform-button-next-28_2\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next page<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-306 quform-page-28_306 quform-cf quform-group-style-plain\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-group quform-element-28_455 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Information about the child's father\/mother<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_456 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_457\"><div class=\"quform-element quform-element-text quform-element-28_461 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_461\"><label class=\"quform-label-text\" for=\"quform_28_461_ab09c7\">First name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_461\"><div class=\"quform-input quform-input-text quform-input-28_461 quform-cf\"><input type=\"text\" id=\"quform_28_461_ab09c7\" name=\"quform_28_461\" class=\"quform-field quform-field-text quform-field-28_461\" \/><\/div><p class=\"quform-description quform-description-below\">\n<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-28_459 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_459\"><label class=\"quform-label-text\" for=\"quform_28_459_ab09c7\">Street\/No.<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_459\"><div class=\"quform-input quform-input-text quform-input-28_459 quform-cf\"><input type=\"text\" id=\"quform_28_459_ab09c7\" name=\"quform_28_459\" class=\"quform-field quform-field-text quform-field-28_459\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-28_463 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_463\"><label class=\"quform-label-text\" for=\"quform_28_463_ab09c7\">Date of birth<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-28_463\"><div class=\"quform-input quform-input-date quform-input-28_463 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_28_463_ab09c7\" name=\"quform_28_463\" class=\"quform-field quform-field-date quform-field-28_463\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;28_463&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_458\"><div class=\"quform-element quform-element-text quform-element-28_460 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_460\"><label class=\"quform-label-text\" for=\"quform_28_460_ab09c7\">Last name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_460\"><div class=\"quform-input quform-input-text quform-input-28_460 quform-cf\"><input type=\"text\" id=\"quform_28_460_ab09c7\" name=\"quform_28_460\" class=\"quform-field quform-field-text quform-field-28_460\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-28_462 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_462\"><label class=\"quform-label-text\" for=\"quform_28_462_ab09c7\">Postal code\/municipality<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_462\"><div class=\"quform-input quform-input-text quform-input-28_462 quform-cf\"><input type=\"text\" id=\"quform_28_462_ab09c7\" name=\"quform_28_462\" class=\"quform-field quform-field-text quform-field-28_462\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-28_464 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_464\"><label class=\"quform-label-text\" for=\"quform_28_464_ab09c7\">Social security number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_464\"><div class=\"quform-input quform-input-text quform-input-28_464 quform-cf\"><input type=\"text\" id=\"quform_28_464_ab09c7\" name=\"quform_28_464\" class=\"quform-field quform-field-text quform-field-28_464\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_465 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Type of employment of the child's father\/mother<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_467 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_468\"><div class=\"quform-element quform-element-select quform-element-28_466 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_466\"><label class=\"quform-label-text\" for=\"quform_28_466_ab09c7\">Type of employment<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_466\"><div class=\"quform-input quform-input-select quform-input-28_466 quform-cf\"><select id=\"quform_28_466_ab09c7\" name=\"quform_28_466\" class=\"quform-field quform-field-select quform-field-28_466\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"employed\">employed<\/option><option value=\"self-employed\">self-employed<\/option><option value=\"non-employed\">non-employed<\/option><option value=\"unemployed\">unemployed<\/option><option value=\"Housewife\/househusband\">Housewife\/househusband<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_469\"><div class=\"quform-element quform-element-date quform-element-28_470 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_470\"><label class=\"quform-label-text\" for=\"quform_28_470_ab09c7\">Since<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-28_470\"><div class=\"quform-input quform-input-date quform-input-28_470 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_28_470_ab09c7\" name=\"quform_28_470\" class=\"quform-field quform-field-date quform-field-28_470\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;28_470&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_471 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_473 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_474\"><div class=\"quform-element quform-element-text quform-element-28_476 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_476\"><label class=\"quform-label-text\" for=\"quform_28_476_ab09c7\">Company<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_476\"><div class=\"quform-input quform-input-text quform-input-28_476 quform-cf\"><input type=\"text\" id=\"quform_28_476_ab09c7\" name=\"quform_28_476\" class=\"quform-field quform-field-text quform-field-28_476\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_475\"><\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-28_478 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_479\"><div class=\"quform-element quform-element-text quform-element-28_477 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_477\"><label class=\"quform-label-text\" for=\"quform_28_477_ab09c7\">Street\/No.<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_477\"><div class=\"quform-input quform-input-text quform-input-28_477 quform-cf\"><input type=\"text\" id=\"quform_28_477_ab09c7\" name=\"quform_28_477\" class=\"quform-field quform-field-text quform-field-28_477\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_480\"><div class=\"quform-element quform-element-text quform-element-28_481 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_481\"><label class=\"quform-label-text\" for=\"quform_28_481_ab09c7\">Postal code\/municipality<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_481\"><div class=\"quform-input quform-input-text quform-input-28_481 quform-cf\"><input type=\"text\" id=\"quform_28_481_ab09c7\" name=\"quform_28_481\" class=\"quform-field quform-field-text quform-field-28_481\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_472 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_482 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_483\"><div class=\"quform-element quform-element-select quform-element-28_485 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_485\"><label class=\"quform-label-text\" for=\"quform_28_485_ab09c7\">in the canton<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_485\"><div class=\"quform-input quform-input-select quform-input-28_485 quform-cf\"><select id=\"quform_28_485_ab09c7\" name=\"quform_28_485\" class=\"quform-field quform-field-select quform-field-28_485\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Aargau\">Aargau<\/option><option value=\"Appenzell Ausserrhoden\">Appenzell Ausserrhoden<\/option><option value=\"Appenzell Innerrhoden\">Appenzell Innerrhoden<\/option><option value=\"Basel-Landschaft\">Basel-Landschaft<\/option><option value=\"Basel-Stadt\">Basel-Stadt<\/option><option value=\"Bern \/ Berne\">Bern \/ Berne<\/option><option value=\"Fribourg \/ Freiburg\">Fribourg \/ Freiburg<\/option><option value=\"Gen\u00e8ve\">Gen\u00e8ve<\/option><option value=\"Glarus\">Glarus<\/option><option value=\"Graub\u00fcnden \/ Grigioni\">Graub\u00fcnden \/ Grigioni<\/option><option value=\"Jura\">Jura<\/option><option value=\"Luzern\">Luzern<\/option><option value=\"Neuch\u00e2tel\">Neuch\u00e2tel<\/option><option value=\"Nidwalden\">Nidwalden<\/option><option value=\"Obwalden\">Obwalden<\/option><option value=\"Schaffhausen\">Schaffhausen<\/option><option value=\"Schwyz\">Schwyz<\/option><option value=\"Solothurn\">Solothurn<\/option><option value=\"St. Gallen\">St. Gallen<\/option><option value=\"Thurgau\">Thurgau<\/option><option value=\"Ticino\">Ticino<\/option><option value=\"Uri\">Uri<\/option><option value=\"Valais \/ Wallis\">Valais \/ Wallis<\/option><option value=\"Vaud\">Vaud<\/option><option value=\"Zug\">Zug<\/option><option value=\"Z\u00fcrich\">Z\u00fcrich<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_484\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_486 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Income<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_487 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_488\"><div class=\"quform-element quform-element-select quform-element-28_490 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_490\"><label class=\"quform-label-text\" for=\"quform_28_490_ab09c7\">Who has the higher annual income?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_490\"><div class=\"quform-input quform-input-select quform-input-28_490 quform-cf\"><select id=\"quform_28_490_ab09c7\" name=\"quform_28_490\" class=\"quform-field quform-field-select quform-field-28_490\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Applicant\">Applicant<\/option><option value=\"Child&#039;s father\/child&#039;s mother\">Child&#039;s father\/child&#039;s mother<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_489\"><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-28_307 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-28_307\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Back<\/span><\/button><\/div><div class=\"quform-button-next quform-button-next-default quform-button-next-28_307\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-next\" value=\"submit\"><span class=\"quform-button-text quform-button-next-text\">Next page<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-page quform-page-491 quform-page-28_491 quform-cf quform-group-style-plain quform-last-page\"><div class=\"quform-page-title-description\"><h3 class=\"quform-page-title\">Children<\/h3><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-28_493 quform-cf\"><div class=\"quform-spacer\">For children over the age of 16 who are in <strong>education<\/strong> in <strong>Switzerland<\/strong>, a school certificate, a certificate of enrollment (confirmation of enrollment), or a copy of the apprenticeship contract must be enclosed.\n\nForeign nationals must submit a confirmation of residence for their children. For children <strong>residing<\/strong> or <strong>in education abroad<\/strong>, please refer to the information sheet.\n\nOnly one allowance can be claimed per child, even if both parents are employed.\n\nThe children's social security numbers can be found on their health insurance cards.<\/div><\/div><div class=\"quform-element quform-element-row quform-element-row-28_504 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_505\"><div class=\"quform-element quform-element-select quform-element-28_498 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_498\"><label class=\"quform-label-text\" for=\"quform_28_498_ab09c7\">How many children would you like to apply for an allowance for?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_498\"><div class=\"quform-input quform-input-select quform-input-28_498 quform-cf\"><select id=\"quform_28_498_ab09c7\" name=\"quform_28_498\" class=\"quform-field quform-field-select quform-field-28_498\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_506\"><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_494 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-group quform-element-28_499 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Child 1<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_507 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_508\"><div class=\"quform-element quform-element-text quform-element-28_500 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_500\"><label class=\"quform-label-text\" for=\"quform_28_500_ab09c7\">First name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_500\"><div class=\"quform-input quform-input-text quform-input-28_500 quform-cf\"><input type=\"text\" id=\"quform_28_500_ab09c7\" name=\"quform_28_500\" class=\"quform-field quform-field-text quform-field-28_500\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-28_502 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_502\"><label class=\"quform-label-text\" for=\"quform_28_502_ab09c7\">Date of birth<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-28_502\"><div class=\"quform-input quform-input-date quform-input-28_502 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_28_502_ab09c7\" name=\"quform_28_502\" class=\"quform-field quform-field-date quform-field-28_502\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;28_502&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_510 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_510\"><label class=\"quform-label-text\" for=\"quform_28_510_ab09c7\">Family tree<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_510\"><div class=\"quform-input quform-input-select quform-input-28_510 quform-cf\"><select id=\"quform_28_510_ab09c7\" name=\"quform_28_510\" class=\"quform-field quform-field-select quform-field-28_510\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"biological or adopted child\">biological or adopted child<\/option><option value=\"stepchild\">stepchild<\/option><option value=\"siblings\">siblings<\/option><option value=\"foster child\">foster child<\/option><option value=\"grandchild\">grandchild<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_509\"><div class=\"quform-element quform-element-text quform-element-28_501 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_501\"><label class=\"quform-label-text\" for=\"quform_28_501_ab09c7\">Family name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_501\"><div class=\"quform-input quform-input-text quform-input-28_501 quform-cf\"><input type=\"text\" id=\"quform_28_501_ab09c7\" name=\"quform_28_501\" class=\"quform-field quform-field-text quform-field-28_501\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-28_503 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_503\"><label class=\"quform-label-text\" for=\"quform_28_503_ab09c7\">Social security number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_503\"><div class=\"quform-input quform-input-text quform-input-28_503 quform-cf\"><input type=\"text\" id=\"quform_28_503_ab09c7\" name=\"quform_28_503\" class=\"quform-field quform-field-text quform-field-28_503\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_511 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_511\"><label class=\"quform-label-text\" for=\"quform_28_511_ab09c7\">Do you live in the same household?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_511\"><div class=\"quform-input quform-input-select quform-input-28_511 quform-cf\"><select id=\"quform_28_511_ab09c7\" name=\"quform_28_511\" class=\"quform-field quform-field-select quform-field-28_511\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_512 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_513 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_514\"><div class=\"quform-element quform-element-text quform-element-28_516 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_516\"><label class=\"quform-label-text\" for=\"quform_28_516_ab09c7\">Street\/No.<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_516\"><div class=\"quform-input quform-input-text quform-input-28_516 quform-cf\"><input type=\"text\" id=\"quform_28_516_ab09c7\" name=\"quform_28_516\" class=\"quform-field quform-field-text quform-field-28_516\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_518 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_518\"><label class=\"quform-label-text\" for=\"quform_28_518_ab09c7\">Country<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_518\"><div class=\"quform-input quform-input-select quform-input-28_518 quform-cf\"><select id=\"quform_28_518_ab09c7\" name=\"quform_28_518\" class=\"quform-field quform-field-select quform-field-28_518\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua &amp; Barbuda\">Antigua &amp; Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia &amp; Herzegovina\">Bosnia &amp; Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cabo Verde\">Cabo Verde<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"DR Congo\">DR Congo<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Eswatini\">Eswatini<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Holy See\">Holy See<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"North Korea\">North Korea<\/option><option value=\"North Macedonia\">North Macedonia<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts &amp; Nevis\">Saint Kitts &amp; Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome &amp; Principe\">Sao Tome &amp; Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Korea\">South Korea<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"St. Vincent &amp; Grenadines\">St. Vincent &amp; Grenadines<\/option><option value=\"State of Palestine\">State of Palestine<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syria\">Syria<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad &amp; Tobago\">Trinidad &amp; Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States\">United States<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_515\"><div class=\"quform-element quform-element-text quform-element-28_517 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_517\"><label class=\"quform-label-text\" for=\"quform_28_517_ab09c7\">Plz.\/Ort<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_517\"><div class=\"quform-input quform-input-text quform-input-28_517 quform-cf\"><input type=\"text\" id=\"quform_28_517_ab09c7\" name=\"quform_28_517\" class=\"quform-field quform-field-text quform-field-28_517\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_519 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Child 2<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_520 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_521\"><div class=\"quform-element quform-element-text quform-element-28_522 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_522\"><label class=\"quform-label-text\" for=\"quform_28_522_ab09c7\">First name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_522\"><div class=\"quform-input quform-input-text quform-input-28_522 quform-cf\"><input type=\"text\" id=\"quform_28_522_ab09c7\" name=\"quform_28_522\" class=\"quform-field quform-field-text quform-field-28_522\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-28_523 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_523\"><label class=\"quform-label-text\" for=\"quform_28_523_ab09c7\">Date of birth<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-28_523\"><div class=\"quform-input quform-input-date quform-input-28_523 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_28_523_ab09c7\" name=\"quform_28_523\" class=\"quform-field quform-field-date quform-field-28_523\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;28_523&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_582 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_582\"><label class=\"quform-label-text\" for=\"quform_28_582_ab09c7\">Family tree<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_582\"><div class=\"quform-input quform-input-select quform-input-28_582 quform-cf\"><select id=\"quform_28_582_ab09c7\" name=\"quform_28_582\" class=\"quform-field quform-field-select quform-field-28_582\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"biological or adopted child\">biological or adopted child<\/option><option value=\"stepchild\">stepchild<\/option><option value=\"siblings\">siblings<\/option><option value=\"foster child\">foster child<\/option><option value=\"grandchild\">grandchild<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_525\"><div class=\"quform-element quform-element-text quform-element-28_526 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_526\"><label class=\"quform-label-text\" for=\"quform_28_526_ab09c7\">Family name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_526\"><div class=\"quform-input quform-input-text quform-input-28_526 quform-cf\"><input type=\"text\" id=\"quform_28_526_ab09c7\" name=\"quform_28_526\" class=\"quform-field quform-field-text quform-field-28_526\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-28_527 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_527\"><label class=\"quform-label-text\" for=\"quform_28_527_ab09c7\">Social security number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_527\"><div class=\"quform-input quform-input-text quform-input-28_527 quform-cf\"><input type=\"text\" id=\"quform_28_527_ab09c7\" name=\"quform_28_527\" class=\"quform-field quform-field-text quform-field-28_527\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_528 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_528\"><label class=\"quform-label-text\" for=\"quform_28_528_ab09c7\">Lives in the same household?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_528\"><div class=\"quform-input quform-input-select quform-input-28_528 quform-cf\"><select id=\"quform_28_528_ab09c7\" name=\"quform_28_528\" class=\"quform-field quform-field-select quform-field-28_528\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_529 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_530 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_531\"><div class=\"quform-element quform-element-text quform-element-28_532 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_532\"><label class=\"quform-label-text\" for=\"quform_28_532_ab09c7\">Street\/No.<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_532\"><div class=\"quform-input quform-input-text quform-input-28_532 quform-cf\"><input type=\"text\" id=\"quform_28_532_ab09c7\" name=\"quform_28_532\" class=\"quform-field quform-field-text quform-field-28_532\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_583 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_583\"><label class=\"quform-label-text\" for=\"quform_28_583_ab09c7\">Country<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_583\"><div class=\"quform-input quform-input-select quform-input-28_583 quform-cf\"><select id=\"quform_28_583_ab09c7\" name=\"quform_28_583\" class=\"quform-field quform-field-select quform-field-28_583\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Antigua &amp; Barbuda\">Antigua &amp; Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia &amp; Herzegovina\">Bosnia &amp; Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cabo Verde\">Cabo Verde<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"DR Congo\">DR Congo<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Eswatini\">Eswatini<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Holy See\">Holy See<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"North Korea\">North Korea<\/option><option value=\"North Macedonia\">North Macedonia<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Kitts &amp; Nevis\">Saint Kitts &amp; Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome &amp; Principe\">Sao Tome &amp; Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Korea\">South Korea<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"St. Vincent &amp; Grenadines\">St. Vincent &amp; Grenadines<\/option><option value=\"State of Palestine\">State of Palestine<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syria\">Syria<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad &amp; Tobago\">Trinidad &amp; Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States\">United States<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_534\"><div class=\"quform-element quform-element-text quform-element-28_535 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_535\"><label class=\"quform-label-text\" for=\"quform_28_535_ab09c7\">Postal code\/municipality<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_535\"><div class=\"quform-input quform-input-text quform-input-28_535 quform-cf\"><input type=\"text\" id=\"quform_28_535_ab09c7\" name=\"quform_28_535\" class=\"quform-field quform-field-text quform-field-28_535\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_536 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Child 3<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_537 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_538\"><div class=\"quform-element quform-element-text quform-element-28_539 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_539\"><label class=\"quform-label-text\" for=\"quform_28_539_ab09c7\">First name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_539\"><div class=\"quform-input quform-input-text quform-input-28_539 quform-cf\"><input type=\"text\" id=\"quform_28_539_ab09c7\" name=\"quform_28_539\" class=\"quform-field quform-field-text quform-field-28_539\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-28_540 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_540\"><label class=\"quform-label-text\" for=\"quform_28_540_ab09c7\">Date of birth<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-28_540\"><div class=\"quform-input quform-input-date quform-input-28_540 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_28_540_ab09c7\" name=\"quform_28_540\" class=\"quform-field quform-field-date quform-field-28_540\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;de-CH&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:true,&quot;identifier&quot;:&quot;28_540&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_541 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_541\"><label class=\"quform-label-text\" for=\"quform_28_541_ab09c7\">Family tree<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_541\"><div class=\"quform-input quform-input-select quform-input-28_541 quform-cf\"><select id=\"quform_28_541_ab09c7\" name=\"quform_28_541\" class=\"quform-field quform-field-select quform-field-28_541\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"biological or adopted child\">biological or adopted child<\/option><option value=\"stepchild\">stepchild<\/option><option value=\"siblings\">siblings<\/option><option value=\"foster child\">foster child<\/option><option value=\"grandchild\">grandchild<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_542\"><div class=\"quform-element quform-element-text quform-element-28_543 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_543\"><label class=\"quform-label-text\" for=\"quform_28_543_ab09c7\">Family name<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_543\"><div class=\"quform-input quform-input-text quform-input-28_543 quform-cf\"><input type=\"text\" id=\"quform_28_543_ab09c7\" name=\"quform_28_543\" class=\"quform-field quform-field-text quform-field-28_543\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-28_544 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_544\"><label class=\"quform-label-text\" for=\"quform_28_544_ab09c7\">Social security number<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_544\"><div class=\"quform-input quform-input-text quform-input-28_544 quform-cf\"><input type=\"text\" id=\"quform_28_544_ab09c7\" name=\"quform_28_544\" class=\"quform-field quform-field-text quform-field-28_544\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_545 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_545\"><label class=\"quform-label-text\" for=\"quform_28_545_ab09c7\">Lives in the same household?<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_545\"><div class=\"quform-input quform-input-select quform-input-28_545 quform-cf\"><select id=\"quform_28_545_ab09c7\" name=\"quform_28_545\" class=\"quform-field quform-field-select quform-field-28_545\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-28_546 quform-cf quform-group-style-plain\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-28_547 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-28_548\"><div class=\"quform-element quform-element-text quform-element-28_549 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_549\"><label class=\"quform-label-text\" for=\"quform_28_549_ab09c7\">Street\/No.<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_549\"><div class=\"quform-input quform-input-text quform-input-28_549 quform-cf\"><input type=\"text\" id=\"quform_28_549_ab09c7\" name=\"quform_28_549\" class=\"quform-field quform-field-text quform-field-28_549\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-28_550 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_550\"><label class=\"quform-label-text\" for=\"quform_28_550_ab09c7\">Land<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-28_550\"><div class=\"quform-input quform-input-select quform-input-28_550 quform-cf\"><select id=\"quform_28_550_ab09c7\" name=\"quform_28_550\" class=\"quform-field quform-field-select quform-field-28_550\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albanien\">Albanien<\/option><option value=\"Algerien\">Algerien<\/option><option value=\"Amerikanisch-Samoa\">Amerikanisch-Samoa<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antarktis\">Antarktis<\/option><option value=\"Antigua und Barbuda\">Antigua und Barbuda<\/option><option value=\"Argentinien\">Argentinien<\/option><option value=\"Armenien\">Armenien<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Australien\">Australien<\/option><option value=\"\u00d6sterreich\">\u00d6sterreich<\/option><option value=\"Aserbaidschan\">Aserbaidschan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesch\">Bangladesch<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Wei\u00dfrussland\">Wei\u00dfrussland<\/option><option value=\"Belgien\">Belgien<\/option><option value=\"Belize\">Belize<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bermuda\">Bermuda<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivien\">Bolivien<\/option><option value=\"Bosnien und Herzegowina\">Bosnien und Herzegowina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Bouvetinsel\">Bouvetinsel<\/option><option value=\"Brasilien\">Brasilien<\/option><option value=\"Britisches Territorium im Indischen Ozean\">Britisches Territorium im Indischen Ozean<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bulgarien\">Bulgarien<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Kambodscha\">Kambodscha<\/option><option value=\"Kamerun\">Kamerun<\/option><option value=\"Kanada\">Kanada<\/option><option value=\"Kap Verde\">Kap Verde<\/option><option value=\"Kaimaninseln\">Kaimaninseln<\/option><option value=\"Zentralafrikanische Republik\">Zentralafrikanische Republik<\/option><option value=\"Tschad\">Tschad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Weihnachtsinsel\">Weihnachtsinsel<\/option><option value=\"Kokosinseln\">Kokosinseln<\/option><option value=\"Kolumbien\">Kolumbien<\/option><option value=\"Komoren\">Komoren<\/option><option value=\"Kongo\">Kongo<\/option><option value=\"Kongo, Demokratische Republik\">Kongo, Demokratische Republik<\/option><option value=\"Cookinseln\">Cookinseln<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Elfenbeink\u00fcste\">Elfenbeink\u00fcste<\/option><option value=\"Kroatien\">Kroatien<\/option><option value=\"Kuba\">Kuba<\/option><option value=\"Zypern\">Zypern<\/option><option value=\"Tschechien\">Tschechien<\/option><option value=\"D\u00e4nemark\">D\u00e4nemark<\/option><option value=\"Dschibuti\">Dschibuti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominikanische Republik\">Dominikanische Republik<\/option><option value=\"Osttimor\">Osttimor<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"\u00c4gypten\">\u00c4gypten<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"\u00c4quatorial-Guinea\">\u00c4quatorial-Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estland\">Estland<\/option><option value=\"\u00c4thiopien\">\u00c4thiopien<\/option><option value=\"Falkland-Inseln\">Falkland-Inseln<\/option><option value=\"F\u00e4r\u00f6er-Inseln\">F\u00e4r\u00f6er-Inseln<\/option><option value=\"Fidschi\">Fidschi<\/option><option value=\"Finnland\">Finnland<\/option><option value=\"Frankreich\">Frankreich<\/option><option value=\"Metropolitan-Frankreich\">Metropolitan-Frankreich<\/option><option value=\"Franz\u00f6sisch-Guayana\">Franz\u00f6sisch-Guayana<\/option><option value=\"Franz\u00f6sisch-Polynesien\">Franz\u00f6sisch-Polynesien<\/option><option value=\"Franz\u00f6sische S\u00fcd- und Antarktisgebiete\">Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value=\"Gabun\">Gabun<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Deutschland\">Deutschland<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Griechenland\">Griechenland<\/option><option value=\"Gr\u00f6nland\">Gr\u00f6nland<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Heard und McDonaldinseln\">Heard und McDonaldinseln<\/option><option value=\"Vatikanstadt\">Vatikanstadt<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Ungarn\">Ungarn<\/option><option value=\"Island\">Island<\/option><option value=\"Indien\">Indien<\/option><option value=\"Indonesien\">Indonesien<\/option><option value=\"Iran\">Iran<\/option><option value=\"Irak\">Irak<\/option><option value=\"Irland\">Irland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italien\">Italien<\/option><option value=\"Jamaika\">Jamaika<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordanien\">Jordanien<\/option><option value=\"Kasachstan\">Kasachstan<\/option><option value=\"Kenia\">Kenia<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Nordkorea\">Nordkorea<\/option><option value=\"S\u00fcdkorea\">S\u00fcdkorea<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kirgisistan\">Kirgisistan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Lettland\">Lettland<\/option><option value=\"Libanon\">Libanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberien\">Liberien<\/option><option value=\"Libyen\">Libyen<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Litauen\">Litauen<\/option><option value=\"Luxemburg\">Luxemburg<\/option><option value=\"Macau\">Macau<\/option><option value=\"Mazedonien\">Mazedonien<\/option><option value=\"Madagaskar\">Madagaskar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Malediven\">Malediven<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshallinseln\">Marshallinseln<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauretanien\">Mauretanien<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexiko\">Mexiko<\/option><option value=\"Mikronesien, F\u00f6derierte Staaten von\">Mikronesien, F\u00f6derierte Staaten von<\/option><option value=\"Moldawien\">Moldawien<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolei\">Mongolei<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Marokko\">Marokko<\/option><option value=\"Mosambik\">Mosambik<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Holland\/Niederlande\">Holland\/Niederlande<\/option><option value=\"niederl\u00e4ndische Antillen\">niederl\u00e4ndische Antillen<\/option><option value=\"Neukaledonien\">Neukaledonien<\/option><option value=\"Neuseeland\">Neuseeland<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Niue\">Niue<\/option><option value=\"Norfolkinsel\">Norfolkinsel<\/option><option value=\"N\u00f6rdliche Marianen\">N\u00f6rdliche Marianen<\/option><option value=\"Norwegen\">Norwegen<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua-Neuguinea\">Papua-Neuguinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippinen\">Philippinen<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Polen\">Polen<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Katar\">Katar<\/option><option value=\"R\u00e9union\">R\u00e9union<\/option><option value=\"Rum\u00e4nien\">Rum\u00e4nien<\/option><option value=\"Russische F\u00f6deration\">Russische F\u00f6deration<\/option><option value=\"Ruanda\">Ruanda<\/option><option value=\"St. Kitts und Nevis\">St. Kitts und Nevis<\/option><option value=\"St. Lucia\">St. Lucia<\/option><option value=\"St. Vincent und die Grenadinen\">St. Vincent und die Grenadinen<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"S\u00e3o Tom\u00e9 und Pr\u00edncipe\">S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value=\"Saudi-Arabien\">Saudi-Arabien<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Seychellen\">Seychellen<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapur\">Singapur<\/option><option value=\"Slowakei\">Slowakei<\/option><option value=\"Slowenien\">Slowenien<\/option><option value=\"Salomon-Inseln\">Salomon-Inseln<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"S\u00fcdafrika\">S\u00fcdafrika<\/option><option value=\"S\u00fcdgeorgien und S\u00fcdliche Sandwichinseln\">S\u00fcdgeorgien und S\u00fcdliche Sandwichinseln<\/option><option value=\"Spanien\">Spanien<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"St. Helena\">St. Helena<\/option><option value=\"Saint-Pierre und Miquelon\">Saint-Pierre und Miquelon<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Spitzbergen und Jan Mayen\">Spitzbergen und Jan Mayen<\/option><option value=\"Swasiland\">Swasiland<\/option><option value=\"Schweden\">Schweden<\/option><option value=\"Schweiz\">Schweiz<\/option><option value=\"Syrien\">Syrien<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tadschikistan\">Tadschikistan<\/option><option value=\"Tansania\">Tansania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad und Tobago\">Trinidad und Tobago<\/option><option value=\"Tunesien\">Tunesien<\/option><option value=\"T\u00fcrkei\">T\u00fcrkei<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Turks- und Caicosinseln\">Turks- und Caicosinseln<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Vereinigte Arabische Emirate\">Vereinigte Arabische Emirate<\/option><option value=\"Vereinigtes K\u00f6nigreich\">Vereinigtes K\u00f6nigreich<\/option><option value=\"Vereinigte Staaten\">Vereinigte Staaten<\/option><option value=\"United States Minor Outlying Islands\">United States Minor Outlying Islands<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Usbekistan\">Usbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Jungferninseln (Britische)\">Jungferninseln (Britische)<\/option><option value=\"Amerikanische Jungferninseln\">Amerikanische Jungferninseln<\/option><option value=\"Wallis And Futuna-Inseln\">Wallis And Futuna-Inseln<\/option><option value=\"Westsahara\">Westsahara<\/option><option value=\"Jemen\">Jemen<\/option><option value=\"Jugoslawien\">Jugoslawien<\/option><option value=\"Sambia\">Sambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-column quform-element-28_551\"><div class=\"quform-element quform-element-text quform-element-28_552 quform-cf quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-28_552\"><label class=\"quform-label-text\" for=\"quform_28_552_ab09c7\">Postal code\/municipality<span class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-28_552\"><div class=\"quform-input quform-input-text quform-input-28_552 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class=\"quform-required\">*<\/span><\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-28_576\"><div class=\"quform-input quform-input-file quform-input-28_576 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_28_576_ab09c7\" name=\"quform_28_576[]\" class=\"quform-field quform-field-file quform-field-28_576 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:576,&quot;identifier&quot;:&quot;28_576&quot;,&quot;name&quot;:&quot;quform_28_576&quot;,&quot;max&quot;:1,&quot;size&quot;:10485760,&quot;allowedExtensions&quot;:[&quot;jpg&quot;,&quot;jpeg&quot;,&quot;png&quot;,&quot;gif&quot;,&quot;pdf&quot;],&quot;notAllowedTypeWithFilename&quot;:&quot;File type of &#039;%filename%&#039; is not allowed&quot;,&quot;tooBigWithFilename&quot;:&quot;File &#039;%filename%&#039; exceeds the maximum allowed file size&quot;,&quot;tooMany&quot;:&quot;You cannot upload more than %max% file(s)&quot;,&quot;buttonType&quot;:&quot;button&quot;,&quot;buttonText&quot;:&quot;Browse...&quot;,&quot;buttonIcon&quot;:&quot;qicon-file_upload&quot;,&quot;buttonIconPosition&quot;:&quot;right&quot;}\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-28_492 quform-cf quform-button-style-theme\"><div class=\"quform-button-back quform-button-back-default quform-button-back-28_492\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-back\" value=\"back\"><span class=\"quform-button-text quform-button-back-text\">Back<\/span><\/button><\/div><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-28_492\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Submit<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-upload-progress-wrap\"><div class=\"quform-upload-progress-bar-wrap\"><div class=\"quform-upload-progress-bar\"><\/div><\/div><div class=\"quform-upload-info quform-cf\"><div class=\"quform-upload-filename\"><\/div><\/div><\/div><\/div><\/form><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Your submissions will normally be processed within 2 business days. 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