Form Ui 3 is the latest version of the popular form design and management plugin for WordPress. It includes a number of new features and enhancements, making it easier than ever to create and manage forms on your website. In this post, we'll take a look at some of the new features in Form Ui 3, and show you how to put them to work in your own forms. Stay tuned for more posts on Form Ui 3 in the coming weeks! Form UI3 introduces 7 custom fields which will help you while creating or managing any form. These are: Rich Text, Password, Date Picker, Time Picker, Drop Down List, Check Boxes and Radio Buttons. You can easily enable/disable these fields from Field Section located at the left side of WPForm Builder interface as shown in below screenshot. Also checkout our blog post on "How to add multi step form with progress bar in WordPress" where we have used Date Picker field.
| Question | Answer |
|---|---|
| Form Name | Form Ui 3 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | UI-3, ky ui 3 form pdf, disablement, ky ui 3 form |
UNEMPLOYMENT INSURANCE ACT 63 OF 2001
APPLICATION FOR CONTINUATION OF PAYMENT FOR ILLNESS BENEFITS IN TERMS OF REGULATION 4(4)
FORM MUST BE COMPLETED ON OR AFTER
ID NO.
1.Surname:
2.Previous surname: (Only if it changed since your previous application)
3.First names:
4. Identity number: |
5. Telephone number: |
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6.Postal address:
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7. |
Residential address: (If different from postal address) |
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Postal code |
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8. |
Date returned to work: |
_____/_______/_______________ |
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9. |
Kindly state whether you are in receipt of income from other sources. |
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Tick () where applicable. |
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1. |
Monthly Pension from State (Excluding Disability grant) |
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I declare, except as stated in item 8, that I have not worked |
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2. |
Benefit from Compensation Fund for temporary or total |
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since the date of my application for illness benefits and have |
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disablement |
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not been entitled to my normal remuneration/or will receive a |
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3. |
Benefits from an Unemployment Fund established by a |
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portion of my normal remuneration as declared by my |
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bargaining or statutory council |
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employer on prescribed form |
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4. |
NONE |
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application form. |
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If any of above is applicable complete the following questions: |
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I furthermore declare that the information given is true and |
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When did you begin to receive this income? ___________________ |
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correct. I am aware that it is an offence to willfully make a |
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Do you continue to receive this income? ______________________ |
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false statement. |
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If you no longer receive this income when did it come to an end? |
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_______________________ |
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________________________ |
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______/_____/_______ |
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Signature of applicant |
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Date |
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NB: IF YOUR BANKING DETAILS HAVE CHANGED, FORM
MEDICAL CERTIFICATE
(To be completed by an authorised practitioner in terms Section 20(1)(c) of Act 63 of 2001)
I, _______________________________________________________ am a qualified ______________________________________________
qualifications _______________________________________. My practice number is _______________________________________. I confirm
that _____________________________________________________________________________________________________ has been under my treatment
from _______________ to ____________________ and is suffering from ____________________________________________________________
This patient was not capable of performing work from ____________________________________ to ____________________________________
Signature ________________________________ Date __________________________________ Tel No. _____________________________
Address ________________________________________________________________________________________________________________