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Generic Short Term Disability eForm with calendars

I have compressed the image slightly and added calendars. It also uses the edd measurement. JohnR. <!--- Created June 2013 by Chris Sedergreen with acknowledgement to Pat Morphy from NERD and some tweaks from John Robertson, Written for version 12, 2 page form, Has x boxes, fills in subject line, has defaults that are filled in (only on the) first time it is opened, has list of insurers that accept the form, Dates are changed to YMD format and there are calendars--->
Generic Short Term Disability eForm with calendars html
Generic Short Term Disability eForm with calendars page 1 png
Generic Short Term Disability eForm with calendars page 2 png
Generic Short Term Disability eform YMD notation at top of page
Nice work! My computer generated insomnia has once again kicked in, so I tweaked this form a little more. The YYYYMMDDs were overlapping the little calendar icons (love the little calendars!) so I couldn't mouse over all of them, so I removed them all and instead embedded a notice at the top of the first page that the date format for all dates is YYYYMMDD. Also nudged some of the form elements around, sized the height of text boxes evenly, left aligned the text in the boxes and gave white backgrounds. Changed the list of insurance companies, into a bulleted list in three columns loading at the bottom instead of at the side. And then I was trying to embed a graphical freehand signature field, but that didn't want to work, so I left that again.... New HTML file attached. Gunther

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