{"id":240,"date":"2023-11-07T15:44:59","date_gmt":"2023-11-07T15:44:59","guid":{"rendered":"https:\/\/sypol.be\/nl\/?page_id=240"},"modified":"2023-11-09T09:38:07","modified_gmt":"2023-11-09T09:38:07","slug":"geboorte-of-adoptiepremie-aanvragen","status":"publish","type":"page","link":"https:\/\/sypol.be\/nl\/praktisch\/formulieren\/geboorte-of-adoptiepremie-aanvragen\/","title":{"rendered":"Geboorte- of adoptiepremie aanvragen"},"content":{"rendered":"<p><a href=\"https:\/\/sypol.be\/nl\/praktisch\/formulieren\/\">\u2190 Terug naar formulieren<\/a><\/p>\n<h2>Vraag hier uw geboorte- of adoptiepremie aan<\/h2>\n<div class='fluentform ff-default fluentform_wrapper_2 ffs_default_wrap'><form data-form_id=\"2\" id=\"fluentform_2\" class=\"frm-fluent-form fluent_form_2 ff-el-form-top ff_form_instance_2_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_2_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Aanvraag geboorte- of adoptiepremie<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='240' \/><input type=\"hidden\" id=\"_fluentform_2_fluentformnonce\" name=\"_fluentform_2_fluentformnonce\" value=\"c70fe2d280\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/nl\/wp-json\/wp\/v2\/pages\/240\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_names_first_name_' aria-label=\"Voornaam\">Voornaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_2_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Voornaam\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_names_last_name_' aria-label=\"Familienaam\">Familienaam<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_2_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Familienaam\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_email' aria-label=\"E-mailadres\">E-mailadres<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_2_email\" class=\"ff-el-form-control\" placeholder=\"E-mailadres\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_phone' aria-label=\"Telefoonnummer\">Telefoonnummer<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Telefoonnummer\" data-name=\"phone\" id=\"ff_2_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=Adres>Adres<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_address_line_1_' aria-label=\"Straat\">Straat<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_2_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Straat\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_address_line_2_' aria-label=\"Huisnummer\">Huisnummer<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_2_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Huisnummer\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_zip_' aria-label=\"Postcode\">Postcode<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_2_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Postcode\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_city_' aria-label=\"Stad\">Stad<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_2_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Stad\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_names_1_first_name_' aria-label=\"Naam van het kind\">Naam van het kind<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_2_names_1_first_name_\" class=\"ff-el-form-control\" placeholder=\"Naam van het kind\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_input_text' aria-label=\"Bankrekeningnnummer om premie te ontvangen\">Bankrekeningnnummer om premie te ontvangen<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Bankrekeningnnummer\" data-name=\"input_text\" id=\"ff_2_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_inline'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Gewenste premie\">Gewenste premie<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8ccd456477b86d0f925db2b7ff887b2f><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Geboortepremie\"  id='input_radio_8ccd456477b86d0f925db2b7ff887b2f' aria-label='Geboortepremie' aria-invalid='false' aria-required=true> <span>Geboortepremie<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_96f7947d8e36f379f31efc69076daaf5><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Adoptiepremie\"  id='input_radio_96f7947d8e36f379f31efc69076daaf5' aria-label='Adoptiepremie' aria-invalid='false' aria-required=true> <span>Adoptiepremie<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_datetime' aria-label=\"Geboortedatum kind\">Geboortedatum kind<\/label><\/div><div class='ff-el-input--content'><input data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_2_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"dd\/mm\/jjjj\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_file-upload_1' aria-label=\"Geboorteakte\">Geboorteakte<\/label><\/div><div class='ff-el-input--content'><label for='ff_2_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn'>Uploaden<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_2_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_datetime_1' aria-label=\"Datum adoptie\">Datum adoptie<\/label><\/div><div class='ff-el-input--content'><input data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_2_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"dd\/mm\/jjjj\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_file-upload_1_1' aria-label=\"Bewijs van adoptie\">Bewijs van adoptie<\/label><\/div><div class='ff-el-input--content'><label for='ff_2_file-upload_1_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn'>Uploaden<\/span> <input type=\"file\" name=\"file-upload_1\" id=\"ff_2_file-upload_1_1\" 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