PDF Form Design

I need a PDF form template design (sickness self-certification). The form will need to be electronically signed and then click the submit button to automatically open up desktop email and send full PDF (attached) to a pre-set email address: mailto:XXXXXXXX

Happy to discuss design templates but must contain the following fields:

Employee Name (free text)

Date Sickness Began (date format)

Date Sickness Ended (date format)

Total Days (2 decimal places)

About your Sickness (free text)

Signed (signature file / text would be nice)

Today's Date (date format)

Authorised (signature of manager who the file will be emailed to)

All of the above are required fields (except Authorised as this can only be done once the manager has received the file)

Once the manager receives the file, they will need to sign and then "save as" so they can load into our HR system. Ideally the document needs to be optimised so that the file size isn't too large.

I've attached a design look and feel (ignore the text)

Skills: PDF

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About the Employer:
( 3 reviews ) Bath, United Kingdom

Project ID: #5451382

Awarded to:


Hello, I do not see any attached file, also about me: I am m.s of systems engineering and b.s of industrial engineering and I can do this work with adobe acrobat professional and/or nitro PDF, I have done many project More

£20 GBP in 2 days
(6 Reviews)