{"id":5672,"date":"2020-07-02T18:25:38","date_gmt":"2020-07-02T16:25:38","guid":{"rendered":"https:\/\/cpa-cameroun.com\/?page_id=5672"},"modified":"2020-07-02T18:25:38","modified_gmt":"2020-07-02T16:25:38","slug":"declarez-un-sinistre","status":"publish","type":"page","link":"https:\/\/cpa-cameroun.com\/en\/declarez-un-sinistre\/","title":{"rendered":"REPORT A CLAIM"},"content":{"rendered":"<div  class=\"content_row row vc_row wpb_row  default-style fullwidth fixed_heights rt-flex-wrapper rt-column-gaps transparent-bg has-bg-overlay rt-9374940\">\n\t<div class=\"content-row-video-overlay\" style=\"background-color:#f1f1f1\"><\/div>\n\n\t<div class=\"content_row_wrapper  default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container rt-9510187 custom_bg rt-column-container\">\n\t<div class=\"vc_column-inner rt-column-inner\">\n\t\t<div class=\"wpb_wrapper rt-wrapper\">\n\t\t\t<div class=\"rt-heading-wrapper text-left rt-1056266\">\r\n\t\t\t\t\t\t<h4 class=\"rt-heading\" >To declare 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leform-form-input-medium leform-form-icon-inside leform-form-description-bottom\" data-session=\"48\" data-collapse=\"480\" data-id=\"uxAUpx6Y8aWcQL28z\" data-form-id=\"2\" data-title=\"D\u00c9CLAREZ UN SINISTRE\" data-page=\"1\" data-xd=\"on\" data-tooltip-theme=\"dark\" style=\"display:none;\"><div class=\"leform-form-inner\"><div class='leform-progress leform-progress-inside leform-progress-2 leform-progress-uxAUpx6Y8aWcQL28z' data-page=\"1\"><ul class='leform-progress-t2 leform-progress-stripes'><li class='leform-progress-t2-active' style='width:25.00%;'><span>1<\/span><label>Applicant information<\/label><\/li><li style='width:25.00%;'><span>2<\/span><label> Vehicle information<\/label><\/li><li style='width:25.00%;'><span>3<\/span><label>Driver Information<\/label><\/li><li style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-33 leform-element-html' data-type='html'><p>ASSURE<\/p>\n<hr \/>\n<p>&nbsp;<\/p><div class='leform-element-cover'><\/div><\/div><div class='leform-element leform-element-31 leform-element-label-top' data-type='select' data-deps='' data-id='31'><div class='leform-column-label'><label class='leform-label'>Nature of the claim<\/label><\/div><div class='leform-column-input'><div class='leform-input'><select name='leform-31' class='' data-default='' autocomplete='off' aria-label='Nature of the claim' onchange='leform_input_changed(this);' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><option value=''>Please select the nature of the incident<\/option><option value='Option 1'>Equipment<\/option><option value='Option 2'>Bodily<\/option><option value='Option 3'>Mixed (Material and body)<\/option><\/select><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-59 leform-element-label-top' data-type='text' data-deps='' data-id='59'><div class='leform-column-label'><label class='leform-label'>Date of accident<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-right'><i class='leform-icon-right fas fa-calendar-alt'><\/i><input type='text' name='leform-59' class='' placeholder='DD \/ MM \/ YYYY' autocomplete='off' data-default='' value='' aria-label='Date of accident' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-72 leform-element-label-top' data-type='time' data-deps='' data-id='72'><div class='leform-column-label'><label class='leform-label'>Time of accident<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-right'><i class='leform-icon-right far fa-clock'><\/i><input type='text' name='leform-72' class='leform-time' placeholder='Ex: 16:30' data-default='' value='' aria-label='Time of accident' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' data-interval='10' data-format='hh:ii' data-locale='fr' data-min-type='none' data-min-value='' data-max-type='none' data-max-value='' \/><\/div><label class='leform-description'>Select the hour.<\/label><\/div><\/div><div class='leform-element leform-element-61 leform-element-label-top' data-type='text' data-deps='' data-id='61'><div class='leform-column-label'><label class='leform-label'>Police number<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-address-card'><\/i><input type='text' name='leform-61' class='ma-majuscule-form' placeholder='Enter your policy number' autocomplete='off' data-default='' value='' aria-label='Police number' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'>Enter your policy number<\/label><\/div><\/div><div class='leform-element leform-element-60 leform-element-label-top' data-type='text' data-deps='' data-id='60'><div class='leform-column-label'><label class='leform-label'>Full Name<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-user-alt'><\/i><input type='text' name='leform-60' class='' placeholder='Your first and last names here' autocomplete='name' data-default='' value='' aria-label='Full Name' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-39 leform-element-label-top' data-type='text' data-deps='' data-id='39'><div class='leform-column-label'><label class='leform-label'>Profession<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-id-card-alt'><\/i><input type='text' name='leform-39' class='' placeholder='Enter your Profession here' autocomplete='off' data-default='' value='' aria-label='Profession' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-7 leform-element-label-top' data-type='number' data-deps='' data-id='7'><div class='leform-column-label'><label class='leform-label'><\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-phone-volume'><\/i><input type='text' inputmode='numeric' pattern='[0-9]*' name='leform-7' class='leform-number leform-ta-left' placeholder='Your phone number' data-default='' data-min='' data-max='' data-decimal='0' data-value='' value='' aria-label='' oninput='leform_input_changed(this);' onblur='leform_number_unfocused(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-40 leform-element-label-top' data-type='text' data-deps='' data-id='40'><div class='leform-column-label'><label class='leform-label'>Address<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-map-marker-alt'><\/i><input type='text' name='leform-40' class='' placeholder='Enter your address here' autocomplete='off' data-default='' value='' aria-label='Address' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-8 leform-element-label-top' data-type='email' data-deps='' data-id='8'><div class='leform-column-label'><label class='leform-label'>E-mail<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-envelope'><\/i><input type='email' name='leform-8' class='' placeholder='Your email address' autocomplete='email' data-default='' value='' aria-label='E-mail' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-row leform-element leform-element-22' data-type='columns'><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='22' _data-parent-col='0'><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='22' _data-parent-col='1'><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='22' _data-parent-col='2'><div class='leform-element leform-element-24 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this, \"next\");' data-label='Etape suivante' data-loading='Etape suivante...'><span>next step<\/span><i class='leform-icon-right leform-fa leform-fa-chevron-right'><\/i><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"leform-form leform-form-2 leform-form-uxAUpx6Y8aWcQL28z leform-form-input-medium leform-form-icon-inside leform-form-description-bottom\" data-session=\"48\" data-collapse=\"480\" data-id=\"uxAUpx6Y8aWcQL28z\" data-form-id=\"2\" data-title=\"D\u00c9CLAREZ UN SINISTRE\" data-page=\"3\" data-xd=\"on\" data-tooltip-theme=\"dark\" style=\"display:none;\"><div class=\"leform-form-inner\"><div class='leform-progress leform-progress-inside leform-progress-2 leform-progress-uxAUpx6Y8aWcQL28z' data-page=\"3\"><ul class='leform-progress-t2 leform-progress-stripes'><li class='leform-progress-t2-passed' style='width:25.00%;'><span>1<\/span><label>Applicant information<\/label><\/li><li class='leform-progress-t2-active' style='width:25.00%;'><span>2<\/span><label> Vehicle information<\/label><\/li><li style='width:25.00%;'><span>3<\/span><label>Driver Information<\/label><\/li><li style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-41 leform-element-html' data-type='html'><p>VEHICLE<\/p>\n<hr \/>\n<p>&nbsp;<\/p><div class='leform-element-cover'><\/div><\/div><div class='leform-element leform-element-42 leform-element-label-top' data-type='text' data-deps='' data-id='42'><div class='leform-column-label'><label class='leform-label'>Vehicle make<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-car'><\/i><input type='text' name='leform-42' class='' placeholder='Example: Toyota' autocomplete='off' data-default='' value='' aria-label='Vehicle make' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-43 leform-element-label-top' data-type='text' data-deps='' data-id='43'><div class='leform-column-label'><label class='leform-label'>Vehicle type<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-car-side'><\/i><input type='text' name='leform-43' class='' placeholder='Example: Corolla' autocomplete='off' data-default='' value='' aria-label='Vehicle type' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-44 leform-element-label-top' data-type='text' data-deps='' data-id='44'><div class='leform-column-label'><label class='leform-label'>Vehicle registration<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-credit-card'><\/i><input type='text' name='leform-44' class='' placeholder='Please enter vehicle registration number #039;' autocomplete='off' data-default='' value='' aria-label='Vehicle registration' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-45 leform-element-label-top' data-type='select' data-deps='' data-id='45'><div class='leform-column-label'><label class='leform-label'>Vehicle use<\/label><\/div><div class='leform-column-input'><div class='leform-input'><select name='leform-45' class='' data-default='' autocomplete='off' aria-label='Vehicle use' onchange='leform_input_changed(this);' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><option value=''>Please choose from this list<\/option><option value='Tourisme promenade et affaires'>Travel and business tourism<\/option><option value='Transport de marchandises pour propre compte (Poids &lt;= 3.5 Tonnes)'>Transport of goods for own account (Weight &lt;= 3.5 Tons)<\/option><option value='Transport publique de marchandises (Poids &gt;= 3.5 Tonnes)'>Public transport of goods (Weight&gt; = 3.5 Tons)<\/option><option value='V\u00e9hicules de 2 \u00e0 3 roues besoins personnels et d\u00e9placements priv\u00e9s'>Vehicles from 2 to 3 wheels personal needs and private travel<\/option><option value='V\u00e9hicules confi\u00e9s aux garagistes et aux vendeurs d&#039;automobiles'>Vehicles entrusted to garage owners and car dealers<\/option><option value='V\u00e9hicules 2 \u00e0 3 roues confi\u00e9s aux garagistes et aux vendeurs d&#039;automobiles'>2 to 3 wheel vehicles entrusted to garages and car dealers<\/option><option value='V\u00e9hicules d&#039;auto \u00e9cole de type tourisme promenade et affaires'>Driving school vehicles of the tourist, walking and business type<\/option><\/select><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-row leform-element leform-element-25' data-type='columns'><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='25' _data-parent-col='0'><div class='leform-element leform-element-26 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this, \"prev\");' data-label='Etape pr\u00e9c\u00e9dente' data-loading='Sending...'><i class='leform-icon-left leform-fa leform-fa-chevron-left'><\/i><span>Previous step<\/span><\/a><\/div><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='25' _data-parent-col='1'><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='25' _data-parent-col='2'><div class='leform-element leform-element-46 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this, \"next\");' data-label='Etape suivante' data-loading='Traitement en cours...'><span>next step<\/span><i class='leform-icon-right fas fa-angle-right'><\/i><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"leform-form leform-form-2 leform-form-uxAUpx6Y8aWcQL28z leform-form-input-medium leform-form-icon-inside leform-form-description-bottom\" data-session=\"48\" data-collapse=\"480\" data-id=\"uxAUpx6Y8aWcQL28z\" data-form-id=\"2\" data-title=\"D\u00c9CLAREZ UN SINISTRE\" data-page=\"47\" data-xd=\"on\" data-tooltip-theme=\"dark\" style=\"display:none;\"><div class=\"leform-form-inner\"><div class='leform-progress leform-progress-inside leform-progress-2 leform-progress-uxAUpx6Y8aWcQL28z' data-page=\"47\"><ul class='leform-progress-t2 leform-progress-stripes'><li class='leform-progress-t2-passed' style='width:25.00%;'><span>1<\/span><label>Applicant information<\/label><\/li><li class='leform-progress-t2-passed' style='width:25.00%;'><span>2<\/span><label> Vehicle information<\/label><\/li><li class='leform-progress-t2-active' style='width:25.00%;'><span>3<\/span><label>Driver Information<\/label><\/li><li style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-48 leform-element-html' data-type='html'><p>DRIVER<\/p>\n<hr \/>\n<p>&nbsp;<\/p><div class='leform-element-cover'><\/div><\/div><div class='leform-element leform-element-52 leform-element-label-top' data-type='tile' data-deps='' data-id='52'><div class='leform-column-label'><label class='leform-label'>Was it the insured who was driving the vehicle at the time of the accident?<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-tile-layout-inline leform-tile-layout-left leform-tile-transform-shift-down'><form action=\"\"><form><div class='leform-tile-container leform-tile-default'><div class='leform-tile-box'><input class='leform-tile leform-tile-medium' type='radio' name='leform-52' id='leform-tile-poFblAwcPYPlVcvYg-18-0' value='Option 1' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-tile-poFblAwcPYPlVcvYg-18-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Yes<\/label><\/div><\/div><div class='leform-tile-container leform-tile-default'><div class='leform-tile-box'><input class='leform-tile leform-tile-medium' type='radio' name='leform-52' id='leform-tile-poFblAwcPYPlVcvYg-18-1' value='Option 2' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-tile-poFblAwcPYPlVcvYg-18-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>No<\/label><\/div><\/div><\/form><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-62 leform-element-label-top' data-type='text' data-deps='' data-id='62'><div class='leform-column-label'><label class='leform-label'>Driver&#039;s date of birth<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-right'><i class='leform-icon-right fas fa-calendar'><\/i><input type='text' name='leform-62' class='' placeholder='DD \/ MM \/ YYYY' autocomplete='off' data-default='' value='' aria-label='Driver&#039;s date of birth' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-55 leform-element-label-top' data-type='select' data-deps='' data-id='55'><div class='leform-column-label'><label class='leform-label'>Driver&#039;s license category<\/label><\/div><div class='leform-column-input'><div class='leform-input'><select name='leform-55' class='' data-default='' autocomplete='off' aria-label='Driver&#039;s license category' onchange='leform_input_changed(this);' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><option value=''>Please select the category<\/option><option value='Option 1'>Category A<\/option><option value='Option 2'>Category B<\/option><option value='Option 3'>Category C<\/option><option value='Option 3'>Category C<\/option><option value='Option 4'>Category D<\/option><option value='Option 5'>Category E<\/option><option value='Option 5'>Category E<\/option><option value='Option 6'>Category F<\/option><\/select><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-69 leform-element-label-top' data-type='text' data-deps='' data-id='69'><div class='leform-column-label'><label class='leform-label'>Driver&#039;s license number<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-69' class='leform-ta-left' placeholder='Enter your Driving License number here' autocomplete='off' data-default='' value='' aria-label='Driver&#039;s license number' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-63 leform-element-label-top' data-type='text' data-deps='' data-id='63'><div class='leform-column-label'><label class='leform-label'>Driver&#039;s license issue date<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-right'><i class='leform-icon-right fas fa-calendar'><\/i><input type='text' name='leform-63' class='' placeholder='DD \/ MM \/ YYYY' autocomplete='off' data-default='' value='' aria-label='Driver&#039;s license issue date' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-70 leform-element-label-top' data-type='file' data-deps='' data-id='70' data-max-files='2' data-max-files-error='Too many files.' data-max-size='4' data-max-size-error='Le fichier est trop grand.' data-allowed-extensions='.gif,.jpg,.jpeg,.png,.pdf,.docx,.xls,.xlsb' data-allowed-extensions-error='Extension de fichier non autoris\u00e9e'><div class='leform-column-label'><label class='leform-label'>Technical inspection certificate (PDF, WORD, JPG or PNG format)<\/label><\/div><div class='leform-column-input'><div class='leform-upload-input'><div class='leform-uploader-files'><\/div><div class='leform-uploaders'><\/div><input type='hidden' class='leform-uploader-template' value='DQ0KPGRpdiBjbGFzcz0ibGVmb3JtLXVwbG9hZGVyIGxlZm9ybS10YS1sZWZ0IiBpZD0iJSV1cGxvYWQtaWQlJSI+DQ0KCTxhIGNsYXNzPSJsZWZvcm0tYnV0dG9uIGxlZm9ybS1idXR0b24tem9vbS1vdXQgbGVmb3JtLWJ1dHRvbi1mdWxsIGxlZm9ybS1idXR0b24tbWVkaXVtICIgb25jbGljaz0ialF1ZXJ5KHRoaXMpLnBhcmVudCgpLmZpbmQoJy5sZWZvcm0tdXBsb2FkZXItZXJyb3InKS5yZW1vdmUoKTsgalF1ZXJ5KHRoaXMpLnBhcmVudCgpLmZpbmQoJ2lucHV0W3R5cGU9ZmlsZV0nKS5jbGljaygpOyByZXR1cm4gZmFsc2U7Ij48c3Bhbj5Uw6lsw6ljaGFyZ2VyIGxlIENlcnRpZmljYXQuLi48L3NwYW4+PGkgY2xhc3M9J2xlZm9ybS1pY29uLXJpZ2h0IGZhcyBmYS11cGxvYWQnPjwvaT48L2E+DQ0KCTxkaXYgY2xhc3M9ImxlZm9ybS11cGxvYWRlci1lbmdpbmUiPg0NCgkJPGZvcm0gYWN0aW9uPSIlJWFqYXgtdXJsJSUiIG1ldGhvZD0iUE9TVCIgZW5jdHlwZT0ibXVsdGlwYXJ0L2Zvcm0tZGF0YSIgdGFyZ2V0PSJsZWZvcm0taWZyYW1lLSUldXBsb2FkLWlkJSUiIG9uc3VibWl0PSJyZXR1cm4gbGVmb3JtX3VwbG9hZGVyX3N0YXJ0KHRoaXMpOyIgc3R5bGU9ImRpc3BsYXk6IG5vbmUgIWltcG9ydGFudDsgd2lkdGg6IDAgIWltcG9ydGFudDsgaGVpZ2h0OiAwICFpbXBvcnRhbnQ7Ij4NDQoJCQk8aW5wdXQgdHlwZT0iaGlkZGVuIiB2YWx1ZT0iJSV1cGxvYWQtaWQlJSIgbmFtZT0iUEhQX1NFU1NJT05fVVBMT0FEX1BST0dSRVNTIiAvPg0NCgkJCTxpbnB1dCB0eXBlPSJoaWRkZW4iIG5hbWU9ImFjdGlvbiIgdmFsdWU9ImxlZm9ybS11cGxvYWQiIC8+DQ0KCQkJPGlucHV0IHR5cGU9ImhpZGRlbiIgbmFtZT0idXBsb2FkLWlkIiB2YWx1ZT0iJSV1cGxvYWQtaWQlJSIgLz4NDQoJCQk8aW5wdXQgdHlwZT0iaGlkZGVuIiBuYW1lPSJmb3JtLWlkIiB2YWx1ZT0iMiIgLz4NDQoJCQk8aW5wdXQgdHlwZT0iaGlkZGVuIiBuYW1lPSJlbGVtZW50LWlkIiB2YWx1ZT0iNzAiIC8+DQ0KCQkJPGlucHV0IHR5cGU9ImZpbGUiIG5hbWU9ImZpbGVzW10iIGFjY2VwdD0iLmdpZiwgLmpwZywgLmpwZWcsIC5wbmcsIC5wZGYsIC5kb2N4LCAueGxzLCAueGxzYiIgbXVsdGlwbGU9Im11bHRpcGxlIiBvbmNoYW5nZT0ialF1ZXJ5KHRoaXMpLnBhcmVudCgpLnN1Ym1pdCgpOyIgc3R5bGU9ImRpc3BsYXk6IG5vbmUgIWltcG9ydGFudDsgd2lkdGg6IDAgIWltcG9ydGFudDsgaGVpZ2h0OiAwICFpbXBvcnRhbnQ7IiAvPg0NCgkJCTxpbnB1dCB0eXBlPSJzdWJtaXQiIHZhbHVlPSJVcGxvYWQiIHN0eWxlPSJkaXNwbGF5OiBub25lICFpbXBvcnRhbnQ7IHdpZHRoOiAwICFpbXBvcnRhbnQ7IGhlaWdodDogMCAhaW1wb3J0YW50OyIgLz4NDQoJCTwvZm9ybT4NDQoJCTxpZnJhbWUgZGF0YS1sb2FkaW5nPSJmYWxzZSIgaWQ9ImxlZm9ybS1pZnJhbWUtJSV1cGxvYWQtaWQlJSIgbmFtZT0ibGVmb3JtLWlmcmFtZS0lJXVwbG9hZC1pZCUlIiBzcmM9ImFib3V0OmJsYW5rIiBvbmxvYWQ9ImxlZm9ybV91cGxvYWRlcl9maW5pc2godGhpcyk7IiBzdHlsZT0iZGlzcGxheTogbm9uZSAhaW1wb3J0YW50OyB3aWR0aDogMCAhaW1wb3J0YW50OyBoZWlnaHQ6IDAgIWltcG9ydGFudDsiPjwvaWZyYW1lPg0NCgk8L2Rpdj4NDQo8L2Rpdj4=' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-71 leform-element-label-top' data-type='file' data-deps='' data-id='71' data-max-files='2' data-max-files-error='Too many files.' data-max-size='4' data-max-size-error='Selected file is too big.' data-allowed-extensions='.gif,.jpg,.jpeg,.png,.pdf,.docx,.xls,.xlsb' data-allowed-extensions-error='Extension de fichier non autoris\u00e9'><div class='leform-column-label'><label class='leform-label'>Minutes (PDF, WORD, JPG or PNG format)<\/label><\/div><div class='leform-column-input'><div class='leform-upload-input'><div class='leform-uploader-files'><\/div><div class='leform-uploaders'><\/div><input type='hidden' class='leform-uploader-template' 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information<\/label><\/li><li class='leform-progress-t2-passed' style='width:25.00%;'><span>2<\/span><label> Vehicle information<\/label><\/li><li class='leform-progress-t2-passed' style='width:25.00%;'><span>3<\/span><label>Driver Information<\/label><\/li><li class='leform-progress-t2-active' style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-0 leform-element-html' data-type='html'><h4 style=\"text-align: center;\">CPA ASSURANCE THANKS YOU!<\/h4>\n<p style=\"text-align: center;\">We will contact you soon.<\/p><div class='leform-element-cover'><\/div><\/div><\/div><\/div><input type=\"hidden\" id=\"leform-logic-uxAUpx6Y8aWcQL28z\" value=\"[]\" \/><\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"D\u00e9clarer un sinistre 1Informations sur le proposant2 Informations sur le v\u00e9hicule3Information sur le 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