{"id":5200,"date":"2022-10-03T11:33:32","date_gmt":"2022-10-03T09:33:32","guid":{"rendered":"http:\/\/select-assur.com\/?page_id=5200"},"modified":"2022-10-24T17:01:57","modified_gmt":"2022-10-24T15:01:57","slug":"formulaire-assurance-habitation","status":"publish","type":"page","link":"https:\/\/select-assur.com\/formulaire-assurance-habitation\/","title":{"rendered":"Formulaire Assurance Habitation"},"content":{"rendered":"\t\t<div data-custom_css-type=\"wp-page\" data-custom_css-id=\"5200\" class=\"custom_css custom_css-5200\">\n\t\t\t\t\t\t\t        <section class=\"custom_css-section custom_css-top-section custom_css-element custom_css-element-683e9e9 custom_css-section-boxed custom_css-section-height-default custom_css-section-height-default ct-header-fixed-none ct-row-max-none\" data-id=\"683e9e9\" data-element_type=\"section\">\n            \n                        <div class=\"custom_css-container custom_css-column-gap-default \">\n                    <div class=\"custom_css-column custom_css-col-100 custom_css-top-column custom_css-element custom_css-element-6c1d64a\" data-id=\"6c1d64a\" data-element_type=\"column\">\n            <div class=\"custom_css-widget-wrap custom_css-element-populated\">\n                        \t\t<div class=\"custom_css-element custom_css-element-d1e5fde custom_css-widget custom_css-widget-shortcode\" data-id=\"d1e5fde\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"custom_css-widget-container\">\n\t\t\t\t\t<div class=\"custom_css-shortcode\"><div class='fluentform fluentform_wrapper_6'><form data-form_id=\"6\" id=\"fluentform_6\" class=\"frm-fluent-form fluent_form_6 ff-el-form-top ff_form_instance_6_1 ff-form-loading ff-form-has-steps ff_has_v3_recptcha\" data-form_instance=\"ff_form_instance_6_1\" method=\"POST\" data-recptcha_key=\"6Lc4KhIsAAAAAG0v28JTBkOOnC5YJJ-iu5pLEL-_\" ><fieldset style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;\n                                 box-shadow: none!important;outline: none!important;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;\">Assurance Habitation<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='5200' \/><input type=\"hidden\" id=\"_fluentform_6_fluentformnonce\" name=\"_fluentform_6_fluentformnonce\" value=\"1e3b8dd86e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/php_api\/wp\/v2\/pages\/5200\" \/><div class='ff-step-container' class=\"Assurance Habitation\" data-name=\"step_start-6_4\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" ><div class='ff-step-header'><div class='ff-el-progress-status'><\/div>\n            <div class='ff-el-progress'>\n                <div class='ff-el-progress-bar'><span><\/span><\/div>\n            <\/div>\n            <ul style='display: none' class='ff-el-progress-title'>\n                <li>Situation<\/li><li>Caract\u00e9ristiques de l'habitation<\/li><li>Personne<\/li>\n            <\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"Assurance Habitation fluentform-step active\" data-name=\"step_start-6_4\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown' aria-label=\"Type de l&#039;habitation :\">Type de l'habitation :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_6_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Un appartement\"  >Un appartement<\/option><option value=\"Une maison\"  >Une maison<\/option><option value=\"Une chambre \u00e9tudiant\"  >Une chambre \u00e9tudiant<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_1' aria-label=\"Qualit\u00e9 de l&#039;assur\u00e9 :\">Qualit\u00e9 de l'assur\u00e9 :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_6_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Propri\u00e9taire occupant\"  >Propri\u00e9taire occupant<\/option><option value=\"Propri\u00e9taire non occupant\"  >Propri\u00e9taire non occupant<\/option><option value=\"Locataire\"  >Locataire<\/option><option value=\"Colocataire\"  >Colocataire<\/option><option value=\"Occupant \u00e0 titre gratuit \"  >Occupant \u00e0 titre gratuit<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_2' aria-label=\"Usage :\">Usage :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_6_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Principale\"  >Principale<\/option><option value=\"Secondaire\"  >Secondaire<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_6' aria-label=\"Etage :\">Etage :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_6\" id=\"ff_6_dropdown_6\" class=\"ff-el-form-control\" data-name=\"dropdown_6\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Rez de chauss\u00e9e\"  >Rez de chauss\u00e9e<\/option><option value=\"1er \u00e9tage\"  >1er \u00e9tage<\/option><option value=\"Autre \u00e9tage\"  >Autre \u00e9tage<\/option><option value=\"Dernier \u00e9tage\"  >Dernier \u00e9tage<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_7' aria-label=\"Nombre de niveaux :\">Nombre de niveaux :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_7\" id=\"ff_6_dropdown_7\" class=\"ff-el-form-control\" data-name=\"dropdown_7\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"1 niveau\"  >1 niveau<\/option><option value=\"2 niveaux\"  >2 niveaux<\/option><option value=\"3 niveaux et plus\"  >3 niveaux et plus<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_8' aria-label=\"Nombre total d&#039;\u00e9tages :\">Nombre total d'\u00e9tages :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_8\" id=\"ff_6_dropdown_8\" class=\"ff-el-form-control\" data-name=\"dropdown_8\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"De 1 \u00e0 3 \u00e9tages\"  >De 1 \u00e0 3 \u00e9tages<\/option><option value=\"De 4 \u00e0 6 \u00e9tages\"  >De 4 \u00e0 6 \u00e9tages<\/option><option value=\"Plus de 6 \u00e9tages\"  >Plus de 6 \u00e9tages<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_3' aria-label=\"Ann\u00e9e de construction :\">Ann\u00e9e de construction :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_6_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Avant 1981\"  >Avant 1981<\/option><option value=\"Depuis 1981\"  >Depuis 1981<\/option><option value=\"En construction\"  >En construction<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_4' aria-label=\"Nature de construction :\">Nature de construction :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_4\" id=\"ff_6_dropdown_4\" class=\"ff-el-form-control\" data-name=\"dropdown_4\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Traditionnel\"  >Traditionnel<\/option><option value=\"Ossature bois\"  >Ossature bois<\/option><option value=\"Autres mat\u00e9riaux\"  >Autres mat\u00e9riaux<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Le logement lou\u00e9 est-il meubl\u00e9 ?\">Le logement lou\u00e9 est-il meubl\u00e9 ?<\/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_8e915670f6465848deb75617a2f54a75><input type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_8e915670f6465848deb75617a2f54a75' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_0f2c428e895538d6efe550675e10dcd7><input type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_0f2c428e895538d6efe550675e10dcd7' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Chambres d&#039;h\u00f4tes ?\">Chambres d'h\u00f4tes ?<\/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_7_b30f46963c575ba87bb1c83b9dd72773><input type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_7_b30f46963c575ba87bb1c83b9dd72773' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_7_fca6e7596e2dd3d8833de9451e7687fb><input type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_7_fca6e7596e2dd3d8833de9451e7687fb' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Chemin\u00e9e \u00e0 foyer ferm\u00e9 ou po\u00eale\">Chemin\u00e9e \u00e0 foyer ferm\u00e9 ou po\u00eale<\/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_5_6a7748a49d0c30ad2db692476f6f0233><input type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_5_6a7748a49d0c30ad2db692476f6f0233' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_5_e2d442b95a27ecf622fdddd6b6ad18ea><input type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_5_e2d442b95a27ecf622fdddd6b6ad18ea' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Install\u00e9 par un professionnel\">Install\u00e9 par un professionnel<\/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_8_53f4391696892a11a2c0942298c6ea87><input type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_8_53f4391696892a11a2c0942298c6ea87' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_d865c8768bca622fb0422b036662cd4e><input type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_8_d865c8768bca622fb0422b036662cd4e' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_8_f472fa0dee72bf5fb14db3f794295c41><input type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Ne sait pas\"  id='input_radio_8_f472fa0dee72bf5fb14db3f794295c41' aria-label='Ne sait pas' aria-invalid='false' aria-required=true> <span>Ne sait pas<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"T\u00e9l\u00e9surveillance\">T\u00e9l\u00e9surveillance<\/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_1_92a6bdca8119073f3b60ff4f0322f8d4><input type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_1_92a6bdca8119073f3b60ff4f0322f8d4' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_1_32fc0a97cf8ecc89a8c1f2d02b671368><input type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_1_32fc0a97cf8ecc89a8c1f2d02b671368' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Avec d\u00e9tecteur de fum\u00e9e reli\u00e9\">Avec d\u00e9tecteur de fum\u00e9e reli\u00e9<\/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_9_f553e3628ceb114ee4a0b7576451db40><input type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_9_f553e3628ceb114ee4a0b7576451db40' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_9_dd31e3b7083a8acffb9917e4d6196335><input type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_9_dd31e3b7083a8acffb9917e4d6196335' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Le logement est-il propos\u00e9 \u00e0 la location saisonni\u00e8re ?\">Le logement est-il propos\u00e9 \u00e0 la location saisonni\u00e8re ?<\/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_4_3a22800aad167559683bde946153bf95><input type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_4_3a22800aad167559683bde946153bf95' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_4_87438e91433b309c7171cebf214705c2><input type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_4_87438e91433b309c7171cebf214705c2' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Piscine et\/ou Spa Jacuzzi ?\">Piscine et\/ou Spa Jacuzzi ?<\/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_2_2e323bc7bf2de05ff61ea127815379b7><input type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_2_2e323bc7bf2de05ff61ea127815379b7' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_2_3fa9c425f072da1653a1e9e22ea6b2d3><input type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_2_3fa9c425f072da1653a1e9e22ea6b2d3' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Equipement \u00e9nergies renouvelables ?\">Equipement \u00e9nergies renouvelables ?<\/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_3_69f600f4773c12ad39d9ffcd838e4168><input type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_3_69f600f4773c12ad39d9ffcd838e4168' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_3c6e81859f871db3fba41da2b79caa0e><input type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_3_3c6e81859f871db3fba41da2b79caa0e' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_inline'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Type d&#039;\u00e9nergie :\">Type d'\u00e9nergie :<\/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=checkbox_11db6acc63465dba165a507770bb182e><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Biomasse\"  id='checkbox_11db6acc63465dba165a507770bb182e' aria-label='Biomasse' aria-invalid='false' aria-required=false> <span>Biomasse<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_db68cb222d548a632efd6ee51e5d73ec><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Eolienne\"  id='checkbox_db68cb222d548a632efd6ee51e5d73ec' aria-label='Eolienne' aria-invalid='false' aria-required=false> <span>Eolienne<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_dc1873e30965c6a63aa5a05c71bd90c8><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"G\u00e9othermie\"  id='checkbox_dc1873e30965c6a63aa5a05c71bd90c8' aria-label='G\u00e9othermie' aria-invalid='false' aria-required=false> <span>G\u00e9othermie<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_19a1905805ea8307c72e497d1ae30779><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Hydraulique\"  id='checkbox_19a1905805ea8307c72e497d1ae30779' aria-label='Hydraulique' aria-invalid='false' aria-required=false> <span>Hydraulique<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_406a70e6c2e920f2a95e091c7cbc2da9><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Panneaux solaires\"  id='checkbox_406a70e6c2e920f2a95e091c7cbc2da9' aria-label='Panneaux solaires' aria-invalid='false' aria-required=false> <span>Panneaux solaires<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_ffe3e5f313a04e109ce1d2301dc9e1dd><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Pompe \u00e0 chaleur\"  id='checkbox_ffe3e5f313a04e109ce1d2301dc9e1dd' aria-label='Pompe \u00e0 chaleur' aria-invalid='false' aria-required=false> <span>Pompe \u00e0 chaleur<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Etes-vous \u00e9tudiant ?\">Etes-vous \u00e9tudiant ?<\/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_6_7969de8de092a92a4b37ff2ffcb20533><input type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_6_7969de8de092a92a4b37ff2ffcb20533' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_6_91cde49e875b51dfe501613a12e2fdc4><input type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_6_91cde49e875b51dfe501613a12e2fdc4' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/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_6_dropdown_9' aria-label=\"Superficie des d\u00e9pendances :\">Superficie des d\u00e9pendances :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_9\" id=\"ff_6_dropdown_9\" class=\"ff-el-form-control\" data-name=\"dropdown_9\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Pas de d\u00e9pendances\"  >Pas de d\u00e9pendances<\/option><option value=\"Inf\u00e9rieure \u00e0 100 m2\"  >Inf\u00e9rieure \u00e0 100 m2<\/option><option value=\"De 101 m2 \u00e0 200 m2\"  >De 101 m2 \u00e0 200 m2<\/option><option value=\"De 201 m2 \u00e0 300 m2\"  >De 201 m2 \u00e0 300 m2<\/option><option value=\"De 301 m2 \u00e0 400 m2\"  >De 301 m2 \u00e0 400 m2<\/option><option value=\"De 401 m2 \u00e0 500 m2\"  >De 401 m2 \u00e0 500 m2<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text' aria-label=\"Date de naissance\">Date de naissance<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" value=\"01\/06\/2026\" class=\"ff-el-form-control\" maxlength=\"10\" data-name=\"input_text\" id=\"ff_6_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Pr\u00e9c\u00e9dent<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Suivant<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-6_1\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_numeric-field' aria-label=\"Nombre de pi\u00e8ces principales de plus de 7 m\u00b2 :\">Nombre de pi\u00e8ces principales de plus de 7 m\u00b2 :<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_6_numeric-field\" class=\"ff-el-form-control\" placeholder=\"0\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Dont v\u00e9randa \/ balcon ferm\u00e9 ?\">Dont v\u00e9randa \/ balcon ferm\u00e9 ?<\/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_10_673383cd9630545e56246e8c630525b1><input type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_10_673383cd9630545e56246e8c630525b1' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_10_f4985509624103bebf7caa4283baf56d><input type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_10_f4985509624103bebf7caa4283baf56d' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-6_2\" ><p><strong>Parmi ces pi\u00e8ces, combien ont une superficie :<\/strong><\/p><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_numeric-field_1' aria-label=\"&gt; 40 m\u00b2 et \u2264 80 m\u00b2 ?\">> 40 m\u00b2 et \u2264 80 m\u00b2 ?<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_6_numeric-field_1\" class=\"ff-el-form-control\" placeholder=\"0\" data-name=\"numeric-field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_numeric-field_2' aria-label=\"&gt; 80 m\u00b2 et \u2264 120 m\u00b2 ?\">> 80 m\u00b2 et \u2264 120 m\u00b2 ?<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_2\" id=\"ff_6_numeric-field_2\" class=\"ff-el-form-control\" placeholder=\"0\" data-name=\"numeric-field_2\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_6_numeric-field_3' aria-label=\"&gt; 120 m\u00b2 ?\">> 120 m\u00b2 ?<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_3\" id=\"ff_6_numeric-field_3\" class=\"ff-el-form-control\" placeholder=\"0\" data-name=\"numeric-field_3\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_numeric-field_4' aria-label=\"Nombre de sinistre(s) d\u00e9clar\u00e9(s) durant les 3 derni\u00e8res ann\u00e9es\">Nombre de sinistre(s) d\u00e9clar\u00e9(s) durant les 3 derni\u00e8res ann\u00e9es<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_4\" id=\"ff_6_numeric-field_4\" class=\"ff-el-form-control\" placeholder=\"0\" data-name=\"numeric-field_4\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Pr\u00e9c\u00e9dent<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Suivant<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-6_3\" ><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_10' aria-label=\"Civilit\u00e9\">Civilit\u00e9<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_10\" id=\"ff_6_dropdown_10\" class=\"ff-el-form-control\" data-name=\"dropdown_10\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Monsieur\"  >Monsieur<\/option><option value=\"Madame\"  >Madame<\/option><option value=\"Mademoiselle\"  >Mademoiselle<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_11' aria-label=\"Situation familiale :\">Situation familiale :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_11\" id=\"ff_6_dropdown_11\" class=\"ff-el-form-control\" data-name=\"dropdown_11\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"C\u00e9libataire\"  >C\u00e9libataire<\/option><option value=\"Divorc\u00e9(e)\"  >Divorc\u00e9(e)<\/option><option value=\"Mari\u00e9(e)\"  >Mari\u00e9(e)<\/option><option value=\"Pacs\u00e9(e)\"  >Pacs\u00e9(e)<\/option><option value=\"S\u00e9par\u00e9(e)\"  >S\u00e9par\u00e9(e)<\/option><option value=\"Union libre\"  >Union libre<\/option><option value=\"Veuf(ve)\"  >Veuf(ve)<\/option><\/select><\/div><\/div><\/div><\/div><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_6_names_first_name_' aria-label=\"Nom\">Nom<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_6_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=false><\/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_6_names_last_name_' aria-label=\"Pr\u00e9nom\">Pr\u00e9nom<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_6_names_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_email' aria-label=\"E-mail\">E-mail<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_6_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_phone' aria-label=\"T\u00e9l\u00e9phone\">T\u00e9l\u00e9phone<\/label> <\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_6_phone\" inputmode=\"tel\" ><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_dropdown_12' aria-label=\"Profession :\">Profession :<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_12\" id=\"ff_6_dropdown_12\" class=\"ff-el-form-control\" data-name=\"dropdown_12\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\" Artisan\"  >Artisan<\/option><option value=\" Cadre du secteur priv\u00e9\"  >Cadre du secteur priv\u00e9<\/option><option value=\" Commer\u00e7ant\"  >Commer\u00e7ant<\/option><option value=\" Eccl\u00e9siastique\"  >Eccl\u00e9siastique<\/option><option value=\" El\u00e8ve ou etudiant\"  >El\u00e8ve ou etudiant<\/option><option value=\" Employ\u00e9 du secteur priv\u00e9\"  >Employ\u00e9 du secteur priv\u00e9<\/option><option value=\" Exploitant agricole et ass\"  >Exploitant agricole et ass<\/option><option value=\" Fonctionnaire et assimil\u00e9\"  >Fonctionnaire et assimil\u00e9<\/option><option value=\" G\u00e9rant et mandat. de soci\u00e9t\u00e9\"  >G\u00e9rant et mandat. de soci\u00e9t\u00e9<\/option><option value=\" Ouvrier du secteur priv\u00e9\"  >Ouvrier du secteur priv\u00e9<\/option><option value=\" Profession lib\u00e9rale\"  >Profession lib\u00e9rale<\/option><option value=\" Retrait\u00e9\"  >Retrait\u00e9<\/option><option value=\" Retrait\u00e9 fonctionnaire et assimil\u00e9\"  >Retrait\u00e9 fonctionnaire et assimil\u00e9<\/option><option value=\" Retrait\u00e9 agricole\"  >Retrait\u00e9 agricole<\/option><option value=\" Salari\u00e9 agricole\"  >Salari\u00e9 agricole<\/option><option value=\" Salari\u00e9 autre\"  >Salari\u00e9 autre<\/option><option value=\" Sans profession\"  >Sans profession<\/option><option value=\" Collaborateur\"  >Collaborateur<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_6_input_text_1' aria-label=\"Date de naissance\">Date de naissance<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" value=\"01\/06\/2026\" class=\"ff-el-form-control\" maxlength=\"10\" data-name=\"input_text_1\" id=\"ff_6_input_text_1\"  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_6_numeric-field_5' aria-label=\"Nombre d&#039;adultes vivant au domicile :\">Nombre d'adultes vivant au domicile :<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_5\" id=\"ff_6_numeric-field_5\" class=\"ff-el-form-control\" data-name=\"numeric-field_5\" inputmode=\"numeric\" step=\"any\"  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_6_numeric-field_6' aria-label=\"Nombre d&#039;enfants vivant au domicile (moins de 18 ans) :\">Nombre d'enfants vivant au domicile (moins de 18 ans) :<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_6\" id=\"ff_6_numeric-field_6\" class=\"ff-el-form-control\" data-name=\"numeric-field_6\" inputmode=\"numeric\" step=\"any\"  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=Adresse du bien \u00e0 assurer :>Adresse du bien \u00e0 assurer :<\/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_6_address_1_address_line_1_' aria-label=\"Adresse\">Adresse<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_6_address_1_address_line_1_\" class=\"ff-el-form-control\" 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 asterisk-right\"><label for='ff_6_address_1_address_line_2_' aria-label=\"Compl\u00e9ment d&#039;adresse\">Compl\u00e9ment d'adresse<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_6_address_1_address_line_2_\" class=\"ff-el-form-control\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/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_6_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_6_address_1_zip_\" class=\"ff-el-form-control\" 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_6_address_1_city_' aria-label=\"Ville\">Ville<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_6_address_1_city_\" class=\"ff-el-form-control\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Extension chambre d&#039;\u00e9tudiant (1 pi\u00e8ce &lt;= 20 m\u00b2) :\">Extension chambre d'\u00e9tudiant (1 pi\u00e8ce <= 20 m\u00b2) :<\/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_11_d540182ce7b67919e4df0322d7cbbb80><input type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_11_d540182ce7b67919e4df0322d7cbbb80' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_11_214541981c6344c03fd0f343b17607d0><input type=\"radio\" name=\"input_radio_11\" data-name=\"input_radio_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_11_214541981c6344c03fd0f343b17607d0' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div>        <div data-type=\"repeater_field\" data-name=\"repeater_field\" class=\"ff-el-group ff-el-repeater js-repeater has-conditions\" data-root_name=\"repeater_field\"  >\n            <div class='ff-el-input--label asterisk-right'><label aria-label='Adresse extension chambre \u00e9tudiant' for=''>Adresse extension chambre \u00e9tudiant<\/label><\/div>            <div class='ff-el-input--content'>\n                <table data-max_repeat=\"\" data-root_name=\"repeater_field\" class=\"ff_repeater_table ff_flexible_table\">\n                    <thead>\n                    <tr>\n                                                    <th><div class='ff-el-input--label asterisk-right'><label aria-label='Adresse' for=''>Adresse<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label asterisk-right'><label aria-label='Compl\u00e9ment d&#039;adresse' for=''>Compl\u00e9ment d'adresse<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label asterisk-right'><label aria-label='Code postal' for=''>Code postal<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label asterisk-right'><label aria-label='Ville' for=''>Ville<\/label><\/div><\/th>\n                                                <th><\/th>\n                    <\/tr>\n                    <\/thead>\n                    <tbody>\n                    <tr>\n                                                    <td data-label=\"Adresse\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"repeater_field[0][]\" id=\"ff_6_repeater_field_0\" data-repeater_index=\"0\" data-type=\"repeater_item\" data-name=\"repeater_field_0_0\" data-error_index=\"repeater_field[0]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Compl\u00e9ment d'adresse\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"repeater_field[0][]\" id=\"ff_6_repeater_field_1\" data-repeater_index=\"1\" data-type=\"repeater_item\" data-name=\"repeater_field_1_0\" data-error_index=\"repeater_field[1]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Code postal\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"repeater_field[0][]\" id=\"ff_6_repeater_field_2\" data-repeater_index=\"2\" data-type=\"repeater_item\" data-name=\"repeater_field_2_0\" data-error_index=\"repeater_field[2]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Ville\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"repeater_field[0][]\" id=\"ff_6_repeater_field_3\" data-repeater_index=\"3\" data-type=\"repeater_item\" data-name=\"repeater_field_3_0\" data-error_index=\"repeater_field[3]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=false><\/div><\/div>                            <\/td>\n                                                <td class=\"repeat_btn\"><div class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 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