{"id":5270,"date":"2022-10-05T00:43:49","date_gmt":"2022-10-04T22:43:49","guid":{"rendered":"http:\/\/select-assur.com\/?page_id=5270"},"modified":"2022-10-26T18:45:43","modified_gmt":"2022-10-26T16:45:43","slug":"formulaire-flotte-auto-vehicule-pro","status":"publish","type":"page","link":"https:\/\/select-assur.com\/formulaire-flotte-auto-vehicule-pro\/","title":{"rendered":"Formulaire Flotte V\u00e9hicule Pro"},"content":{"rendered":"\t\t<div data-custom_css-type=\"wp-page\" data-custom_css-id=\"5270\" class=\"custom_css custom_css-5270\">\n\t\t\t\t\t\t\t        <section class=\"custom_css-section custom_css-top-section custom_css-element custom_css-element-6293d84 custom_css-section-boxed custom_css-section-height-default custom_css-section-height-default ct-header-fixed-none ct-row-max-none\" data-id=\"6293d84\" 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-b608989\" data-id=\"b608989\" 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-5307fbb custom_css-widget custom_css-widget-shortcode\" data-id=\"5307fbb\" 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_10'><form data-form_id=\"10\" id=\"fluentform_10\" class=\"frm-fluent-form fluent_form_10 ff-el-form-top ff_form_instance_10_1 ff-form-loading ff-form-has-steps ff_has_v3_recptcha\" data-form_instance=\"ff_form_instance_10_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;\">Assurances Flotte V\u00e9hicule Pro<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='5270' \/><input type=\"hidden\" id=\"_fluentform_10_fluentformnonce\" name=\"_fluentform_10_fluentformnonce\" value=\"e336c0c391\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/php_api\/wp\/v2\/pages\/5270\" \/><div class='ff-step-container' class=\"Devis en ligne\" data-name=\"step_start-10_3\" 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>Entreprise<\/li><li>Vous<\/li>\n            <\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"Devis en ligne fluentform-step active\" data-name=\"step_start-10_3\" 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_10_input_text' aria-label=\"Nom de l&#039;entreprise\">Nom de l'entreprise<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_10_input_text\"  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--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_10_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_10_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_10_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_10_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_10_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_10_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_10_address_1_city_' aria-label=\"Ville\">Ville<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_10_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'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_numeric-field_3' aria-label=\"N\u00b0 de SIREN\">N\u00b0 de SIREN<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_3\" id=\"ff_10_numeric-field_3\" class=\"ff-el-form-control\" data-name=\"numeric-field_3\" 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_10_input_text_16' aria-label=\"Date de cr\u00e9ation de l&#039;entreprise\">Date de cr\u00e9ation de l'entreprise<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_16\" value=\"11\/04\/2026\" class=\"ff-el-form-control\" maxlength=\"10\" data-name=\"input_text_16\" id=\"ff_10_input_text_16\"  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_10_input_text_15' aria-label=\"Code NAF \/ libell\u00e9\">Code NAF \/ libell\u00e9<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_15\" class=\"ff-el-form-control\" data-name=\"input_text_15\" id=\"ff_10_input_text_15\"  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=\"Les v\u00e9hicules transportent-ils des marchandises inflammables, explosives ou dangereuses ?\">Les v\u00e9hicules transportent-ils des marchandises inflammables, explosives ou dangereuses ?<\/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_edc0203a0d83519a1b5c33dfe7963449><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_edc0203a0d83519a1b5c33dfe7963449' 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_caf49027221b3cabb73e6edcb4a13f8b><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_caf49027221b3cabb73e6edcb4a13f8b' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/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=\"Les v\u00e9hicules peuvent-ils \u00eatre amen\u00e9s \u00e0 circuler sur un a\u00e9roport ?\">Les v\u00e9hicules peuvent-ils \u00eatre amen\u00e9s \u00e0 circuler sur un a\u00e9roport ?<\/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_1ab8c55047210b4bda0196dfe6f0fc1d><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_1ab8c55047210b4bda0196dfe6f0fc1d' 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_edd9ec7421a74dd79e16433069a2cd51><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_edd9ec7421a74dd79e16433069a2cd51' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/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=\"Le parc d\u00e9clar\u00e9 ne repr\u00e9sente-t-il qu&#039;une partie du parc total de l\u2019entreprise ?\">Le parc d\u00e9clar\u00e9 ne repr\u00e9sente-t-il qu'une partie du parc total de l\u2019entreprise ?<\/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_1da0703d7294018026870e2d2705ab86><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_1da0703d7294018026870e2d2705ab86' 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_6a6e2bfcb070d43b7a7b7879c8761855><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_6a6e2bfcb070d43b7a7b7879c8761855' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/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=\"Certains v\u00e9hicules sont-ils donn\u00e9s, m\u00eame occasionnellement en location sans chauffeur \u00e0 des tiers ?\">Certains v\u00e9hicules sont-ils donn\u00e9s, m\u00eame occasionnellement en location sans chauffeur \u00e0 des tiers ?<\/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_c3ec7dc734e79d814458d623ee901bb7><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_c3ec7dc734e79d814458d623ee901bb7' 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_b588d9368dfc379adb9d86904a41a2dc><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_b588d9368dfc379adb9d86904a41a2dc' 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_1\" class=\"ff-el-group ff-el-repeater js-repeater\" data-root_name=\"repeater_field_1\"  >\n            <div class='ff-el-input--label asterisk-right'><label aria-label='V\u00e9hicule \u00e0 assurer :' for=''>V\u00e9hicule \u00e0 assurer :<\/label><\/div>            <div class='ff-el-input--content'>\n                <table data-max_repeat=\"\" data-root_name=\"repeater_field_1\" class=\"ff_repeater_table ff_flexible_table\">\n                    <thead>\n                    <tr>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Plaque d&#039;immatriculation' for=''>Plaque d'immatriculation<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Date premi\u00e8re M.E.C' for=''>Date premi\u00e8re M.E.C<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Marque' for=''>Marque<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Mod\u00e8le' for=''>Mod\u00e8le<\/label><\/div><\/th>\n                                                <th><\/th>\n                    <\/tr>\n                    <\/thead>\n                    <tbody>\n                    <tr>\n                                                    <td data-label=\"Plaque d'immatriculation\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"repeater_field_1[0][]\" id=\"ff_10_repeater_field_1_0\" data-repeater_index=\"0\" data-type=\"repeater_item\" data-name=\"repeater_field_1_0_0\" data-error_index=\"repeater_field_1[0]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=true><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Date premi\u00e8re M.E.C\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" value=\"11\/04\/2026\" name=\"repeater_field_1[0][]\" id=\"ff_10_repeater_field_1_1\" data-repeater_index=\"1\" data-type=\"repeater_item\" data-name=\"repeater_field_1_1_0\" data-error_index=\"repeater_field_1[1]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=true><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Marque\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"repeater_field_1[0][]\" id=\"ff_10_repeater_field_1_2\" data-repeater_index=\"2\" data-type=\"repeater_item\" data-name=\"repeater_field_1_2_0\" data-error_index=\"repeater_field_1[2]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=true><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Mod\u00e8le\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" name=\"repeater_field_1[0][]\" id=\"ff_10_repeater_field_1_3\" data-repeater_index=\"3\" data-type=\"repeater_item\" data-name=\"repeater_field_1_3_0\" data-error_index=\"repeater_field_1[3]\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=true><\/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 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/td>\n                    <\/tr>\n                    <\/tbody>\n                <\/table>\n            <\/div>\n        <\/div>\n        <div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_dropdown_7' aria-label=\"Usage de la flotte\">Usage de la flotte<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_7\" id=\"ff_10_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=\"Propre compte\"  >Propre compte<\/option><option value=\"Taxi\"  >Taxi<\/option><option value=\"VSL\"  >VSL<\/option><option value=\"VTC\"  >VTC<\/option><option value=\"Corbillard\"  >Corbillard<\/option><option value=\"Ambulance\"  >Ambulance<\/option><option value=\"Transport Public de Marchandises\"  >Transport Public de Marchandises<\/option><\/select><\/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=\"Garanties de bases (La garantie Responsabilit\u00e9 Civile est obligatoire)\">Garanties de bases (La garantie Responsabilit\u00e9 Civile est obligatoire)<\/label> <\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check- ff_item_selected'><label class='ff-el-form-check-label' for=checkbox_c8341636128498b7b941d5f73b92e4c6><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" checked=\"1\" value=\"Responsabilit\u00e9 civile D\u00e9fense Recours\"  id='checkbox_c8341636128498b7b941d5f73b92e4c6' aria-label='Responsabilit\u00e9 civile D\u00e9fense Recours' aria-invalid='false' aria-required=true> <span>Responsabilit\u00e9 civile D\u00e9fense Recours<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_8d3e4991fbdbcbf1d552e428466ef04c><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Vol, Incendie, Bris de glace\"  id='checkbox_8d3e4991fbdbcbf1d552e428466ef04c' aria-label='Vol, Incendie, Bris de glace' aria-invalid='false' aria-required=true> <span>Vol, Incendie, Bris de glace<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_d0b6e29b7b4207d0edcd21094c2656ce><input type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Dommages tous accidents\"  id='checkbox_d0b6e29b7b4207d0edcd21094c2656ce' aria-label='Dommages tous accidents' aria-invalid='false' aria-required=true> <span>Dommages tous accidents<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-10_1\" ><p><strong>Les options :<\/strong><\/p>\n<div id=\"gtx-anchor\" style=\"width: 57.8375px;height: 17.6px\">\u00a0<\/div>\n<div class=\"jfk-bubble gtx-bubble\" role=\"alertdialog\" aria-describedby=\"bubble-2\">\n<div id=\"bubble-2\" class=\"jfk-bubble-content-id\">\n<div id=\"gtx-host\" style=\"min-width: 200px;max-width: 400px\">\u00a0<\/div>\n<\/div>\n<div class=\"jfk-bubble-closebtn-id jfk-bubble-closebtn\" role=\"button\" aria-label=\"Close\">\u00a0<\/div>\n<div class=\"jfk-bubble-arrow-id jfk-bubble-arrow jfk-bubble-arrowup\">\n<div class=\"jfk-bubble-arrowimplbefore\">\u00a0<\/div>\n<div class=\"jfk-bubble-arrowimplafter\">\u00a0<\/div>\n<\/div>\n<\/div><\/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  aria-label=\" Option 1\"> Option 1<\/label> <div class=\"ff-el-tooltip\" data-content=\"Permet de garantir les dommages caus\u00e9s aux tiers par les v\u00e9hicules assur\u00e9s utilis\u00e9s comme outils\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_2_ef823cc90705a93d3b18355f87c6c5d3><input type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Responsabilit\u00e9 civile en tant qu&#039;outil\"  id='checkbox_2_ef823cc90705a93d3b18355f87c6c5d3' aria-label='Responsabilit\u00e9 civile en tant qu&#039;outil' aria-invalid='false' aria-required=false> <span>Responsabilit\u00e9 civile en tant qu'outil<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\" Option 2\"> Option 2<\/label> <div class=\"ff-el-tooltip\" data-content=\"&lt;li&gt;2000 \u20ac acquis d\u2019office \u00e0 partir de la formule Vol\/Incendie : ne renseigner que le capital compl\u00e9mentaire souhait\u00e9&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Plafond 75 000 \u20ac - Franchise 10% avec un minimum de 200 \u20ac et un maximum 1000 \u20ac&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Permet de garantir les transformations et\/ou am\u00e9nagements du v\u00e9hicule en cas de sinistre entra\u00eenant la mise en jeu \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\td&#039;une des garanties &lt;i&gt;Incendie&lt;\/i&gt;, &lt;i&gt;Vol&lt;\/i&gt;, &lt;i&gt;Dommages tous accidents&lt;\/i&gt;, &lt;i&gt;Dommages par vandalisme&lt;\/i&gt;, \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;i&gt;Ev\u00e9nements climatiques&lt;\/i&gt; et &lt;i&gt;Catastrophe naturelle&lt;\/i&gt;&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;L&#039;indemnisation des dommages subis par ces \u00e9l\u00e9ments se fera \u00e0 dire d&#039;expert (sans pouvoir exc\u00e9der le montant de la valeur assur\u00e9e \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tindiqu\u00e9 aux conditions particuli\u00e8res)&lt;\/li&gt;\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_3_818154556ed8de21475fd23589dba8ae><input type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Acc. et \u00e9quip. non pr\u00e9vus au catalogue du constructeur\"  id='checkbox_3_818154556ed8de21475fd23589dba8ae' aria-label='Acc. et \u00e9quip. non pr\u00e9vus au catalogue du constructeur' aria-invalid='false' aria-required=false> <span>Acc. et \u00e9quip. non pr\u00e9vus au catalogue du constructeur<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\" Option 3\"> Option 3<\/label> <div class=\"ff-el-tooltip\" data-content=\"600 \u20ac acquis d\u2019office \u00e0 partir de la formule Vol\/Incendie : ne renseigner que le capital compl\u00e9mentaire souhait\u00e9\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Plafond 2 000 \u20ac - Franchise 150 \u20ac&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Permet de garantir outillage professionnel, bagages, objets et effets personnels, t\u00e9l\u00e9phones, autoradio, appareil \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tde g\u00e9olocalisation \u00abGPS \u00bb et lecteurs DVD, contenus dans le v\u00e9hicule et appartenant \u00e0 l\u2019Assur\u00e9 ou appartenant \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\texclusivement au Souscripteur ou \u00e0 ses pr\u00e9pos\u00e9s en ce qui concerne les v\u00e9hicules utilis\u00e9s pour le transport en commun de voyageurs.&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_4_bfd5a21f36b03f426fce8af181fdcd82><input type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Contenu et autoradio\"  id='checkbox_4_bfd5a21f36b03f426fce8af181fdcd82' aria-label='Contenu et autoradio' aria-invalid='false' aria-required=false> <span>Contenu et autoradio<\/span><\/label><\/div><\/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  aria-label=\" Option 4\"> Option 4<\/label> <div class=\"ff-el-tooltip\" data-content=\"&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;V\u00e9hicules garantis : Tout v\u00e9hicule terrestre \u00e0 moteur de 9 places maximum, d\u2019un poids total autoris\u00e9 en charge\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tinf\u00e9rieur \u00e0 3500 kg, immatricul\u00e9 en France m\u00e9tropolitaine et assur\u00e9 au pr\u00e9sent contrat&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;La remorque ou bagag\u00e8re tract\u00e9e par le v\u00e9hicule garanti et dont le poids total autoris\u00e9 en charge est inf\u00e9rieur ou\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\u00e9gal \u00e0 750 kg. Le contenu quel qu\u2019il soit, y compris marchandises, effets ou objets personnels transport\u00e9s par une\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tremorque, ne b\u00e9n\u00e9ficie pas de la garantie&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;D\u00e9pannage \/ Remorquage :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;En France m\u00e9tropolitaine : 200 \u20ac pour un remorquage ; 300 \u20ac en cas de 2\u00e8me remorquage pour le m\u00eame \u00e9v\u00e9nement&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Hors de France m\u00e9tropolitaine : 230 \u20ac&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Pour les garanties d\u2019assistance aux v\u00e9hicules :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Sans franchise kilom\u00e9trique pour les v\u00e9hicules \u00e2g\u00e9s de moins de 10 ans ; 40 km du lieu de garage habituel pour\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tles v\u00e9hicules \u00e2g\u00e9s de plus de 10 ans en cas panne&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Pas de franchise kilom\u00e9trique pour les v\u00e9hicules \u00e2g\u00e9s de plus de 10 ans pour les autres \u00e9v\u00e9nements.&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Pour les garanties d\u2019assistance aux personnes :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;40 km du lieu de domicile des B\u00e9n\u00e9ficiaires&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;b&gt;Assistance Plus de 3,5 t&lt;\/b&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Les v\u00e9hicules garantis couverts sont les poids lourds de moins de 7 ans d\u2019\u00e2ge&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Forfait D\u00e9pannage \/ Remorquage 1200 \u20ac&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Pour les garanties d\u2019assistance aux v\u00e9hicules :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Panne (y compris panne d\u2019essence), accident, incendie, vol, bris de glace, acte de vandalisme, crevaison, erreur\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tde carburant du v\u00e9hicule garanti rendant le v\u00e9hicule non roulant&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Franchises pour les garanties d\u2019assistance aux v\u00e9hicules :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;50 km du lieu de garage habituel du v\u00e9hicule en cas de panne&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Sans franchise kilom\u00e9trique dans tous les autres cas&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Pour les garanties d\u2019assistance aux personnes :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Maladie, blessure ou d\u00e9c\u00e8s des B\u00e9n\u00e9ficiaires pendant un d\u00e9placement garanti&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Franchise pour les garanties d\u2019assistance aux personnes :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;50 km du lieu de garage habituel du v\u00e9hicule&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_5_f5474108bc836f9f8d66b72877738486><input type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Assistance\"  id='checkbox_5_f5474108bc836f9f8d66b72877738486' aria-label='Assistance' aria-invalid='false' aria-required=false> <span>Assistance<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\" Option 5\"> Option 5<\/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_6_26bc029532cdded8a60fe1797ccf41ea><input type=\"checkbox\" name=\"checkbox_6[]\" data-name=\"checkbox_6\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Marchandises Transport\u00e9es\"  id='checkbox_6_26bc029532cdded8a60fe1797ccf41ea' aria-label='Marchandises Transport\u00e9es' aria-invalid='false' aria-required=false> <span>Marchandises Transport\u00e9es<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\" Option 6\"> Option 6<\/label> <div class=\"ff-el-tooltip\" data-content=\"&lt;b&gt;Location de v\u00e9hicule de remplacement &lt; 3,5 T&lt;\/b&gt;&lt;br \/&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t6 formules de 62 \u20ac \u00e0 290 \u20ac par jour :\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;10 jours en cas de panne du v\u00e9hicule assur\u00e9&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;40 jours pour les immobilisations cons\u00e9cutives aux autres \u00e9v\u00e8nements&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_7_dcabc4384145a23534827bca6d518535><input type=\"checkbox\" name=\"checkbox_7[]\" data-name=\"checkbox_7\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Frais de location d&#039;un v\u00e9hicule de remplacement\"  id='checkbox_7_dcabc4384145a23534827bca6d518535' aria-label='Frais de location d&#039;un v\u00e9hicule de remplacement' aria-invalid='false' aria-required=false> <span>Frais de location d'un v\u00e9hicule de remplacement<\/span><\/label><\/div><\/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  aria-label=\" Option 7\"> Option 7<\/label> <div class=\"ff-el-tooltip\" data-content=\"&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;150 000 \u20ac, seuil d\u2019intervention 10 %&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Le pr\u00e9judice indemnis\u00e9 en cas de blessures ou de d\u00e9c\u00e8s de l\u2019Assur\u00e9 est \u00e9valu\u00e9 selon les r\u00e8gles du droit commun,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\td\u00e9duction faite des prestations \u00e0 caract\u00e8re indemnitaire vers\u00e9es par tout organisme social ou de pr\u00e9- voyance ou par l\u2019employeur&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_8_48e6e4ab8fbab457426d6a8bf3c6be2a><input type=\"checkbox\" name=\"checkbox_8[]\" data-name=\"checkbox_8\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Garantie du Conducteur\"  id='checkbox_8_48e6e4ab8fbab457426d6a8bf3c6be2a' aria-label='Garantie du Conducteur' aria-invalid='false' aria-required=false> <span>Garantie du Conducteur<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\" Option 8\"> Option 8<\/label> <div class=\"ff-el-tooltip\" data-content=\"&lt;b&gt;Pertes financi\u00e8res ou location longue dur\u00e9e&lt;\/b&gt;&lt;br \/&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tV\u00e9hicules acquis \u00e0 cr\u00e9dit, en location avec option d\u2019achat, en cr\u00e9dit-bail, ou en location longue dur\u00e9e : l\u2019Assureur\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tcouvre, suite \u00e0 un \u00e9v\u00e8nement garanti, la perte financi\u00e8re restant \u00e0 la charge de l\u2019Assur\u00e9 occasionn\u00e9e par la\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\trupture du contrat de financement ou de location. L\u2019indemnit\u00e9 sera calcul\u00e9e avec ou sans TVA, selon qu\u2019elle est\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdue ou non, r\u00e9cup\u00e9rable ou non\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_9_bef7a841e983d2b9918c0588ea94d246><input type=\"checkbox\" name=\"checkbox_9[]\" data-name=\"checkbox_9\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Financement ou Location longue dur\u00e9e\"  id='checkbox_9_bef7a841e983d2b9918c0588ea94d246' aria-label='Financement ou Location longue dur\u00e9e' aria-invalid='false' aria-required=false> <span>Financement ou Location longue dur\u00e9e<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\" Option 9\"> Option 9<\/label> <div class=\"ff-el-tooltip\" data-content=\"1 v\u00e9hicule = 1 contrat rachat de franchise&lt;br \/&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tEn cas de : incendie, explosion,  chute directe de la foudre, vol, vandalisme, choc contre un corps fixe ou\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tmobile ext\u00e9rieur au v\u00e9hicule, temp\u00eate, gr\u00eale, poids de la neige, bris de glaces, versement du v\u00e9hicule,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdommages li\u00e9s \u00e0 une collision avec un animal sauvage,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;ul&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;&lt;b&gt;Option 1&lt;\/b&gt; : la franchise restant d\u00e9finitivement \u00e0 la charge de l&#039;assur\u00e9 est couverte \u00e0 hauteur de &lt;u&gt;500 \u20ac&lt;\/u&gt; maximum&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;&lt;b&gt;Option 2&lt;\/b&gt; : la franchise restant d\u00e9finitivement \u00e0 la charge de l&#039;assur\u00e9 est couverte \u00e0 hauteur de &lt;u&gt;800 \u20ac&lt;\/u&gt; maximum&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;li&gt;Dans tous les cas, 1000\u20ac maximum de &#039;cr\u00e9dit&#039; de franchise par ann\u00e9e d&#039;assurance&lt;\/li&gt;\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t&lt;\/ul&gt;\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/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_10_00557e6474fb1f446f94693c35e58fec><input type=\"checkbox\" name=\"checkbox_10[]\" data-name=\"checkbox_10\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Rachat de franchise\"  id='checkbox_10_00557e6474fb1f446f94693c35e58fec' aria-label='Rachat de franchise' aria-invalid='false' aria-required=false> <span>Rachat de franchise<\/span><\/label><\/div><\/div><\/div><\/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-10_2\" ><div class='ff-el-group  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Civilit\u00e9\">Civilit\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_4_0ee85b487e82674df89f446cff6b7017><input type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Monsieur\"  id='input_radio_4_0ee85b487e82674df89f446cff6b7017' aria-label='Monsieur' aria-invalid='false' aria-required=true> <span>Monsieur<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_4_81dbbe48f08110f1e73829bca7ea3a2e><input type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Madame\"  id='input_radio_4_81dbbe48f08110f1e73829bca7ea3a2e' aria-label='Madame' aria-invalid='false' aria-required=true> <span>Madame<\/span><\/label><\/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_10_names_1_first_name_' aria-label=\"Nom\">Nom<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_10_names_1_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_10_names_1_last_name_' aria-label=\"Pr\u00e9nom\">Pr\u00e9nom<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_10_names_1_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><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_10_email_1' aria-label=\"E-mail\">E-mail<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_10_email_1\" class=\"ff-el-form-control\" data-name=\"email_1\"  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_10_phone_2' aria-label=\"T\u00e9l\u00e9phone\">T\u00e9l\u00e9phone<\/label> <\/div><div class='ff-el-input--content'><input name=\"phone_2\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone_2\" id=\"ff_10_phone_2\" inputmode=\"tel\" ><\/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 asterisk-right\"><label for='ff_10_dropdown' aria-label=\"Cotisation\">Cotisation<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_10_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=false><option value=\"\"><\/option><option value=\"Mensuel\"  >Mensuel<\/option><option value=\"Semestriel\"  >Semestriel<\/option><option value=\"Annuel\"  >Annuel<\/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_10_input_text_18' aria-label=\"Date d&#039;effet\">Date d'effet<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_18\" value=\"11\/04\/2026\" class=\"ff-el-form-control\" maxlength=\"10\" data-name=\"input_text_18\" id=\"ff_10_input_text_18\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_10_dropdown_18' aria-label=\"Avez-vous eu des sinistres au cours des 60 derniers mois concernant les v\u00e9hicules de la flotte\">Avez-vous eu des sinistres au cours des 60 derniers mois concernant les v\u00e9hicules de la flotte<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_18\" id=\"ff_10_dropdown_18\" class=\"ff-el-form-control\" data-name=\"dropdown_18\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\"><\/option><option value=\"Oui \"  >Oui<\/option><option value=\"Non\"  >Non<\/option><\/select><\/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='Pr\u00e9cisez :' for=''>Pr\u00e9cisez :<\/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 ff-el-is-required asterisk-right'><label aria-label='Date du sinistre' for=''>Date du sinistre<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Type du sinistre' for=''>Type du sinistre<\/label><\/div><\/th>\n                                                <th><\/th>\n                    <\/tr>\n                    <\/thead>\n                    <tbody>\n                    <tr>\n                                                    <td data-label=\"Date du sinistre\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><input type=\"text\" value=\"11\/04\/2026\" name=\"repeater_field[0][]\" id=\"ff_10_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=true><\/div><\/div>                            <\/td>\n                                                    <td data-label=\"Type du sinistre\">\n                                                                <div class='ff-el-group'><div class='ff-el-input--content'><select type=\"select\" name=\"repeater_field[0][]\" id=\"ff_10_repeater_field_1\" data-repeater_index=\"1\" data-type=\"repeater_item\" data-name=\"repeater_field_1_0\" data-error_index=\"repeater_field[1]\" data-calc_value=\"0\" class=\"ff-el-form-control\"  aria-invalid=\"false\" aria-required=true><option value=\"Collision\"  >Collision<\/option><option value=\"Bris de glace\"  >Bris de glace<\/option><option value=\"Vol\"  >Vol<\/option><option value=\"Stationnement\"  >Stationnement<\/option><option value=\"Incendie\"  >Incendie<\/option><option value=\"Vandalisme\"  >Vandalisme<\/option><option value=\"Ev\u00e9nements naturels\"  >Ev\u00e9nements naturels<\/option><\/select><\/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 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/td>\n                    <\/tr>\n                    <\/tbody>\n                <\/table>\n            <\/div>\n        <\/div>\n                <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><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><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\"><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-lg ff_btn_style\" >Envoyer votre devis<\/button><\/div><\/div>\n   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\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"custom_css_canvas","meta":[],"_links":{"self":[{"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/pages\/5270"}],"collection":[{"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/comments?post=5270"}],"version-history":[{"count":11,"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/pages\/5270\/revisions"}],"predecessor-version":[{"id":5593,"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/pages\/5270\/revisions\/5593"}],"wp:attachment":[{"href":"https:\/\/select-assur.com\/php_api\/wp\/v2\/media?parent=5270"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}