{"id":2407,"date":"2018-08-03T09:07:27","date_gmt":"2018-08-03T13:07:27","guid":{"rendered":"https:\/\/govienneau.com\/formulaire-de-reclamation\/"},"modified":"2025-06-09T11:09:04","modified_gmt":"2025-06-09T15:09:04","slug":"formulaire-de-reclamation","status":"publish","type":"page","link":"https:\/\/govienneau.com\/fr\/formulaire-de-reclamation\/","title":{"rendered":"Formulaire de R\u00e9clamation"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; parallax=&#8221;content-moving&#8221; parallax_image=&#8221;1815&#8243; bg_type=&#8221;image&#8221; parallax_style=&#8221;vcpb-vz-jquery&#8221; bg_image_new=&#8221;id^777|url^https:\/\/govienneau.com\/wp-content\/uploads\/2018\/01\/liablity2-dark-top-.jpg|caption^null|alt^null|title^liablity2 &#8211; dark top|description^null&#8221; bg_override=&#8221;full&#8221; enable_overlay=&#8221;enable_overlay_value&#8221; overlay_color=&#8221;#6d6d6d&#8221; overlay_pattern_opacity=&#8221;33&#8243; css=&#8221;.vc_custom_1533235160913{padding-top: 25px !important;padding-bottom: 500px !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;1889&#8243; img_size=&#8221;large&#8221; onclick=&#8221;custom_link&#8221; image_hovers=&#8221;false&#8221; css=&#8221;.vc_custom_1521726129487{padding-bottom: 25px !important;}&#8221; link=&#8221;https:\/\/govienneau.com&#8221;][vc_custom_heading text=&#8221;Soumettre une perte ou une r\u00e9clamation&#8221; font_container=&#8221;tag:h1|font_size:46|text_align:left|color:%23ffffff|line_height:1&#8243; google_fonts=&#8221;font_family:Montserrat%3Aregular%2C700|font_style:400%20regular%3A400%3Anormal&#8221; css=&#8221;.vc_custom_1533233734569{padding-top: 45px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1533233710196{padding-bottom: 45px !important;}&#8221;]<\/p>\n<p id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-small\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\" style=\"color: #ffffff;\">Remplissez et soumettez vos informations de r\u00e9clamation et l&#8217;un de nos conseillers en assurance\u00a0va proc\u00e9der avec votre r\u00e9clamation et vous contactera directement.<\/span><\/p>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1749481734605{padding-bottom: 45px !important;}&#8221;]<\/p>\n<h3 class=\"p1\"><span style=\"color: #ffffff;\"><strong>Pour une assistance en dehors des heures d\u2019ouverture : <\/strong><\/span><\/h3>\n<h3 class=\"p1\"><span style=\"color: #ffffff;\"><strong><span class=\"s1\">Veuillez appeler <\/span><\/strong><\/span><span style=\"color: #ffffff;\"><strong><span class=\"s1\">le <\/span>1-800-561-3936<span class=\"s1\">.<\/span><\/strong><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row el_id=&#8221;below&#8221; css=&#8221;.vc_custom_1521725774007{margin-top: -25px !important;border-top-width: -25px !important;padding-top: -25px !important;}&#8221;][vc_column width=&#8221;1\/6&#8243; css=&#8221;.vc_custom_1521720555438{padding-top: 25px !important;}&#8221;][\/vc_column][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1521726081884{margin-top: -450px !important;border-top-width: -450px !important;padding-top: -450px !important;}&#8221;][vc_row_inner css=&#8221;.vc_custom_1521727551025{background-color: #ededed !important;border-radius: 10px !important;}&#8221;][vc_column_inner css=&#8221;.vc_custom_1533234089323{padding-top: 25px !important;padding-right: 25px !important;padding-bottom: 25px !important;padding-left: 25px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1533232895230{padding-top: 2px !important;padding-bottom: 25px !important;}&#8221;]<\/p>\n<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5b6449682f8f8\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/govienneau.com\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5b6449682f8f8 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5b6449682f8f8_1\" data-form-id=\"CF5b6449682f8f8\" aria-label=\"Claims-FR\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5b6449682f8f8-tmpl\" data-cfajax=\"CF5b6449682f8f8\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/govienneau.com\/fr\/\/cf-api\/CF5b6449682f8f8\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5b6449682f8f8\" name=\"_cf_verify\" value=\"c72c84227a\"  data-nonce-time=\"1775477900\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/2407\" \/><div id=\"cf2-CF5b6449682f8f8_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5b6449682f8f8\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5b6449682f8f8\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"2407\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Company<\/label><input type=\"text\" name=\"company\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5b6449682f8f8_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><p><b>INFORMATIONS DE CONTACT<\/b><\/p>\n<\/div><div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-2\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_9554158\" class=\"form-group\" id=\"fld_9554158_1-wrap\">\r\n\t<label id=\"fld_9554158Label\" for=\"fld_9554158_1\" class=\"control-label screen-reader-text sr-only\">Pr\u00e9nom<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Pr\u00e9nom\"   type=\"text\" data-field=\"fld_9554158\" class=\" form-control\" id=\"fld_9554158_1\" name=\"fld_9554158\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9554158Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_2023028\" class=\"form-group\" id=\"fld_2023028_1-wrap\">\r\n\t<label id=\"fld_2023028Label\" for=\"fld_2023028_1\" class=\"control-label screen-reader-text sr-only\">Nom de Famille<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Nom de Famille\"   type=\"text\" data-field=\"fld_2023028\" class=\" form-control\" id=\"fld_2023028_1\" name=\"fld_2023028\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2023028Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-3\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_3630163\" class=\"form-group\" id=\"fld_3630163_1-wrap\">\r\n\t<label id=\"fld_3630163Label\" for=\"fld_3630163_1\" class=\"control-label screen-reader-text sr-only\">Rue d'adresse<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Rue d&#039;adresse\"   type=\"text\" data-field=\"fld_3630163\" class=\" form-control\" id=\"fld_3630163_1\" name=\"fld_3630163\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_3630163Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_8792860\" class=\"form-group\" id=\"fld_8792860_1-wrap\">\r\n\t<label id=\"fld_8792860Label\" for=\"fld_8792860_1\" class=\"control-label screen-reader-text sr-only\">Ville<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Ville\"   type=\"text\" data-field=\"fld_8792860\" class=\" form-control\" id=\"fld_8792860_1\" name=\"fld_8792860\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8792860Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-4\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_2758947\" class=\"form-group\" id=\"fld_2758947_1-wrap\">\r\n\t<label id=\"fld_2758947Label\" for=\"fld_2758947_1\" class=\"control-label screen-reader-text sr-only\">Province<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Province\"   type=\"text\" data-field=\"fld_2758947\" class=\" form-control\" id=\"fld_2758947_1\" name=\"fld_2758947\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2758947Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_4069606\" class=\"form-group\" id=\"fld_4069606_1-wrap\">\r\n\t<label id=\"fld_4069606Label\" for=\"fld_4069606_1\" class=\"control-label screen-reader-text sr-only\">Code Postal<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Code Postal\"   type=\"text\" data-field=\"fld_4069606\" class=\" form-control\" id=\"fld_4069606_1\" name=\"fld_4069606\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4069606Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-5\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_8336717\" class=\"form-group\" id=\"fld_8336717_1-wrap\">\r\n\t<label id=\"fld_8336717Label\" for=\"fld_8336717_1\" class=\"control-label screen-reader-text sr-only\">t\u00e9l\u00e9phone<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"t\u00e9l\u00e9phone\"   type=\"text\" data-field=\"fld_8336717\" class=\" form-control\" id=\"fld_8336717_1\" name=\"fld_8336717\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8336717Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_7536968\" class=\"form-group\" id=\"fld_7536968_1-wrap\">\r\n\t<label id=\"fld_7536968Label\" for=\"fld_7536968_1\" class=\"control-label screen-reader-text sr-only\">mobile (si diff\u00e9rent)<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"mobile (si diff\u00e9rent)\"   type=\"text\" data-field=\"fld_7536968\" class=\" form-control\" id=\"fld_7536968_1\" name=\"fld_7536968\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7536968Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_896693\" class=\"form-group\" id=\"fld_896693_1-wrap\">\r\n\t<label id=\"fld_896693Label\" for=\"fld_896693_1\" class=\"control-label screen-reader-text sr-only\">Adresse Couriel<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Adresse Couriel\"   type=\"email\" data-field=\"fld_896693\" class=\" form-control\" id=\"fld_896693_1\" name=\"fld_896693\" value=\"\" data-type=\"email\"   aria-labelledby=\"fld_896693Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p><b>TYPE DE R\u00c9CLAMATION<\/b><\/p>\n<\/div><div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-8\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_2217951\" class=\"form-group\" id=\"fld_2217951_1-wrap\">\r\n<label id=\"fld_2217951Label\" for=\"fld_2217951_1\" class=\"control-label\">Quel type de r\u00e9clamation raportez-vous? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Auto\" for=\"fld_2217951_1_opt1333565\"><input type=\"radio\" id=\"fld_2217951_1_opt1333565\" data-field=\"fld_2217951\" class=\"fld_2217951_1 option-required\" name=\"fld_2217951\" value=\"Auto\"   required=\"required\" data-radio-field=\"fld_2217951_1\" data-type=\"radio\" data-calc-value=\"Auto\" \/>\n\t\t\tAuto\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Auto - Vitre Seulment\" for=\"fld_2217951_1_opt1743679\"><input type=\"radio\" id=\"fld_2217951_1_opt1743679\" data-field=\"fld_2217951\" class=\"fld_2217951_1 option-required\" name=\"fld_2217951\" value=\"Auto - Vitre Seulment\"   required=\"required\" data-radio-field=\"fld_2217951_1\" data-type=\"radio\" data-calc-value=\"Auto - Vitre Seulment\" \/>\n\t\t\tAuto - Vitre Seulment\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Maison\" for=\"fld_2217951_1_opt1458160\"><input type=\"radio\" id=\"fld_2217951_1_opt1458160\" data-field=\"fld_2217951\" class=\"fld_2217951_1 option-required\" name=\"fld_2217951\" value=\"Maison\"   required=\"required\" data-radio-field=\"fld_2217951_1\" data-type=\"radio\" data-calc-value=\"Maison\" \/>\n\t\t\tMaison\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Perte d&#039;Entreprise\" for=\"fld_2217951_1_opt2039303\"><input type=\"radio\" id=\"fld_2217951_1_opt2039303\" data-field=\"fld_2217951\" class=\"fld_2217951_1 option-required\" name=\"fld_2217951\" value=\"Perte d&#039;Entreprise\"   required=\"required\" data-radio-field=\"fld_2217951_1\" data-type=\"radio\" data-calc-value=\"Perte d&#039;Entreprise\" \/>\n\t\t\tPerte d'Entreprise\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Autre\" for=\"fld_2217951_1_opt1765008\"><input type=\"radio\" id=\"fld_2217951_1_opt1765008\" data-field=\"fld_2217951\" class=\"fld_2217951_1 option-required\" name=\"fld_2217951\" value=\"Autre\"   required=\"required\" data-radio-field=\"fld_2217951_1\" data-type=\"radio\" data-calc-value=\"Autre\" \/>\n\t\t\tAutre\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-9\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p><b>INFORMATION DE L'ASSURANCE<\/b><\/p>\n<\/div><div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-10\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_4718048\" class=\"form-group\" id=\"fld_4718048_1-wrap\">\r\n\t<label id=\"fld_4718048Label\" for=\"fld_4718048_1\" class=\"control-label screen-reader-text sr-only\">Compagnie d'Assurance<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"Compagnie d&#039;Assurance\"   type=\"text\" data-field=\"fld_4718048\" class=\" form-control\" id=\"fld_4718048_1\" name=\"fld_4718048\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4718048Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_5416070\" class=\"form-group\" id=\"fld_5416070_1-wrap\">\r\n\t<label id=\"fld_5416070Label\" for=\"fld_5416070_1\" class=\"control-label screen-reader-text sr-only\">No. de police (si disponible)<\/label>\r\n\t<div class=\"\">\r\n\t\t<input placeholder=\"No. de police (si disponible)\"   type=\"text\" data-field=\"fld_5416070\" class=\" form-control\" id=\"fld_5416070_1\" name=\"fld_5416070\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5416070Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_455603\" class=\"form-group\" id=\"fld_455603_1-wrap\">\r\n\t<label id=\"fld_455603Label\" for=\"fld_455603_1\" class=\"control-label\">Soumettez une photo de votre r\u00e9clamation (si disponible)<\/label>\r\n\t<div class=\"file-prevent-overflow\">\r\n\t\t<div id=\"fld_455603_1_file_list\" class=\"cf-multi-uploader-list\"><\/div>\n\t\t\t\t\t<button type=\"button\" class=\"btn btn-block cf-uploader-trigger\" data-parent=\"fld_455603_1\">Ajouter des fichiers<\/button>\n\t\t\t\t<input type=\"file\" name=\"fld_455603\" value=\"\" data-field=\"fld_455603\" class=\"\" id=\"fld_455603_1\" data-controlid=\"trupl69d3a48c6cced\" data-required=\"true\"      aria-labelledby=\"fld_455603Label\">\n\t\t<input type=\"hidden\" name=\"fld_455603\" value=\"trupl69d3a48c6cced\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-12\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><p><b>PR\u00c9F\u00c9RENCE D'INTERACTION DE R\u00c9CLAMATION<\/b><\/p>\n<\/div><div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-13\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_5753394\" class=\"form-group\" id=\"fld_5753394_1-wrap\">\r\n<label id=\"fld_5753394Label\" for=\"fld_5753394_1\" class=\"control-label\">Comment voulez-vous que vos informations de r\u00e9clamation vous soient envoy\u00e9es?<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Par t\u00e9l\u00e9phone\" for=\"fld_5753394_1_opt1292856\"><input type=\"radio\" id=\"fld_5753394_1_opt1292856\" data-field=\"fld_5753394\" class=\"fld_5753394_1\" name=\"fld_5753394\" value=\"Par t\u00e9l\u00e9phone\"    data-radio-field=\"fld_5753394_1\" data-type=\"radio\" data-calc-value=\"Par t\u00e9l\u00e9phone\" \/>\n\t\t\tPar t\u00e9l\u00e9phone\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Courriel\" for=\"fld_5753394_1_opt1809575\"><input type=\"radio\" id=\"fld_5753394_1_opt1809575\" data-field=\"fld_5753394\" class=\"fld_5753394_1\" name=\"fld_5753394\" value=\"Courriel\"    data-radio-field=\"fld_5753394_1\" data-type=\"radio\" data-calc-value=\"Courriel\" \/>\n\t\t\tCourriel\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Message texte\" for=\"fld_5753394_1_opt1542401\"><input type=\"radio\" id=\"fld_5753394_1_opt1542401\" data-field=\"fld_5753394\" class=\"fld_5753394_1\" name=\"fld_5753394\" value=\"Message texte\"    data-radio-field=\"fld_5753394_1\" data-type=\"radio\" data-calc-value=\"Message texte\" \/>\n\t\t\tMessage texte\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-14\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_4943665\" class=\"form-group\" id=\"fld_4943665_1-wrap\">\r\n\t<label id=\"fld_4943665Label\" for=\"fld_4943665_1\" class=\"control-label\">Des d\u00e9tails suppl\u00e9mentaires que vous aimeriez partager en ce moment?<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_4943665\" value=\"\" data-field=\"fld_4943665\" class=\"form-control\" id=\"fld_4943665_1\" rows=\"4\"    aria-labelledby=\"fld_4943665Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-15\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7762968\" class=\"form-group\" id=\"fld_7762968_1-wrap\">\r\n<label id=\"fld_7762968Label\" for=\"fld_7762968_1\" class=\"control-label\">Pour une assistance en dehors des heures d\u2019ouverture : Veuillez appeler le 1-800-561-3936.  Pendant les heures de bureau (de 8 h 30 \u00e0 17 h) : S\u2019il s\u2019agit d\u2019une r\u00e9clamation urgente n\u00e9cessitant une assistance imm\u00e9diate (par exemple : remorquage, fermeture temporaire d\u2019une fen\u00eatre ou nettoyage de d\u00e9g\u00e2ts d\u2019eau), veuillez proc\u00e9der \u00e0 la soumission de la r\u00e9clamation.<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Oui\" for=\"fld_7762968_1_opt1296525\"><input type=\"radio\" id=\"fld_7762968_1_opt1296525\" data-field=\"fld_7762968\" class=\"fld_7762968_1\" name=\"fld_7762968\" value=\"Oui\"    data-radio-field=\"fld_7762968_1\" data-type=\"radio\" data-calc-value=\"Oui\" \/>\n\t\t\tOui\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Non\" for=\"fld_7762968_1_opt1747275\"><input type=\"radio\" id=\"fld_7762968_1_opt1747275\" data-field=\"fld_7762968\" class=\"fld_7762968_1\" name=\"fld_7762968\" value=\"Non\"    data-radio-field=\"fld_7762968_1\" data-type=\"radio\" data-calc-value=\"Non\" \/>\n\t\t\tNon\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><p><\/br><\/p>\n<\/div><\/div><\/div><div id=\"CF5b6449682f8f8_1-row-16\"  class=\"row  last_row\"><div  class=\"col-sm-5  first_col\"><\/div><div  class=\"col-sm-2 \"><div data-field-wrapper=\"fld_3948378\" class=\"form-group\" id=\"fld_3948378_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_3948378\" id=\"fld_3948378_1\" value=\"soumettre ma r\u00e9clamation\" data-field=\"fld_3948378\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_3948378\" id=\"fld_3948378_1_btn\" value=\"\" data-field=\"fld_3948378\"  \/>\n<\/div><div  class=\"col-sm-5  last_col\"><\/div><\/div><\/form>\r\n<\/div>\r\n\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row 0=&#8221;&#8221; full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column 0=&#8221;&#8221; width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1533233954556{padding-top: 50px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1533234044187{padding-bottom: 25px !important;}&#8221;]<br \/>\nConseils pour Soumettre une R\u00e9clamation<br \/>\n[\/vc_column_text]<div class=\"standard-arrow bullet-top\"><ul>\n<li>V\u00e9rifiez que tout le monde est en s\u00e9curit\u00e9 et OK. Composez le 911 en cas de doute.<\/li>\n<li>Ne discutez pas de l&#8217;incident avec d&#8217;autres parties. Limitez votre discussion de l&#8217;incident \u00e0 la police et \u00e0 votre conseiller en assurance.<\/li>\n<li>Ne pas admettre la faute. Votre conseiller en assurance vous aidera \u00e0 r\u00e9gler ce probl\u00e8me.<\/li>\n<li>Notez les d\u00e9tails de toutes les parties concern\u00e9es, y compris les t\u00e9moins. Inclure les noms, num\u00e9ros de t\u00e9l\u00e9phone et informations d&#8217;assurance. En plus des informations de contact, \u00e9crivez des d\u00e9tails sur l&#8217;incident.<\/li>\n<li>Prenez des photos pour pr\u00e9server la sc\u00e8ne pour examiner plus tard.<\/li>\n<\/ul>\n<\/div>[\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row 0=&#8221;&#8221;][vc_column 0=&#8221;&#8221; css=&#8221;.vc_custom_1521724250827{padding-top: 75px !important;}&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row&#8221; parallax=&#8221;content-moving&#8221; parallax_image=&#8221;1815&#8243; bg_type=&#8221;image&#8221; parallax_style=&#8221;vcpb-vz-jquery&#8221; bg_image_new=&#8221;id^777|url^https:\/\/govienneau.com\/wp-content\/uploads\/2018\/01\/liablity2-dark-top-.jpg|caption^null|alt^null|title^liablity2 &#8211; dark top|description^null&#8221; bg_override=&#8221;full&#8221; enable_overlay=&#8221;enable_overlay_value&#8221; overlay_color=&#8221;#6d6d6d&#8221; overlay_pattern_opacity=&#8221;33&#8243; css=&#8221;.vc_custom_1533235160913{padding-top: 25px !important;padding-bottom: 500px !important;background-position: center;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column width=&#8221;1\/4&#8243;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;1889&#8243; img_size=&#8221;large&#8221; onclick=&#8221;custom_link&#8221; image_hovers=&#8221;false&#8221; css=&#8221;.vc_custom_1521726129487{padding-bottom: 25px !important;}&#8221; link=&#8221;https:\/\/govienneau.com&#8221;][vc_custom_heading text=&#8221;Soumettre une perte ou une r\u00e9clamation&#8221; font_container=&#8221;tag:h1|font_size:46|text_align:left|color:%23ffffff|line_height:1&#8243; google_fonts=&#8221;font_family:Montserrat%3Aregular%2C700|font_style:400%20regular%3A400%3Anormal&#8221; css=&#8221;.vc_custom_1533233734569{padding-top: 45px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1533233710196{padding-bottom: 45px !important;}&#8221;] Remplissez et soumettez vos informations de r\u00e9clamation&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-microsite.php","meta":{"_mi_skip_tracking":false},"yst_prominent_words":[1111,1240,1239],"_links":{"self":[{"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/pages\/2407"}],"collection":[{"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/comments?post=2407"}],"version-history":[{"count":5,"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/pages\/2407\/revisions"}],"predecessor-version":[{"id":4291,"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/pages\/2407\/revisions\/4291"}],"wp:attachment":[{"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/media?parent=2407"}],"wp:term":[{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/govienneau.com\/fr\/wp-json\/wp\/v2\/yst_prominent_words?post=2407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}