{"id":7394,"date":"2021-11-19T09:01:34","date_gmt":"2021-11-19T08:01:34","guid":{"rendered":"https:\/\/www.chanasassurances.com\/our-online-services\/make-a-claim-online\/"},"modified":"2022-09-20T11:20:48","modified_gmt":"2022-09-20T09:20:48","slug":"make-a-claim-online","status":"publish","type":"page","link":"https:\/\/www.chanasassurances.com\/en\/our-online-services\/make-a-claim-online\/","title":{"rendered":"Make a claim online"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:2%;--awb-padding-bottom:2%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-content-wrap\" style=\"max-width:calc( 1140px + 10px );margin-left: calc(-10px \/ 2 );margin-right: calc(-10px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-15080\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"15080\" data-config=\"{&quot;form_id&quot;:15080,&quot;form_post_id&quot;:15080,&quot;post_id&quot;:7394,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;la_reclamation_est_pour_un_numero_de_:&quot;:&quot;La r\\u00e9clamation est pour un num\\u00e9ro de :&quot;,&quot;numero_de_contrat&quot;:&quot;Num\\u00e9ro de contrat (police d&#039;assurance)&quot;,&quot;numero_de_sinistre&quot;:&quot;R\\u00e9f\\u00e9rence du sinistre&quot;,&quot;&quot;:&quot;&quot;,&quot;date_du_sinistre&quot;:&quot;Date du sinistre&quot;,&quot;date_de_souscription_du_contrat&quot;:&quot;Date de souscription du contrat&quot;,&quot;nom&quot;:&quot;Pr\\u00e9nom&quot;,&quot;email&quot;:&quot;Email&quot;,&quot;numero_de_telephone_&quot;:&quot;Num\\u00e9ro de t\\u00e9l\\u00e9phone &quot;,&quot;produit-assurance&quot;:&quot;De quel produit d&#039;assurance s&#039;agit t&#039;il ? &quot;,&quot;saisir_lobjet_de_votre_reclamation_&quot;:&quot;Saisir l&#039;objet de votre r\\u00e9clamation &quot;,&quot;objet_de_la_demande&quot;:&quot;Nature de la r\\u00e9clamation ou de la plainte&quot;,&quot;Commentaire&quot;:&quot;Commentaire&quot;,&quot;veuillez_joindre_les_documents_dont_vous_disposez_a_ce_jour_:&quot;:&quot;Veuillez joindre les documents dont vous disposez \\u00e0 ce jour :&quot;},&quot;field_logics&quot;:{&quot;la_reclamation_est_pour_un_numero_de_:&quot;:&quot;[]&quot;,&quot;numero_de_contrat&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;equal\\&quot;,\\&quot;field\\&quot;:\\&quot;la_reclamation_est_pour_un_numero_de_:\\&quot;,\\&quot;value\\&quot;:\\&quot;Contrat (Police d&#039;assurance)\\&quot;}]&quot;,&quot;numero_de_sinistre&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;equal\\&quot;,\\&quot;field\\&quot;:\\&quot;la_reclamation_est_pour_un_numero_de_:\\&quot;,\\&quot;value\\&quot;:\\&quot;Sinistre\\&quot;}]&quot;,&quot;&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;equal\\&quot;,\\&quot;field\\&quot;:\\&quot;la_reclamation_est_pour_un_numero_de_:\\&quot;,\\&quot;value\\&quot;:\\&quot;contrat\\&quot;}]&quot;,&quot;date_du_sinistre&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;equal\\&quot;,\\&quot;field\\&quot;:\\&quot;la_reclamation_est_pour_un_numero_de_:\\&quot;,\\&quot;value\\&quot;:\\&quot;Sinistre\\&quot;}]&quot;,&quot;date_de_souscription_du_contrat&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;equal\\&quot;,\\&quot;field\\&quot;:\\&quot;la_reclamation_est_pour_un_numero_de_:\\&quot;,\\&quot;value\\&quot;:\\&quot;Contrat (Police d&#039;assurance)\\&quot;}]&quot;,&quot;nom&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;numero_de_telephone_&quot;:&quot;&quot;,&quot;produit-assurance&quot;:&quot;&quot;,&quot;saisir_lobjet_de_votre_reclamation_&quot;:&quot;[{\\&quot;operator\\&quot;:\\&quot;and\\&quot;,\\&quot;comparison\\&quot;:\\&quot;equal\\&quot;,\\&quot;field\\&quot;:\\&quot;produit-assurance\\&quot;,\\&quot;value\\&quot;:\\&quot;autre\\&quot;}]&quot;,&quot;objet_de_la_demande&quot;:&quot;&quot;,&quot;Commentaire&quot;:&quot;&quot;,&quot;veuillez_joindre_les_documents_dont_vous_disposez_a_ce_jour_:&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;la_reclamation_est_pour_un_numero_de_:&quot;:&quot;select&quot;,&quot;numero_de_contrat&quot;:&quot;text&quot;,&quot;numero_de_sinistre&quot;:&quot;text&quot;,&quot;&quot;:&quot;text&quot;,&quot;date_du_sinistre&quot;:&quot;date&quot;,&quot;date_de_souscription_du_contrat&quot;:&quot;date&quot;,&quot;nom&quot;:&quot;text&quot;,&quot;email&quot;:&quot;email&quot;,&quot;numero_de_telephone_&quot;:&quot;phone_number&quot;,&quot;produit-assurance&quot;:&quot;select&quot;,&quot;saisir_lobjet_de_votre_reclamation_&quot;:&quot;text&quot;,&quot;objet_de_la_demande&quot;:&quot;textarea&quot;,&quot;Commentaire&quot;:&quot;textarea&quot;,&quot;veuillez_joindre_les_documents_dont_vous_disposez_a_ce_jour_:&quot;:&quot;upload&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;submit_1&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/www.chanasassurances.com\/en\/our-online-services\/make-a-claim-online\/\" method=\"post\" class=\"fusion-form fusion-form-15080\" enctype=\"multipart\/form-data\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:1%;--awb-margin-bottom:1%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-color:#0033a0;--awb-bg-color-hover:#0033a0;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h3 style=\"text-align: center; color: #ffffff;\">Informations du contrat<\/h3>\n<\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><label for=\"la_reclamation_est_pour_un_numero_de_:\">La r\u00e9clamation est pour un num\u00e9ro de : <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"la_reclamation_est_pour_un_numero_de_:\" name=\"la_reclamation_est_pour_un_numero_de_:\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"\" disabled selected>S\u00e9lectionner le type de num\u00e9ro <\/option><option value=\"Sinistre\"  selected >Sinistre<\/option><option value=\"Contrat (Police d'assurance)\" >Contrat (Police d'assurance)<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-text fusion-text-2\"><p>Toute demande incompl\u00e8te ne sera pas prise en compte par <strong>Chanas Assurances S.A.<\/strong>. Pour une meilleure prise en charge de votre demande, merci de bien remplir le formulaire.<\/p>\n<\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"15080\" data-form-element-name=\"text_1\"><div class=\"fusion-form-label-wrapper\"><label for=\"numero_de_contrat\">Num\u00e9ro de contrat (police d&#039;assurance) <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" tabindex=\"-\" name=\"numero_de_contrat\" id=\"numero_de_contrat\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"13\" maxlength=\"15\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"15080\" data-form-element-name=\"text_2\"><div class=\"fusion-form-label-wrapper\"><label for=\"numero_de_sinistre\">R\u00e9f\u00e9rence du sinistre <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" tabindex=\"-\" name=\"numero_de_sinistre\" id=\"numero_de_sinistre\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"13\" maxlength=\"15\"\/><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"15080\" data-form-element-name=\"text_3\"><input type=\"text\" autocomplete=\"off\" name=\"\" id=\"\" value=\"Merci de n&#039;indiquer qu&#039;un seul num\u00e9ro de contrat sur ce formulaire (une demande = un contrat). &lt;br&gt;Dans le cas contraire votre demande ne sera pas trait\u00e9e dans les d\u00e9lais impartis.\"  class=\"fusion-form-input\" disabled placeholder=\"Merci de n&#039;indiquer qu&#039;un seul num\u00e9ro de contrat sur ce formulaire (une demande = un contrat). &lt;br&gt;Dans le cas contraire votre demande ne sera pas trait\u00e9e dans les d\u00e9lais impartis. \" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"15080\" data-form-element-name=\"date_1\"><label for=\"date_du_sinistre\">Date du sinistre <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"date_du_sinistre\" name=\"date_du_sinistre\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\"autocomplete=\"no\"\/><\/div><div class=\"fusion-form-field fusion-form-date-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"15080\" data-form-element-name=\"date_2\"><label for=\"date_de_souscription_du_contrat\">Date de souscription du contrat <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><input autocomplete=\"off\" type=\"date\" data-first-day=\"1\"  data-format=\"\" tabindex=\"\" id=\"date_de_souscription_du_contrat\" name=\"date_de_souscription_du_contrat\" data-type=\"custom\" value=\"\" data-holds-private-data=\"false\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\"autocomplete=\"no\"\/><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-color:#0033a0;--awb-bg-color-hover:#0033a0;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><h3 style=\"text-align: center; color: #ffffff;\">Donn\u00e9es personnelles<\/h3>\n<\/div><\/div><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><div class=\"fusion-form-label-wrapper\"><label for=\"nom\">Nom <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nom\" id=\"nom\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><div class=\"fusion-form-label-wrapper\"><label for=\"nom\">Pr\u00e9nom <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"nom\" id=\"nom\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><div class=\"fusion-form-label-wrapper\"><label for=\"email\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email\" id=\"email\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><div class=\"fusion-form-label-wrapper\"><label for=\"numero_de_telephone_\">Num\u00e9ro de t\u00e9l\u00e9phone  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-square-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"numero_de_telephone_\" id=\"numero_de_telephone_\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><div class=\"fusion-text fusion-text-4\"><p>Pour un traitement rapide de votre demande de r\u00e9clamation, <strong>MERCI DE PR\u00c9CISER<\/strong> votre <strong>adresse mail<\/strong>, votre <strong>num\u00e9ro de t\u00e9l\u00e9phone.<\/strong><\/p>\n<\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-color:#0033a0;--awb-bg-color-hover:#0033a0;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-5\"><h3 style=\"text-align: center; color: #ffffff;\">Demande<\/h3>\n<\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><label for=\"produit-assurance\">De quel produit d&#039;assurance s&#039;agit t&#039;il ?  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"produit-assurance\" name=\"produit-assurance\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"\" disabled selected>- s\u00e9lectionner -<\/option><option value=\"Automobile\" >Automobile<\/option><option value=\"Sant\u00e9\" >Sant\u00e9<\/option><option value=\"Voyage\" >Voyage<\/option><option value=\"Transport\" >Transport<\/option><option value=\"Cr\u00e9dit - Caution\" >Cr\u00e9dit - Caution<\/option><option value=\"Multirisque habitation\" >Multirisque habitation<\/option><option value=\"Multirisque entreprise\" >Multirisque entreprise<\/option><option value=\"Autre\" >Autre<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above fusion-form-field-hidden\" style=\"\" data-form-id=\"15080\" data-form-element-name=\"text_6\"><div class=\"fusion-form-label-wrapper\"><label for=\"saisir_lobjet_de_votre_reclamation_\">Saisir l&#039;objet de votre r\u00e9clamation  <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"saisir_lobjet_de_votre_reclamation_\" id=\"saisir_lobjet_de_votre_reclamation_\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"50\" maxlength=\"70\"\/><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><label for=\"objet_de_la_demande\">Nature de la r\u00e9clamation ou de la plainte <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"5\" tabindex=\"\" id=\"objet_de_la_demande\" name=\"objet_de_la_demande\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><label for=\"Commentaire\">Commentaire<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"7\" tabindex=\"\" id=\"Commentaire\" name=\"Commentaire\" class=\"fusion-form-input\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-color:#0033a0;--awb-bg-color-hover:#0033a0;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-6\"><h3 style=\"text-align: center; color: #ffffff;\">Pi\u00e8ce(s) \u00e0 fournir<\/h3>\n<\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-upload-field fusion-form-label-above\" style=\"--awb-preview-thumb-width:115px;\" data-form-id=\"15080\"><label for=\"veuillez_joindre_les_documents_dont_vous_disposez_a_ce_jour_:\">Veuillez joindre les documents dont vous disposez \u00e0 ce jour :<\/label><div class=\"fusion-form-input-with-icon\"><i class=\" fa-upload fas\"><\/i><div class=\"fusion-form-upload-field-container\"><input type=\"file\" id=\"veuillez_joindre_les_documents_dont_vous_disposez_a_ce_jour_:\" name=\"veuillez_joindre_les_documents_dont_vous_disposez_a_ce_jour_:[]\" value=\"\"  class=\"fusion-form-input\"accept=\".jpg, .png, .pdf, \" placeholder=\"Cliquez ou faites glisser un fichier dans cette zone pour le t\u00e9l\u00e9charger. \" data-size=\"5\" multiple data-single-add-remove=\"no\" data-min-upload-files=\"0\" data-max-upload-files=\"0\" data-uploads-preview=\"filenames\"\/><div class=\"fusion-form-upload-field\"  data-holds-private-data=\"false\"><span class=\"awb-upload-placeholder\" data-default=\"Cliquez ou faites glisser un fichier dans cette zone pour le t\u00e9l\u00e9charger.\">Cliquez ou faites glisser un fichier dans cette zone pour le t\u00e9l\u00e9charger.<\/span><div class=\"awb-uploads-preview\"><div class=\"awb-preview-thumbs\"><\/div><\/div><\/div><div ><a class=\"fusion-button button-flat button-medium button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type fusion-form-upload-field-button\" style=\"--button-border-radius-top-left:0px;--button-border-radius-top-right:0px;--button-border-radius-bottom-right:0px;--button-border-radius-bottom-left:0px;\" target=\"_self\" href=\"javascript:void();\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Choose File<\/span><\/a><\/div><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Nous accusons r\u00e9ception de votre r\u00e9clamation.\nUn op\u00e9rateur vous contactera sous 24H.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Une erreur s'est produite lors de la tentative d'envoi de votre r\u00e9clamation. Veuillez r\u00e9essayer plus tard.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"15080\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-2 fusion-button-default-span  button-default form-form-submit\" style=\"--button_text_transform:uppercase;\" data-form-number=\"15080\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Envoyer <\/span><\/button><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-color:#f6f6f6;--awb-bg-color-hover:#f6f6f6;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-7\"><p><strong>Protection de vos donn\u00e9es personnelles :\u00a0<\/strong>PS <em>Conf\u00e8re le juridique<\/em><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-color:#f6f6f6;--awb-bg-color-hover:#f6f6f6;--awb-bg-size:cover;--awb-box-shadow:2px 3px 5px 0px ;;--awb-border-color:#ececec;--awb-border-top:2px;--awb-border-right:2px;--awb-border-bottom:2px;--awb-border-left:2px;--awb-border-style:solid;--awb-width-large:33.333333333333%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":7367,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-7394","page","type-page","status-publish","hentry"],"acf":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/pages\/7394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/comments?post=7394"}],"version-history":[{"count":2,"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/pages\/7394\/revisions"}],"predecessor-version":[{"id":7414,"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/pages\/7394\/revisions\/7414"}],"up":[{"embeddable":true,"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/pages\/7367"}],"wp:attachment":[{"href":"https:\/\/www.chanasassurances.com\/en\/wp-json\/wp\/v2\/media?parent=7394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}