{"id":1764,"date":"2022-06-14T14:58:54","date_gmt":"2022-06-14T12:58:54","guid":{"rendered":"https:\/\/concordia.be\/schade\/"},"modified":"2025-08-12T11:46:44","modified_gmt":"2025-08-12T09:46:44","slug":"schade","status":"publish","type":"page","link":"https:\/\/concordia.be\/en\/schade\/","title":{"rendered":"Schade"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container world-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1456px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_3 1_3 fusion-flex-column fusion-flex-align-self-flex-start custom-flex-end\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-1{margin-top:0px!important; margin-right:!important;margin-bottom:31px!important;margin-left:!important;}}<\/style><div class=\"fusion-title title fusion-title-1 fusion-title-text fusion-title-size-three\" style=\"margin-top:0px;margin-bottom:31px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-small-visibility\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-small-visibility\"><\/span><h3 class=\"title-heading-right sm-text-align-left\" style=\"margin:0;\"><span class=\"--l --r hover:bg-blue-100 hover:dark:bg-blue-600\"><span class=\"--l container-target\">Report<\/span><\/span> <span class=\"--l --r hover:bg-blue-100 hover:dark:bg-blue-600\"><span class=\"container-target\">damages<\/span><\/span> <span class=\"--l --r hover:bg-blue-100 hover:dark:bg-blue-600\"><span class=\"--r container-target\">online<\/span><\/span><\/h3><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility\"><\/span><div class=\"title-sep-container title-sep-container-right fusion-no-large-visibility fusion-no-medium-visibility\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:33.333333333333% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 5.76%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 5.76%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:33.333333333333% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 5.76%;margin-left : 5.76%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column blue-line\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 120px 120px 55px;\"><div class=\"schade-form\">\n<h4>Please enter your damage below <br>in a few simple steps.<\/h4>\n<div class=\"schade-option contact-form schade\">\n    <select name=\"shade-options\" id=\"schade-options\">\n        <option value=\"\">Maak hier je keuze<\/option>\n        <option value=\"autoverzekering\">Autoschade<\/option>\n        <option value=\"brandverzekering\">Brandschade<\/option>\n        <option value=\"aansprakelijkheid\">Aansprakelijkheid<\/option>\n        <option value=\"rechtsbijstand\">Rechtsbijstand<\/option>\n        <option value=\"hospitalisatie\">Hospitalisatie<\/option>\n        <option value=\"persoonlijk\">Persoonlijk ongeval \/ gewaarborgd inkomen<\/option>\n    <\/select>\n<\/div>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2160-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"2160\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1764#wpcf7-f2160-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2160\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2160-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form schade\" id=\"autoverzekering\">\n\t<div class=\"cform one\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Uw contactgegevens\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw naam\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon \/ GSM\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw E-mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-631\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required c_select\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-631\"><option value=\"Bij welk kantoor bent u verzekerd?\">Bij welk kantoor bent u verzekerd?<\/option><option value=\"Antwerpen\">Antwerpen<\/option><option value=\"Gent\">Gent<\/option><option value=\"Brussel\">Brussel<\/option><option value=\"NATO\">NATO<\/option><option value=\"Mont-Saint-Guibert\">Mont-Saint-Guibert<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform two\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Informatie over de schade \/ ongeval\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-4\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-datum-schade\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Datum schade\" value=\"\" type=\"date\" name=\"your-datum-schade\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-contractnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Contractnummer\" value=\"\" type=\"text\" name=\"your-contractnummer\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-4\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-nummerplaat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nummerplaat\" value=\"\" type=\"text\" name=\"your-nummerplaat\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beschrijving-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Beschrijving van de schade\" name=\"beschrijving-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-omstandigheden-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Omstandigheden van het gebeuren\" name=\"your-omstandigheden-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform three\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Tegenpartij \/ derden\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"naam-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam tegenpartij\" value=\"\" type=\"text\" name=\"naam-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adres-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adres\" value=\"\" type=\"text\" name=\"adres-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon\" value=\"\" type=\"tel\" name=\"telefoon-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"verzekering-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Verzekeringsmaatschappij + polisnummer\" value=\"\" type=\"text\" name=\"verzekering-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform four\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Verbaliserende overheid\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Werd een PV opgesteld?\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pv\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"pv\" value=\"ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"pv\" value=\"nee\" \/><span class=\"wpcf7-list-item-label\">nee<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"pv-nummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"PV-nummer indien gekend\" value=\"\" type=\"text\" name=\"pv-nummer\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"small\">Ademtest \/ bloedproef genomen\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ademtest\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"ademtest\" value=\"ja\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">ja<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"ademtest\" value=\"ja, negatief resultaat\" \/><span class=\"wpcf7-list-item-label\">ja, negatief resultaat<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"ademtest\" value=\"ja, positief resultaat\" \/><span class=\"wpcf7-list-item-label\">ja, positief resultaat<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"ademtest\" value=\"ja, weet het\n            resultaat niet\" \/><span class=\"wpcf7-list-item-label\">ja, weet het\n            resultaat niet<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"ademtest\" value=\"nee\" \/><span class=\"wpcf7-list-item-label\">nee<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"small\">Wie is er volgens u aansprakelijk?\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"aansprakelijk\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"aansprakelijk\"><option value=\"Tegenpartij in fout\">Tegenpartij in fout<\/option><option value=\"Ik meen in fout te zijn\">Ik meen in fout te zijn<\/option><option value=\"Beide partijen foutieve manoeuvre\">Beide partijen foutieve manoeuvre<\/option><option value=\"Ik weet\n            het niet\">Ik weet\n            het niet<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gegevens-hersteller\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam en adres van uw hersteller\" value=\"\" type=\"text\" name=\"gegevens-hersteller\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform five\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Getuigen\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"getuigen\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Naam + contactgegevens van getuigen\" name=\"getuigen\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Indien gekwetsten\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gekwetsten\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Naam + adres + geboortedatum slachtoffer + aard van het letsel\" name=\"gekwetsten\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform six\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Upload documenten\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Upload document \/ schadeaangifte \/ foto's\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"upload-file-620\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"upload-file-620\" data-limit=\"5125121521\" data-id=\"2160\" data-version=\"free version 1.3.9.8\" accept=\".\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ik heb het <a href=\"\/privacybeleid\" target=\"_blank\">privacybeleid<\/a> gelezen en ga hiermee akkoord.<\/span><\/label><\/span><\/span><\/span><br \/>\n<button id='submit' class='wpcf7-form-control fusion-button wpcf7-submit'>verzend uw schadeaangifte<\/button>\n\t\t<\/p>\n\t\t<p class=\"p-flex\"><a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<p style=\"margin-bottom:0\"><input type=\"reset\" id=\"reset\" class=\"sr-only reset-button\" \/>\n\t<\/p>\n<\/div><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize alert-dismissable\" role=\"alert\" style=\"border-width:1px;\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2163-o2\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"2163\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1764#wpcf7-f2163-o2\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2163\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2163-o2\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form schade\" id=\"brandverzekering\">\n\t<div class=\"cform one\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Uw contactgegevens\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw naam\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon \/ GSM\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw E-mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-631\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required c_select\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-631\"><option value=\"Bij welk kantoor bent u verzekerd?\">Bij welk kantoor bent u verzekerd?<\/option><option value=\"Antwerpen\">Antwerpen<\/option><option value=\"Gent\">Gent<\/option><option value=\"Brussel\">Brussel<\/option><option value=\"NATO\">NATO<\/option><option value=\"Mont-Saint-Guibert\">Mont-Saint-Guibert<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform two\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Informatie over de schade \/ ongeval\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-datum-schade\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Datum schade\" value=\"\" type=\"date\" name=\"your-datum-schade\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-contractnummer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Contractnummer\" value=\"\" type=\"text\" name=\"your-contractnummer\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adres-brand\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Adres brandschade\" name=\"adres-brand\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beschrijving-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Beschrijving van de schade\" name=\"beschrijving-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-omstandigheden-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Omstandigheden van het gebeuren\" name=\"your-omstandigheden-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform three\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Tegenpartij \/ derden\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"naam-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam tegenpartij\" value=\"\" type=\"text\" name=\"naam-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adres-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adres\" value=\"\" type=\"text\" name=\"adres-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon\" value=\"\" type=\"tel\" name=\"telefoon-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"verzekering-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Verzekeringsmaatschappij + polisnummer\" value=\"\" type=\"text\" name=\"verzekering-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"small\">Wie is er volgens u aansprakelijk?\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"aansprakelijk\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"aansprakelijk\"><option value=\"Ik meen in fout te zijn\">Ik meen in fout te zijn<\/option><option value=\"Tegenpartij in fout\">Tegenpartij in fout<\/option><option value=\"Ik weet het niet\">Ik weet het niet<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gegevens-hersteller\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam en adres van uw hersteller\" value=\"\" type=\"text\" name=\"gegevens-hersteller\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform four\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Getuigen\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"getuigen\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Naam + contactgegevens van getuigen\" name=\"getuigen\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Indien gekwetsten\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gekwetsten\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Naam + adres + geboortedatum slachtoffer + aard van het letsel\" name=\"gekwetsten\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform five\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Upload documenten\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Upload document \/ schadeaangifte \/ foto's\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"upload-file-620\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"upload-file-620\" data-limit=\"5125121521\" data-id=\"2163\" data-version=\"free version 1.3.9.8\" accept=\".\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ik heb het <a href=\"\/privacybeleid\" target=\"_blank\">privacybeleid<\/a> gelezen en ga hiermee akkoord.<\/span><\/label><\/span><\/span><\/span><br \/>\n<button id='submit' class='wpcf7-form-control fusion-button wpcf7-submit'>verzend uw schadeaangifte<\/button>\n\t\t<\/p>\n\t\t<p class=\"p-flex\"><a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<p style=\"margin-bottom:0\"><input type=\"reset\" id=\"reset\" class=\"sr-only reset-button\" \/>\n\t<\/p>\n<\/div><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize alert-dismissable\" role=\"alert\" style=\"border-width:1px;\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2164-o3\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"2164\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1764#wpcf7-f2164-o3\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2164\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2164-o3\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form schade\" id=\"aansprakelijkheid\">\n\t<div class=\"cform one\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Uw contactgegevens\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw naam\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon \/ GSM\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw E-mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-631\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required c_select\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-631\"><option value=\"Bij welk kantoor bent u verzekerd?\">Bij welk kantoor bent u verzekerd?<\/option><option value=\"Antwerpen\">Antwerpen<\/option><option value=\"Gent\">Gent<\/option><option value=\"Brussel\">Brussel<\/option><option value=\"NATO\">NATO<\/option><option value=\"Mont-Saint-Guibert\">Mont-Saint-Guibert<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform two\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Informatie over de schade \/ ongeval\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-datum-schade\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Datum schade\" value=\"\" type=\"date\" name=\"your-datum-schade\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-polisnr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Polisnummer\" value=\"\" type=\"text\" name=\"your-polisnr\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beschrijving-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Beschrijving van de schade\" name=\"beschrijving-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-omstandigheden-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Omstandigheden van het gebeuren\" name=\"your-omstandigheden-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform three\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Tegenpartij \/ derden\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"naam-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam tegenpartij\" value=\"\" type=\"text\" name=\"naam-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adres-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adres\" value=\"\" type=\"text\" name=\"adres-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon\" value=\"\" type=\"tel\" name=\"telefoon-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"verzekering-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Verzekeringsmaatschappij + polisnummer\" value=\"\" type=\"text\" name=\"verzekering-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"small\">Wie is er volgens u aansprakelijk?\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"aansprakelijk\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"aansprakelijk\"><option value=\"Ik meen in fout te zijn\">Ik meen in fout te zijn<\/option><option value=\"Tegenpartij in fout\">Tegenpartij in fout<\/option><option value=\"Ik weet het niet\">Ik weet het niet<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gegevens-hersteller\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam en adres van uw hersteller\" value=\"\" type=\"text\" name=\"gegevens-hersteller\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform four\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Getuigen\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"getuigen\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Naam + contactgegevens van getuigen\" name=\"getuigen\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Indien gekwetsten\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gekwetsten\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Naam + adres + geboortedatum slachtoffer + aard van het letsel\" name=\"gekwetsten\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform five\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Upload documenten\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Upload document \/ schadeaangifte \/ foto's\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"upload-file-620\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"upload-file-620\" data-limit=\"5125121521\" data-id=\"2164\" data-version=\"free version 1.3.9.8\" accept=\".\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ik heb het <a href=\"\/privacybeleid\" target=\"_blank\">privacybeleid<\/a> gelezen en ga hiermee akkoord.<\/span><\/label><\/span><\/span><\/span><br \/>\n<button id='submit' class='wpcf7-form-control fusion-button wpcf7-submit'>verzend uw schadeaangifte<\/button>\n\t\t<\/p>\n\t\t<p class=\"p-flex\"><a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<p style=\"margin-bottom:0\"><input type=\"reset\" id=\"reset\" class=\"sr-only reset-button\" \/>\n\t<\/p>\n<\/div><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize alert-dismissable\" role=\"alert\" style=\"border-width:1px;\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2165-o4\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"2165\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1764#wpcf7-f2165-o4\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2165\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2165-o4\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form schade\" id=\"rechtsbijstand\">\n\t<div class=\"cform one\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Uw contactgegevens\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw naam\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon \/ GSM\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw E-mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-631\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required c_select\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-631\"><option value=\"Bij welk kantoor bent u verzekerd?\">Bij welk kantoor bent u verzekerd?<\/option><option value=\"Antwerpen\">Antwerpen<\/option><option value=\"Gent\">Gent<\/option><option value=\"Brussel\">Brussel<\/option><option value=\"NATO\">NATO<\/option><option value=\"Mont-Saint-Guibert\">Mont-Saint-Guibert<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform two\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Informatie over de schade \/ ongeval\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-datum-schade\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Datum schade\" value=\"\" type=\"date\" name=\"your-datum-schade\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beschrijving-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Beschrijving van de schade\" name=\"beschrijving-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-omstandigheden-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Omstandigheden van het gebeuren\" name=\"your-omstandigheden-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform three\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Tegenpartij \/ derden\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"naam-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam tegenpartij\" value=\"\" type=\"text\" name=\"naam-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adres-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adres\" value=\"\" type=\"text\" name=\"adres-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon\" value=\"\" type=\"tel\" name=\"telefoon-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"verzekering-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Verzekeringsmaatschappij + polisnummer\" value=\"\" type=\"text\" name=\"verzekering-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"small\">Wie is er volgens u aansprakelijk?\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"aansprakelijk\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"aansprakelijk\"><option value=\"Ik meen in fout te zijn\">Ik meen in fout te zijn<\/option><option value=\"Tegenpartij in fout\">Tegenpartij in fout<\/option><option value=\"Ik weet het niet\">Ik weet het niet<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform four\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Upload documenten\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Upload document \/ schadeaangifte \/ foto's\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"upload-file-620\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"upload-file-620\" data-limit=\"5125121521\" data-id=\"2165\" data-version=\"free version 1.3.9.8\" accept=\".\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ik heb het <a href=\"\/privacybeleid\" target=\"_blank\">privacybeleid<\/a> gelezen en ga hiermee akkoord.<\/span><\/label><\/span><\/span><\/span><br \/>\n<button id='submit' class='wpcf7-form-control fusion-button wpcf7-submit'>verzend uw schadeaangifte<\/button>\n\t\t<\/p>\n\t\t<p class=\"p-flex\"><a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<p style=\"margin-bottom:0\"><input type=\"reset\" id=\"reset\" class=\"sr-only reset-button\" \/>\n\t<\/p>\n<\/div><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize alert-dismissable\" role=\"alert\" style=\"border-width:1px;\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2166-o5\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"2166\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1764#wpcf7-f2166-o5\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2166\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2166-o5\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form schade\" id=\"hospitalisatie\">\n\t<div class=\"cform one\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Uw contactgegevens\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw naam\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon \/ GSM\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw E-mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-631\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required c_select\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-631\"><option value=\"Bij welk kantoor bent u verzekerd?\">Bij welk kantoor bent u verzekerd?<\/option><option value=\"Antwerpen\">Antwerpen<\/option><option value=\"Gent\">Gent<\/option><option value=\"Brussel\">Brussel<\/option><option value=\"NATO\">NATO<\/option><option value=\"Mont-Saint-Guibert\">Mont-Saint-Guibert<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform two\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Informatie over de medische situatie\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-datum-schade\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Datum schade\" value=\"\" type=\"date\" name=\"your-datum-schade\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beschrijving-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Beschrijving van de schade\" name=\"beschrijving-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-omstandigheden-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Omstandigheden van het gebeuren\" name=\"your-omstandigheden-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform three\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Upload documenten\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Upload document \/ schadeaangifte \/ foto's\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"upload-file-620\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"upload-file-620\" data-limit=\"5125121521\" data-id=\"2166\" data-version=\"free version 1.3.9.8\" accept=\".\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ik heb het <a href=\"\/privacybeleid\" target=\"_blank\">privacybeleid<\/a> gelezen en ga hiermee akkoord.<\/span><\/label><\/span><\/span><\/span><br \/>\n<button id='submit' class='wpcf7-form-control fusion-button wpcf7-submit'>verzend uw schadeaangifte<\/button>\n\t\t<\/p>\n\t\t<p class=\"p-flex\"><a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<p style=\"margin-bottom:0\"><input type=\"reset\" id=\"reset\" class=\"sr-only reset-button\" \/>\n\t<\/p>\n<\/div><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize alert-dismissable\" role=\"alert\" style=\"border-width:1px;\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2167-o6\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"2167\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1764#wpcf7-f2167-o6\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2167\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2167-o6\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"contact-form schade\" id=\"persoonlijk\">\n\t<div class=\"cform one\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Uw contactgegevens\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw naam\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon \/ GSM\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Uw E-mail\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-631\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required c_select\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-631\"><option value=\"Bij welk kantoor bent u verzekerd?\">Bij welk kantoor bent u verzekerd?<\/option><option value=\"Antwerpen\">Antwerpen<\/option><option value=\"Gent\">Gent<\/option><option value=\"Brussel\">Brussel<\/option><option value=\"NATO\">NATO<\/option><option value=\"Mont-Saint-Guibert\">Mont-Saint-Guibert<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform two\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Informatie over de schade \/ ongeval\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-datum-schade\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Datum schade\" value=\"\" type=\"date\" name=\"your-datum-schade\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"beschrijving-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Beschrijving van de schade\" name=\"beschrijving-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-omstandigheden-schade\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Omstandigheden van het gebeuren\" name=\"your-omstandigheden-schade\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform three\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Tegenpartij \/ derden\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"naam-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Naam tegenpartij\" value=\"\" type=\"text\" name=\"naam-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adres-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adres\" value=\"\" type=\"text\" name=\"adres-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" placeholder=\"Telefoon\" value=\"\" type=\"tel\" name=\"telefoon-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"verzekering-tegenpartij\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Verzekeringsmaatschappij + polisnummer\" value=\"\" type=\"text\" name=\"verzekering-tegenpartij\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"small\">Wie is er volgens u aansprakelijk?\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"aansprakelijk\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"aansprakelijk\"><option value=\"Ik meen in fout te zijn\">Ik meen in fout te zijn<\/option><option value=\"Tegenpartij in fout\">Tegenpartij in fout<\/option><option value=\"Beide partijen deden foutief manoeuvre\">Beide partijen deden foutief manoeuvre<\/option><option value=\"Ik weet het niet\">Ik weet het niet<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform four\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Getuigen\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"getuigen\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Naam + contactgegevens van getuigen\" name=\"getuigen\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><a class=\"next fusion-button\">Volgende stap<\/a><br \/>\n<a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"cform five\">\n\t\t<div class=\"form-row\">\n\t\t\t<p class=\"title\">Upload documenten\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Enkel indien van toepassing!\n\t\t\t<\/p>\n\t\t\t<p class=\"small\">Upload document \/ schadeaangifte \/ foto's\n\t\t\t<\/p>\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"upload-file-620\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"upload-file-620\" data-limit=\"5125121521\" data-id=\"2167\" data-version=\"free version 1.3.9.8\" accept=\".\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-consent\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"your-consent\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ik heb het <a href=\"\/privacybeleid\" target=\"_blank\">privacybeleid<\/a> gelezen en ga hiermee akkoord.<\/span><\/label><\/span><\/span><\/span><br \/>\n<button id='submit' class='wpcf7-form-control fusion-button wpcf7-submit'>verzend uw schadeaangifte<\/button>\n\t\t<\/p>\n\t\t<p class=\"p-flex\"><a class=\"back fusion-button\">Vorige stap<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<p style=\"margin-bottom:0\"><input type=\"reset\" id=\"reset\" class=\"sr-only reset-button\" \/>\n\t<\/p>\n<\/div><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize alert-dismissable\" role=\"alert\" style=\"border-width:1px;\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:66.666666666667% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 120px !important;margin-right : 2.88%;padding-bottom : 120px !important;padding-left : 55px !important;margin-left : 2.88%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:66.666666666667% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 2.88%;padding-bottom : 60px !important;margin-left : 2.88%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-right : 0 !important;margin-right : 1.92%;padding-left : 0 !important;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 120px;margin-top : 0px;padding-right : 30px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 30px;}<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container trigger-hover nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-flex-end\" style=\"max-width:1456px;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_2_3 2_3 fusion-flex-column custom-flex-start\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 120px 0px 55px;\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-flex-end\" 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_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_1 1_1 fusion-flex-column app-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-2{margin-top:0px!important; margin-right:!important;margin-bottom:31px!important;margin-left:0px!important;}}<\/style><div class=\"fusion-title title fusion-title-2 fusion-title-text fusion-title-size-two\" style=\"margin-top:0px;margin-bottom:31px;margin-left:0px;\"><div class=\"title-sep-container title-sep-container-left fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer fusion-no-large-visibility fusion-no-medium-visibility fusion-no-small-visibility\"><\/span><h2 class=\"title-heading-left\" style=\"margin:0;\">Car damage?<\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-nested-column-0{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-nested-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-nested-column-0{width:100% !important;order : 0;}.fusion-builder-nested-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-nested-column-0{width:100% !important;order : 0;}.fusion-builder-nested-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-flex-end\" 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_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_3 1_3 fusion-flex-column app-column fusion-column-inner-bg-wrapper\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"padding: 0px 0px 0px 0px;\"><div style=\"text-align:center;\"><style>.fusion-imageframe.imageframe-1{ margin-top : 20px;}<\/style><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"250\" height=\"250\" alt=\"concordia verzekeringen\" title=\"icon_claims\" src=\"https:\/\/concordia.be\/wp-content\/uploads\/2022\/08\/icon_claims.png\" class=\"img-responsive wp-image-1871\" srcset=\"https:\/\/concordia.be\/wp-content\/uploads\/2022\/08\/icon_claims-200x200.png 200w, https:\/\/concordia.be\/wp-content\/uploads\/2022\/08\/icon_claims.png 250w\" sizes=\"(max-width: 640px) 100vw, 250px\" \/><\/span><\/div><style type=\"text\/css\">@media only screen and (max-width:1024px) {.fusion-title.fusion-title-3{margin-top:0px!important; margin-right:!important;margin-bottom:31px!important;margin-left:!important;}}<\/style><div class=\"fusion-title title fusion-title-3 fusion-title-center fusion-title-text fusion-title-size-three\" style=\"margin-top:0px;margin-bottom:31px;\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h3 class=\"title-heading-center\" style=\"margin:0;\">Claims 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