{"id":401,"date":"2024-07-04T20:57:01","date_gmt":"2024-07-05T00:57:01","guid":{"rendered":"https:\/\/assurancecamionneur.com\/?page_id=401"},"modified":"2024-07-06T14:27:37","modified_gmt":"2024-07-06T18:27:37","slug":"formulaire_demande_salariee","status":"publish","type":"page","link":"https:\/\/assurancecamionneur.com\/en\/formulaire_demande_salariee\/","title":{"rendered":"Formulaire_Demande_Salariee"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"401\" class=\"elementor elementor-401\" 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data-elementor-post-type=\"page\">\n\t\t\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-474003e e-flex e-con-boxed e-con e-parent\" data-id=\"474003e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7151c3a elementor-widget elementor-widget-spacer\" data-id=\"7151c3a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90e22f4 elementor-widget elementor-widget-heading\" data-id=\"90e22f4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">EMPLOYEE(E)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fb802e3 elementor-widget elementor-widget-heading\" data-id=\"fb802e3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OBTENEZ LE PRIX &amp; LA PROTECTION GROUPE ASSOCIATION ACTQ<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-202e0a9 elementor-widget elementor-widget-heading\" data-id=\"202e0a9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OBTENEZ DE 15% \u00c0 25% DE RABAIS &amp; PLUS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" 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elementor-widget-heading\" data-id=\"ecd4a8d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formulaire de Demande pour Salari\u00e9(e)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b6954f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6b6954f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-247f949 e-flex e-con-boxed e-con e-parent\" 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class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_17541f9 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_17541f9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_17541f9]\" id=\"form-field-field_17541f9\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"John\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5c05862 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5c05862\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5c05862]\" id=\"form-field-field_5c05862\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Smith\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tE-mail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"example@domain.com\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_58b277d elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_58b277d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_58b277d]\" id=\"form-field-field_58b277d\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"+1 (888) 888-8888\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_ca83db0 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ca83db0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_ca83db0]\" id=\"form-field-field_ca83db0\" class=\"elementor-field elementor-size-xs  elementor-field-textual elementor-date-field elementor-use-native\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_43a222a elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_43a222a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPlan required\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Individuelle\" id=\"form-field-field_43a222a-0\" name=\"form_fields[field_43a222a]\" required=\"required\"> <label for=\"form-field-field_43a222a-0\">Individual<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Monoparental\" id=\"form-field-field_43a222a-1\" name=\"form_fields[field_43a222a]\" required=\"required\"> <label for=\"form-field-field_43a222a-1\">Single<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Couple\" id=\"form-field-field_43a222a-2\" name=\"form_fields[field_43a222a]\" required=\"required\"> <label for=\"form-field-field_43a222a-2\">Couple<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Famille\" id=\"form-field-field_43a222a-3\" name=\"form_fields[field_43a222a]\" required=\"required\"> <label for=\"form-field-field_43a222a-3\">Family<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f9e7d6d elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f9e7d6d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f9e7d6d]\" id=\"form-field-field_f9e7d6d\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Montreal\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_767cb43 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_767cb43\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSex\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Homme\" id=\"form-field-field_767cb43-0\" name=\"form_fields[field_767cb43]\" required=\"required\"> <label for=\"form-field-field_767cb43-0\">Man<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Femme\" id=\"form-field-field_767cb43-1\" name=\"form_fields[field_767cb43]\" required=\"required\"> <label for=\"form-field-field_767cb43-1\">Woman<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_9254dd4 elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9254dd4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSmoking\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Oui\" id=\"form-field-field_9254dd4-0\" name=\"form_fields[field_9254dd4]\" required=\"required\"> <label for=\"form-field-field_9254dd4-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Non\" id=\"form-field-field_9254dd4-1\" name=\"form_fields[field_9254dd4]\" required=\"required\"> <label for=\"form-field-field_9254dd4-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b68492a elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b68492a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst name Spouse(e)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b68492a]\" id=\"form-field-field_b68492a\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"John\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a20664c elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a20664c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of Spouse(e)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a20664c]\" id=\"form-field-field_a20664c\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Smith\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_9cab374 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9cab374\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of Birth Spouse(e)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_9cab374]\" id=\"form-field-field_9cab374\" class=\"elementor-field elementor-size-xs  elementor-field-textual elementor-date-field elementor-use-native\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_15196c2 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_15196c2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSex Spouse(s)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Homme\" id=\"form-field-field_15196c2-0\" name=\"form_fields[field_15196c2]\"> <label for=\"form-field-field_15196c2-0\">Man<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Femme\" id=\"form-field-field_15196c2-1\" name=\"form_fields[field_15196c2]\"> <label for=\"form-field-field_15196c2-1\">Woman<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_042f891 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_042f891\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSmoking Spouse(s)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Oui\" id=\"form-field-field_042f891-0\" name=\"form_fields[field_042f891]\"> <label for=\"form-field-field_042f891-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Non\" id=\"form-field-field_042f891-1\" name=\"form_fields[field_042f891]\"> <label for=\"form-field-field_042f891-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_98ef991 elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_98ef991\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDependent children\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Oui\" id=\"form-field-field_98ef991-0\" name=\"form_fields[field_98ef991]\"> <label for=\"form-field-field_98ef991-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Non\" id=\"form-field-field_98ef991-1\" name=\"form_fields[field_98ef991]\"> <label for=\"form-field-field_98ef991-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_9ae7c25 elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_9ae7c25\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LcIZgkqAAAAAAWyq3LWMyvGUzabdhi4F-WdP11q\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm elementor-animation-shrink\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-long-arrow-alt-right\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M313.941 216H12c-6.627 0-12 5.373-12 12v56c0 6.627 5.373 12 12 12h301.941v46.059c0 21.382 25.851 32.09 40.971 16.971l86.059-86.059c9.373-9.373 9.373-24.569 0-33.941l-86.059-86.059c-15.119-15.119-40.971-4.411-40.971 16.971V216z\"><\/path><\/svg>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit my Request<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-e6f0a4b e-flex e-con-boxed e-con e-parent\" data-id=\"e6f0a4b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f7dd9f0 elementor-widget elementor-widget-spacer\" data-id=\"f7dd9f0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>SALARI\u00c9(E) OBTENEZ LE PRIX &#038; LA PROTECTION GROUPE ASSOCIATION ACTQ OBTENEZ DE 15% \u00c0 25% DE RABAIS &#038; PLUS Formulaire de Demande pour Salari\u00e9(e)<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-401","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/pages\/401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/comments?post=401"}],"version-history":[{"count":46,"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/pages\/401\/revisions"}],"predecessor-version":[{"id":587,"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/pages\/401\/revisions\/587"}],"wp:attachment":[{"href":"https:\/\/assurancecamionneur.com\/en\/wp-json\/wp\/v2\/media?parent=401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}