{"id":10862,"date":"2025-06-23T13:53:16","date_gmt":"2025-06-23T11:53:16","guid":{"rendered":"https:\/\/www.vdl-interass.be\/?page_id=10862"},"modified":"2025-06-23T13:53:16","modified_gmt":"2025-06-23T11:53:16","slug":"assutop-hospitalisation-entreprises-individuelles","status":"publish","type":"page","link":"https:\/\/www.vdl-interass.be\/fr\/assutop-hospitalisation-entreprises-individuelles\/","title":{"rendered":"Assutop Hospitalisation Entreprises individuelles"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background 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=\"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_1 1_1 fusion-flex-column\" style=\"--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\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_14' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Assutop Hospitalisation Soci\u00e9t\u00e9s Unipersonelles<\/h2>\n                            <p class='gform_description'>Demande de donn\u00e9es pour la pr\u00e9paration d'un devis<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/fr\/wp-json\/wp\/v2\/pages\/10862' data-formid='14' novalidate><input id=\"gpnf_session_hash_14\" type=\"hidden\" name=\"gpnf_session_hash\" value=\"f2c08b060088\">\n                        <div class='gform-body gform_body'><div id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_14_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_admin_only exclude entry_lang field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_administrative\"  ><input name='input_123' id='input_14_123' class='gform_hidden' type='hidden' value='fr'\/><\/div><div id=\"field_14_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_51'><span class='gform-field-label__text'>Agent<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_51' id='input_14_51' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_52'><span class='gform-field-label__text'>Gestionnaire<\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_52' id='input_14_52' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_1'><span class='gform-field-label__text'>Date<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input readonly='readonly' name='input_1' id='input_14_1' type='text' value='22\/09\/2026' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_2'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_14_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_14_141\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">1. Reprise DVV ?<\/h3><\/div><fieldset id=\"field_14_144\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Reprise DVV<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_14_144'>\n\t\t\t<div class='gchoice gchoice_14_144_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='Oui'  id='choice_14_144_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_144_0' id='label_14_144_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_14_144_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='Non'  id='choice_14_144_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_14_144_1' id='label_14_144_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_14_143\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_143'><span class='gform-field-label__text'>Date<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_14_143'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_143'\n\t\t\t\t value=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_14_143' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_14_143' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_14_143' aria-label='Date: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_14_98\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">2. Le preneur d&#039;assurance<\/h3><\/div><div id=\"field_14_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_4'><span class='gform-field-label__text'>Num\u00e9ro BCE<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_14_4' type='text' value='' class='large'    placeholder='9999.999.999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"9999.999.999\"\/><\/div><\/div><div id=\"field_14_74\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_74'><span class='gform-field-label__text'>Nom<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_14_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_14_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_75'><span class='gform-field-label__text'>Forme juridique<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_14_75' class='large gfield_select'     aria-invalid=\"false\" ><option value='SRL' >SRL<\/option><option value='SA' >SA<\/option><option value='SC' >SC<\/option><option value='SNC' >SNC<\/option><option value='SComm' >SComm<\/option><option value='ASBL' >ASBL<\/option><option value='AISBL' >AISBL<\/option><option value='Notaire' >Notaire<\/option><option value='Fondation' >Fondation<\/option><\/select><\/div><\/div><fieldset id=\"field_14_53\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Adresse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_city has_zip ginput_container_address gform-grid-row' id='input_14_53' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_14_53_3_container' >\n                                    <input type='text' name='input_53.3' id='input_14_53_3' value=''    aria-required='true'    \/>\n                                    <label for='input_14_53_3' id='input_14_53_3_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_53.4' id='input_14_53_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_14_53_5_container' >\n                                    <input type='text' name='input_53.5' id='input_14_53_5' value=''    aria-required='true'    \/>\n                                    <label for='input_14_53_5' id='input_14_53_5_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_53.6' id='input_14_53_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_14_103\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">3. Les affili\u00e9s<\/h3><\/div><div id=\"field_14_44\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_14_44'><span class='gform-field-label__text'><\/span><\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-3\">\n\t\t\t\t\tNom\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-4\">\n\t\t\t\t\tStatut\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-field-5\">\n\t\t\t\t\tDate de naissance\t\t\t\t<\/th>\n\t\t\t\t\t\t<th scope=\"col\" class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f3.label, attr: { 'data-value': f3.label }\"\n\t\t\t\t\tdata-heading=\"Nom\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Statut\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Date de naissance\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Affili\u00e9s {0} where Nom is {1}.'.gformFormat( $index() + 1, f3.label ) }\">Modifier<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Affili\u00e9s {0} where Nom is {1}.'.gformFormat( $index() + 1, f3.label ) }\">Supprimer<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"4\">\n\t\t\t\tIl n'y a pas de <span>Affili\u00e9s.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"14\"\n\t\t        data-nestedformid=\"15\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAjouter Affili\u00e9s\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tLe nombre maximal a \u00e9t\u00e9 atteint.\n\t\t\t<\/p>\n<\/div>\n<input type=\"hidden\"\n                name=\"input_44\"\n                id=\"input_14_44\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_14_137\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">4. Exemption (chambre individuelle)<\/h3><\/div><div id=\"field_14_139\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_139'><span class='gform-field-label__text'>Franchise<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_139' id='input_14_139' class='large gfield_select'     aria-invalid=\"false\" ><option value='125 \u20ac' >125 \u20ac<\/option><option value='75 \u20ac' >75 \u20ac<\/option><option value='250 \u20ac' >250 \u20ac<\/option><option value='0 \u20ac' >0 \u20ac<\/option><\/select><\/div><\/div><div id=\"field_14_102\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">5. Paiement de la prime<\/h3><\/div><div id=\"field_14_42\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_42'><span class='gform-field-label__text'>Fractionnement de la prime<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_14_42' class='large gfield_select'     aria-invalid=\"false\" ><option value='Annuelle' selected='selected'>Annuelle<\/option><option value='Semestriel' >Semestriel<\/option><option value='Trimestriel' >Trimestriel<\/option><option value='Mensuel' >Mensuel<\/option><\/select><\/div><\/div><div id=\"field_14_138\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">6. Remarques<\/h3><\/div><div id=\"field_14_47\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_47'><span class='gform-field-label__text'>Un commentaire ? Ajoutez-le ici. <\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_14_47' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_14_105\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">7. Annexe<\/h3><\/div><div id=\"field_14_48\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_14_48'><span class='gform-field-label__text'>T\u00e9l\u00e9charger des fichiers<\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_14_48' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_14_48&quot;,&quot;container&quot;:&quot;gform_multifile_upload_14_48&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_14_48&quot;,&quot;filelist&quot;:&quot;gform_preview_14_48&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.vdl-interass.be\\\/fr\\\/?gf_page=7a66307ebf0801a&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.vdl-interass.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.vdl-interass.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,jpeg,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;268435456b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:14,&quot;field_id&quot;:48,&quot;_gform_file_upload_nonce_14_48&quot;:&quot;98f7fbc4c4&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;5&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_14_48&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_14_48' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_14_48' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_14_48\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_14_48'>Types de fichiers accept\u00e9s\u00a0: jpg, jpeg, png, pdf, Taille max. des fichiers\u00a0: 256 MB, Max. des fichiers\u00a0: 5.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_14_48'><\/ul> <div id='gform_preview_14_48' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_14_46\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>8. Clause vie priv\u00e9e<\/h3><\/div><div id=\"field_14_50\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Le(s) soussign\u00e9(s) autorise(nt), par la pr\u00e9sente, VDL-Interass SA, en tant que responsable du traitement, \u00e0 traiter toutes les donn\u00e9es personnelles pour autant que cela soit l\u00e9galement requis ou autoris\u00e9, ou pour autant que cela soit n\u00e9cessaire ou recommand\u00e9 pour la gestion et l\u2019ex\u00e9cution des contrats conclus, l\u2019\u00e9valuation de la relation client\u00e8le, l\u2019appr\u00e9ciation du risque, la pr\u00e9vention d\u2019abus et la lutte contre la fraude.<\/p>\n\n<p>Le soussign\u00e9 dispose (ont) d'un droit d'acc\u00e8s et de rectification de ses (leurs) donn\u00e9es personnelles. Il peut en faire la demande \u00e9crite \u00e0 VDL-Interass SA, en joignant une copie de sa carte d'identit\u00e9. Il peut en outre consulter le registre public de la Commission pour la protection de la vie priv\u00e9e.  <\/p>\n\n<p>(Loi du 8 d\u00e9cembre 1992 relative \u00e0 la protection de la vie priv\u00e9e \u00e0 l\u2019\u00e9gard des traitements de donn\u00e9es \u00e0 caract\u00e8re personnel).<\/p><\/div><div id=\"field_14_67\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_14' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_14' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_14' id='gform_theme_14' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_14' id='gform_style_settings_14' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_14' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='14' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='byP4y\/n0Oo6rHg+Je6gjfd14iZMfT5Ur0NEJPREB9072jpfzpxNDgb1nYhI9XR7zAfOK8Ra0IiGfcS2Ft1giiSsqXZV9W3upiD99jW96XulJIG4=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_14' 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