{"id":15,"date":"2026-11-08T20:05:03","date_gmt":"2026-11-08T20:05:03","guid":{"rendered":"https:\/\/assurance-courtage.ch\/?page_id=15"},"modified":"2026-11-08T20:05:03","modified_gmt":"2026-11-08T20:05:03","slug":"declaration-sinistre","status":"publish","type":"page","link":"https:\/\/assurance-courtage.ch\/en\/?page_id=15","title":{"rendered":"Claim notification"},"content":{"rendered":"  <form method=\"post\" enctype=\"multipart\/form-data\" class=\"acc-claim-form acc-wiz\" id=\"acc-claim-form\" novalidate>\n    <input type=\"hidden\" name=\"acc_claim_action\" value=\"1\">\n    <input type=\"hidden\" name=\"acc_lang\" value=\"en\">\n    <input type=\"hidden\" name=\"form_started\" value=\"1794274038\">\n    <input type=\"hidden\" name=\"profile\" id=\"acc-profile\" value=\"\">\n    <input type=\"hidden\" id=\"acc_nonce\" name=\"acc_nonce\" value=\"ba0aa29305\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F15\" \/>    <div class=\"acc-hp\" aria-hidden=\"true\"><label>Website<input type=\"text\" name=\"company_website\" tabindex=\"-1\" autocomplete=\"off\"><\/label><\/div>\n\n    <div class=\"acc-wiz-head\" aria-hidden=\"true\">\n      <div class=\"acc-wiz-bar\"><span id=\"acc-wiz-fill\"><\/span><\/div>\n      <div class=\"acc-wiz-count\"><strong id=\"acc-wiz-n\">1<\/strong> \/ 7 \u00b7 <span id=\"acc-wiz-title\">Profile<\/span><\/div>\n    <\/div>\n    <div class=\"acc-wiz-err\" id=\"acc-wiz-err\" role=\"alert\" hidden><\/div>\n\n    <section class=\"acc-step-pane\" data-step=\"0\" data-title=\"Profile\">\n      <h3>The policyholder is\u2026<\/h3>\n      <div class=\"acc-profile-grid\">\n        <button type=\"button\" class=\"acc-profile-card\" data-profile=\"particulier\"><span class=\"acc-pi\">\ud83d\udc64<\/span><strong>Individual<\/strong><span>Home, private vehicle, family, personal insurance<\/span><\/button>\n        <button type=\"button\" class=\"acc-profile-card\" data-profile=\"entreprise\"><span class=\"acc-pi\">\ud83c\udfe2<\/span><strong>Business<\/strong><span>Premises, operations, fleet, liability, cyber, employees<\/span><\/button>\n      <\/div>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"1\" data-title=\"Claim type\" hidden>\n      <h3>What type of claim? (several choices possible)<\/h3>\n            <div class=\"acc-checks\" data-only=\"particulier\"><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"D\u00e9g\u00e2t d\u2019eau\"> <span>Water damage<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Incendie \/ explosion\"> <span>Fire \/ explosion<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Vol \/ cambriolage\"> <span>Theft \/ burglary<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Bris de glace\"> <span>Glass breakage<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"\u00c9v\u00e9nement naturel (gr\u00eale, temp\u00eate\u2026)\"> <span>Natural event (hail, storm\u2026)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Accident de v\u00e9hicule\"> <span>Vehicle accident<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Responsabilit\u00e9 civile (dommage caus\u00e9 \u00e0 un tiers)\"> <span>Liability (damage to a third party)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Accident \/ maladie (personne)\"> <span>Accident \/ illness (person)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Protection juridique\"> <span>Legal protection<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Cyber-incident\"> <span>Cyber incident<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Autre sinistre\"> <span>Other claim<\/span><\/label><\/div>\n            <div class=\"acc-checks\" data-only=\"entreprise\"><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"D\u00e9g\u00e2t d\u2019eau \/ incendie (locaux)\"> <span>Water damage \/ fire (premises)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Vol \/ cambriolage\"> <span>Theft \/ burglary<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Bris de glace\"> <span>Glass breakage<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"\u00c9v\u00e9nement naturel (gr\u00eale, temp\u00eate\u2026)\"> <span>Natural event (hail, storm\u2026)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Interruption d\u2019exploitation\"> <span>Business interruption<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"V\u00e9hicule \/ flotte d\u2019entreprise\"> <span>Company vehicle \/ fleet<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Responsabilit\u00e9 civile entreprise \/ produits\"> <span>Business \/ product liability<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Accident \/ maladie d\u2019un collaborateur\"> <span>Employee accident \/ illness<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Marchandises \/ transport\"> <span>Goods \/ transport<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Cyber-incident \/ perte de donn\u00e9es\"> <span>Cyber incident \/ data loss<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Autre sinistre\"> <span>Other claim<\/span><\/label><\/div>\n          <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"2\" data-title=\"Circumstances\" hidden>\n      <h3>What happened?<\/h3>\n      <div class=\"acc-form-grid\">\n        <div class=\"acc-field\"><label for=\"claim_date\">Date of the claim *<\/label><input id=\"claim_date\" name=\"claim_date\" type=\"date\" required value=\"2026-11-10\" max=\"2026-11-10\"><\/div>\n        <div class=\"acc-field\"><label for=\"claim_time\">Time (approximate)<\/label><input id=\"claim_time\" name=\"claim_time\" type=\"time\" value=\"01:27\"><\/div>\n        <div class=\"acc-field\"><label for=\"claim_place\">Place (address, town)<\/label><input id=\"claim_place\" name=\"claim_place\" type=\"text\"><\/div>\n        <div class=\"acc-field full\"><label for=\"description\">Description of events and damage *<\/label><textarea id=\"description\" name=\"description\" required placeholder=\"What happened? Which property or persons are involved?\"><\/textarea><\/div>\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"est_amount\">Estimated damage (CHF)<\/label><input id=\"est_amount\" name=\"est_amount\" type=\"text\" inputmode=\"numeric\"><\/div>\n      <\/div>\n      <div class=\"acc-checks acc-checks-2\">\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"injured\" value=\"1\"> <span>People were injured<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"police\" value=\"1\"> <span>Police \/ fire brigade \/ emergency services notified<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"third_party\" value=\"1\"> <span>A third party is involved<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"measures\" value=\"1\"> <span>Emergency measures have been taken<\/span><\/label>\n        <label class=\"acc-check\" data-only=\"entreprise\"><input type=\"checkbox\" name=\"interrupted\" value=\"1\"> <span>Operations are interrupted<\/span><\/label>\n      <\/div>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"3\" data-title=\"Policy\" hidden>\n      <h3>Policy concerned (if known)<\/h3>\n      <div class=\"acc-form-grid\">\n        <div class=\"acc-field\"><label for=\"insurer\">Insurer \/ company<\/label><input id=\"insurer\" name=\"insurer\" type=\"text\"><\/div>\n        <div class=\"acc-field\"><label for=\"policy\">Policy no.<\/label><input id=\"policy\" name=\"policy\" type=\"text\"><\/div>\n      <\/div>\n      <p class=\"acc-help\">Don\u2019t know these details? Leave them blank: we will find them.<\/p>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"4\" data-title=\"Contact\" hidden>\n      <h3>Policyholder\u2019s contact details<\/h3>\n      <div class=\"acc-form-grid\">\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"company\">Company name *<\/label><input id=\"company\" name=\"company\" type=\"text\" autocomplete=\"organization\"><\/div>\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"uid\">UID no. (CHE-\u2026)<\/label><input id=\"uid\" name=\"uid\" type=\"text\"><\/div>\n        <div class=\"acc-field\"><label for=\"c_name\">Full name *<\/label><input id=\"c_name\" name=\"name\" type=\"text\" required autocomplete=\"name\"><\/div>\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"role\">Position<\/label><input id=\"role\" name=\"role\" type=\"text\"><\/div>\n        <div class=\"acc-field\"><label for=\"c_phone\">Phone *<\/label><input id=\"c_phone\" name=\"phone\" type=\"tel\" required autocomplete=\"tel\"><\/div>\n        <div class=\"acc-field\"><label for=\"c_email\">E-mail *<\/label><input id=\"c_email\" name=\"email\" type=\"email\" required autocomplete=\"email\"><\/div>\n        <div class=\"acc-field full\"><label for=\"c_address\">Address<\/label><input id=\"c_address\" name=\"address\" type=\"text\" autocomplete=\"street-address\"><\/div>\n      <\/div>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"5\" data-title=\"Documents\" hidden>\n      <h3>Photos and documents<\/h3>\n      <div class=\"acc-field full\"><label for=\"documents\">Photos, accident report, quotes, invoices, police report\u2026<\/label>\n        <input id=\"documents\" name=\"documents[]\" type=\"file\" multiple accept=\".pdf,.jpg,.jpeg,.png,.heic,.doc,.docx,.xls,.xlsx\">\n        <ul class=\"acc-filelist\" id=\"acc-filelist\" aria-live=\"polite\"><\/ul>\n        <div class=\"acc-help\">PDF, JPG, PNG, HEIC, Word, Excel \u00b7 max 8 files \u00b7 10 MB per file \u00b7 25 MB in total. Files are sent by e-mail and are not stored on the website.<\/div><\/div>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"6\" data-title=\"Summary\" hidden>\n      <h3>Check and send<\/h3>\n      <dl class=\"acc-recap\" id=\"acc-recap\"><\/dl>\n      <div class=\"acc-confirms\">\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"certify\" value=\"1\" required> <span>I certify that the information provided is accurate and complete. *<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"privacy_consent\" value=\"1\" required> <span>I agree that my data and documents may be used to process my claim, in accordance with the <a href=\"https:\/\/assurance-courtage.ch\/en\/confidentialite\/\">privacy policy<\/a>. *<\/span><\/label>\n      <\/div>\n      <div class=\"acc-captcha\">\n                  <label for=\"cap_answer\">Anti-robot check: what is <strong>6 + 7<\/strong> ? *<\/label>\n          <input type=\"hidden\" name=\"cap_token\" value=\"MTN8MTc5NDI5NTYzOHxoTEV1MFF4Sw==.8f372497f99355feaabefbcbde61d288a461aa30d8c763bbd8f5e91e3f74a9e6\">\n          <input id=\"cap_answer\" name=\"cap_answer\" type=\"text\" inputmode=\"numeric\" autocomplete=\"off\" required style=\"max-width:140px\">\n              <\/div>\n    <\/section>\n\n    <div class=\"acc-wiz-nav\" id=\"acc-wiz-nav\">\n      <button type=\"button\" class=\"acc-btn acc-btn-ghost-dark\" id=\"acc-prev\" hidden>\u2190 Previous<\/button>\n      <button type=\"button\" class=\"acc-btn acc-btn-dark\" id=\"acc-next\">Next \u2192<\/button>\n      <button type=\"submit\" class=\"acc-btn acc-btn-claim\" id=\"acc-send\" hidden>Send my claim notification<\/button>\n    <\/div>\n  <\/form>\n  <script>\n  (function(){\n    var f=document.getElementById('acc-claim-form');if(!f)return;\n    var EN=true, T=function(a,b){return EN?b:a};\n    f.classList.add('js');(function(){var d=new Date(),p=function(n){return String(n).padStart(2,'0')},day=d.getFullYear()+'-'+p(d.getMonth()+1)+'-'+p(d.getDate());f.claim_date.max=day;f.claim_date.value=day;f.claim_time.value=p(d.getHours())+':'+p(d.getMinutes())})();\n    var panes=[].slice.call(f.querySelectorAll('.acc-step-pane')),cur=0,N=panes.length,profile='';\n    var prev=f.querySelector('#acc-prev'),next=f.querySelector('#acc-next'),send=f.querySelector('#acc-send'),err=f.querySelector('#acc-wiz-err');\n    var inp=f.querySelector('#documents'),ul=f.querySelector('#acc-filelist');\n    function fmt(n){return n>1048576?(n\/1048576).toFixed(1)+' Mo':Math.max(1,Math.round(n\/1024))+' Ko'}\n    function applyProfile(p){profile=p;f.querySelector('#acc-profile').value=p;\n      [].forEach.call(f.querySelectorAll('[data-only]'),function(el){var on=el.getAttribute('data-only')===p;el.hidden=!on;\n        [].forEach.call(el.querySelectorAll('input,select,textarea'),function(i){i.disabled=!on});if(el.matches('input,select,textarea'))el.disabled=!on});\n      [].forEach.call(f.querySelectorAll('.acc-profile-card'),function(c){c.classList.toggle('sel',c.getAttribute('data-profile')===p)})}\n    function show(i){cur=i;panes.forEach(function(p,k){p.hidden=k!==i});\n      f.querySelector('#acc-wiz-n').textContent=i+1;f.querySelector('#acc-wiz-title').textContent=panes[i].getAttribute('data-title');\n      f.querySelector('#acc-wiz-fill').style.width=((i+1)\/N*100)+'%';\n      prev.hidden=i===0;next.hidden=i===N-1||i===0;send.hidden=i!==N-1;err.hidden=true;\n      if(i===N-1)recap();\n      var top=f.getBoundingClientRect().top+window.scrollY-110;window.scrollTo({top:top,behavior:'smooth'})}\n    function fail(m){err.textContent=m;err.hidden=false}\n    function valid(i){\n      if(i===0&&!profile){fail(T('Choisissez d\u2019abord : particulier ou entreprise.','Please choose first: individual or business.'));return false}\n      if(i===1&&!f.querySelector('input[name=\"claim_type[]\"]:checked:not(:disabled)')){fail(T('Cochez au moins un type de sinistre.','Select at least one claim type.'));return false}\n      if(i===2){if(!f.claim_date.value||!f.description.value.trim()){fail(T('Indiquez la date et d\u00e9crivez le sinistre.','Enter the date and describe the claim.'));return false}\n        if(f.claim_date.value>f.claim_date.max){fail(T('La date ne peut pas \u00eatre dans le futur.','The date cannot be in the future.'));return false}}\n      if(i===4){if(profile==='entreprise'&&!f.company.value.trim()){fail(T('Indiquez la raison sociale.','Enter the company name.'));return false}\n        if(!f.name.value.trim()||!f.phone.value.trim()||!\/^\\S+@\\S+\\.\\S+$\/.test(f.email.value)){fail(T('Nom, t\u00e9l\u00e9phone et e-mail valides requis.','Name, phone and a valid e-mail are required.'));return false}}\n      if(i===5){var tot=0,bad=false;if(inp.files.length>8){fail(T('8 fichiers maximum.','8 files maximum.'));return false}\n        [].forEach.call(inp.files,function(x){tot+=x.size;if(x.size>10485760)bad=true});\n        if(bad||tot>26214400){fail(T('Un fichier d\u00e9passe 10 Mo ou le total d\u00e9passe 25 Mo.','A file exceeds 10 MB or the total exceeds 25 MB.'));return false}}\n      return true}\n    function recap(){var d=f.querySelector('#acc-recap'),h='';\n      function row(k,v){if(v)h+='<dt>'+k+'<\/dt><dd>'+String(v).replace(\/[&<>]\/g,function(c){return {'&':'&amp;','<':'&lt;','>':'&gt;'}[c]})+'<\/dd>'}\n      var ty=[].map.call(f.querySelectorAll('input[name=\"claim_type[]\"]:checked:not(:disabled)'),function(x){return x.nextElementSibling.textContent}).join(', ');\n      row(T('Profil','Profile'),profile==='entreprise'?T('Entreprise','Business'):T('Particulier','Individual'));\n      row(T('Type','Type'),ty);row(T('Date et heure','Date and time'),f.claim_date.value+(f.claim_time.value?' '+f.claim_time.value:''));row(T('Lieu','Place'),f.claim_place.value);\n      row(T('Description','Description'),f.description.value);\n      if(profile==='entreprise'){row(T('Entreprise','Company'),f.company.value)}\n      row(T('Contact','Contact'),f.name.value+' \u00b7 '+f.phone.value+' \u00b7 '+f.email.value);\n      row(T('Documents','Documents'),inp.files.length?inp.files.length+' '+T('fichier(s)','file(s)'):T('aucun','none'));\n      d.innerHTML=h}\n    [].forEach.call(f.querySelectorAll('.acc-profile-card'),function(c){c.addEventListener('click',function(){applyProfile(c.getAttribute('data-profile'));show(1)})});\n    next.addEventListener('click',function(){if(valid(cur))show(cur+1)});\n    prev.addEventListener('click',function(){show(cur-1)});\n    inp.addEventListener('change',function(){ul.innerHTML='';[].forEach.call(inp.files,function(x){var li=document.createElement('li');li.textContent=x.name+' ('+fmt(x.size)+')';ul.appendChild(li)})});\n    f.addEventListener('keydown',function(e){if(e.key==='Enter'&&e.target.tagName==='INPUT'&&cur<N-1){e.preventDefault();if(cur>0&&valid(cur))show(cur+1)}});\n    f.addEventListener('submit',function(e){\n      if(!f.certify.checked||!f.privacy_consent.checked){e.preventDefault();fail(T('Cochez les deux confirmations.','Tick both confirmations.'));return}\n      var c=f.querySelector('#cap_answer');if(c&&!c.value.trim()){e.preventDefault();fail(T('R\u00e9pondez \u00e0 la question anti-robot.','Answer the anti-robot question.'))}});\n    panes.forEach(function(p,k){if(k>0)p.hidden=true});show(0);window.scrollTo(window.scrollX,window.scrollY);\n  })();\n  <\/script>\n  \n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-15","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/assurance-courtage.ch\/en\/index.php?rest_route=\/wp\/v2\/pages\/15","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/assurance-courtage.ch\/en\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/assurance-courtage.ch\/en\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/assurance-courtage.ch\/en\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/assurance-courtage.ch\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15"}],"version-history":[{"count":0,"href":"https:\/\/assurance-courtage.ch\/en\/index.php?rest_route=\/wp\/v2\/pages\/15\/revisions"}],"wp:attachment":[{"href":"https:\/\/assurance-courtage.ch\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}