{"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\/?page_id=15","title":{"rendered":"D\u00e9claration de sinistre"},"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=\"fr\">\n    <input type=\"hidden\" name=\"form_started\" value=\"1794269955\">\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\">Profil<\/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=\"Profil\">\n      <h3>Le preneur d\u2019assurance est\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>Particulier<\/strong><span>Logement, v\u00e9hicule priv\u00e9, famille, assurances personnelles<\/span><\/button>\n        <button type=\"button\" class=\"acc-profile-card\" data-profile=\"entreprise\"><span class=\"acc-pi\">\ud83c\udfe2<\/span><strong>Entreprise<\/strong><span>Locaux, exploitation, flotte, responsabilit\u00e9, cyber, collaborateurs<\/span><\/button>\n      <\/div>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"1\" data-title=\"Sinistre\" hidden>\n      <h3>Quel type de sinistre ? (plusieurs choix possibles)<\/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>D\u00e9g\u00e2t d\u2019eau<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Incendie \/ explosion\"> <span>Incendie \/ explosion<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Vol \/ cambriolage\"> <span>Vol \/ cambriolage<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Bris de glace\"> <span>Bris de glace<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"\u00c9v\u00e9nement naturel (gr\u00eale, temp\u00eate\u2026)\"> <span>\u00c9v\u00e9nement naturel (gr\u00eale, temp\u00eate\u2026)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Accident de v\u00e9hicule\"> <span>Accident de v\u00e9hicule<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Responsabilit\u00e9 civile (dommage caus\u00e9 \u00e0 un tiers)\"> <span>Responsabilit\u00e9 civile (dommage caus\u00e9 \u00e0 un tiers)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Accident \/ maladie (personne)\"> <span>Accident \/ maladie (personne)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Protection juridique\"> <span>Protection juridique<\/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>Autre sinistre<\/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>D\u00e9g\u00e2t d\u2019eau \/ incendie (locaux)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Vol \/ cambriolage\"> <span>Vol \/ cambriolage<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Bris de glace\"> <span>Bris de glace<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"\u00c9v\u00e9nement naturel (gr\u00eale, temp\u00eate\u2026)\"> <span>\u00c9v\u00e9nement naturel (gr\u00eale, temp\u00eate\u2026)<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Interruption d\u2019exploitation\"> <span>Interruption d\u2019exploitation<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"V\u00e9hicule \/ flotte d\u2019entreprise\"> <span>V\u00e9hicule \/ flotte d\u2019entreprise<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Responsabilit\u00e9 civile entreprise \/ produits\"> <span>Responsabilit\u00e9 civile entreprise \/ produits<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Accident \/ maladie d\u2019un collaborateur\"> <span>Accident \/ maladie d\u2019un collaborateur<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Marchandises \/ transport\"> <span>Marchandises \/ transport<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Cyber-incident \/ perte de donn\u00e9es\"> <span>Cyber-incident \/ perte de donn\u00e9es<\/span><\/label><label class=\"acc-check\"><input type=\"checkbox\" name=\"claim_type[]\" value=\"Autre sinistre\"> <span>Autre sinistre<\/span><\/label><\/div>\n          <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"2\" data-title=\"Circonstances\" hidden>\n      <h3>Que s\u2019est-il pass\u00e9 ?<\/h3>\n      <div class=\"acc-form-grid\">\n        <div class=\"acc-field\"><label for=\"claim_date\">Date du sinistre *<\/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\">Heure (approximative)<\/label><input id=\"claim_time\" name=\"claim_time\" type=\"time\" value=\"00:19\"><\/div>\n        <div class=\"acc-field\"><label for=\"claim_place\">Lieu (adresse, commune)<\/label><input id=\"claim_place\" name=\"claim_place\" type=\"text\"><\/div>\n        <div class=\"acc-field full\"><label for=\"description\">Description des faits et des dommages *<\/label><textarea id=\"description\" name=\"description\" required placeholder=\"Que s\u2019est-il pass\u00e9 ? Quels biens ou personnes sont concern\u00e9s ?\"><\/textarea><\/div>\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"est_amount\">Montant estim\u00e9 du dommage (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>Des personnes ont \u00e9t\u00e9 bless\u00e9es<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"police\" value=\"1\"> <span>Police \/ pompiers \/ secours avertis<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"third_party\" value=\"1\"> <span>Un tiers est impliqu\u00e9<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"measures\" value=\"1\"> <span>Des mesures d\u2019urgence ont \u00e9t\u00e9 prises<\/span><\/label>\n        <label class=\"acc-check\" data-only=\"entreprise\"><input type=\"checkbox\" name=\"interrupted\" value=\"1\"> <span>L\u2019activit\u00e9 est interrompue<\/span><\/label>\n      <\/div>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"3\" data-title=\"Contrat\" hidden>\n      <h3>Contrat concern\u00e9 (si connu)<\/h3>\n      <div class=\"acc-form-grid\">\n        <div class=\"acc-field\"><label for=\"insurer\">Assureur \/ compagnie<\/label><input id=\"insurer\" name=\"insurer\" type=\"text\"><\/div>\n        <div class=\"acc-field\"><label for=\"policy\">N\u00b0 de police<\/label><input id=\"policy\" name=\"policy\" type=\"text\"><\/div>\n      <\/div>\n      <p class=\"acc-help\">Vous ne connaissez pas ces informations ? Laissez vide : nous les retrouverons.<\/p>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"4\" data-title=\"Contact\" hidden>\n      <h3>Coordonn\u00e9es du preneur d\u2019assurance<\/h3>\n      <div class=\"acc-form-grid\">\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"company\">Raison sociale *<\/label><input id=\"company\" name=\"company\" type=\"text\" autocomplete=\"organization\"><\/div>\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"uid\">N\u00b0 IDE (CHE-\u2026)<\/label><input id=\"uid\" name=\"uid\" type=\"text\"><\/div>\n        <div class=\"acc-field\"><label for=\"c_name\">Nom et pr\u00e9nom *<\/label><input id=\"c_name\" name=\"name\" type=\"text\" required autocomplete=\"name\"><\/div>\n        <div class=\"acc-field\" data-only=\"entreprise\"><label for=\"role\">Fonction<\/label><input id=\"role\" name=\"role\" type=\"text\"><\/div>\n        <div class=\"acc-field\"><label for=\"c_phone\">T\u00e9l\u00e9phone *<\/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\">Adresse<\/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 et documents<\/h3>\n      <div class=\"acc-field full\"><label for=\"documents\">Photos, constat, devis, factures, rapport de police\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 8 fichiers max \u00b7 10 Mo par fichier \u00b7 25 Mo au total. Les fichiers sont transmis par e-mail et ne sont pas conserv\u00e9s sur le site.<\/div><\/div>\n    <\/section>\n\n    <section class=\"acc-step-pane\" data-step=\"6\" data-title=\"Envoi\" hidden>\n      <h3>V\u00e9rifiez et envoyez<\/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>Je certifie que les informations fournies sont exactes et compl\u00e8tes. *<\/span><\/label>\n        <label class=\"acc-check\"><input type=\"checkbox\" name=\"privacy_consent\" value=\"1\" required> <span>J\u2019accepte que mes donn\u00e9es et documents soient utilis\u00e9s pour traiter mon sinistre, conform\u00e9ment \u00e0 la <a href=\"https:\/\/assurance-courtage.ch\/confidentialite\/\">politique de confidentialit\u00e9<\/a>. *<\/span><\/label>\n      <\/div>\n      <div class=\"acc-captcha\">\n                  <label for=\"cap_answer\">Protection anti-robot : combien font <strong>2 + 6<\/strong> ? 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