{"id":535,"date":"2024-01-13T10:52:27","date_gmt":"2024-01-13T10:52:27","guid":{"rendered":"https:\/\/pfconus.ch\/?page_id=535"},"modified":"2024-01-13T11:28:27","modified_gmt":"2024-01-13T11:28:27","slug":"sonderbestimmungen","status":"publish","type":"page","link":"https:\/\/pfconus.ch\/de\/dispositions-particulieres\/","title":{"rendered":"Besondere Bestimmungen"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"535\" class=\"elementor elementor-535\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c5fcb90 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c5fcb90\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7e578b8 elementor-hidden-tablet elementor-hidden-phone\" data-id=\"7e578b8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-eaaeeca\" data-id=\"eaaeeca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-230e116 elementor-widget elementor-widget-heading\" data-id=\"230e116\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Dispositions particuli\u00e8res<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0c95a18 elementor-icon-list--layout-inline elementor-align-end elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"0c95a18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/pfconus.ch\/\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Bienvenue<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Dispositions particuli\u00e8res<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a2968b elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a2968b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-996038d\" data-id=\"996038d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a530b65 elementor-widget elementor-widget-heading\" data-id=\"a530b65\" data-element_type=\"widget\" data-e-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\">Aide \u00e0 la pr\u00e9paration de mes dispositions particuli\u00e8res<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3d51f1b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3d51f1b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-d892d14\" data-id=\"d892d14\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-92f2a08 elementor-widget elementor-widget-wpforms\" data-id=\"92f2a08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-border-style: solid;\n--wpforms-field-border-size: 1px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-border-color-spare: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-field-menu-color: #ffffff;\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-border-style: none;\n--wpforms-button-border-size: 1px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-border-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-background-image: none;\n--wpforms-background-position: center center;\n--wpforms-background-repeat: no-repeat;\n--wpforms-background-size: cover;\n--wpforms-background-width: 100px;\n--wpforms-background-height: 100px;\n--wpforms-background-color: rgba( 0, 0, 0, 0 );\n--wpforms-background-url: none;\n--wpforms-container-padding: 0px;\n--wpforms-container-border-style: none;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-color: #000000;\n--wpforms-container-border-radius: 3px;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\n\t\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-elementor-widget-92f2a08\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-92f2a08 {\n\t\t\t\t\t--wpforms-field-text-color: #000000D6;\n--wpforms-button-background-color: #A90F2F;\n--wpforms-field-size-input-height: 50px;\n--wpforms-field-size-input-spacing: 20px;\n--wpforms-field-size-font-size: 18px;\n--wpforms-field-size-line-height: 21px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 18px;\n--wpforms-field-size-sublabel-spacing: 10px;\n--wpforms-field-size-icon-size: 1.25;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-522\"><form id=\"wpforms-form-522\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"522\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/de\/wp-json\/wp\/v2\/pages\/535\" data-token=\"195834fe980741c9400ba1276b74727f\" data-token-time=\"1777643021\"><noscript class=\"wpforms-error-noscript\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-522-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Acharnement th\u00e9rapeutique<\/legend><ul id=\"wpforms-522-field_3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_3_1\" name=\"wpforms[fields][3][]\" value=\"Je m\u2019oppose \u00e0 tout acharnement th\u00e9rapeutique en cas de maladie incurable ou fatale.\" aria-errormessage=\"wpforms-522-field_3_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_3_1\">Je m\u2019oppose \u00e0 tout acharnement th\u00e9rapeutique en cas de maladie incurable ou fatale.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_2\">Personnes \u00e0 pr\u00e9venir - Conjoint, enfants, proches - en premier lieu d\u00e8s mon d\u00e9c\u00e8s <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-522-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-522-field_2-error\" required><\/textarea><\/div><div id=\"wpforms-522-field_4-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Autopsie \/ Don d\u2019organes <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_4\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_4_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Au cas o\u00f9 la demande serait faite par un m\u00e9decin, je suis d\u2019accord pour que l\u2019on pratique une autopsie.\" aria-errormessage=\"wpforms-522-field_4_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_4_1\">Au cas o\u00f9 la demande serait faite par un m\u00e9decin, je suis d\u2019accord pour que l\u2019on pratique une autopsie.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_4_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"M\u00eame si la demande n\u2019est pas formul\u00e9e par le m\u00e9decin, je d\u00e9sire que l\u2019on proc\u00e8de \u00e0 mon autopsie. Dans ce cas, les frais seront support\u00e9s par mes h\u00e9ritiers.\" aria-errormessage=\"wpforms-522-field_4_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_4_4\">M\u00eame si la demande n\u2019est pas formul\u00e9e par le m\u00e9decin, je d\u00e9sire que l\u2019on proc\u00e8de \u00e0 mon autopsie. Dans ce cas, les frais seront support\u00e9s par mes h\u00e9ritiers.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_4_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][4][]\" value=\"Je suis favorable \u00e0 ce que l\u2019on proc\u00e8de \u00e0 des pr\u00e9l\u00e8vements d\u2019organes.\" aria-errormessage=\"wpforms-522-field_4_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_4_5\">Je suis favorable \u00e0 ce que l\u2019on proc\u00e8de \u00e0 des pr\u00e9l\u00e8vements d\u2019organes.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_5-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"5\"><div id=\"wpforms-522-field_5\" aria-errormessage=\"wpforms-522-field_5-error\"><p><center>L\u2019autopsie ne peut \u00eatre refus\u00e9e, si elle est ordonn\u00e9e par la justice. <\/center><\/p>\r\n<\/div><\/div><div id=\"wpforms-522-field_6-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Habillement <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_6\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_6_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][6][]\" value=\"Je d\u00e9sire \u00eatre v\u00eatu(e) avec mes v\u00eatements:\" aria-errormessage=\"wpforms-522-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_6_1\">Je d\u00e9sire \u00eatre v\u00eatu(e) avec mes v\u00eatements:<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_6_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][6][]\" value=\"Je d\u00e9sire \u00eatre v\u00eatu(e) avec un v\u00eatement mortuaire.\" aria-errormessage=\"wpforms-522-field_6_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_6_4\">Je d\u00e9sire \u00eatre v\u00eatu(e) avec un v\u00eatement mortuaire.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_7-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"7\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-522-field_7\" aria-hidden=\"false\">Habillement<\/label><input type=\"text\" id=\"wpforms-522-field_7\" class=\"wpforms-field-large\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-522-field_7-error\" ><\/div><div id=\"wpforms-522-field_8-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Domicile mortuaire  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_8\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_8_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Je d\u00e9sire reposer \u00e0 mon domicile.\" aria-errormessage=\"wpforms-522-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_8_1\">Je d\u00e9sire reposer \u00e0 mon domicile.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_8_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Je d\u00e9sire reposer en la chapelle mortuaire de\" aria-errormessage=\"wpforms-522-field_8_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_8_4\">Je d\u00e9sire reposer en la chapelle mortuaire de<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_8_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Je d\u00e9sire reposer au centre fun\u00e9raire de\" aria-errormessage=\"wpforms-522-field_8_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_8_6\">Je d\u00e9sire reposer au centre fun\u00e9raire de<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_8_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][8][]\" value=\"Je d\u00e9sire reposer en la crypte de\" aria-errormessage=\"wpforms-522-field_8_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_8_7\">Je d\u00e9sire reposer en la crypte de<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_9-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"9\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-522-field_9\" aria-hidden=\"false\">Domicile mortuaire <\/label><input type=\"text\" id=\"wpforms-522-field_9\" class=\"wpforms-field-large\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-522-field_9-error\" ><\/div><div id=\"wpforms-522-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Avant la c\u00e9r\u00e9monie  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_10\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_10_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"Je d\u00e9sire que le cercueil reste ouvert (dans la mesure du possible) jusqu\u2019\u00e0 la c\u00e9r\u00e9monie.\" aria-errormessage=\"wpforms-522-field_10_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_10_1\">Je d\u00e9sire que le cercueil reste ouvert (dans la mesure du possible) jusqu\u2019\u00e0 la c\u00e9r\u00e9monie.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_10_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"Je d\u00e9sire que seuls mes enfants ou ma famille se recueillent au lieu o\u00f9 je reposerai.\" aria-errormessage=\"wpforms-522-field_10_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_10_4\">Je d\u00e9sire que seuls mes enfants ou ma famille se recueillent au lieu o\u00f9 je reposerai.<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_10_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][10][]\" value=\"Je d\u00e9sire que le cercueil soit ferm\u00e9 en pr\u00e9sence de mes enfants et des membres de ma famille qui le souhaiteraient.\" aria-errormessage=\"wpforms-522-field_10_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_10_6\">Je d\u00e9sire que le cercueil soit ferm\u00e9 en pr\u00e9sence de mes enfants et des membres de ma famille qui le souhaiteraient.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_11-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Lieu retenu pour la c\u00e9r\u00e9monie <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_11\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_11_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][11][]\" value=\"La c\u00e9r\u00e9monie se d\u00e9roulera en l\u2019\u00e9glise \/ au temple \/ \u00e0 la chapelle \/ au cr\u00e9matoire \/ \u00e0 mon domicile  lieu :\" aria-errormessage=\"wpforms-522-field_11_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_11_1\">La c\u00e9r\u00e9monie se d\u00e9roulera en l\u2019\u00e9glise \/ au temple \/ \u00e0 la chapelle \/ au cr\u00e9matoire \/ \u00e0 mon domicile  lieu :<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_11_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][11][]\" value=\"Je ne souhaite pas de c\u00e9r\u00e9monie.\" aria-errormessage=\"wpforms-522-field_11_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_11_4\">Je ne souhaite pas de c\u00e9r\u00e9monie.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-522-field_12\" aria-hidden=\"false\">Lieu retenu pour la c\u00e9r\u00e9monie<\/label><input type=\"text\" id=\"wpforms-522-field_12\" class=\"wpforms-field-large\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-522-field_12-error\" ><\/div><div id=\"wpforms-522-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Caract\u00e8re de la c\u00e9r\u00e9monie  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_13\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_13_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"Je d\u00e9sire une c\u00e9r\u00e9monie publique, pr\u00e9alablement annonc\u00e9e dans la presse.\" aria-errormessage=\"wpforms-522-field_13_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_13_1\">Je d\u00e9sire une c\u00e9r\u00e9monie publique, pr\u00e9alablement annonc\u00e9e dans la presse.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_13_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"Je d\u00e9sire une c\u00e9r\u00e9monie intime, avec la pr\u00e9sence de ma famille uniquement.\" aria-errormessage=\"wpforms-522-field_13_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_13_4\">Je d\u00e9sire une c\u00e9r\u00e9monie intime, avec la pr\u00e9sence de ma famille uniquement.<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_13_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"Je laisse ma famille choisir la c\u00e9r\u00e9monie qui lui convient.\" aria-errormessage=\"wpforms-522-field_13_8-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_13_8\">Je laisse ma famille choisir la c\u00e9r\u00e9monie qui lui convient.<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_13_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"Je d\u00e9sire une c\u00e9r\u00e9monie la\u00efque.\" aria-errormessage=\"wpforms-522-field_13_9-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_13_9\">Je d\u00e9sire une c\u00e9r\u00e9monie la\u00efque.<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_13_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"Je d\u00e9sire un recueillement musical seulement.\" aria-errormessage=\"wpforms-522-field_13_10-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_13_10\">Je d\u00e9sire un recueillement musical seulement.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Organiste \/ choix musical <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_14\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_14_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"Je d\u00e9sire que l\u2019organiste interpr\u00e8te des pi\u00e8ces choisies par moi ou ma famille.\" aria-errormessage=\"wpforms-522-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_14_1\">Je d\u00e9sire que l\u2019organiste interpr\u00e8te des pi\u00e8ces choisies par moi ou ma famille.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_14_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"Un organiste est pr\u00e9sent, il joue les pi\u00e8ces liturgiques habituelles.\" aria-errormessage=\"wpforms-522-field_14_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_14_4\">Un organiste est pr\u00e9sent, il joue les pi\u00e8ces liturgiques habituelles.<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_14_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"Un organiste est pr\u00e9sent, il joue les pi\u00e8ces liturgiques habituelles, mais je d\u00e9sire inclure pendant la c\u00e9r\u00e9monie de la musique enregistr\u00e9e qui me tient \u00e0 c\u0153ur.\" aria-errormessage=\"wpforms-522-field_14_8-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_14_8\">Un organiste est pr\u00e9sent, il joue les pi\u00e8ces liturgiques habituelles, mais je d\u00e9sire inclure pendant la c\u00e9r\u00e9monie de la musique enregistr\u00e9e qui me tient \u00e0 c\u0153ur.<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_14_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][14][]\" value=\"Je ne d\u00e9sire pas d\u2019organiste, mais la diffusion de musiques enregistr\u00e9e.\" aria-errormessage=\"wpforms-522-field_14_9-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_14_9\">Je ne d\u00e9sire pas d\u2019organiste, mais la diffusion de musiques enregistr\u00e9e.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Participation de mes proches <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_15\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_15_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][15][]\" value=\"Je d\u00e9sire que mon cercueil soit port\u00e9 par un ou plusieurs membres de ma famille ou par des amis, en collaboration avec le personnel des pompes fun\u00e8bres.\" aria-errormessage=\"wpforms-522-field_15_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_15_1\">Je d\u00e9sire que mon cercueil soit port\u00e9 par un ou plusieurs membres de ma famille ou par des amis, en collaboration avec le personnel des pompes fun\u00e8bres.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_15_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][15][]\" value=\"Je d\u00e9sire qu\u2019un membre de ma famille lise un texte choisi par moi ou ma famille.\" aria-errormessage=\"wpforms-522-field_15_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_15_4\">Je d\u00e9sire qu\u2019un membre de ma famille lise un texte choisi par moi ou ma famille.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">Apr\u00e8s la c\u00e9r\u00e9monie <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_16\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_16_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][16][]\" value=\"Je d\u00e9sire que l\u2019assistance se retrouve pour une collation ou un verre de l\u2019amiti\u00e9, dans un endroit choisi par ma famille.\" aria-errormessage=\"wpforms-522-field_16_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_16_1\">Je d\u00e9sire que l\u2019assistance se retrouve pour une collation ou un verre de l\u2019amiti\u00e9, dans un endroit choisi par ma famille.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_16_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][16][]\" value=\"Je d\u00e9sire que seule ma famille accompagn\u00e9e de mes amis, se retrouvent pour une collation ou un verre de l\u2019amiti\u00e9, dans un endroit choisi par ma famille.\" aria-errormessage=\"wpforms-522-field_16_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_16_4\">Je d\u00e9sire que seule ma famille accompagn\u00e9e de mes amis, se retrouvent pour une collation ou un verre de l\u2019amiti\u00e9, dans un endroit choisi par ma famille.<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_16_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][16][]\" value=\"Je d\u00e9sire qu\u2019il n\u2019y ait pas de collation \u00e0 l\u2019issue de la c\u00e9r\u00e9monie.\" aria-errormessage=\"wpforms-522-field_16_11-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_16_11\">Je d\u00e9sire qu\u2019il n\u2019y ait pas de collation \u00e0 l\u2019issue de la c\u00e9r\u00e9monie.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_17-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Fleurs et dons \u00e0 des associations <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_17\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_17_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][17][]\" value=\"Je d\u00e9sire que ceux qui le veulent puissent adresser librement des fleurs.\" aria-errormessage=\"wpforms-522-field_17_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_17_1\">Je d\u00e9sire que ceux qui le veulent puissent adresser librement des fleurs.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_17_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][17][]\" value=\"Je pr\u00e9f\u00e8re qu\u2019en lieu et place de fleurs, un don soit adress\u00e9 \u00e0 :\" aria-errormessage=\"wpforms-522-field_17_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_17_4\">Je pr\u00e9f\u00e8re qu\u2019en lieu et place de fleurs, un don soit adress\u00e9 \u00e0 :<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_18-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-522-field_18\" aria-hidden=\"false\">Fleurs et dons \u00e0 des associations<\/label><input type=\"text\" id=\"wpforms-522-field_18\" class=\"wpforms-field-large\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-522-field_18-error\" ><\/div><div id=\"wpforms-522-field_19-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">S\u00e9pulture <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_19\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_19_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][19][]\" value=\"Je d\u00e9sire que mon corps soit incin\u00e9r\u00e9.\" aria-errormessage=\"wpforms-522-field_19_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_19_1\">Je d\u00e9sire que mon corps soit incin\u00e9r\u00e9.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_19_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][19][]\" value=\"Je d\u00e9sire que mes cendres soient inhum\u00e9es en pr\u00e9sence de ma famille,\" aria-errormessage=\"wpforms-522-field_19_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_19_4\">Je d\u00e9sire que mes cendres soient inhum\u00e9es en pr\u00e9sence de ma famille,<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_19_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][19][]\" value=\"Je d\u00e9sire que mes cendres soient dispers\u00e9es dans un lieu que j\u2019aime:\" aria-errormessage=\"wpforms-522-field_19_12-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_19_12\">Je d\u00e9sire que mes cendres soient dispers\u00e9es dans un lieu que j\u2019aime:<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_19_13\" data-rule-check-limit=\"true\" name=\"wpforms[fields][19][]\" value=\"Je d\u00e9sire que mes cendres soient remises \u00e0 ma famille qui en disposerons librement.\" aria-errormessage=\"wpforms-522-field_19_13-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_19_13\">Je d\u00e9sire que mes cendres soient remises \u00e0 ma famille qui en disposerons librement.<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_19_14\" data-rule-check-limit=\"true\" name=\"wpforms[fields][19][]\" value=\"Je d\u00e9sire que mon corps soit inhum\u00e9.\" aria-errormessage=\"wpforms-522-field_19_14-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_19_14\">Je d\u00e9sire que mon corps soit inhum\u00e9.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_20-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"20\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_20\">au cimeti\u00e8re de<\/label><input type=\"text\" id=\"wpforms-522-field_20\" class=\"wpforms-field-large\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-522-field_20-error\" ><\/div><div id=\"wpforms-522-field_21-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_21\">sur la tombe de<\/label><input type=\"text\" id=\"wpforms-522-field_21\" class=\"wpforms-field-large\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-522-field_21-error\" ><\/div><div id=\"wpforms-522-field_22-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"22\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_22\">au jardin du souvenir de<\/label><input type=\"text\" id=\"wpforms-522-field_22\" class=\"wpforms-field-large\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-522-field_22-error\" ><\/div><div id=\"wpforms-522-field_23-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"23\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-522-field_23\" aria-hidden=\"false\">Je d\u00e9sire que mes cendres soient dispers\u00e9es dans un lieu que j\u2019aime<\/label><input type=\"text\" id=\"wpforms-522-field_23\" class=\"wpforms-field-large\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-522-field_23-error\" ><\/div><div id=\"wpforms-522-field_24-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"24\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_24\">au cimeti\u00e8re de<\/label><input type=\"text\" id=\"wpforms-522-field_24\" class=\"wpforms-field-large\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-522-field_24-error\" ><\/div><div id=\"wpforms-522-field_25-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Avis mortuaire dans la presse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_25\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_25_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][25][]\" value=\"Un avis mortuaire para\u00eetra dans le ou les journal(aux) suivant(s):\" aria-errormessage=\"wpforms-522-field_25_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_25_1\">Un avis mortuaire para\u00eetra dans le ou les journal(aux) suivant(s):<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_25_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][25][]\" value=\"Dans la mesure du possible je d\u00e9sire inclure une photo.\" aria-errormessage=\"wpforms-522-field_25_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_25_4\">Dans la mesure du possible je d\u00e9sire inclure une photo.<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_25_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][25][]\" value=\"Je ne d\u00e9sire pas d\u2019avis mortuaire dans la presse.\" aria-errormessage=\"wpforms-522-field_25_12-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_25_12\">Je ne d\u00e9sire pas d\u2019avis mortuaire dans la presse.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-522-field_26-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"26\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-522-field_26\" aria-hidden=\"false\">Un avis mortuaire para\u00eetra dans le ou les journal(aux) suivant(s)<\/label><input type=\"text\" id=\"wpforms-522-field_26\" class=\"wpforms-field-large\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-522-field_26-error\" ><\/div><div id=\"wpforms-522-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_0\">Mme \/ M <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-522-field_0\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][0]\" aria-errormessage=\"wpforms-522-field_0-error\" required><\/div><div id=\"wpforms-522-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_27\">adresse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-522-field_27\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-522-field_27-error\" required><\/div><div id=\"wpforms-522-field_28-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"28\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-522-field_29-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_29\">date et lieu de naissance <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-522-field_29\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][29][date]\" aria-errormessage=\"wpforms-522-field_29-error\" required><a title=\"Datum leeren\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-522-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_30\">origine <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-522-field_30\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-522-field_30-error\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-522-field_32-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"32\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-522-field_31-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-522-field_31\">Signature Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-522-field_31\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][31][date]\" aria-errormessage=\"wpforms-522-field_31-error\" required><a title=\"Datum leeren\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-522-field_35-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"35\"><fieldset><legend class=\"wpforms-field-label\">Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-522-field_35\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][35][first]\" placeholder=\"Pr\u00e9nom\" aria-errormessage=\"wpforms-522-field_35-error\" required><label for=\"wpforms-522-field_35\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Vorname<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-522-field_35-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][35][last]\" placeholder=\"Nom de famille\" aria-errormessage=\"wpforms-522-field_35-last-error\" required><label for=\"wpforms-522-field_35-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Nachname<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><div id=\"wpforms-522-field_36-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Checkboxes <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-522-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-522-field_36_1\" name=\"wpforms[fields][36][]\" value=\"J&#039;ai accept\u00e9 de remplir tous ces formulaires moi-m\u00eame et j&#039;ai sign\u00e9 avec mon pr\u00e9nom et mon nom de famille.\" aria-errormessage=\"wpforms-522-field_36_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-522-field_36_1\">J'ai accept\u00e9 de remplir tous ces formulaires moi-m\u00eame et j'ai sign\u00e9 avec mon pr\u00e9nom et mon nom de famille.<\/label><\/li><\/ul><\/fieldset><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LfMDjErAAAAAFQAenbECytuFelQnIlW1jXde7wZ\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"522\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/pages\/535\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-522\" class=\"wpforms-submit\" data-alt-text=\"Envoyer...\" 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Personnes \u00e0 pr\u00e9venir &#8211; Conjoint, enfants, proches &#8211; [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-535","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/pages\/535","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/comments?post=535"}],"version-history":[{"count":4,"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/pages\/535\/revisions"}],"predecessor-version":[{"id":540,"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/pages\/535\/revisions\/540"}],"wp:attachment":[{"href":"https:\/\/pfconus.ch\/de\/wp-json\/wp\/v2\/media?parent=535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}