{"id":463,"date":"2020-11-21T02:05:06","date_gmt":"2020-11-21T01:05:06","guid":{"rendered":"http:\/\/infy-assurance.fr\/?page_id=463"},"modified":"2023-09-19T14:08:29","modified_gmt":"2023-09-19T12:08:29","slug":"formulaire-sante","status":"publish","type":"page","link":"https:\/\/infy-assurance.fr\/?page_id=463","title":{"rendered":"Formulaire sant\u00e9"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"463\" class=\"elementor elementor-463\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ef3d86c elementor-section-full_width elementor-section-content-middle elementor-section-height-default elementor-section-height-default\" data-id=\"1ef3d86c\" 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-50 elementor-top-column elementor-element elementor-element-4bc6e2f5\" data-id=\"4bc6e2f5\" 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-18937bb elementor-widget elementor-widget-heading\" data-id=\"18937bb\" 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\">Votre \u00e9tude\nAssurance Professionnelle<\/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-08b2c1e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"08b2c1e\" data-element_type=\"section\" data-e-type=\"section\">\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-33 elementor-inner-column elementor-element elementor-element-22cf5f2\" data-id=\"22cf5f2\" 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-70d7f6f elementor-widget elementor-widget-image\" data-id=\"70d7f6f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1920\" height=\"1277\" src=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg\" class=\"attachment-full size-full wp-image-819\" alt=\"\" srcset=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg 1920w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920-300x200.jpg 300w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920-1024x681.jpg 1024w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920-768x511.jpg 768w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-b41e75d\" data-id=\"b41e75d\" 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-0769f62 elementor-widget elementor-widget-image\" data-id=\"0769f62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1920\" height=\"1277\" src=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/building-g1a9eb4bf9_1920.jpg\" class=\"attachment-full size-full wp-image-818\" alt=\"\" srcset=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/building-g1a9eb4bf9_1920.jpg 1920w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/building-g1a9eb4bf9_1920-300x200.jpg 300w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/building-g1a9eb4bf9_1920-1024x681.jpg 1024w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/building-g1a9eb4bf9_1920-768x511.jpg 768w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/building-g1a9eb4bf9_1920-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-ad090f0\" data-id=\"ad090f0\" 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-19a6d4c elementor-widget elementor-widget-image\" data-id=\"19a6d4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1880\" height=\"1253\" src=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/boulanger.jpeg\" class=\"attachment-full size-full wp-image-531\" alt=\"\" srcset=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/boulanger.jpeg 1880w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/boulanger-300x200.jpeg 300w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/boulanger-1024x682.jpeg 1024w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/boulanger-768x512.jpeg 768w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/boulanger-1536x1024.jpeg 1536w\" sizes=\"(max-width: 1880px) 100vw, 1880px\" \/>\t\t\t\t\t\t\t\t\t\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-inner-section elementor-element elementor-element-e89fbfd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e89fbfd\" data-element_type=\"section\" data-e-type=\"section\">\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-33 elementor-inner-column elementor-element elementor-element-919924d\" data-id=\"919924d\" 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-5d960ad elementor-widget elementor-widget-image\" data-id=\"5d960ad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"680\" height=\"454\" src=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/RC-PRO-1024x684.jpg\" class=\"attachment-large size-large wp-image-785\" alt=\"\" srcset=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/RC-PRO-1024x684.jpg 1024w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/RC-PRO-300x200.jpg 300w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/RC-PRO-768x513.jpg 768w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/RC-PRO.jpg 1200w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/>\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-934f1e3\" data-id=\"934f1e3\" 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-4c47268 elementor-widget elementor-widget-image\" data-id=\"4c47268\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1634\" src=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/01\/pexels-negative-space-48604-scaled.jpg\" class=\"attachment-full size-full wp-image-610\" alt=\"\" srcset=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/01\/pexels-negative-space-48604-scaled.jpg 2560w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/01\/pexels-negative-space-48604-300x191.jpg 300w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/01\/pexels-negative-space-48604-1024x653.jpg 1024w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/01\/pexels-negative-space-48604-768x490.jpg 768w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/01\/pexels-negative-space-48604-1536x980.jpg 1536w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/01\/pexels-negative-space-48604-2048x1307.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-e83aa53\" data-id=\"e83aa53\" 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-e79e5cd elementor-widget elementor-widget-image\" data-id=\"e79e5cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"680\" height=\"454\" src=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/zen-g7f1b224d6_1920-1024x683.jpg\" class=\"attachment-large size-large wp-image-786\" alt=\"\" srcset=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/zen-g7f1b224d6_1920-1024x683.jpg 1024w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/zen-g7f1b224d6_1920-300x200.jpg 300w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/zen-g7f1b224d6_1920-768x512.jpg 768w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/zen-g7f1b224d6_1920-1536x1024.jpg 1536w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/10\/zen-g7f1b224d6_1920.jpg 1920w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/>\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-element elementor-element-a781c34 elementor-widget elementor-widget-text-editor\" data-id=\"a781c34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><strong>&#8211; Vous \u00eates install\u00e9 et vous souhaitez comparer<br \/><\/strong><strong>&#8211; Vous \u00eates en cr\u00e9ation<br \/><\/strong><strong>&#8211; Vous \u00eates Auto-entrepreneur<\/strong><\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1354768 elementor-widget elementor-widget-text-editor\" data-id=\"1354768\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Merci de compl\u00e9ter ce formulaire, afin d&rsquo;\u00eatre contact\u00e9<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-faa6e0a elementor-widget elementor-widget-spacer\" data-id=\"faa6e0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac46575 elementor-widget elementor-widget-heading\" data-id=\"ac46575\" 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<h3 class=\"elementor-heading-title elementor-size-large\">Coordonn\u00e9es<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e965e08 elementor-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"7e965e08\" 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\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-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<i aria-hidden=\"true\" class=\"fas fa-id-card-alt\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Infy Assurance - Fr\u00e9d\u00e9ric RABY - Courtier<\/span>\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\">\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<i aria-hidden=\"true\" class=\"fas fa-home\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">22 Bis route de Kervingu - 56400 PLUNERET<\/span>\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\">\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<i aria-hidden=\"true\" class=\"fas fa-envelope\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">contact@infy-assurance.fr<\/span>\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\">\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<i aria-hidden=\"true\" class=\"fas fa-phone-square\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">06 13 82 57 85<\/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<div class=\"elementor-element elementor-element-00def9d elementor-widget elementor-widget-text-editor\" data-id=\"00def9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vous pouvez nous joindre de 9h \u00e0 19h &#8211; du lundi au vendredi<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-450e853 elementor-widget elementor-widget-image\" data-id=\"450e853\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"36\" src=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/orias-300x36.png\" class=\"attachment-medium size-medium wp-image-405\" alt=\"\" srcset=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/orias-300x36.png 300w, https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/orias.png 413w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-23b9a3f elementor-widget elementor-widget-text-editor\" data-id=\"23b9a3f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Registre Unique des Interm\u00e9diaires en Assurance, Banque et Finance &#8211; consultable sur www.orias.fr<\/p>\t\t\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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f326106\" data-id=\"f326106\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\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-e37fb7a elementor-widget elementor-widget-wpforms\" data-id=\"e37fb7a\" 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<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-816\"><form id=\"wpforms-form-816\" class=\"wpforms-validate wpforms-form\" data-formid=\"816\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F463\" data-token=\"6b00abd210026540cb9715b4893d2a6d\" data-token-time=\"1776663781\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-816-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Pr\u00e9nom Nom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-816-field_0\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-816-field_0-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-816-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_7\">N\u00b0 de SIRET (obligatoire) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-816-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-816-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_1\">E-mail <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-816-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-816-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_3\">N\u00b0de t\u00e9l\u00e9phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-816-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-816-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_2\">Votre demande <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-816-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><\/div><div id=\"wpforms-816-field_5-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"5\"><label class=\"wpforms-field-label\">R\u00e8gles RGPD <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_5_1\" name=\"wpforms[fields][5][]\" value=\"J&#039;ai compris\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_5_1\">J'ai compris<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Infy Assurance, Fr\u00e9d\u00e9ric RABY - 22 Bis route de Kervingu - 56400 PLUNERET. Les informations port\u00e9es sur ce formulaire sont obligatoires. Elles font l\u2019objet d\u2019un traitement informatis\u00e9 destin\u00e9 \u00e0 \u00e9tablir une \u00e9tude en donnant votre accord pour \u00eatre recontact\u00e9 par mail ou t\u00e9l\u00e9phone . Les destinataires des donn\u00e9es sont : Infy Assurance. \r\nDepuis la loi \u201cinformatique et libert\u00e9s\u201d du 6 janvier 1978 modifi\u00e9e, vous b\u00e9n\u00e9ficiez d\u2019un droit d\u2019acc\u00e8s et de rectification aux informations qui vous concernent. Si vous souhaitez exercer ce droit et obtenir communication des informations vous concernant, veuillez vous adresser \u00e0 contact@infy-assurance.fr<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LfFJu0ZAAAAAIJt5SSXlKmxL4GGnAAUIlP1V6TO\"><\/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=\"816\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/infy-assurance.fr\/index.php?rest_route=\/wp\/v2\/pages\/463\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-816\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\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-452a7aa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"452a7aa\" data-element_type=\"section\" data-e-type=\"section\">\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-4d92216\" data-id=\"4d92216\" 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-6d6bd63 elementor-shape-rounded elementor-grid-0 e-grid-align-center elementor-widget elementor-widget-social-icons\" data-id=\"6d6bd63\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"social-icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-social-icons-wrapper elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-facebook elementor-repeater-item-6836ab0\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Facebook<\/span>\n\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-facebook\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-twitter elementor-repeater-item-106a700\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Twitter<\/span>\n\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-twitter\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-youtube elementor-repeater-item-00f976d\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Youtube<\/span>\n\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fab fa-youtube\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Votre \u00e9tude Assurance Professionnelle &#8211; Vous \u00eates install\u00e9 et vous souhaitez comparer&#8211; Vous \u00eates en cr\u00e9ation&#8211; Vous \u00eates Auto-entrepreneur Merci [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-full-width.php","meta":{"footnotes":""},"class_list":["post-463","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire sant\u00e9 - Infy Assurance<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/infy-assurance.fr\/?page_id=463\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire sant\u00e9 - Infy Assurance\" \/>\n<meta property=\"og:description\" content=\"Votre \u00e9tude Assurance Professionnelle &#8211; Vous \u00eates install\u00e9 et vous souhaitez comparer&#8211; Vous \u00eates en cr\u00e9ation&#8211; Vous \u00eates Auto-entrepreneur Merci [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/infy-assurance.fr\/?page_id=463\" \/>\n<meta property=\"og:site_name\" content=\"Infy Assurance\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/infyassurance\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-19T12:08:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/infy-assurance.fr\/?page_id=463\",\"url\":\"https:\/\/infy-assurance.fr\/?page_id=463\",\"name\":\"Formulaire sant\u00e9 - Infy Assurance\",\"isPartOf\":{\"@id\":\"https:\/\/infy-assurance.fr\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/infy-assurance.fr\/?page_id=463#primaryimage\"},\"image\":{\"@id\":\"https:\/\/infy-assurance.fr\/?page_id=463#primaryimage\"},\"thumbnailUrl\":\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg\",\"datePublished\":\"2020-11-21T01:05:06+00:00\",\"dateModified\":\"2023-09-19T12:08:29+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/infy-assurance.fr\/?page_id=463#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/infy-assurance.fr\/?page_id=463\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/infy-assurance.fr\/?page_id=463#primaryimage\",\"url\":\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg\",\"contentUrl\":\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg\",\"width\":1920,\"height\":1277},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/infy-assurance.fr\/?page_id=463#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/infy-assurance.fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formulaire sant\u00e9\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/infy-assurance.fr\/#website\",\"url\":\"https:\/\/infy-assurance.fr\/\",\"name\":\"Infy Assurance\",\"description\":\"L&#039;assurance de vos projets\",\"publisher\":{\"@id\":\"https:\/\/infy-assurance.fr\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/infy-assurance.fr\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/infy-assurance.fr\/#organization\",\"name\":\"Infy Assurance\",\"url\":\"https:\/\/infy-assurance.fr\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/infy-assurance.fr\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/logo-infy-reduit-3.png\",\"contentUrl\":\"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/logo-infy-reduit-3.png\",\"width\":100,\"height\":130,\"caption\":\"Infy Assurance\"},\"image\":{\"@id\":\"https:\/\/infy-assurance.fr\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/infyassurance\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Formulaire sant\u00e9 - Infy Assurance","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/infy-assurance.fr\/?page_id=463","og_locale":"fr_FR","og_type":"article","og_title":"Formulaire sant\u00e9 - Infy Assurance","og_description":"Votre \u00e9tude Assurance Professionnelle &#8211; Vous \u00eates install\u00e9 et vous souhaitez comparer&#8211; Vous \u00eates en cr\u00e9ation&#8211; Vous \u00eates Auto-entrepreneur Merci [&hellip;]","og_url":"https:\/\/infy-assurance.fr\/?page_id=463","og_site_name":"Infy Assurance","article_publisher":"https:\/\/www.facebook.com\/infyassurance","article_modified_time":"2023-09-19T12:08:29+00:00","og_image":[{"url":"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/infy-assurance.fr\/?page_id=463","url":"https:\/\/infy-assurance.fr\/?page_id=463","name":"Formulaire sant\u00e9 - Infy Assurance","isPartOf":{"@id":"https:\/\/infy-assurance.fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/infy-assurance.fr\/?page_id=463#primaryimage"},"image":{"@id":"https:\/\/infy-assurance.fr\/?page_id=463#primaryimage"},"thumbnailUrl":"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg","datePublished":"2020-11-21T01:05:06+00:00","dateModified":"2023-09-19T12:08:29+00:00","breadcrumb":{"@id":"https:\/\/infy-assurance.fr\/?page_id=463#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/infy-assurance.fr\/?page_id=463"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/infy-assurance.fr\/?page_id=463#primaryimage","url":"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg","contentUrl":"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2021\/11\/electrician-g0068ef3fd_1920.jpg","width":1920,"height":1277},{"@type":"BreadcrumbList","@id":"https:\/\/infy-assurance.fr\/?page_id=463#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/infy-assurance.fr\/"},{"@type":"ListItem","position":2,"name":"Formulaire sant\u00e9"}]},{"@type":"WebSite","@id":"https:\/\/infy-assurance.fr\/#website","url":"https:\/\/infy-assurance.fr\/","name":"Infy Assurance","description":"L&#039;assurance de vos projets","publisher":{"@id":"https:\/\/infy-assurance.fr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/infy-assurance.fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/infy-assurance.fr\/#organization","name":"Infy Assurance","url":"https:\/\/infy-assurance.fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/infy-assurance.fr\/#\/schema\/logo\/image\/","url":"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/logo-infy-reduit-3.png","contentUrl":"https:\/\/infy-assurance.fr\/wp-content\/uploads\/2020\/11\/logo-infy-reduit-3.png","width":100,"height":130,"caption":"Infy Assurance"},"image":{"@id":"https:\/\/infy-assurance.fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/infyassurance"]}]}},"_links":{"self":[{"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=\/wp\/v2\/pages\/463","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=463"}],"version-history":[{"count":52,"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=\/wp\/v2\/pages\/463\/revisions"}],"predecessor-version":[{"id":973,"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=\/wp\/v2\/pages\/463\/revisions\/973"}],"wp:attachment":[{"href":"https:\/\/infy-assurance.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}