{"id":1988,"date":"2025-09-18T17:44:49","date_gmt":"2025-09-18T23:44:49","guid":{"rendered":"https:\/\/kbx.com\/demande-de-reparation-de-remorque-kbx\/"},"modified":"2026-05-14T12:57:45","modified_gmt":"2026-05-14T18:57:45","slug":"demande-de-reparation-de-remorque-kbx","status":"publish","type":"page","link":"https:\/\/kbx.com\/fr\/demande-de-reparation-de-remorque-kbx\/","title":{"rendered":"Demande de r\u00e9paration de remorque KBX"},"content":{"rendered":"\n\n\n<section class=\"component c-form\" role=\"region\" aria-roledescription=\"Form\" aria-label=\"Form\"  data-block-id=\"block-6a061b7ca274c\">\n  <div class=\"spacing-outside-default\">\n    <div class=\"spacing-inside-default\">\n      <div class=\"container\">\n        <div class=\"row\">\n          <div class=\"col-12\">\n            <div id=\"form\" class=\"position-relative\" tabindex=\"-1\">\n              <div class=\"row\" id=\"form-inner-2\">\n\n                  <div class=\"col-12 \">\n                                                <div class=\"row form-heading mb-4 d-flex flex-lg-ligne\">\n                                                                <div class=\"col-12\">\n                                      <h2 class=\"h3 color-lt-blue mb-3\">Ce formulaire est destin\u00e9 \u00e0 la documentation et \u00e0 l&rsquo;acc\u00e9l\u00e9ration des r\u00e9parations des remorques KBX<\/h2>\n                                  <\/div>\n                                                                                              <div class=\"col-12\">\n                                      <div class=\"content \"><p><strong>Veuillez remplir tous les champs avec le plus de d\u00e9tails possible.<\/strong><\/p>\n<p><strong>Veuillez noter :<\/strong><\/p>\n<ul>\n<li>Les d\u00e9lais de r\u00e9ponse peuvent \u00eatre prolong\u00e9s pendant les jours f\u00e9ri\u00e9s nationaux.<\/li>\n<li>Si vous ne recevez pas de r\u00e9ponse dans l&rsquo;heure, consid\u00e9rez la situation comme \u00ab en dehors des heures d&rsquo;ouverture \u00bb et suivez le processus de r\u00e9paration de votre entreprise.<\/li>\n<li>Dans la mesure du possible, utilisez Tec Equipment, notre fournisseur de maintenance privil\u00e9gi\u00e9. Leurs installations s\u00e9curis\u00e9es sont ouvertes de 7 h \u00e0 17 h.<\/li>\n<\/ul>\n<\/div>\n                                  <\/div>\n                                                        <\/div>\n                                        <\/div>\n                  <div class=\"col-12 \">\n                                            <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is 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class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/fr\/wp-json\/wp\/v2\/pages\/1988#gf_2' data-formid='2' novalidate><div class='gf_invisible ginput_recaptchav3'  data-tabindex='0'><input id=\"input_82373f5ac5e09977bfd4a6856a47209b\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_82373f5ac5e09977bfd4a6856a47209b\" value=\"\"\/><\/div><div id='gf_page_steps_2' class='gf_page_steps'><div id='gf_step_2_1' class='gf_step gf_step_active gf_step_first'><button class='gform-nav-link gform-theme__no-reset--children' type='button' onclick=\"jQuery('#gform_target_page_number_2').val('1'); jQuery('#gform_2').trigger('submit',[true]);\" onkeypress=\"if( event.keyCode == 13 ){ jQuery('#gform_target_page_number_2').val('1'); jQuery('#gform_2').trigger('submit',[true]);}\">\n\t\t\t\t\t<span class='gf_step_number d-none d-lg-flex'>1<\/span>\n\t\t\t\t\t<span class='gf_step_number_mobile d-flex d-lg-none'>\n\t\t\t\t\t    1 of 5\n                        <svg xmlns='http:\/\/www.w3.org\/2000\/svg' width='80' height='80' viewBox='0 0 80 80' style='transform: rotate(-90deg);'>\n                            <g>\n                                <circle cx='40' cy='40' r='37.5' stroke-dasharray='235.619' stroke-dashoffset='188.4952' stroke-width='5' stroke-linecap='round' fill='none'\/>\n                            <\/g>\n                        <\/svg>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<div class='gf_step_label'>\n\t\t\t\t\t\t<span>Informations sur le conducteur et le camion<\/span>\n\t\t\t\t\t\t<span class='d-block d-lg-none'>NEXT: Informations sur le remorquage<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/button><\/div><div id='gf_step_2_2' class='gf_step gf_step_next gf_step_pending'><button class='gform-nav-link gform-theme__no-reset--children' type='button' onclick=\"jQuery('#gform_target_page_number_2').val('2'); jQuery('#gform_2').trigger('submit',[true]);\" onkeypress=\"if( event.keyCode == 13 ){ jQuery('#gform_target_page_number_2').val('2'); jQuery('#gform_2').trigger('submit',[true]);}\">\n\t\t\t\t\t<span class='gf_step_number d-none d-lg-flex'>2<\/span>\n\t\t\t\t\t<span class='gf_step_number_mobile d-flex d-lg-none'>\n\t\t\t\t\t    2 of 5\n                        <svg xmlns='http:\/\/www.w3.org\/2000\/svg' width='80' height='80' viewBox='0 0 80 80' style='transform: rotate(-90deg);'>\n                            <g>\n                                <circle cx='40' cy='40' r='37.5' stroke-dasharray='235.619' stroke-dashoffset='141.3714' stroke-width='5' stroke-linecap='round' fill='none'\/>\n                            <\/g>\n                        <\/svg>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<div class='gf_step_label'>\n\t\t\t\t\t\t<span>Informations sur le remorquage<\/span>\n\t\t\t\t\t\t<span class='d-block d-lg-none'>NEXT: Informations sur l\u2019accident<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/button><\/div><div id='gf_step_2_3' class='gf_step gf_step_pending'><button class='gform-nav-link gform-theme__no-reset--children' type='button' onclick=\"jQuery('#gform_target_page_number_2').val('3'); jQuery('#gform_2').trigger('submit',[true]);\" onkeypress=\"if( event.keyCode == 13 ){ jQuery('#gform_target_page_number_2').val('3'); jQuery('#gform_2').trigger('submit',[true]);}\">\n\t\t\t\t\t<span class='gf_step_number d-none d-lg-flex'>3<\/span>\n\t\t\t\t\t<span class='gf_step_number_mobile d-flex d-lg-none'>\n\t\t\t\t\t    3 of 5\n                        <svg xmlns='http:\/\/www.w3.org\/2000\/svg' width='80' height='80' viewBox='0 0 80 80' style='transform: rotate(-90deg);'>\n                            <g>\n                                <circle cx='40' cy='40' r='37.5' stroke-dasharray='235.619' stroke-dashoffset='94.2476' stroke-width='5' stroke-linecap='round' fill='none'\/>\n                            <\/g>\n                        <\/svg>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<div class='gf_step_label'>\n\t\t\t\t\t\t<span>Informations sur l\u2019accident<\/span>\n\t\t\t\t\t\t<span class='d-block d-lg-none'>NEXT: Informations sur l\u2019entretien<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/button><\/div><div id='gf_step_2_4' class='gf_step gf_step_pending'><button class='gform-nav-link gform-theme__no-reset--children' type='button' onclick=\"jQuery('#gform_target_page_number_2').val('4'); jQuery('#gform_2').trigger('submit',[true]);\" onkeypress=\"if( event.keyCode == 13 ){ jQuery('#gform_target_page_number_2').val('4'); jQuery('#gform_2').trigger('submit',[true]);}\">\n\t\t\t\t\t<span class='gf_step_number d-none d-lg-flex'>4<\/span>\n\t\t\t\t\t<span class='gf_step_number_mobile d-flex d-lg-none'>\n\t\t\t\t\t    4 of 5\n                        <svg xmlns='http:\/\/www.w3.org\/2000\/svg' width='80' height='80' viewBox='0 0 80 80' style='transform: rotate(-90deg);'>\n                            <g>\n                                <circle cx='40' cy='40' r='37.5' stroke-dasharray='235.619' stroke-dashoffset='47.1238' stroke-width='5' stroke-linecap='round' fill='none'\/>\n                            <\/g>\n                        <\/svg>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<div class='gf_step_label'>\n\t\t\t\t\t\t<span>Informations sur l\u2019entretien<\/span>\n\t\t\t\t\t\t<span class='d-block d-lg-none'>NEXT: Envoyer<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/button><\/div><div id='gf_step_2_5' class='gf_step gf_step_last gf_step_pending'><button class='gform-nav-link gform-theme__no-reset--children' type='button' onclick=\"jQuery('#gform_target_page_number_2').val('5'); jQuery('#gform_2').trigger('submit',[true]);\" onkeypress=\"if( event.keyCode == 13 ){ jQuery('#gform_target_page_number_2').val('5'); jQuery('#gform_2').trigger('submit',[true]);}\">\n\t\t\t\t\t<span class='gf_step_number d-none d-lg-flex'>5<\/span>\n\t\t\t\t\t<span class='gf_step_number_mobile d-flex d-lg-none'>\n\t\t\t\t\t    5 of 5\n                        <svg xmlns='http:\/\/www.w3.org\/2000\/svg' width='80' height='80' viewBox='0 0 80 80' style='transform: rotate(-90deg);'>\n                            <g>\n                                <circle cx='40' cy='40' r='37.5' stroke-dasharray='235.619' stroke-dashoffset='0' stroke-width='5' stroke-linecap='round' fill='none'\/>\n                            <\/g>\n                        <\/svg>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<div class='gf_step_label'>\n\t\t\t\t\t\t<span>Envoyer<\/span>\n\t\t\t\t\t\t<span class='d-block d-lg-none'><\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/button><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_78\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_78'>Phone<\/label><div class='ginput_container'><input name='input_78' id='input_2_78' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_78'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_2_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations sur le chauffeur du camion<\/h3><\/div><div id=\"field_2_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_3'>Nom du transporteur<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='large nom-du-transporteur'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_5'>Nom du chauffeur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_2_5' type='text' value='' class='large nom-du-chauffeur'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>Num\u00e9ro de t\u00e9l\u00e9phone du chauffeur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_2_6' type='tel' value='' class='large num%c3%a9ro-de-t%c3%a9l%c3%a9phone-du-chauffeur'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>Date du jour<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_2_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon date-du-jour'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_2_7_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_2_7_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_7' class='gform_hidden date-du-jour' value='https:\/\/kbx.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_2_8\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Heure<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_2_8'>\n                            <input type='number' name='input_8[]' id='input_2_8_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_2_8_1'>Heures<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_8[]' id='input_2_8_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_2_8_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_8[]' id='input_2_8_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_2_8_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><fieldset id=\"field_2_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Fuseau horaire<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_70'>\n\t\t\t<div class='gchoice gchoice_2_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input fuseau-horaire' name='input_70' type='radio' value='Est'  id='choice_2_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_0' id='label_2_70_0' class='gform-field-label gform-field-label--type-inline'>Est<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input fuseau-horaire' name='input_70' type='radio' value='Centre'  id='choice_2_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_1' id='label_2_70_1' class='gform-field-label gform-field-label--type-inline'>Centre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_70_2'>\n\t\t\t\t\t<input class='gfield-choice-input fuseau-horaire' name='input_70' type='radio' value='Montagnes'  id='choice_2_70_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_2' id='label_2_70_2' class='gform-field-label gform-field-label--type-inline'>Montagnes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_70_3'>\n\t\t\t\t\t<input class='gfield-choice-input fuseau-horaire' name='input_70' type='radio' value='Pacifique'  id='choice_2_70_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_70_3' id='label_2_70_3' class='gform-field-label gform-field-label--type-inline'>Pacifique<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'>Kilom\u00e9trage<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_2_11' type='text' value='' class='large kilom%c3%a9trage'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_12'>Camion n\u00b0<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_2_12' type='text' value='' class='large camion-n%c2%b0'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_13'>Remorque n\u00b0<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_2_13' type='text' value='' class='large remorque-n%c2%b0'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_14'>N\u00b0 VIN<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_2_14' type='text' value='' class='large n%c2%b0-vin'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_15\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_15'>Emplacement actuel de la remorque<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_2_15' class='textarea large emplacement-actuel-de-la-remorque'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_16'>Description du probl\u00e8me ou des dommages identifi\u00e9s<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_2_16' class='textarea large description-du-probl%c3%a8me-ou-des-dommages-identifi%c3%a9s'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Pr\u00e9voyez-vous d\u2019attendre ou pouvez-vous poursuivre le trajet ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_71'>\n\t\t\t<div class='gchoice gchoice_2_71_0'>\n\t\t\t\t\t<input class='gfield-choice-input pr%c3%a9voyez-vous-d%e2%80%99attendre-ou-pouvez-vous-poursuivre-le-trajet' name='input_71' type='radio' value='Attendre'  id='choice_2_71_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_71_0' id='label_2_71_0' class='gform-field-label gform-field-label--type-inline'>Attendre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_71_1'>\n\t\t\t\t\t<input class='gfield-choice-input pr%c3%a9voyez-vous-d%e2%80%99attendre-ou-pouvez-vous-poursuivre-le-trajet' name='input_71' type='radio' value='Poursuivre'  id='choice_2_71_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_71_1' id='label_2_71_1' class='gform-field-label gform-field-label--type-inline'>Poursuivre<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'>Destination suivante\/finale<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_2_18' type='text' value='' class='large destination-suivantefinale'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_19\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_19'>T\u00e9l\u00e9charger un fichier<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_19' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_19&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_19&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_19&quot;,&quot;filelist&quot;:&quot;gform_preview_2_19&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/kbx.com\\\/fr\\\/?gf_page=11bb5efb31d866f&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/kbx.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/kbx.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;8388608b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:19,&quot;_gform_file_upload_nonce_2_19&quot;:&quot;423cfb1aaf&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_2_19&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_19' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_19' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_19 gfield_description_2_19\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_19'>Taille max. des fichiers\u00a0: 8 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_19'><\/ul> <div id='gform_preview_2_19' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_2_19'>Veuillez t\u00e9l\u00e9charger des images du probl\u00e8me ou des dommages<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <div class=\"c-button\"><button type=\"button\" id=\"gform_next_button_2_65\" class=\"gform_next_button gform-theme-button button btn btn-fill btn-dk-blue\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\"><span>Suivant<\/span><span class=\"icon\"><svg><use href=\"#icon-arrow\"><\/use><\/svg><\/span><\/button><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-65' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_21\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations sur le remorquage<\/h3><div class='gsection_description' id='gfield_description_2_21'>S\u2019il n\u2019y a pas d\u2019informations de remorquage, vous pouvez ignorer cette section.<\/div><\/div><div id=\"field_2_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'>Nom de l\u2019entreprise de remorquage<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_2_22' type='text' value='' class='large nom-de-l%e2%80%99entreprise-de-remorquage'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_23'>Nom du contact de remorquage<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_2_23' type='text' value='' class='large nom-du-contact-de-remorquage'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_24\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_2_24' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_24_1_container' >\n                                        <input type='text' name='input_24.1' id='input_2_24_1' value=''    aria-required='false'    \/>\n                                        <label for='input_2_24_1' id='input_2_24_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_2_24_2_container' >\n                                        <input type='text' name='input_24.2' id='input_2_24_2' value=''     aria-required='false'   \/>\n                                        <label for='input_2_24_2' id='input_2_24_2_label' class='gform-field-label gform-field-label--type-sub '>Appartement, suite, etc.<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_24_3_container' >\n                                    <input type='text' name='input_24.3' id='input_2_24_3' value=''    aria-required='false'    \/>\n                                    <label for='input_2_24_3' id='input_2_24_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_24_4_container' >\n                                        <input type='text' name='input_24.4' id='input_2_24_4' value=''      aria-required='false'    \/>\n                                        <label for='input_2_24_4' id='input_2_24_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat\/Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_24_5_container' >\n                                    <input type='text' name='input_24.5' id='input_2_24_5' value=''    aria-required='false'    \/>\n                                    <label for='input_2_24_5' id='input_2_24_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden adresse' name='input_24.6' id='input_2_24_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_2_25\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_25'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_2_25' type='tel' value='' class='large t%c3%a9l%c3%a9phone'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_26\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'>Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_26' id='input_2_26' type='tel' value='' class='large fax'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_27\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_27'>Adresse e-mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_27' id='input_2_27' type='email' value='' class='large adresse-e-mail'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_2_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Probl\u00e8mes de bon de commande ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_72'>\n\t\t\t<div class='gchoice gchoice_2_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input probl%c3%a8mes-de-bon-de-commande' name='input_72' type='radio' value='Oui'  id='choice_2_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_72_0' id='label_2_72_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input probl%c3%a8mes-de-bon-de-commande' name='input_72' type='radio' value='Non'  id='choice_2_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_72_1' id='label_2_72_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_29'>Bon de commande<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_2_29' type='text' value='' class='large bon-de-commande'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type=\"button\" id=\"gform_previous_button_2_67\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Pr\u00e9c\u00e9dent\"><span>Pr\u00e9c\u00e9dent<\/span><\/button> <div class=\"c-button\"><button type=\"button\" id=\"gform_next_button_2_67\" class=\"gform_next_button gform-theme-button button btn btn-fill btn-dk-blue\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\"><span>Suivant<\/span><span class=\"icon\"><svg><use href=\"#icon-arrow\"><\/use><\/svg><\/span><\/button><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-67' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations sur l\u2019accident<\/h3><div class='gsection_description' id='gfield_description_2_31'>S\u2019il n\u2019y a pas d\u2019informations sur l\u2019accident, vous pouvez ignorer cette section.<\/div><\/div><div id=\"field_2_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_32'>Nom de l\u2019officier<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_2_32' type='text' value='' class='large nom-de-l%e2%80%99officier'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_33'>N\u00b0 de dossier<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='text' value='' class='large n%c2%b0-de-dossier'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_73\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >D\u00e9c\u00e8s<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_73'>\n\t\t\t<div class='gchoice gchoice_2_73_0'>\n\t\t\t\t\t<input class='gfield-choice-input d%c3%a9c%c3%a8s' name='input_73' type='radio' value='Oui'  id='choice_2_73_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_73_0' id='label_2_73_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_73_1'>\n\t\t\t\t\t<input class='gfield-choice-input d%c3%a9c%c3%a8s' name='input_73' type='radio' value='Non'  id='choice_2_73_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_73_1' id='label_2_73_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_74\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Citoyen bless\u00e9<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_74'>\n\t\t\t<div class='gchoice gchoice_2_74_0'>\n\t\t\t\t\t<input class='gfield-choice-input citoyen-bless%c3%a9' name='input_74' type='radio' value='Oui'  id='choice_2_74_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_74_0' id='label_2_74_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_74_1'>\n\t\t\t\t\t<input class='gfield-choice-input citoyen-bless%c3%a9' name='input_74' type='radio' value='Non'  id='choice_2_74_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_74_1' id='label_2_74_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>Nom du citoyen<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_2_36' type='text' value='' class='large nom-du-citoyen'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_38\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_38'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_38' id='input_2_38' type='tel' value='' class='large t%c3%a9l%c3%a9phone'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_39\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_39'>Adresse e-mail du citoyen<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_39' id='input_2_39' type='email' value='' class='large adresse-e-mail-du-citoyen'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_40\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_40'>Autres citoyens bless\u00e9s<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_2_40' class='textarea large autres-citoyens-bless%c3%a9s'  aria-describedby=\"gfield_description_2_40\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_2_40'>S\u2019il y a d\u2019autres citoyens bless\u00e9s, veuillez indiquer leurs noms, num\u00e9ros de t\u00e9l\u00e9phone et e-mails ici.<\/div><\/div><div id=\"field_2_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_41'>Nom du t\u00e9moin<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_2_41' type='text' value='' class='large nom-du-t%c3%a9moin'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_42\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_42'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_42' id='input_2_42' type='tel' value='' class='large t%c3%a9l%c3%a9phone'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_43\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_43'>Adresse e-mail du t\u00e9moin<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_43' id='input_2_43' type='email' value='' class='large adresse-e-mail-du-t%c3%a9moin'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_44\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_44'>Autres t\u00e9moins<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_44' id='input_2_44' class='textarea large autres-t%c3%a9moins'  aria-describedby=\"gfield_description_2_44\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_2_44'>S\u2019il y a d\u2019autres t\u00e9moins, veuillez indiquer leurs noms, num\u00e9ros de t\u00e9l\u00e9phone et e-mails ici.<\/div><\/div><div id=\"field_2_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_45'>Agence d\u2019assurance du citoyen<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_2_45' type='text' value='' class='large agence-d%e2%80%99assurance-du-citoyen'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_46'>Nom de l\u2019agence d\u2019assurance<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_2_46' type='text' value='' class='large nom-de-l%e2%80%99agence-d%e2%80%99assurance'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_47'>N\u00b0 de police d\u2019assurance du citoyen<\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_2_47' type='text' value='' class='large n%c2%b0-de-police-d%e2%80%99assurance-du-citoyen'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_48\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_48'>Fichier<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_48' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_48&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_48&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_48&quot;,&quot;filelist&quot;:&quot;gform_preview_2_48&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/kbx.com\\\/fr\\\/?gf_page=11bb5efb31d866f&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/kbx.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/kbx.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;8388608b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:48,&quot;_gform_file_upload_nonce_2_48&quot;:&quot;5641762e11&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_2_48&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_48' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_48' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_48 gfield_description_2_48\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_48'>Taille max. des fichiers\u00a0: 8 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_48'><\/ul> <div id='gform_preview_2_48' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_2_48'>Veuillez t\u00e9l\u00e9charger des images des dommages que vous signalez<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type=\"button\" id=\"gform_previous_button_2_68\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Pr\u00e9c\u00e9dent\"><span>Pr\u00e9c\u00e9dent<\/span><\/button> <div class=\"c-button\"><button type=\"button\" id=\"gform_next_button_2_68\" class=\"gform_next_button gform-theme-button button btn btn-fill btn-dk-blue\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\"><span>Suivant<\/span><span class=\"icon\"><svg><use href=\"#icon-arrow\"><\/use><\/svg><\/span><\/button><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' data-js='page-field-id-68' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_49\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Maintenance<\/h3><div class='gsection_description' id='gfield_description_2_49'>S\u2019il n\u2019y a pas d\u2019informations d\u2019entretien, vous pouvez ignorer cette section et envoyer votre formulaire en bas de page.<\/div><\/div><fieldset id=\"field_2_76\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous contact\u00e9 quelqu\u2019un pour r\u00e9parer les probl\u00e8mes ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_76'>\n\t\t\t<div class='gchoice gchoice_2_76_0'>\n\t\t\t\t\t<input class='gfield-choice-input avez-vous-contact%c3%a9-quelqu%e2%80%99un-pour-r%c3%a9parer-les-probl%c3%a8mes' name='input_76' type='radio' value='Oui'  id='choice_2_76_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_76\"   \/>\n\t\t\t\t\t<label for='choice_2_76_0' id='label_2_76_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_76_1'>\n\t\t\t\t\t<input class='gfield-choice-input avez-vous-contact%c3%a9-quelqu%e2%80%99un-pour-r%c3%a9parer-les-probl%c3%a8mes' name='input_76' type='radio' value='Non'  id='choice_2_76_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_76_1' id='label_2_76_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_2_76'>Si oui, veuillez remplir les champs restants.<\/div><\/fieldset><div id=\"field_2_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_51'>Nom de l\u2019entreprise d\u2019entretien<\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_2_51' type='text' value='' class='large nom-de-l%e2%80%99entreprise-d%e2%80%99entretien'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_52'>Nom du contact d\u2019entretien<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_2_52' type='text' value='' class='large nom-du-contact-d%e2%80%99entretien'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_54\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_2_54' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_54_1_container' >\n                                        <input type='text' name='input_54.1' id='input_2_54_1' value=''    aria-required='false'    \/>\n                                        <label for='input_2_54_1' id='input_2_54_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_2_54_2_container' >\n                                        <input type='text' name='input_54.2' id='input_2_54_2' value=''     aria-required='false'   \/>\n                                        <label for='input_2_54_2' id='input_2_54_2_label' class='gform-field-label gform-field-label--type-sub '>Appartement, suite, etc.<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_54_3_container' >\n                                    <input type='text' name='input_54.3' id='input_2_54_3' value=''    aria-required='false'    \/>\n                                    <label for='input_2_54_3' id='input_2_54_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_54_4_container' >\n                                        <input type='text' name='input_54.4' id='input_2_54_4' value=''      aria-required='false'    \/>\n                                        <label for='input_2_54_4' id='input_2_54_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat\/Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_54_5_container' >\n                                    <input type='text' name='input_54.5' id='input_2_54_5' value=''    aria-required='false'    \/>\n                                    <label for='input_2_54_5' id='input_2_54_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden adresse' name='input_54.6' id='input_2_54_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_2_56\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_56'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_56' id='input_2_56' type='tel' value='' class='large t%c3%a9l%c3%a9phone'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_55\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_55'>Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_55' id='input_2_55' type='tel' value='' class='large fax'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_57\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_57'>Adresse e-mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_57' id='input_2_57' type='email' value='' class='large adresse-e-mail'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_2_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Probl\u00e8me de bon de commande ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_77'>\n\t\t\t<div class='gchoice gchoice_2_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input probl%c3%a8me-de-bon-de-commande' name='input_77' type='radio' value='Oui'  id='choice_2_77_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_77_0' id='label_2_77_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input probl%c3%a8me-de-bon-de-commande' name='input_77' type='radio' value='Non'  id='choice_2_77_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_77_1' id='label_2_77_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_59'>N\u00b0 de bon de commande<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_2_59' type='text' value='' class='large n%c2%b0-de-bon-de-commande'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type=\"button\" id=\"gform_previous_button_2_69\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Pr\u00e9c\u00e9dent\"><span>Pr\u00e9c\u00e9dent<\/span><\/button> <div class=\"c-button\"><button type=\"button\" id=\"gform_next_button_2_69\" class=\"gform_next_button gform-theme-button button btn btn-fill btn-dk-blue\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\"><span>Suivant<\/span><span class=\"icon\"><svg><use href=\"#icon-arrow\"><\/use><\/svg><\/span><\/button><\/div> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_5' class='gform_page' data-js='page-field-id-69' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_2_61\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"h4\">INSPECTION AVANT D\u00c9PART<\/h2>\n<p>Avant de partir, v\u00e9rifiez que la remorque ne pr\u00e9sente aucun probl\u00e8me. Si vous constatez une anomalie, remplissez ce formulaire. S\u2019il s\u2019agit d\u2019un jour de semaine entre 7 h et 17 h CST, nous vous r\u00e9pondrons rapidement. Sinon, contactez votre entreprise pour obtenir de l\u2019aide. En cas de panne ou d\u2019accident, suivez les r\u00e8gles de votre entreprise et appelez la police si n\u00e9cessaire. Assurez-vous que la remorque est dans un endroit s\u00fbr. Vous \u00eates responsable de la remorque jusqu\u2019\u00e0 la livraison du chargement. Votre entreprise doit payer pour tout dommage survenant en cours de route. En remplissant ce formulaire, vous acceptez notre politique de confidentialit\u00e9 et nos conditions g\u00e9n\u00e9rales.        <\/p>\n\n<h2 class=\"h4\">DOMMAGES\/R\u00c9PARATIONS AVANT D\u00c9PART<\/h2>\n<p>Si des dommages ou des r\u00e9parations sont rep\u00e9r\u00e9s lors de l\u2019inspection avant d\u00e9part avant de quitter le lieu d\u2019exp\u00e9dition, la documentation est importante. S\u2019il est plus de 17 h ou avant 7 h (heure normale du centre) en semaine, contactez votre entreprise pour obtenir de l\u2019aide. Sinon, en soumettant ce formulaire pendant ces heures de semaine, une personne vous r\u00e9pondra rapidement via les coordonn\u00e9es soumises. S\u2019il s\u2019agit d\u2019une panne ou d\u2019un accident, suivez la politique de votre entreprise pour contacter les autorit\u00e9s comme indiqu\u00e9 par votre entreprise apr\u00e8s avoir soumis ce formulaire. Faites tout votre possible pour vous assurer que le v\u00e9hicule se trouve dans un endroit s\u00fbr afin d\u2019\u00e9viter toute blessure corporelle pour vous ou pour les autres personnes impliqu\u00e9es.    <\/p>\n\n<h2 class=\"h4\">APR\u00c8S LE D\u00c9P\u00d4T<\/h2>\n<p>Une fois que vous avez quitt\u00e9 le lieu d\u2019exp\u00e9dition avec la remorque, le transporteur est tenu d\u2019effectuer les r\u00e9parations n\u00e9cessaires pour livrer le chargement en toute s\u00e9curit\u00e9 \u00e0 destination. Le transporteur est responsable de tout dommage survenant pendant cette p\u00e9riode, conform\u00e9ment aux accords d\u2019\u00e9change sign\u00e9s entre le transporteur et KBX. La remorque doit \u00eatre livr\u00e9e \u00e0 sa destination dans le m\u00eame \u00e9tat qu\u2019\u00e0 son d\u00e9part.  <\/p>\n\n<h2 class=\"h4\">RESPONSABILIT\u00c9<\/h2>\n<p>KBX N\u2019EST PAS RESPONSABLE DU PAIEMENT \u00c0 MOINS QUE LES R\u00c9PARATIONS NE SOIENT DOCUMENT\u00c9ES PAR DES PHOTOS ET DES D\u00c9TAILS SOUMIS SUR CE FORMULAIRE. Les r\u00e9parations ne seront prises en compte pour le paiement que si les r\u00e9parations n\u00e9cessaires ont \u00e9t\u00e9 identifi\u00e9es avant que le chauffeur ne d\u00e9place la remorque. Veuillez soumettre autant de d\u00e9tails que possible pour clarifier l\u2019heure\/la date \u00e0 laquelle les dommages sont survenus ou ont \u00e9t\u00e9 v\u00e9rifi\u00e9s. Cela aidera toutes les parties \u00e0 comprendre qui est responsable des frais.   <\/p><\/div><fieldset id=\"field_2_64\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_64.1' id='input_2_64_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_64_1' >Oui, j\u2019accepte la <a href=\"https:\/\/kbx.com\/fr\/politique-de-confidentialite\/\" target=\"_blank\" rel=\"noopener noreferrer\">politique de confidentialit\u00e9<\/a> et les <a href=\"https:\/\/www.kochinc.com\/terms-of-use\/\" target=\"_blank\" rel=\"noopener noreferrer\">conditions g\u00e9n\u00e9rales<\/a>.<\/label><input type='hidden' name='input_64.2' value='Oui, j\u2019accepte la &lt;a href=&quot;https:\/\/kbx.com\/fr\/politique-de-confidentialite\/&quot; target=&quot;_blank&quot; rel=&quot;noopener noreferrer&quot;&gt;politique de confidentialit\u00e9&lt;\/a&gt; et les &lt;a href=&quot;https:\/\/www.kochinc.com\/terms-of-use\/&quot; target=&quot;_blank&quot; rel=&quot;noopener noreferrer&quot;&gt;conditions g\u00e9n\u00e9rales&lt;\/a&gt;.' class='gform_hidden consentement' \/><input type='hidden' name='input_64.3' value='1' class='gform_hidden consentement' \/><\/div><\/fieldset><fieldset id=\"field_2_63\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Heure<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_2_63'>\n                            <input type='number' name='input_63[]' id='input_2_63_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_2_63_1'>Heures<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_63[]' id='input_2_63_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_2_63_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_63[]' id='input_2_63_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_2_63_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type=\"submit\" id=\"gform_previous_button_2\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Pr\u00e9c\u00e9dent\"><span>Pr\u00e9c\u00e9dent<\/span><\/button> <div class=\"c-button text-center text-md-start\"><button type=\"submit\" id=\"gform_submit_button_2\" class=\"gform_button button btn btn-fill btn-white\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\"><span>Envoyer<\/span><span class=\"icon\"><svg><use href=\"#icon-arrow\"><\/use><\/svg><\/span><\/button><\/div> <input type='hidden' name='gform_ajax' value='form_id=2&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=cb7fa277beacae9e9ea75c9eec2f4bec' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='iframe' \/>\n          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