{"id":31305,"date":"2020-09-21T14:35:56","date_gmt":"2020-09-21T14:35:56","guid":{"rendered":"https:\/\/www.gjq.ca\/?page_id=31305\/"},"modified":"2020-09-21T14:35:56","modified_gmt":"2020-09-21T14:35:56","slug":"evaluation-express-sans-frais","status":"publish","type":"page","link":"https:\/\/www.gjq.ca\/evaluation-express-sans-frais\/","title":{"rendered":"Evaluation Express &#8211; Sans Frais"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p>[et_pb_section bb_built=\u00a0\u00bb1&Prime;][et_pb_row][et_pb_column type=\u00a0\u00bb4_4&Prime;][et_pb_text _builder_version=\u00a0\u00bb3.19.4&Prime;]<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f31197-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/31305#wpcf7-f31197-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"31197\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f31197-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"form-evaluation\">\n\t<p class=\"text-muted obligatoire\"><span>*<\/span> champ obligatoire\n\t<\/p>\n\t<div class=\"multi-step-form\">\n\t\t<div class=\"step\">\n\t\t\t<p class=\"h3\">Veuillez remplir vos coordonn\u00e9es\n\t\t\t<\/p>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t<p><label>Nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"firstname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nom*\" value=\"\" type=\"text\" name=\"firstname\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t<p><label>Pr\u00e9nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lastname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom*\" value=\"\" type=\"text\" name=\"lastname\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Titre*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required onchange\" aria-required=\"true\" aria-invalid=\"false\" name=\"title\"><option value=\"Gestionnaire\">Gestionnaire<\/option><option value=\"Propri\u00e9taire\">Propri\u00e9taire<\/option><option value=\"Avocat\">Avocat<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><\/label><br \/>\n<label style=\"display:none;\" data-onchange=\"title\" data-value=\"Autre\">Pr\u00e9cision<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title_supp\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Autre titre\" value=\"\" type=\"text\" name=\"title_supp\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Nom d'entreprise<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"firm\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nom d\u2019entreprise\" value=\"\" type=\"text\" name=\"firm\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Adresse compl\u00e8te*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adresse compl\u00e8te*\" value=\"\" type=\"text\" name=\"address\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t<p><label>T\u00e9l\u00e9phone*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phonenum\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"T\u00e9l\u00e9phone*\" value=\"\" type=\"tel\" name=\"phonenum\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t<p><label>Courriel*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"courriel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"Courriel*\" value=\"\" type=\"email\" name=\"courriel\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Nombre de portes*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nb_portes\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"nb_portes\"><option value=\"1\">1<\/option><option value=\"2 \u00e0 5\">2 \u00e0 5<\/option><option value=\"6 \u00e0 10\">6 \u00e0 10<\/option><option value=\"10 \u00e0 20\">10 \u00e0 20<\/option><option value=\"20 \u00e0 50\">20 \u00e0 50<\/option><option value=\"+ de 50\">+ de 50<\/option><\/select><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><button type=\"button\" class=\"next-step\">Suivant<\/button>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"step\">\n\t\t\t<p class=\"h3\">Veuillez remplir les champs s\u00e9lectionn\u00e9s concernant vos logements et vos cr\u00e9anciers.\n\t\t\t<\/p>\n\t\t\t<div class=\"outer-block-demande\">\n\t\t\t\t<div class=\"repeatable-block\" data-name=\"demande\" data-index=0>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Adresse du logement concern\u00e9*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address_logement\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adresse du logement concern\u00e9*\" value=\"\" type=\"text\" name=\"address_logement\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Le(s) locataire(s) habite-t-il encore dans le logement concern\u00e9 ?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"still_occupied\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"still_occupied\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"outer-block-locataire\">\n\t\t\t\t\t\t<div class=\"repeatable-block\" data-name=\"locataire\" data-index=0>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t\t\t\t\t<p><label>Nom(s) du locataire*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nom(s) du locataire*\" value=\"\" type=\"text\" name=\"locataire_name\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t\t\t\t\t<p><label>Statut du locataire<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_status\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"locataire_status\"><option value=\"Locataire\">Locataire<\/option><option value=\"Co-locataire\">Co-locataire<\/option><option value=\"Caution\">Caution<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t\t\t\t\t<p><label>Date de naissance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Date de naissance\" value=\"\" type=\"date\" name=\"locataire_dob\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t\t\t\t\t<p><label>Num\u00e9ro d\u2019assurance sociale<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_nas\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro d\u2019assurance sociale\" value=\"\" type=\"text\" name=\"locataire_nas\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Derni\u00e8re adresse connue<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Derni\u00e8re adresse connue\" value=\"\" type=\"text\" name=\"locataire_address\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t\t\t\t\t<p><label>Num\u00e9ros de t\u00e9l\u00e9phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Num\u00e9ros de t\u00e9l\u00e9phone\" value=\"\" type=\"text\" name=\"locataire_phone\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t\t\t\t\t<p><label>Adresse courriel<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adresse courriel\" value=\"\" type=\"text\" name=\"locataire_email\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>R\u00e9seaux sociaux<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_rs\"><textarea cols=\"40\" rows=\"3\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"R\u00e9seaux sociaux\" name=\"locataire_rs\"><\/textarea><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Coordonn\u00e9es famille\/amis<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_family\"><textarea cols=\"40\" rows=\"3\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Coordonn\u00e9es famille\/amis\" name=\"locataire_family\"><\/textarea><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Employeur<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_firm\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Employeur\" value=\"\" type=\"text\" name=\"locataire_firm\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Compte bancaire<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_bank\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Compte bancaire\" value=\"\" type=\"text\" name=\"locataire_bank\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><button type=\"button\" class=\"remove-locataire\">Supprimer le locataire<\/button>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><button type=\"button\" class=\"add-locataire\">Ajouter un locataire<\/button>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Type de cr\u00e9ance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"decision_type\"><option value=\"D\u00e9cision de la r\u00e9gie du logement\">D\u00e9cision de la r\u00e9gie du logement<\/option><option value=\"Jugement de la cour du Qu\u00e9bec\">Jugement de la cour du Qu\u00e9bec<\/option><option value=\"Petites cr\u00e9ances\">Petites cr\u00e9ances<\/option><option value=\"Loyers impay\u00e9s\">Loyers impay\u00e9s<\/option><option value=\"Cr\u00e9ances impay\u00e9s\">Cr\u00e9ances impay\u00e9s<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Num\u00e9ro de d\u00e9cision\/Jugement<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro de d\u00e9cision\/Jugement\" value=\"\" type=\"text\" name=\"decision_number\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Montant de la cr\u00e9ance*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montant\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Montant de la cr\u00e9ance*\" value=\"\" type=\"text\" name=\"decision_montant\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Tentative de recouvrement*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_recouvrement\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"decision_recouvrement\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Montant per\u00e7u suite \u00e0 la d\u00e9cision*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montant_percu\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Montant per\u00e7u suite \u00e0 la d\u00e9cision*\" value=\"\" type=\"text\" name=\"decision_montant_percu\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Somme due sans d\u00e9cision<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montan_du\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Somme due sans d\u00e9cision\" value=\"\" type=\"text\" name=\"decision_montan_du\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>D\u00e9tail de la somme d\u00fbe sans d\u00e9cision<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montant_detail\"><textarea cols=\"40\" rows=\"3\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"D\u00e9tail de la somme d\u00fbe sans d\u00e9cision\" name=\"decision_montant_detail\"><\/textarea><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Bail sign\u00e9 par le(s) locataire(s)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_signed\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_signed\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_signed_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Bail sign\u00e9 par la caution<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed_caution\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_signed_caution\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_signed_caution\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed_caution_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_signed_caution_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Avis de renouvellement \/ Preuve de r\u00e9ception<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_renouvellement\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_renouvellement\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_renouvellement\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_renouvellement_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_renouvellement_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Preuve(s) de signification<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signification\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_signification\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_signification\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signification_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_signification_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>D\u00e9cision originale (copie conforme)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_decision\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_decision\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_decision\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_decision_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_decision_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Avis d\u2019ex\u00e9cution de saisie et\/ou d\u2019expulsion<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_avis_execution\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_avis_execution\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_avis_execution\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_avis_execution_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_avis_execution_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>\u00c9tat de compte d\u00e9taill\u00e9 (Facturations \/ Paiements)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_etat_compte\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_etat_compte\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_etat_compte\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_etat_compte_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_etat_compte_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Date o\u00f9 le(s) locataire(s) a\/ont quitt\u00e9 le logement<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_fin_logement\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"bail_fin_logement\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Date o\u00f9 le logement a \u00e9t\u00e9 relou\u00e9<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_relocation\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"bail_relocation\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Copie du bail du locataire suivant<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_next_locataire\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_next_locataire\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_next_locataire\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_next_locataire_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_next_locataire_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><button type=\"button\" class=\"add-demande\">Ajouter une autre demande d'\u00e9valuation<\/button>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><button type=\"button\" class=\"prev-step\">Pr\u00e9c\u00e9dent<\/button><br \/>\n<button type=\"submit\" class=\"submit-button\">Soumettre<\/button>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_row et_pb_row_0 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> \n<div class=\"wpcf7 no-js\" id=\"wpcf7-f31197-o2\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/31305#wpcf7-f31197-o2\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"31197\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f31197-o2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div class=\"form-evaluation\">\n\t<p class=\"text-muted obligatoire\"><span>*<\/span> champ obligatoire\n\t<\/p>\n\t<div class=\"multi-step-form\">\n\t\t<div class=\"step\">\n\t\t\t<p class=\"h3\">Veuillez remplir vos coordonn\u00e9es\n\t\t\t<\/p>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t<p><label>Nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"firstname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nom*\" value=\"\" type=\"text\" name=\"firstname\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t<p><label>Pr\u00e9nom*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lastname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom*\" value=\"\" type=\"text\" name=\"lastname\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Titre*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required onchange\" aria-required=\"true\" aria-invalid=\"false\" name=\"title\"><option value=\"Gestionnaire\">Gestionnaire<\/option><option value=\"Propri\u00e9taire\">Propri\u00e9taire<\/option><option value=\"Avocat\">Avocat<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span><\/label><br \/>\n<label style=\"display:none;\" data-onchange=\"title\" data-value=\"Autre\">Pr\u00e9cision<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title_supp\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Autre titre\" value=\"\" type=\"text\" name=\"title_supp\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Nom d'entreprise<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"firm\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nom d\u2019entreprise\" value=\"\" type=\"text\" name=\"firm\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Adresse compl\u00e8te*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Adresse compl\u00e8te*\" value=\"\" type=\"text\" name=\"address\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t<p><label>T\u00e9l\u00e9phone*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"phonenum\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"T\u00e9l\u00e9phone*\" value=\"\" type=\"tel\" name=\"phonenum\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t<p><label>Courriel*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"courriel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"Courriel*\" value=\"\" type=\"email\" name=\"courriel\" \/><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><label>Nombre de portes*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nb_portes\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"nb_portes\"><option value=\"1\">1<\/option><option value=\"2 \u00e0 5\">2 \u00e0 5<\/option><option value=\"6 \u00e0 10\">6 \u00e0 10<\/option><option value=\"10 \u00e0 20\">10 \u00e0 20<\/option><option value=\"20 \u00e0 50\">20 \u00e0 50<\/option><option value=\"+ de 50\">+ de 50<\/option><\/select><\/span><\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><button type=\"button\" class=\"next-step\">Suivant<\/button>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"step\">\n\t\t\t<p class=\"h3\">Veuillez remplir les champs s\u00e9lectionn\u00e9s concernant vos logements et vos cr\u00e9anciers.\n\t\t\t<\/p>\n\t\t\t<div class=\"outer-block-demande\">\n\t\t\t\t<div class=\"repeatable-block\" data-name=\"demande\" data-index=0>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Adresse du logement concern\u00e9*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"address_logement\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adresse du logement concern\u00e9*\" value=\"\" type=\"text\" name=\"address_logement\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Le(s) locataire(s) habite-t-il encore dans le logement concern\u00e9 ?*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"still_occupied\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"still_occupied\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"outer-block-locataire\">\n\t\t\t\t\t\t<div class=\"repeatable-block\" data-name=\"locataire\" data-index=0>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t\t\t\t\t<p><label>Nom(s) du locataire*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nom(s) du locataire*\" value=\"\" type=\"text\" name=\"locataire_name\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t\t\t\t\t<p><label>Statut du locataire<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_status\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"locataire_status\"><option value=\"Locataire\">Locataire<\/option><option value=\"Co-locataire\">Co-locataire<\/option><option value=\"Caution\">Caution<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t\t\t\t\t<p><label>Date de naissance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_dob\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" placeholder=\"Date de naissance\" value=\"\" type=\"date\" name=\"locataire_dob\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t\t\t\t\t<p><label>Num\u00e9ro d\u2019assurance sociale<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_nas\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro d\u2019assurance sociale\" value=\"\" type=\"text\" name=\"locataire_nas\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Derni\u00e8re adresse connue<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Derni\u00e8re adresse connue\" value=\"\" type=\"text\" name=\"locataire_address\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-left\">\n\t\t\t\t\t\t\t\t\t<p><label>Num\u00e9ros de t\u00e9l\u00e9phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Num\u00e9ros de t\u00e9l\u00e9phone\" value=\"\" type=\"text\" name=\"locataire_phone\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"form-column form-column-right\">\n\t\t\t\t\t\t\t\t\t<p><label>Adresse courriel<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Adresse courriel\" value=\"\" type=\"text\" name=\"locataire_email\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>R\u00e9seaux sociaux<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_rs\"><textarea cols=\"40\" rows=\"3\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"R\u00e9seaux sociaux\" name=\"locataire_rs\"><\/textarea><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Coordonn\u00e9es famille\/amis<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_family\"><textarea cols=\"40\" rows=\"3\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Coordonn\u00e9es famille\/amis\" name=\"locataire_family\"><\/textarea><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Employeur<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_firm\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Employeur\" value=\"\" type=\"text\" name=\"locataire_firm\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><label>Compte bancaire<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"locataire_bank\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Compte bancaire\" value=\"\" type=\"text\" name=\"locataire_bank\" \/><\/span><\/label>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t\t\t<p><button type=\"button\" class=\"remove-locataire\">Supprimer le locataire<\/button>\n\t\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><button type=\"button\" class=\"add-locataire\">Ajouter un locataire<\/button>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Type de cr\u00e9ance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_type\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"decision_type\"><option value=\"D\u00e9cision de la r\u00e9gie du logement\">D\u00e9cision de la r\u00e9gie du logement<\/option><option value=\"Jugement de la cour du Qu\u00e9bec\">Jugement de la cour du Qu\u00e9bec<\/option><option value=\"Petites cr\u00e9ances\">Petites cr\u00e9ances<\/option><option value=\"Loyers impay\u00e9s\">Loyers impay\u00e9s<\/option><option value=\"Cr\u00e9ances impay\u00e9s\">Cr\u00e9ances impay\u00e9s<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Num\u00e9ro de d\u00e9cision\/Jugement<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro de d\u00e9cision\/Jugement\" value=\"\" type=\"text\" name=\"decision_number\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Montant de la cr\u00e9ance*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montant\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Montant de la cr\u00e9ance*\" value=\"\" type=\"text\" name=\"decision_montant\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Tentative de recouvrement*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_recouvrement\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"decision_recouvrement\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Montant per\u00e7u suite \u00e0 la d\u00e9cision*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montant_percu\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Montant per\u00e7u suite \u00e0 la d\u00e9cision*\" value=\"\" type=\"text\" name=\"decision_montant_percu\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Somme due sans d\u00e9cision<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montan_du\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Somme due sans d\u00e9cision\" value=\"\" type=\"text\" name=\"decision_montan_du\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>D\u00e9tail de la somme d\u00fbe sans d\u00e9cision<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"decision_montant_detail\"><textarea cols=\"40\" rows=\"3\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"D\u00e9tail de la somme d\u00fbe sans d\u00e9cision\" name=\"decision_montant_detail\"><\/textarea><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Bail sign\u00e9 par le(s) locataire(s)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_signed\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_signed\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_signed_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Bail sign\u00e9 par la caution<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed_caution\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_signed_caution\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_signed_caution\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signed_caution_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_signed_caution_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Avis de renouvellement \/ Preuve de r\u00e9ception<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_renouvellement\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_renouvellement\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_renouvellement\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_renouvellement_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_renouvellement_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Preuve(s) de signification<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signification\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_signification\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_signification\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_signification_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_signification_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>D\u00e9cision originale (copie conforme)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_decision\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_decision\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_decision\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_decision_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_decision_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Avis d\u2019ex\u00e9cution de saisie et\/ou d\u2019expulsion<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_avis_execution\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_avis_execution\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_avis_execution\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_avis_execution_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_avis_execution_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>\u00c9tat de compte d\u00e9taill\u00e9 (Facturations \/ Paiements)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_etat_compte\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_etat_compte\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_etat_compte\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_etat_compte_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_etat_compte_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Date o\u00f9 le(s) locataire(s) a\/ont quitt\u00e9 le logement<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_fin_logement\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"bail_fin_logement\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Date o\u00f9 le logement a \u00e9t\u00e9 relou\u00e9<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_relocation\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"bail_relocation\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-row\">\n\t\t\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t\t\t<p><label>Copie du bail du locataire suivant<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"bail_next_locataire\"><select class=\"wpcf7-form-control wpcf7-select onchange\" aria-invalid=\"false\" name=\"bail_next_locataire\"><option value=\"Oui\">Oui<\/option><option value=\"Non\">Non<\/option><\/select><\/span><\/label><br \/>\n<label data-onchange=\"bail_next_locataire\" data-value=\"Oui\"><span class=\"wpcf7-form-control-wrap\" data-name=\"bail_next_locataire_file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"bail_next_locataire_file\" \/><\/span><\/label>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><button type=\"button\" class=\"add-demande\">Ajouter une autre demande d'\u00e9valuation<\/button>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-row\">\n\t\t\t\t<div class=\"form-column\">\n\t\t\t\t\t<p><button type=\"button\" class=\"prev-step\">Pr\u00e9c\u00e9dent<\/button><br \/>\n<button type=\"submit\" class=\"submit-button\">Soumettre<\/button>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" 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