{"id":15616,"date":"2013-08-20T22:21:46","date_gmt":"2013-08-21T02:21:46","guid":{"rendered":"https:\/\/www.assur360.ca\/need-help-contact-assur360-now\/"},"modified":"2026-04-19T17:31:38","modified_gmt":"2026-04-19T21:31:38","slug":"need-help-contact-assur360-now","status":"publish","type":"page","link":"https:\/\/www.assur360.ca\/en\/need-help-contact-assur360-now\/","title":{"rendered":"Contact Assur360"},"content":{"rendered":"\n<style>#ez-toc-container{display:none!important}\n.entry-title{display:none!important}\n.a360-cta *{margin:0;padding:0;box-sizing:border-box}\n.a360-cta{font-family:'DM Sans',sans-serif;color:#334155;line-height:1.7}\n.a360-cta h2,.a360-cta h3,.a360-cta h4{font-family:'Sora',sans-serif;color:#0d1f2d}\n.a360-cta a{color:#10c4c7;text-decoration:none}\n.a360-cta a:hover{text-decoration:underline}\n\n\/* Hero CTA *\/\n.a360-cta .hero-cta{background:linear-gradient(135deg,#0d1f2d 0%,#1a3a4a 100%);padding:56px 40px;border-radius:20px;margin-bottom:48px;display:flex;align-items:center;gap:48px;overflow:hidden;position:relative}\n.a360-cta .hero-cta::before{content:'';position:absolute;inset:0;background:radial-gradient(circle at 20% 50%,rgba(16,196,199,.08) 0%,transparent 60%);pointer-events:none}\n.a360-cta .hero-mascot{flex-shrink:0;position:relative;z-index:1}\n.a360-cta .hero-mascot img{width:220px;height:auto;filter:drop-shadow(0 8px 32px rgba(16,196,199,.2))}\n.a360-cta .hero-content{flex:1;position:relative;z-index:1}\n.a360-cta .hero-badge{display:inline-block;background:rgba(16,196,199,.12);color:#10c4c7;font-size:12px;font-weight:700;letter-spacing:2px;text-transform:uppercase;padding:6px 16px;border-radius:50px;margin-bottom:16px;border:1px solid rgba(16,196,199,.25)}\n.a360-cta .hero-content h1{font-family:'Sora',sans-serif;font-size:clamp(26px,3.5vw,36px);font-weight:800;color:#fff;line-height:1.25;margin-bottom:16px}\n.a360-cta .hero-content h1 span{color:#10c4c7}\n.a360-cta .hero-content p{color:#94a3b8;font-size:17px;margin-bottom:28px;max-width:560px}\n.a360-cta .hero-btns{display:flex;gap:12px;flex-wrap:wrap}\n.a360-cta .btn-teal{display:inline-flex;align-items:center;gap:8px;background:linear-gradient(135deg,#10c4c7,#0ea5a8);color:#0d1f2d!important;padding:15px 32px;border-radius:50px;font-weight:700;font-size:15px;text-decoration:none!important;transition:all .3s}\n.a360-cta .btn-teal:hover{transform:translateY(-2px);box-shadow:0 8px 24px rgba(16,196,199,.35)}\n.a360-cta .btn-outline{display:inline-flex;align-items:center;gap:8px;background:transparent;color:#fff!important;padding:15px 32px;border-radius:50px;font-weight:700;font-size:15px;text-decoration:none!important;border:2px solid rgba(255,255,255,.3);transition:all .3s}\n.a360-cta .btn-outline:hover{border-color:#10c4c7;color:#10c4c7!important}\n\n\/* Two-column contact layout *\/\n.a360-cta .contact-layout{display:grid;grid-template-columns:1.8fr 1fr;gap:40px;margin-bottom:48px}\n.a360-cta .form-section{background:#fff;border-radius:20px;padding:40px;border:1px solid #e2e8f0}\n.a360-cta .form-section h2{font-size:26px;font-weight:800;margin-bottom:24px;padding-bottom:12px;border-bottom:3px solid #10c4c7;display:inline-block}\n.a360-cta .info-card{background:linear-gradient(145deg,#f8fafc,#f0f9ff);border-radius:20px;padding:36px;border:1px solid #e2e8f0;align-self:start}\n.a360-cta .info-card h3{font-size:20px;font-weight:700;margin-bottom:20px;padding-bottom:10px;border-bottom:2px solid #10c4c7;display:inline-block}\n.a360-cta .info-item{display:flex;gap:14px;margin-bottom:20px;align-items:flex-start}\n.a360-cta .info-icon{width:40px;height:40px;background:linear-gradient(135deg,#10c4c7,#0ea5a8);border-radius:10px;display:flex;align-items:center;justify-content:center;flex-shrink:0}\n.a360-cta .info-icon svg{width:20px;height:20px;fill:#fff}\n.a360-cta .info-label{font-size:12px;font-weight:700;color:#64748b;text-transform:uppercase;letter-spacing:1px;margin-bottom:2px}\n.a360-cta .info-value{font-size:15px;color:#334155;font-weight:500}\n.a360-cta .info-value a{color:#10c4c7;font-weight:700}\n\n\/* Cards grid *\/\n.a360-cta .cards-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:20px;margin:32px 0}\n.a360-cta .card{background:#fff;border-radius:14px;padding:28px 24px;border:1px solid #e2e8f0;border-top:4px solid #10c4c7;transition:all .3s}\n.a360-cta .card:hover{transform:translateY(-4px);box-shadow:0 8px 24px rgba(0,0,0,.06);border-color:#10c4c7}\n.a360-cta .card h4{font-size:16px;font-weight:700;margin-bottom:8px;color:#0d1f2d}\n.a360-cta .card p{font-size:14px;color:#64748b;margin:0;line-height:1.6}\n\n\/* Service cards *\/\n.a360-cta .service-cards{display:grid;grid-template-columns:repeat(3,1fr);gap:16px;margin:32px 0}\n.a360-cta .service-card{display:block;background:#fff;border-radius:14px;padding:24px;border:1px solid #e2e8f0;text-decoration:none!important;transition:all .3s;text-align:center}\n.a360-cta .service-card:hover{transform:translateY(-4px);box-shadow:0 8px 24px rgba(0,0,0,.06);border-color:#10c4c7}\n.a360-cta .service-card strong{display:block;font-family:'Sora',sans-serif;font-size:15px;color:#0d1f2d;margin-bottom:6px}\n.a360-cta .service-card span{font-size:13px;color:#64748b}\n\n\/* Content sections *\/\n.a360-cta .section{margin-bottom:48px}\n.a360-cta .section h2{font-size:26px;font-weight:800;margin-bottom:20px;padding-bottom:12px;border-bottom:3px solid #10c4c7;display:inline-block}\n.a360-cta .section p{font-size:16px;color:#475569;margin-bottom:16px}\n\n\/* FAQ *\/\n.a360-cta .faq{margin:48px 0}\n.a360-cta .faq h2{font-size:28px;font-weight:800;text-align:center;margin-bottom:32px}\n.a360-cta .faq details{background:#fff;border:1px solid #e2e8f0;border-radius:12px;margin-bottom:12px;transition:all .3s}\n.a360-cta .faq details[open]{border-color:#10c4c7;box-shadow:0 4px 16px rgba(16,196,199,.08)}\n.a360-cta .faq summary{padding:20px 24px;font-family:'Sora',sans-serif;font-size:16px;font-weight:700;color:#0d1f2d;cursor:pointer;list-style:none;display:flex;justify-content:space-between;align-items:center}\n.a360-cta .faq summary::-webkit-details-marker{display:none}\n.a360-cta .faq summary::after{content:'+';font-size:22px;color:#10c4c7;font-weight:700;transition:transform .2s}\n.a360-cta .faq details[open] summary::after{content:'\\2212'}\n.a360-cta .faq details p{padding:0 24px 20px;font-size:15px;color:#475569;line-height:1.7}\n\n\/* EEAT *\/\n.a360-cta .eeat{background:#f0fdfa;border-radius:20px;padding:40px;margin:48px 0;border:1px solid #d1fae5}\n.a360-cta .eeat h2{font-size:24px;font-weight:800;text-align:center;margin-bottom:28px;border:none;padding:0;display:block}\n.a360-cta .eeat-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:24px}\n.a360-cta .eeat-item{text-align:center;padding:20px}\n.a360-cta .eeat-check{color:#10c4c7;font-size:28px;font-weight:800;margin-bottom:8px}\n.a360-cta .eeat-item h4{font-size:15px;font-weight:700;margin-bottom:6px}\n.a360-cta .eeat-item p{font-size:13px;color:#64748b;margin:0}\n\n\/* Final CTA *\/\n.a360-cta .final-cta{background:linear-gradient(135deg,#0d1f2d 0%,#1a3a4a 100%);padding:56px 40px;border-radius:20px;display:flex;align-items:center;gap:40px;overflow:hidden;position:relative;margin-top:56px}\n.a360-cta .final-cta::before{content:'';position:absolute;inset:0;background:radial-gradient(circle at 15% 50%,rgba(16,196,199,.1) 0%,transparent 50%);pointer-events:none}\n.a360-cta .final-mascot{flex-shrink:0;z-index:1}\n.a360-cta .final-mascot img{width:180px;height:auto;filter:drop-shadow(0 8px 24px rgba(16,196,199,.2))}\n.a360-cta .final-text{flex:1;z-index:1}\n.a360-cta .final-text h2{font-family:'Sora',sans-serif;font-size:28px;font-weight:800;color:#fff;margin-bottom:12px}\n.a360-cta .final-text p{color:#94a3b8;font-size:16px;margin-bottom:24px}\n\n@media(max-width:768px){\n  .a360-cta .hero-cta{flex-direction:column;text-align:center;padding:40px 24px}\n  .a360-cta .hero-mascot img{width:160px}\n  .a360-cta .hero-btns{justify-content:center}\n  .a360-cta .contact-layout{grid-template-columns:1fr}\n  .a360-cta .cards-grid{grid-template-columns:1fr}\n  .a360-cta .service-cards{grid-template-columns:repeat(2,1fr)}\n  .a360-cta .eeat-grid{grid-template-columns:1fr}\n  .a360-cta .final-cta{flex-direction:column;text-align:center;padding:40px 24px}\n}\n<\/style>\n\n<div class=\"a360-cta\">\n\n<!-- HERO CTA -->\n<div class=\"hero-cta\">\n  <div class=\"hero-mascot\">\n    <img decoding=\"async\" src=\"https:\/\/spcdn.shortpixel.ai\/spio\/ret_img,q_cdnize,to_auto,s_webp:avif\/www.assur360.ca\/wp-content\/uploads\/2026\/03\/assur360-courtier-enso.png\" alt=\"Assur360 Insurance Broker\"\/>\n  <\/div>\n  <div class=\"hero-content\">\n    <div class=\"hero-badge\">Assur360<\/div>\n    <h2 style=\"font-family:'Sora',sans-serif;font-size:clamp(26px,3.5vw,36px);font-weight:800;color:#fff;line-height:1.25;margin-bottom:16px\">Contact us<br \/><span>Our team is here for you<\/span><\/h2>\n    <p>Our team of AMF-certified brokers is here for you. Free quote, personalized advice and support every step of the way. <\/p>\n    <div class=\"hero-btns\">\n      <a href=\"tel:18663574451\" class=\"btn-teal\">1-866-357-4451<\/a>\n      <a href=\"#formulaire-contact\" class=\"btn-outline\">Fill out the form<\/a>\n    <\/div>\n  <\/div>\n<\/div>\n\n<!-- TWO-COLUMN: FORM + INFO CARD -->\n<div class=\"contact-layout\" id=\"formulaire-contact\">\n  <div class=\"form-section\">\n    <h2>Write to us<\/h2>\n<\/div><\/div><\/div><div class='fluentform ff-default fluentform_wrapper_14 ffs_default_wrap'><form data-form_id=\"14\" id=\"fluentform_14\" class=\"frm-fluent-form fluent_form_14 ff-el-form-top ff_form_instance_14_1 ff-form-loading ff_has_v3_recptcha ffs_default\" data-form_instance=\"ff_form_instance_14_1\" method=\"POST\" data-recptcha_key=\"6LfJsuIqAAAAANsWmzS2YySgLhNey7_b5m0O66bT\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Contact formulaire - ACTIF (#1)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='15616' \/><input type=\"hidden\" id=\"_fluentform_14_fluentformnonce\" name=\"_fluentform_14_fluentformnonce\" value=\"45c78fe1ac\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/15616\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-14_1\" ><h3 style=\"text-align: center\"><span style=\"vertical-align: inherit\"><span style=\"vertical-align: inherit\">Please fill in the fields below, so that we can analyze your needs.<\/span><\/span><\/h3><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_names_first_name_' id='label_ff_14_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_14_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_names_last_name_' id='label_ff_14_names_last_name_' >Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_14_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_email' id='label_ff_14_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_14_email\" class=\"ff-el-form-control\" placeholder=\"Email\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_phone' id='label_ff_14_phone' aria-label=\"Phone\/Mobile\">Phone\/Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"###-###-####\" data-name=\"phone\" id=\"ff_14_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_subject' id='label_ff_14_subject' aria-label=\"Topic\">Topic  <\/label><\/div><div class='ff-el-input--content'><select name=\"subject\" id=\"ff_14_subject\" class=\"ff-el-form-control\" data-name=\"subject\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_14_subject\"><option value=\"\">Subject<\/option><option value=\"Soumission auto\"  >Soumission \u2013 Assurance auto<\/option><option value=\"Soumission habitation\"  >Soumission \u2013 Assurance habitation<\/option><option value=\"Soumission entreprise\"  >Soumission \u2013 Assurance entreprise<\/option><option value=\"Soumission vie\"  >Soumission \u2013 Assurance vie<\/option><option value=\"Soumission maladie grave\"  >Soumission \u2013 Maladie grave<\/option><option value=\"Soumission autre\"  >Soumission \u2013 Autre (VR, moto, voyage, bateau\u2026)<\/option><option value=\"Service police existante\"  >Service sur une police existante (renouvellement, modification, r\u00e9siliation)<\/option><option value=\"Reclamation sinistre\"  >R\u00e9clamation \/ sinistre<\/option><option value=\"Emploi\"  >Emploi \/ carri\u00e8re<\/option><option value=\"Partenariat\"  >Partenariat \/ affiliation<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_dropdown' id='label_ff_14_dropdown' aria-label=\"Quelle est l\u2019ann\u00e9e pour votre v\u00e9hicule?\">Quelle est l\u2019ann\u00e9e pour votre v\u00e9hicule?<\/label><div class=\"ff-el-tooltip\" data-content=\"Ce serait l\u2019ann\u00e9e o\u00f9 le mod\u00e8le a \u00e9t\u00e9 fabriqu\u00e9 et lanc\u00e9, pas l\u2019ann\u00e9e o\u00f9 vous l\u2019avez achet\u00e9!\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_14_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_14_dropdown\"><option value=\"\">- Selectionner -<\/option><option value=\"2027\"  >2027<\/option><option value=\"2026\"  >2026<\/option><option value=\"2025\"  >2025<\/option><option value=\"2024\"  >2024<\/option><option value=\"2023\"  >2023<\/option><option value=\"2022\"  >2022<\/option><option value=\"2021\"  >2021<\/option><option value=\"2020\"  >2020<\/option><option value=\"2019\"  >2019<\/option><option value=\"2018\"  >2018<\/option><option value=\"2017\"  >2017<\/option><option value=\"2016\"  >2016<\/option><option value=\"2015\"  >2015<\/option><option value=\"2014\"  >2014<\/option><option value=\"2013\"  >2013<\/option><option value=\"2012\"  >2012<\/option><option value=\"2011\"  >2011<\/option><option value=\"2010\"  >2010<\/option><option value=\"2009\"  >2009<\/option><option value=\"2008\"  >2008<\/option><option value=\"2007\"  >2007<\/option><option value=\"2006\"  >2006<\/option><option value=\"2005\"  >2005<\/option><option value=\"2004\"  >2004<\/option><option value=\"2003\"  >2003<\/option><option value=\"2002\"  >2002<\/option><option value=\"2001\"  >2001<\/option><option value=\"2000\"  >2000<\/option><option value=\"1999\"  >1999<\/option><option value=\"1998\"  >1998<\/option><option value=\"1997\"  >1997<\/option><option value=\"1996\"  >1996<\/option><option value=\"1995\"  >1995<\/option><option value=\"1994\"  >1994<\/option><option value=\"1993\"  >1993<\/option><option value=\"1992\"  >1992<\/option><option value=\"1991\"  >1991<\/option><option value=\"1990\"  >1990<\/option><option value=\"1989\"  >1989<\/option><option value=\"1988\"  >1988<\/option><option value=\"1987\"  >1987<\/option><option value=\"1986\"  >1986<\/option><option value=\"1985\"  >1985<\/option><option value=\"1985 et +\"  >1985 et +<\/option><option value=\"Ant\u00e9rieur \u00e0 1985\"  >Ant\u00e9rieur \u00e0 1985<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_dropdown_1' id='label_ff_14_dropdown_1' aria-label=\"Quelle est la marque de votre v\u00e9hicule?\">Quelle est la marque de votre v\u00e9hicule?<\/label><div class=\"ff-el-tooltip\" data-content=\"La marque d\u2019un v\u00e9hicule est litt\u00e9ralement l\u2019entreprise qui a fabriqu\u00e9 la voiture!\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_14_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_14_dropdown_1\"><option value=\"\">- Selectionnez la marque du v\u00e9hicule -<\/option><option value=\"Acura\"  >Acura<\/option><option value=\"Alfa Romeo\"  >Alfa Romeo<\/option><option value=\"Aston Martin\"  >Aston Martin<\/option><option value=\"Audi\"  >Audi<\/option><option value=\"Bentley\"  >Bentley<\/option><option value=\"BMW\"  >BMW<\/option><option value=\"BMW Mini\"  >BMW Mini<\/option><option value=\"Bugatti\"  >Bugatti<\/option><option value=\"Buick\"  >Buick<\/option><option value=\"BYD\"  >BYD<\/option><option value=\"Cadillac\"  >Cadillac<\/option><option value=\"Campagna Motors\"  >Campagna Motors<\/option><option value=\"Chevrolet\"  >Chevrolet<\/option><option value=\"Chrysler\"  >Chrysler<\/option><option value=\"Citro\u00ebn\"  >Citro\u00ebn<\/option><option value=\"Conquest Vehicles\"  >Conquest Vehicles<\/option><option value=\"Dodge\"  >Dodge<\/option><option value=\"Ferrari\"  >Ferrari<\/option><option value=\"Fiat\"  >Fiat<\/option><option value=\"Fisker Automotive\"  >Fisker Automotive<\/option><option value=\"Ford\"  >Ford<\/option><option value=\"Geely\"  >Geely<\/option><option value=\"Genesis\"  >Genesis<\/option><option value=\"GMC\"  >GMC<\/option><option value=\"Great Wall Motors\"  >Great Wall Motors<\/option><option value=\"Honda\"  >Honda<\/option><option value=\"Hummer\"  >Hummer<\/option><option value=\"Hyundai\"  >Hyundai<\/option><option value=\"Infiniti\"  >Infiniti<\/option><option value=\"Isuzu\"  >Isuzu<\/option><option value=\"Jaguar\"  >Jaguar<\/option><option value=\"Jeep\"  >Jeep<\/option><option value=\"Koenigsegg\"  >Koenigsegg<\/option><option value=\"Kia\"  >Kia<\/option><option value=\"Lamborghini\"  >Lamborghini<\/option><option value=\"Land Rover\"  >Land Rover<\/option><option value=\"Lexus\"  >Lexus<\/option><option value=\"Lincoln\"  >Lincoln<\/option><option value=\"Lucid Motors\"  >Lucid Motors<\/option><option value=\"Maserati\"  >Maserati<\/option><option value=\"Mazda\"  >Mazda<\/option><option value=\"McLaren\"  >McLaren<\/option><option value=\"Mercedes-Benz\"  >Mercedes-Benz<\/option><option value=\"Mini\"  >Mini<\/option><option value=\"Morgan\"  >Morgan<\/option><option value=\"Mitsubishi\"  >Mitsubishi<\/option><option value=\"Nissan\"  >Nissan<\/option><option value=\"NIO\"  >NIO<\/option><option value=\"Opel\"  >Opel<\/option><option value=\"Pagani\"  >Pagani<\/option><option value=\"Peugeot\"  >Peugeot<\/option><option value=\"Polestar\"  >Polestar<\/option><option value=\"Porsche\"  >Porsche<\/option><option value=\"RAM\"  >RAM<\/option><option value=\"Renault\"  >Renault<\/option><option value=\"Rolls-Royce\"  >Rolls-Royce<\/option><option value=\"Rivian\"  >Rivian<\/option><option value=\"Scania\"  >Scania<\/option><option value=\"Smart\"  >Smart<\/option><option value=\"Subaru\"  >Subaru<\/option><option value=\"Tesla\"  >Tesla<\/option><option value=\"Tata Motors\"  >Tata Motors<\/option><option value=\"Toyota\"  >Toyota<\/option><option value=\"Volkswagen\"  >Volkswagen<\/option><option value=\"Volvo\"  >Volvo<\/option><option value=\"Zotye\"  >Zotye<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_input_text' id='label_ff_14_input_text' aria-label=\"Quel est le nom du mod\u00e8le de votre v\u00e9hicule ?\">Quel est le nom du mod\u00e8le de votre v\u00e9hicule ?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_14_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address has-conditions\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_address_1_address_line_1_' id='label_ff_14_address_1_address_line_1_' aria-label=\"Adresse ligne 1\">Adresse ligne 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_14_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_address_1_city_' id='label_ff_14_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_14_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Ville\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_address_1_state_' id='label_ff_14_address_1_state_' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" value=\"Qu\u00e9bec ou Ontario\" id=\"ff_14_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Qu\u00e9bec ou Ontario\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_address_1_zip_' id='label_ff_14_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_14_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Code postal\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_datetime' id='label_ff_14_datetime' aria-label=\"Votre date de naissance ?\">Votre date de naissance ?<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Votre date de naissance ? Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_14_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"jj\/mm\/aaaa\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_datetime_1' id='label_ff_14_datetime_1' aria-label=\"Date de votre renouvellement d&#039;assurance auto ?\">Date de votre renouvellement d'assurance auto ?<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de votre renouvellement d'assurance auto ? Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_14_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"jj\/mm\/aaaa\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Avez-vous eu des annulations de votre assurance pour non-paiement au cours des 6 derni\u00e8res ann\u00e9es ?\">Avez-vous eu des annulations de votre assurance pour non-paiement au cours des 6 derni\u00e8res ann\u00e9es ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_cce188441ae21c5ce063c72dcc985b9f'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='input_radio_cce188441ae21c5ce063c72dcc985b9f' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_c2ea62bfdd7e7e4303e5728aeab88f65'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='input_radio_c2ea62bfdd7e7e4303e5728aeab88f65' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_4col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Quel type de propri\u00e9t\u00e9 souhaitez-vous assurer ?\">Quel type de propri\u00e9t\u00e9 souhaitez-vous assurer ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='hab_input_radio_2_5dfb65900f4166541d31fc52d1f6cec3'><input  type=\"radio\" name=\"hab_input_radio_2\" data-name=\"hab_input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Propri\u00e9taire\"  id='hab_input_radio_2_5dfb65900f4166541d31fc52d1f6cec3' aria-label='Propri\u00e9taire' aria-invalid='false' aria-required=true> <span>Propri\u00e9taire<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='hab_input_radio_2_bb43a95ebf4222da96808f214d9d5eb3'><input  type=\"radio\" name=\"hab_input_radio_2\" data-name=\"hab_input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Copropri\u00e9taire\"  id='hab_input_radio_2_bb43a95ebf4222da96808f214d9d5eb3' aria-label='Copropri\u00e9taire' aria-invalid='false' aria-required=true> <span>Copropri\u00e9taire<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='hab_input_radio_2_1792299da81550d95b83bd3e395b9c17'><input  type=\"radio\" name=\"hab_input_radio_2\" data-name=\"hab_input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Locataire\"  id='hab_input_radio_2_1792299da81550d95b83bd3e395b9c17' aria-label='Locataire' aria-invalid='false' aria-required=true> <span>Locataire<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='hab_input_radio_2_ba4e3752041a5e35cd9fca7ab88693e9'><input  type=\"radio\" name=\"hab_input_radio_2\" data-name=\"hab_input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Locative\"  id='hab_input_radio_2_ba4e3752041a5e35cd9fca7ab88693e9' aria-label='Locative' aria-invalid='false' aria-required=true> <span>Locative<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_hab_multi_select' id='label_ff_14_hab_multi_select' aria-label=\"Depuis combien d&#039;ann\u00e9es vivez-vous \u00e0 votre adresse actuelle ?\">Depuis combien d'ann\u00e9es vivez-vous \u00e0 votre adresse actuelle ?<\/label><\/div><div class='ff-el-input--content'><select name=\"hab_multi_select[]\" id=\"ff_14_hab_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" multiple=\"1\" data-name=\"hab_multi_select\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_14_hab_multi_select\"><option value=\"1\"  >1<\/option><option value=\"2\"  >2<\/option><option value=\"3\"  >3<\/option><option value=\"4\"  >4<\/option><option value=\"5\"  >5<\/option><option value=\"6\"  >6<\/option><option value=\"7\"  >7<\/option><option value=\"8\"  >8<\/option><option value=\"9\"  >9<\/option><option value=\"10\"  >10<\/option><option value=\"11\"  >11<\/option><option value=\"12\"  >12<\/option><option value=\"13\"  >13<\/option><option value=\"14\"  >14<\/option><option value=\"15\"  >15<\/option><option value=\"Plus de 15 ans\"  >Plus de 15 ans<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_hab_numeric_field' id='label_ff_14_hab_numeric_field' aria-label=\"Quelle est la valeur approximative de votre maison ?\">Quelle est la valeur approximative de votre maison ?<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"hab_numeric_field\" id=\"ff_14_hab_numeric_field\" class=\"ff-el-form-control\" placeholder=\"$\" data-name=\"hab_numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_hab_numeric_field_1' id='label_ff_14_hab_numeric_field_1' aria-label=\"Quelle est la valeur approximative de votre contenu ?\">Quelle est la valeur approximative de votre contenu ?<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"hab_numeric_field_1\" id=\"ff_14_hab_numeric_field_1\" class=\"ff-el-form-control\" placeholder=\"$\" data-name=\"hab_numeric_field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address has-conditions\" data-type=\"address-element\" data-name=\"hab_address_1\" ><div class='ff-el-input--label'><label aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_hab_address_1_address_line_1_' id='label_ff_14_hab_address_1_address_line_1_' aria-label=\"Adresse ligne 1\">Adresse ligne 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"hab_address_1[address_line_1]\" id=\"ff_14_hab_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_hab_address_1_city_' id='label_ff_14_hab_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"hab_address_1[city]\" id=\"ff_14_hab_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Ville\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_hab_address_1_state_' id='label_ff_14_hab_address_1_state_' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"hab_address_1[state]\" id=\"ff_14_hab_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Qu\u00e9bec seulement\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_hab_address_1_zip_' id='label_ff_14_hab_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"hab_address_1[zip]\" id=\"ff_14_hab_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Code postal\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_hab_datetime' id='label_ff_14_hab_datetime' aria-label=\"Votre date de naissance ?\">Votre date de naissance ?<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Votre date de naissance ? Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"hab_datetime\" id=\"ff_14_hab_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"jj\/mm\/aaaa\" data-name=\"hab_datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_hab_datetime_1' id='label_ff_14_hab_datetime_1' aria-label=\"Date de votre renouvellement d&#039;assurance habitation ?\">Date de votre renouvellement d'assurance habitation ?<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de votre renouvellement d'assurance habitation ? Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"hab_datetime_1\" id=\"ff_14_hab_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"jj\/mm\/aaaa\" data-name=\"hab_datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Avez-vous eu des annulations de votre assurance pour non-paiement au cours des 6 derni\u00e8res ann\u00e9es ?\">Avez-vous eu des annulations de votre assurance pour non-paiement au cours des 6 derni\u00e8res ann\u00e9es ?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='hab_input_radio_43af2d66c6408743d0145553ea63853e'><input  type=\"radio\" name=\"hab_input_radio\" data-name=\"hab_input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='hab_input_radio_43af2d66c6408743d0145553ea63853e' aria-label='Oui' aria-invalid='false' aria-required=true> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='hab_input_radio_1770501e37634647b0015d2aaaa4434e'><input  type=\"radio\" name=\"hab_input_radio\" data-name=\"hab_input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='hab_input_radio_1770501e37634647b0015d2aaaa4434e' aria-label='Non' aria-invalid='false' aria-required=true> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_ent_input_text' id='label_ff_14_ent_input_text' aria-label=\"Nom de l&#039;entreprise\">Nom de l'entreprise<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ent_input_text\" class=\"ff-el-form-control\" data-name=\"ent_input_text\" id=\"ff_14_ent_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_ent_dropdown' id='label_ff_14_ent_dropdown' aria-label=\"Secteur d&#039;activit\u00e9\">Secteur d'activit\u00e9<\/label><\/div><div class='ff-el-input--content'><select name=\"ent_dropdown\" id=\"ff_14_ent_dropdown\" class=\"ff-el-form-control\" data-name=\"ent_dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_14_ent_dropdown\"><option value=\"\">- S\u00e9lectionner -<\/option><option value=\"Entreprises de services professionnels\"  >Entreprises de services professionnels<\/option><option value=\"Entrepreneurs\"  >Entrepreneurs<\/option><option value=\"Commerce de d\u00e9tail et automobile\"  >Commerce de d\u00e9tail et automobile<\/option><option value=\"Immobilier\"  >Immobilier<\/option><option value=\"Restauration et h\u00f4tellerie\"  >Restauration et h\u00f4tellerie<\/option><option value=\"Services de sant\u00e9\"  >Services de sant\u00e9<\/option><option value=\"Fabrication et transformation\"  >Fabrication et transformation<\/option><option value=\"Grossistes\"  >Grossistes<\/option><option value=\"Entreposage\"  >Entreposage<\/option><option value=\"\u00c9nergie\"  >\u00c9nergie<\/option><option value=\"Autres secteur\"  >Autres secteur<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_ent_preciser_secteur' id='label_ff_14_ent_preciser_secteur' aria-label=\"Pr\u00e9cisez votre activit\u00e9\">Pr\u00e9cisez votre activit\u00e9<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ent_preciser_secteur\" id=\"ff_14_ent_preciser_secteur\" class=\"ff-el-form-control\" placeholder=\"D\u00e9crivez votre activit\u00e9 (secteur, type de produits\/services, etc.)\" data-name=\"ent_preciser_secteur\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address has-conditions\" data-type=\"address-element\" data-name=\"ent_address_1\" ><div class='ff-el-input--label'><label aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_address_1_address_line_1_' id='label_ff_14_ent_address_1_address_line_1_' aria-label=\"Adresse ligne 1\">Adresse ligne 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ent_address_1[address_line_1]\" id=\"ff_14_ent_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_address_1_city_' id='label_ff_14_ent_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ent_address_1[city]\" id=\"ff_14_ent_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Ville\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_address_1_state_' id='label_ff_14_ent_address_1_state_' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ent_address_1[state]\" id=\"ff_14_ent_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Qu\u00e9bec seulement\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_address_1_zip_' id='label_ff_14_ent_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ent_address_1[zip]\" id=\"ff_14_ent_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Code Postal\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_numeric-field' id='label_ff_14_ent_numeric-field' aria-label=\"Ann\u00e9e de cr\u00e9ation de l\u2019entreprise\">Ann\u00e9e de cr\u00e9ation de l\u2019entreprise<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"ent_numeric-field\" id=\"ff_14_ent_numeric-field\" class=\"ff-el-form-control\" placeholder=\"2023\" data-name=\"ent_numeric-field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_ent_numeric-field_1' id='label_ff_14_ent_numeric-field_1' aria-label=\"Nombre d&#039;ann\u00e9es d\u2019exp\u00e9rience dans le domaine\">Nombre d'ann\u00e9es d\u2019exp\u00e9rience dans le domaine<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"ent_numeric-field_1\" id=\"ff_14_ent_numeric-field_1\" class=\"ff-el-form-control\" placeholder=\"1\" data-name=\"ent_numeric-field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_datetime' id='label_ff_14_ent_datetime' aria-label=\"Date \u00e9ch\u00e9ance du contrat\">Date \u00e9ch\u00e9ance du contrat <\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date \u00e9ch\u00e9ance du contrat  Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"ent_datetime\" id=\"ff_14_ent_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"ent_datetime\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_multi_select' id='label_ff_14_ent_multi_select' aria-label=\"Protection requise\">Protection requise<\/label><\/div><div class='ff-el-input--content'><select name=\"ent_multi_select[]\" id=\"ff_14_ent_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" multiple=\"1\" data-name=\"ent_multi_select\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_14_ent_multi_select\"><option value=\"B\u00e2timent\"  >B\u00e2timent<\/option><option value=\"Contenu\"  >Contenu<\/option><option value=\"Responsabilit\u00e9 civile\"  >Responsabilit\u00e9 civile<\/option><option value=\"V\u00e9hicule\"  >V\u00e9hicule<\/option><option value=\"Assurance chantier ou\/et Warp up\"  >Assurance chantier ou\/et Warp up<\/option><option value=\"Perte de revenu\"  >Perte de revenu<\/option><option value=\"Cyber-risques\"  >Cyber-risques<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Consentez-vous \u00e0 une v\u00e9rification de cr\u00e9dit?\">Consentez-vous \u00e0 une v\u00e9rification de cr\u00e9dit?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='ent_input_radio_8582ffc34027aa7dca94f1e404554016'><input  type=\"radio\" name=\"ent_input_radio\" data-name=\"ent_input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Oui\"  id='ent_input_radio_8582ffc34027aa7dca94f1e404554016' aria-label='Oui' aria-invalid='false' aria-required=false> <span>Oui<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='ent_input_radio_1af68dd94428bfbe41ab8d1f3b0e8e21'><input  type=\"radio\" name=\"ent_input_radio\" data-name=\"ent_input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Non\"  id='ent_input_radio_1af68dd94428bfbe41ab8d1f3b0e8e21' aria-label='Non' aria-invalid='false' aria-required=false> <span>Non<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_numeric-field_2' id='label_ff_14_ent_numeric-field_2' aria-label=\"Recettes totales annuel (revenus)\">Recettes totales annuel (revenus)<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"ent_numeric-field_2\" id=\"ff_14_ent_numeric-field_2\" class=\"ff-el-form-control\" placeholder=\"$\" data-name=\"ent_numeric-field_2\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_input_text_1' id='label_ff_14_ent_input_text_1' aria-label=\"Assureur actuel ou ant\u00e9rieur\">Assureur actuel ou ant\u00e9rieur<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ent_input_text_1\" class=\"ff-el-form-control\" data-name=\"ent_input_text_1\" id=\"ff_14_ent_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_ent_description' id='label_ff_14_ent_description' aria-label=\"Informations additionnels\">Informations additionnels<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_14_ent_description\" name=\"ent_description\" id=\"ff_14_ent_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"ent_description\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_dropdown' id='label_ff_14_vie_dropdown' aria-label=\"Montant d&#039;assurance vie requis ?\">Montant d'assurance vie requis ?<\/label><\/div><div class='ff-el-input--content'><select name=\"vie_dropdown\" id=\"ff_14_vie_dropdown\" class=\"ff-el-form-control\" data-name=\"vie_dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_14_vie_dropdown\"><option value=\"\">- Selectionner -<\/option><option value=\"50 000$\"  >50 000$<\/option><option value=\"100 000 $\"  >100 000 $<\/option><option value=\"200 000 $\"  >200 000 $<\/option><option value=\"300 000 $\"  >300 000 $<\/option><option value=\"400 000 $\"  >400 000 $<\/option><option value=\"500 000 $\"  >500 000 $<\/option><option value=\"600 000 $\"  >600 000 $<\/option><option value=\"700 000 $\"  >700 000 $<\/option><option value=\"800 000 $\"  >800 000 $<\/option><option value=\"900 000 $\"  >900 000 $<\/option><option value=\"1 000 000 $\"  >1 000 000 $<\/option><option value=\"2 000 000 $\"  >2 000 000 $<\/option><option value=\"3 000 000 $\"  >3 000 000 $<\/option><option value=\"4 000 000 $\"  >4 000 000 $<\/option><option value=\"5 000 000 $\"  >5 000 000 $<\/option><option value=\"10 000 000$\"  >10 000 000$<\/option><option value=\"Autres\"  >Autres<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Ant\u00e9c\u00e9dents (nous avons des solutions)\">Ant\u00e9c\u00e9dents (nous avons des solutions)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='vie_checkbox_2_ba4737f7e262fd27c843550e8a579412'><input  type=\"checkbox\" name=\"vie_checkbox_2[]\" data-name=\"vie_checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Avez-vous un dossier criminel ?\"  id='vie_checkbox_2_ba4737f7e262fd27c843550e8a579412' aria-label='Avez-vous un dossier criminel ?' aria-invalid='false' aria-required=false> <span>Avez-vous un dossier criminel ?<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='vie_checkbox_2_8a05facaf2d39b08904bd6ba71584e5b'><input  type=\"checkbox\" name=\"vie_checkbox_2[]\" data-name=\"vie_checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 annul\u00e9 pour \u00ab non-paiement \u00bb ?\"  id='vie_checkbox_2_8a05facaf2d39b08904bd6ba71584e5b' aria-label='Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 annul\u00e9 pour \u00ab non-paiement \u00bb ?' aria-invalid='false' aria-required=false> <span>Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 annul\u00e9 pour \u00ab non-paiement \u00bb ?<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_input_text' id='label_ff_14_vie_input_text' aria-label=\"Que d\u00e9sirez-vous assurer ?\">Que d\u00e9sirez-vous assurer ?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vie_input_text\" class=\"ff-el-form-control\" data-name=\"vie_input_text\" id=\"ff_14_vie_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address has-conditions\" data-type=\"address-element\" data-name=\"vie_address_1\" ><div class='ff-el-input--label'><label aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_address_1_address_line_1_' id='label_ff_14_vie_address_1_address_line_1_' aria-label=\"Adresse ligne 1\">Adresse ligne 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vie_address_1[address_line_1]\" id=\"ff_14_vie_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_address_1_city_' id='label_ff_14_vie_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vie_address_1[city]\" id=\"ff_14_vie_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Ville\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_address_1_state_' id='label_ff_14_vie_address_1_state_' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vie_address_1[state]\" id=\"ff_14_vie_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Qu\u00e9bec seulement\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_address_1_zip_' id='label_ff_14_vie_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vie_address_1[zip]\" id=\"ff_14_vie_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Code Postal\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_input_text_1' id='label_ff_14_vie_input_text_1' aria-label=\"Assureur actuel ou ant\u00e9rieur\">Assureur actuel ou ant\u00e9rieur<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vie_input_text_1\" class=\"ff-el-form-control\" data-name=\"vie_input_text_1\" id=\"ff_14_vie_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_dropdown_2' id='label_ff_14_vie_dropdown_2' aria-label=\"\u00cates-vous fumeur ?\">\u00cates-vous fumeur ?<\/label><\/div><div class='ff-el-input--content'><select name=\"vie_dropdown_2\" id=\"ff_14_vie_dropdown_2\" class=\"ff-el-form-control\" data-name=\"vie_dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_14_vie_dropdown_2\"><option value=\"\">- S\u00e9lectionner -<\/option><option value=\"Fumeur\"  >Fumeur<\/option><option value=\"Non fumeur\"  >Non fumeur<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_datetime_1' id='label_ff_14_vie_datetime_1' aria-label=\"Votre date de naissance\">Votre date de naissance<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Votre date de naissance Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"vie_datetime_1\" id=\"ff_14_vie_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"vie_datetime_1\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_input_text_2' id='label_ff_14_vie_input_text_2' aria-label=\"Votre occupation\">Votre occupation<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"vie_input_text_2\" class=\"ff-el-form-control\" data-name=\"vie_input_text_2\" id=\"ff_14_vie_input_text_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_vie_description' id='label_ff_14_vie_description' aria-label=\"Informations additionnels\">Informations additionnels<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_14_vie_description\" name=\"vie_description\" id=\"ff_14_vie_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"vie_description\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_mg_situation_actuelle' id='label_ff_14_mg_situation_actuelle' aria-label=\"Quelle est votre situation?\">Quelle est votre situation?<\/label><\/div><div class='ff-el-input--content'><select name=\"mg_situation_actuelle\" id=\"ff_14_mg_situation_actuelle\" class=\"ff-el-form-control\" data-name=\"mg_situation_actuelle\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_14_mg_situation_actuelle\"><option value=\"\">-- Choisissez votre situation --<\/option><option value=\"Je ne poss\u00e8de aucune assurance maladie grave\"  >Je ne poss\u00e8de aucune assurance maladie grave<\/option><option value=\"Je cherche \u00e0 remplacer mon assurance maladie grave existante\"  >Je cherche \u00e0 remplacer mon assurance maladie grave existante<\/option><option value=\"J&#039;ai un besoin suppl\u00e9mentaire d&#039;assurance maladie grave\"  >J'ai un besoin suppl\u00e9mentaire d'assurance maladie grave<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_mg_montant_assurance' id='label_ff_14_mg_montant_assurance' aria-label=\"Montant d&#039;assurance souhait\u00e9\">Montant d'assurance souhait\u00e9<\/label><div class=\"ff-el-tooltip\" data-content=\"Entre 15 000$ et 500 000$\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 25 25\"><path d=\"m329 393l0-46c0-2-1-4-2-6-2-2-4-3-7-3l-27 0 0-146c0-3-1-5-3-7-2-1-4-2-7-2l-91 0c-3 0-5 1-7 2-1 2-2 4-2 7l0 46c0 2 1 5 2 6 2 2 4 3 7 3l27 0 0 91-27 0c-3 0-5 1-7 3-1 2-2 4-2 6l0 46c0 3 1 5 2 7 2 1 4 2 7 2l128 0c3 0 5-1 7-2 1-2 2-4 2-7z m-36-256l0-46c0-2-1-4-3-6-2-2-4-3-7-3l-54 0c-3 0-5 1-7 3-2 2-3 4-3 6l0 46c0 3 1 5 3 7 2 1 4 2 7 2l54 0c3 0 5-1 7-2 2-2 3-4 3-7z m182 119c0 40-9 77-29 110-20 34-46 60-80 80-33 20-70 29-110 29-40 0-77-9-110-29-34-20-60-46-80-80-20-33-29-70-29-110 0-40 9-77 29-110 20-34 46-60 80-80 33-20 70-29 110-29 40 0 77 9 110 29 34 20 60 46 80 80 20 33 29 70 29 110z\" transform=\"scale(0.046875 0.046875)\"><\/path><\/svg><\/div><\/div><div class='ff-el-input--content'><select name=\"mg_montant_assurance\" class=\"ff-el-form-control\" data-name=\"mg_montant_assurance\" id=\"ff_14_mg_montant_assurance\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_14_mg_montant_assurance\"><option value=\"\">-- S\u00e9lectionnez un montant --<\/option><option value=\"15 000 $\"  >15 000 $<\/option><option value=\"25 000 $\"  >25 000 $<\/option><option value=\"50 000 $\"  >50 000 $<\/option><option value=\"75 000 $\"  >75 000 $<\/option><option value=\"100 000 $\"  >100 000 $<\/option><option value=\"150 000 $\"  >150 000 $<\/option><option value=\"200 000 $\"  >200 000 $<\/option><option value=\"250 000 $\"  >250 000 $<\/option><option value=\"300 000 $\"  >300 000 $<\/option><option value=\"400 000 $\"  >400 000 $<\/option><option value=\"500 000 $\"  >500 000 $<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Dur\u00e9e de la protection\">Dur\u00e9e de la protection<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_duree_protection_902f5b45858a894e196f407109245929'><input  name=\"mg_duree_protection\" type=\"radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" data-name=\"mg_duree_protection\" value=\"10 ans\"  id='mg_duree_protection_902f5b45858a894e196f407109245929' aria-label='10 ans' aria-invalid='false' aria-required=true> <span>10 ans<\/span><\/label><\/div><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_duree_protection_8764235f410c32f68be74601499c1ea5'><input  name=\"mg_duree_protection\" type=\"radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" data-name=\"mg_duree_protection\" value=\"20 ans\"  id='mg_duree_protection_8764235f410c32f68be74601499c1ea5' aria-label='20 ans' aria-invalid='false' aria-required=true> <span>20 ans<\/span><\/label><\/div><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_duree_protection_65528ba963fe3ca735096af9b6b3a61c'><input  name=\"mg_duree_protection\" type=\"radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" data-name=\"mg_duree_protection\" value=\"30 ans\"  id='mg_duree_protection_65528ba963fe3ca735096af9b6b3a61c' aria-label='30 ans' aria-invalid='false' aria-required=true> <span>30 ans<\/span><\/label><\/div><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_duree_protection_d4bcf26d8287a7536ca6b34c449fbc2c'><input  name=\"mg_duree_protection\" type=\"radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" data-name=\"mg_duree_protection\" value=\"\u00c0 vie\"  id='mg_duree_protection_d4bcf26d8287a7536ca6b34c449fbc2c' aria-label='\u00c0 vie' aria-invalid='false' aria-required=true> <span>\u00c0 vie<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_mg_date_naissance' id='label_ff_14_mg_date_naissance' aria-label=\"Date de naissance\">Date de naissance<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de naissance Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='Y-m-d' name=\"mg_date_naissance\" type=\"date\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"mg_date_naissance\" id=\"ff_14_mg_date_naissance\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Statut fumeur\">Statut fumeur<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_fumeur_2633ed7121596b801c8636ac1169aef3'><input  name=\"mg_fumeur\" type=\"radio\" data-name=\"mg_fumeur\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"non\"  id='mg_fumeur_2633ed7121596b801c8636ac1169aef3' aria-label='Non-fumeur' aria-invalid='false' aria-required=true> <span>Non-fumeur<\/span><\/label><\/div><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_fumeur_9b1117e5502caeb92dfea4c00594086b'><input  name=\"mg_fumeur\" type=\"radio\" data-name=\"mg_fumeur\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"oui\"  id='mg_fumeur_9b1117e5502caeb92dfea4c00594086b' aria-label='Fumeur' aria-invalid='false' aria-required=true> <span>Fumeur<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions  ff_list_buttons'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Genre\">Genre<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_genre_69f71a2122135bcc54226e77069a6de9'><input  name=\"mg_genre\" type=\"radio\" data-name=\"mg_genre\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Homme\"  id='mg_genre_69f71a2122135bcc54226e77069a6de9' aria-label='Homme' aria-invalid='false' aria-required=true> <span>Homme<\/span><\/label><\/div><div class='ff-el-form-check'><label class='ff-el-form-check-label' for='mg_genre_57b3ce1866b35f7bec239268d4b556d6'><input  name=\"mg_genre\" type=\"radio\" data-name=\"mg_genre\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Femme\"  id='mg_genre_57b3ce1866b35f7bec239268d4b556d6' aria-label='Femme' aria-invalid='false' aria-required=true> <span>Femme<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_mg_ville' id='label_ff_14_mg_ville' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input name=\"mg_ville\" type=\"text\" data-name=\"mg_ville\" class=\"ff-el-form-control\" id=\"ff_14_mg_ville\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"Emploi cibl\u00e9\">Emploi cibl\u00e9<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='emp_checkbox_2b38696ddd81dc7ec93a6028eb2a5e10'><input  type=\"checkbox\" name=\"emp_checkbox[]\" data-name=\"emp_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Courtier assurance des particuliers\"  id='emp_checkbox_2b38696ddd81dc7ec93a6028eb2a5e10' aria-label='Courtier assurance des particuliers' aria-invalid='false' aria-required=false> <span>Courtier assurance des particuliers<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='emp_checkbox_8f0fc932e844414ba8428bff1e9d44d7'><input  type=\"checkbox\" name=\"emp_checkbox[]\" data-name=\"emp_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Courtier assurance des entreprises\"  id='emp_checkbox_8f0fc932e844414ba8428bff1e9d44d7' aria-label='Courtier assurance des entreprises' aria-invalid='false' aria-required=false> <span>Courtier assurance des entreprises<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='emp_checkbox_d63af9c15892c76cc6bb0447c739ed61'><input  type=\"checkbox\" name=\"emp_checkbox[]\" data-name=\"emp_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Adjoint(e) administratif\"  id='emp_checkbox_d63af9c15892c76cc6bb0447c739ed61' aria-label='Adjoint(e) administratif' aria-invalid='false' aria-required=false> <span>Adjoint(e) administratif<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='emp_checkbox_1654a053739d6a277c555b8431abd907'><input  type=\"checkbox\" name=\"emp_checkbox[]\" data-name=\"emp_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Direction\"  id='emp_checkbox_1654a053739d6a277c555b8431abd907' aria-label='Direction' aria-invalid='false' aria-required=false> <span>Direction<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='emp_checkbox_487d1d7b8b9ef3cee2d366068d40a266'><input  type=\"checkbox\" name=\"emp_checkbox[]\" data-name=\"emp_checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Autre\"  id='emp_checkbox_487d1d7b8b9ef3cee2d366068d40a266' aria-label='Autre' aria-invalid='false' aria-required=false> <span>Autre<\/span><\/label><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address has-conditions\" data-type=\"address-element\" data-name=\"emp_address_1\" ><div class='ff-el-input--label'><label aria-label=\"Adresse\">Adresse<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_address_1_address_line_1_' id='label_ff_14_emp_address_1_address_line_1_' aria-label=\"Adresse ligne 1\">Adresse ligne 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"emp_address_1[address_line_1]\" id=\"ff_14_emp_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_address_1_address_line_2_' id='label_ff_14_emp_address_1_address_line_2_' aria-label=\"Adresse ligne 2\">Adresse ligne 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"emp_address_1[address_line_2]\" id=\"ff_14_emp_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Adresse ligne 2\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_address_1_city_' id='label_ff_14_emp_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"emp_address_1[city]\" id=\"ff_14_emp_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Ville\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_address_1_zip_' id='label_ff_14_emp_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"emp_address_1[zip]\" id=\"ff_14_emp_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Code Postal\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_input_text_1' id='label_ff_14_emp_input_text_1' aria-label=\"Salaire demand\u00e9\">Salaire demand\u00e9<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"emp_input_text_1\" class=\"ff-el-form-control\" placeholder=\"$\/heure\" data-name=\"emp_input_text_1\" id=\"ff_14_emp_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_file-upload_1' id='label_ff_14_emp_file-upload_1' aria-label=\"Joindre votre curriculum vitae\">Joindre votre curriculum vitae<\/label><\/div><div class='ff-el-input--content'><label for='ff_14_emp_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Fichier<\/span> <input type=\"file\" name=\"emp_file-upload\" id=\"ff_14_emp_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"emp_file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_datetime_1' id='label_ff_14_emp_datetime_1' aria-label=\"Votre date de naissance\">Votre date de naissance<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Votre date de naissance Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"emp_datetime_1\" id=\"ff_14_emp_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"emp_datetime_1\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_input_text_2' id='label_ff_14_emp_input_text_2' aria-label=\"Votre occupation actuel\">Votre occupation actuel<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"emp_input_text_2\" class=\"ff-el-form-control\" data-name=\"emp_input_text_2\" id=\"ff_14_emp_input_text_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_14_emp_description' id='label_ff_14_emp_description' aria-label=\"Informations additionnels\">Informations additionnels<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_14_emp_description\" name=\"emp_description\" id=\"ff_14_emp_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"emp_description\" ><\/textarea><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-14_2\" ><div style=\"text-align:center;padding:6px 0\"><p style=\"font-size:15px;color:#0d1f2d;margin-bottom:14px\">Pour ces produits, obtenez votre soumission directement&nbsp;:<\/p><a href=\"https:\/\/www.assur360.ca\/soumission-assurance-vehicule-recreatif\/\" style=\"display:inline-block;margin:6px;padding:14px 24px;background:#10c4c7;color:#ffffff;font-weight:600;text-decoration:none;border-radius:10px;font-size:15px\">\ud83d\ude90 Assurance VR<\/a><a href=\"https:\/\/www.assur360.ca\/soumission-assurance-moto\/\" style=\"display:inline-block;margin:6px;padding:14px 24px;background:#10c4c7;color:#ffffff;font-weight:600;text-decoration:none;border-radius:10px;font-size:15px\">\ud83c\udfcd\ufe0f Assurance moto<\/a><a href=\"https:\/\/www.assur360.ca\/soumission-assurance-bateau\/\" style=\"display:inline-block;margin:6px;padding:14px 24px;background:#10c4c7;color:#ffffff;font-weight:600;text-decoration:none;border-radius:10px;font-size:15px\">\u26f5 Assurance bateau<\/a><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-14_3\" ><div style=\"text-align:center;padding:6px 0\"><p style=\"font-size:15px;color:#0d1f2d;margin-bottom:8px\">Pour un service sur une police existante ou pour d\u00e9clarer une r\u00e9clamation\/sinistre, adressez-vous directement \u00e0 votre cabinet via le r\u00e9seau Assurancia&nbsp;:<\/p><a href=\"https:\/\/www.assur360.ca\/reseau-assurancia\/\" style=\"display:inline-block;margin:10px 6px;padding:14px 26px;background:#10c4c7;color:#ffffff;font-weight:600;text-decoration:none;border-radius:10px;font-size:15px\">\ud83d\udd0e Trouver mon cabinet \u2014 R\u00e9seau Assurancia<\/a><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_14_message' id='label_ff_14_message' aria-label=\"Your message (insurance for Quebec residents only)\">Your message (insurance for Quebec residents only)<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"true\" aria-labelledby=\"label_ff_14_message\" name=\"message\" id=\"ff_14_message\" class=\"ff-el-form-control\" placeholder=\"Your message\" rows=\"2\" cols=\"2\" data-name=\"message\" ><\/textarea><\/div><\/div><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"The information collected in this section allows us, among other things, to pre-qualify for your insurance needs and potentially provide you with an insurance quote. The information provided is stored in order to meet legislative and regulatory requirements. In addition, by filling out the form, you consent to our use, communication or sharing internally and externally (in particular with partner firms and\/or insurers) and that we retain this information.\">The information collected in this section allows us, among other things, to pre-qualify for your insurance needs and potentially provide you with an insurance quote. The information provided is stored in order to meet legislative and regulatory requirements. In addition, by filling out the form, you consent to our use, communication or sharing internally and externally (in particular with partner firms and\/or insurers) and that we retain this information.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_0096cc8ae5977b26588da8636b3203f8'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"J&#039;accepte\"  id='checkbox_1_0096cc8ae5977b26588da8636b3203f8' aria-label='I agree' aria-invalid='false' aria-required=false> <span>I agree<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label'><div class=\"ff-el-input--label asterisk-right\"><label   aria-label=\"I would like to subscribe to the Assur360 newsletter for its contests, promotions and information\">I would like to subscribe to the Assur360 newsletter for its contests, promotions and information<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_0952b7ee01133f179ea6e5e4943f97b0'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Je d\u00e9sire m&#039;abonner \u00e0 l&#039;infolettre d&#039;Assur360 pour ses concours, promotions et informations\"  id='checkbox_0952b7ee01133f179ea6e5e4943f97b0' aria-label='I would like to subscribe to the Assur360 newsletter for its contests, promotions and information' aria-invalid='false' aria-required=false> <span>I would like to subscribe to the Assur360 newsletter for its contests, promotions and information<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><\/div><\/div><div class='ff-el-group ff-text-center ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-lg ff_btn_style wpf_has_custom_css\"  aria-label=\"Soumettre le formulaire\">Soumettre le formulaire<\/button><\/div><\/fieldset><\/form><div id='fluentform_14_errors' class='ff-errors-in-stack ff_form_instance_14_1 ff-form-loading_errors ff_form_instance_14_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_14_1 = {\"id\":\"14\",\"ajaxUrl\":\"https:\\\/\\\/www.assur360.ca\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_14_1\",\"form_id_selector\":\"fluentform_14\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"email\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\",\"global\":false,\"global_message\":\"Ce champ doit contenir un e-mail valide\"}},\"phone\":{\"required\":{\"value\":true,\"global\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\"},\"valid_phone_number\":{\"value\":true,\"global\":true,\"message\":\"Phone number is not valid\",\"global_message\":\"Le num\\u00e9ro de t\\u00e9l\\u00e9phone est invalide\"}},\"subject\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"dropdown\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"dropdown_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"input_text\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"address_1[address_line_1]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"address_1[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"address_1[city]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"address_1[state]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"address_1[zip]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"address_1[country]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"datetime\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"datetime_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"input_radio\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_input_radio_2\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_multi_select\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_numeric_field\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\",\"global_message\":\"Ce champ doit contenir une valeur num\\u00e9rique\",\"global\":true},\"min\":{\"value\":\"\",\"message\":\"Validation fails for minimum value\",\"global_message\":\"\\u00c9chec de la validation pour la valeur minimale\",\"global\":true},\"max\":{\"value\":\"\",\"message\":\"Validation fails for maximum value\",\"global_message\":\"\\u00c9chec de la validation pour la valeur maximale\",\"global\":true},\"digits\":{\"value\":\"\",\"message\":\"Validation fails for limited digits\",\"global_message\":\"La validation \\u00e9choue pour un nombre limit\\u00e9 de chiffres\",\"global\":true}},\"hab_numeric_field_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\",\"global_message\":\"Ce champ doit contenir une valeur num\\u00e9rique\",\"global\":true},\"min\":{\"value\":\"\",\"message\":\"Validation fails for minimum value\",\"global_message\":\"\\u00c9chec de la validation pour la valeur minimale\",\"global\":true},\"max\":{\"value\":\"\",\"message\":\"Validation fails for maximum value\",\"global_message\":\"\\u00c9chec de la validation pour la valeur maximale\",\"global\":true},\"digits\":{\"value\":\"\",\"message\":\"Validation fails for limited digits\",\"global_message\":\"La validation \\u00e9choue pour un nombre limit\\u00e9 de chiffres\",\"global\":true}},\"hab_address_1[address_line_1]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_address_1[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_address_1[city]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_address_1[state]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_address_1[zip]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_address_1[country]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_datetime\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_datetime_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"hab_input_radio\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"ent_input_text\":{\"required\":{\"value\":true,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_dropdown\":{\"required\":{\"value\":true,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_preciser_secteur\":{\"required\":{\"value\":true,\"message\":\"Veuillez pr\\u00e9ciser votre activit\\u00e9\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_address_1[address_line_1]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_address_1[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_address_1[city]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_address_1[state]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_address_1[zip]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_address_1[country]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_numeric-field\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"},\"numeric\":{\"value\":true,\"message\":\"Ce champ doit contenir une valeur num\\u00e9rique\",\"global\":false,\"global_message\":\"Ce champ doit contenir une valeur num\\u00e9rique\"},\"min\":{\"value\":\"\",\"message\":\"Valeur minimale est \",\"global\":false,\"global_message\":\"\\u00c9chec de la validation pour la valeur minimale\"},\"max\":{\"value\":\"\",\"message\":\"Valeur maximale est \",\"global\":false,\"global_message\":\"\\u00c9chec de la validation pour la valeur maximale\"},\"digits\":{\"value\":\"\",\"message\":\"Le nombre de chiffres doit \\u00eatre \",\"global\":false,\"global_message\":\"La validation \\u00e9choue pour un nombre limit\\u00e9 de chiffres\"}},\"ent_numeric-field_1\":{\"required\":{\"value\":true,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"},\"numeric\":{\"value\":true,\"message\":\"Ce champ doit contenir une valeur num\\u00e9rique\",\"global\":false,\"global_message\":\"Ce champ doit contenir une valeur num\\u00e9rique\"},\"min\":{\"value\":\"\",\"message\":\"Valeur minimale est \",\"global\":false,\"global_message\":\"\\u00c9chec de la validation pour la valeur minimale\"},\"max\":{\"value\":\"\",\"message\":\"Valeur maximale est \",\"global\":false,\"global_message\":\"\\u00c9chec de la validation pour la valeur maximale\"},\"digits\":{\"value\":\"\",\"message\":\"Le nombre de chiffres doit \\u00eatre \",\"global\":false,\"global_message\":\"La validation \\u00e9choue pour un nombre limit\\u00e9 de chiffres\"}},\"ent_datetime\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_multi_select\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_input_radio\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_numeric-field_2\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"},\"numeric\":{\"value\":true,\"message\":\"Ce champ doit contenir une valeur num\\u00e9rique\",\"global\":false,\"global_message\":\"Ce champ doit contenir une valeur num\\u00e9rique\"},\"min\":{\"value\":\"\",\"message\":\"Valeur minimale est \",\"global\":false,\"global_message\":\"\\u00c9chec de la validation pour la valeur minimale\"},\"max\":{\"value\":\"\",\"message\":\"Valeur maximale est \",\"global\":false,\"global_message\":\"\\u00c9chec de la validation pour la valeur maximale\"},\"digits\":{\"value\":\"\",\"message\":\"Le nombre de chiffres doit \\u00eatre \",\"global\":false,\"global_message\":\"La validation \\u00e9choue pour un nombre limit\\u00e9 de chiffres\"}},\"ent_input_text_1\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"ent_description\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_dropdown\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"vie_checkbox_2\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_input_text\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_address_1[address_line_1]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_address_1[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_address_1[city]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_address_1[state]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_address_1[zip]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_address_1[country]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_input_text_1\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_dropdown_2\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_datetime_1\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_input_text_2\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"vie_description\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"mg_situation_actuelle\":{\"required\":{\"value\":true,\"message\":\"Ce champ est requis\"}},\"mg_montant_assurance\":{\"required\":{\"value\":true,\"message\":\"Ce champ est requis\"}},\"mg_duree_protection\":{\"required\":{\"value\":true,\"message\":\"Ce champ est requis\"}},\"mg_date_naissance\":{\"required\":{\"value\":true,\"message\":\"Ce champ est requis\"}},\"mg_fumeur\":{\"required\":{\"value\":true,\"message\":\"Ce champ est requis\"}},\"mg_genre\":{\"required\":{\"value\":true,\"message\":\"Ce champ est requis\"}},\"mg_ville\":{\"required\":{\"value\":true,\"message\":\"La ville est requise\"}},\"emp_checkbox\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_address_1[address_line_1]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_address_1[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_address_1[city]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_address_1[state]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_address_1[zip]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_address_1[country]\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_input_text_1\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_file-upload\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"max_file_size\":{\"value\":1048576,\"_valueFrom\":\"MB\",\"message\":\"Maximum file size limit is 1MB\"},\"max_file_count\":{\"value\":1,\"message\":\"You can upload maximum 1 file\"},\"allowed_file_types\":{\"value\":[],\"message\":\"Invalid file type\"}},\"emp_datetime_1\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_input_text_2\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"emp_description\":{\"required\":{\"value\":false,\"message\":\"Ce champ est obligatoire\"}},\"message\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"checkbox_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"Ce champ est obligatoire\",\"global\":true}},\"checkbox\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"Ce champ est obligatoire\"}},\"g-recaptcha-response\":[]},\"debounce_time\":300,\"conditionals\":{\"dropdown\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission auto\",\"operator\":\"=\"}]},\"dropdown_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission auto\",\"operator\":\"=\"}]},\"input_text\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission auto\",\"operator\":\"=\"}]},\"address_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission auto\",\"operator\":\"=\"}]},\"datetime\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission auto\",\"operator\":\"=\"}]},\"datetime_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission auto\",\"operator\":\"=\"}]},\"input_radio\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission auto\",\"operator\":\"=\"}]},\"hab_input_radio_2\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"hab_multi_select\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"hab_numeric_field\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"hab_numeric_field_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"hab_address_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"hab_datetime\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"hab_datetime_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"hab_input_radio\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission habitation\",\"operator\":\"=\"}]},\"ent_input_text\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_dropdown\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_preciser_secteur\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_address_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_numeric-field\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_numeric-field_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_datetime\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_multi_select\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_input_radio\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_numeric-field_2\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_input_text_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"ent_description\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission entreprise\",\"operator\":\"=\"}]},\"vie_dropdown\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_checkbox_2\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_input_text\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_address_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_input_text_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_dropdown_2\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_datetime_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_input_text_2\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"vie_description\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission vie\",\"operator\":\"=\"}]},\"mg_situation_actuelle\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission maladie grave\",\"operator\":\"=\"}]},\"mg_montant_assurance\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission maladie grave\",\"operator\":\"=\"}]},\"mg_duree_protection\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission maladie grave\",\"operator\":\"=\"}]},\"mg_date_naissance\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission maladie grave\",\"operator\":\"=\"}]},\"mg_fumeur\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission maladie grave\",\"operator\":\"=\"}]},\"mg_genre\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission maladie grave\",\"operator\":\"=\"}]},\"mg_ville\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission maladie grave\",\"operator\":\"=\"}]},\"emp_checkbox\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Emploi\",\"operator\":\"=\"}]},\"emp_address_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Emploi\",\"operator\":\"=\"}]},\"emp_input_text_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Emploi\",\"operator\":\"=\"}]},\"emp_file-upload\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Emploi\",\"operator\":\"=\"}]},\"emp_datetime_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Emploi\",\"operator\":\"=\"}]},\"emp_input_text_2\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Emploi\",\"operator\":\"=\"}]},\"emp_description\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Emploi\",\"operator\":\"=\"}]},\"custom_html-14_2\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Soumission autre\",\"operator\":\"=\"}],\"condition_groups\":[{\"rules\":[{\"field\":\"subject\",\"value\":\"Soumission autre\",\"operator\":\"=\"}],\"title\":\"\",\"isEditingTitle\":false,\"isPreviewOpen\":false,\"isGroupOpen\":true}]},\"custom_html-14_3\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Service police existante\",\"operator\":\"=\"},{\"field\":\"subject\",\"value\":\"Reclamation sinistre\",\"operator\":\"=\"}],\"condition_groups\":[{\"rules\":[{\"field\":\"subject\",\"value\":\"Service police existante\",\"operator\":\"=\"}],\"title\":\"\",\"isEditingTitle\":false,\"isPreviewOpen\":false,\"isGroupOpen\":true},{\"rules\":[{\"field\":\"subject\",\"value\":\"Reclamation sinistre\",\"operator\":\"=\"}],\"title\":\"\",\"isEditingTitle\":false,\"isPreviewOpen\":false,\"isGroupOpen\":true}]},\"message\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"subject\",\"value\":\"Partenariat\",\"operator\":\"=\"}]}},\"file_upload_settings\":[]};\n                            <\/script>\n            \n\n  \n<script type=\"application\/ld+json\">{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"BreadcrumbList\",\n  \"itemListElement\": [\n    {\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/www.assur360.ca\/\"},\n    {\"@type\":\"ListItem\",\"position\":2,\"name\":\"Contact\",\"item\":\"https:\/\/www.assur360.ca\/contact\/\"}\n  ]\n}\n<\/script><script type=\"application\/ld+json\">{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"InsuranceAgency\",\n  \"name\": \"Assur360 tek inc.\",\n  \"url\": \"https:\/\/www.assur360.ca\/\",\n  \"telephone\": \"+1-866-357-4451\",\n  \"email\": \"info@assur360.ca\",\n  \"areaServed\": {\"@type\":\"Province\",\"name\":\"Qu\u00e9bec, Canada\"},\n  \"description\": \"Cabinet de courtage en assurance de dommages au Qu\u00e9bec. Courtiers certifi\u00e9s AMF, comparaison de 9+ assureurs.\",\n  \"priceRange\": \"$$\",\n  \"address\": {\n    \"@type\": \"PostalAddress\",\n    \"streetAddress\": \"299 boul. Frontenac Ouest\",\n    \"addressLocality\": \"Thetford Mines\",\n    \"addressRegion\": \"QC\",\n    \"postalCode\": \"G6G 6K2\",\n    \"addressCountry\": \"CA\"\n  },\n  \"openingHours\": \"Mo-Fr 08:30-17:00\",\n  \"sameAs\": [\"https:\/\/www.assur360.ca\/\"]\n}\n<\/script><script type=\"application\/ld+json\">{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\"@type\":\"Question\",\"name\":\"Quels sont vos horaires d'ouverture?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Nos bureaux sont ouverts du lundi au vendredi, de 8 h 30 \u00e0 17 h. En dehors de ces heures, vous pouvez nous laisser un message via notre formulaire de contact ou par courriel. Un courtier vous r\u00e9pondra d\u00e8s le prochain jour ouvrable.\"}},\n    {\"@type\":\"Question\",\"name\":\"Comment obtenir une soumission d'assurance gratuite?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Remplissez notre formulaire de contact ci-dessus ou appelez-nous au 1-866-357-4451. Un courtier certifi\u00e9 par l'AMF analysera vos besoins et vous pr\u00e9sentera les meilleures offres de plusieurs assureurs. Le service est enti\u00e8rement gratuit et sans engagement.\"}},\n    {\"@type\":\"Question\",\"name\":\"Couvrez-vous tout le Quebec?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Oui, Assur360 dessert l'ensemble de la province de Qu\u00e9bec. Notre si\u00e8ge social est situ\u00e9 \u00e0 Thetford Mines, mais nos courtiers accompagnent des clients partout au Qu\u00e9bec, de Montreal a Gaspe en passant par Qu\u00e9bec, Sherbrooke et le Saguenay.\"}},\n    {\"@type\":\"Question\",\"name\":\"Combien de temps pour recevoir une r\u00e9ponse?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Nous nous engageons \u00e0 r\u00e9pondre \u00e0 toute demande dans un d\u00e9lai de 24 heures ouvrables. Pour les demandes urgentes, appelez-nous directement au 1-866-357-4451 pour parler imm\u00e9diatement a un courtier.\"}},\n    {\"@type\":\"Question\",\"name\":\"Le service de courtage est-il gratuit?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Oui, le service d'un courtier en assurance de dommages est enti\u00e8rement gratuit pour le client. Les courtiers sont r\u00e9mun\u00e9r\u00e9s par les compagnies d'assurance, pas par vous.\"}},\n    {\"@type\":\"Question\",\"name\":\"Comment joindre mon courtier attitr\u00e9?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Si un courtier vous a d\u00e9j\u00e0 \u00e9t\u00e9 assign\u00e9, vous pouvez le contacter directement par t\u00e9l\u00e9phone ou courriel. Appelez notre ligne principale au 1-866-357-4451 et nous vous redirigerons vers votre courtier.\"}},\n    {\"@type\":\"Question\",\"name\":\"Puis-je changer de courtier ou d'assureur?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Oui, vous \u00eates libre de changer de courtier ou d'assureur a tout moment. Contactez-nous et un courtier Assur360 prendra en charge votre dossier pour \u00e9valuer si de meilleures options s\u2019offrent \u00e0 vous.\"}}\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Assur360 Contact usOur team is here for you Our team of AMF-certified brokers is here for you. Free quote, personalized advice and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":21864,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_titles_title":"Contact Assur360 \u2014 Free quote and broker service in Quebec","_seopress_titles_desc":"Contact the Assur360 team for a free insurance quote. AMF certified brokers, service throughout Quebec. Phone, email or online form.  ","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"Contact Assur360 \u2014 Free Quote in Quebec","_seopress_social_fb_desc":"Contact Assur360 for a free quote. Certified brokers, service throughout Quebec. ","_seopress_social_fb_img":"https:\/\/www.assur360.ca\/wp-content\/uploads\/2025\/08\/Comparateur-assurance-auto-pas-chere-og-Facebook-1200-x-630-px.png","_seopress_social_fb_img_attachment_id":21861,"_seopress_social_fb_img_width":1200,"_seopress_social_fb_img_height":630,"_seopress_social_twitter_title":"Contact Assur360 \u2014 Free Quote in Quebec","_seopress_social_twitter_desc":"Contact Assur360 for a free quote. Certified brokers, service throughout Quebec. ","_seopress_social_twitter_img":"https:\/\/www.assur360.ca\/wp-content\/uploads\/2025\/08\/Comparateur-assurance-auto-pas-chere-og-Facebook-1200-x-630-px-1.png","_seopress_social_twitter_img_attachment_id":21865,"_seopress_social_twitter_img_width":1200,"_seopress_social_twitter_img_height":630,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"both","_seopress_redirections_param":"","_seopress_redirections_type":301,"_seopress_analysis_target_kw":"Assur360","_seopress_news_disabled":"","_seopress_video_disabled":"","_seopress_video":[{"url":"","title":"","desc":"","thumbnail":"","duration":"","rating":"","view_count":"","tag":""}],"_seopress_pro_schemas_manual":[],"_seopress_pro_rich_snippets_disable_all":"","_seopress_pro_rich_snippets_disable":[],"_seopress_pro_schemas":[],"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"yasr_overall_rating":4.9,"yasr_post_is_review":"yes","yasr_auto_insert_disabled":"","yasr_review_type":"","yasr_pro_reviews_in_comment_enabled":0,"footnotes":""},"class_list":["post-15616","page","type-page","status-publish","has-post-thumbnail","hentry"],"yasr_visitor_votes":{"stars_attributes":{"read_only":false,"span_bottom":false},"number_of_votes":661,"sum_votes":3305},"_links":{"self":[{"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/pages\/15616","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/comments?post=15616"}],"version-history":[{"count":11,"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/pages\/15616\/revisions"}],"predecessor-version":[{"id":53404,"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/pages\/15616\/revisions\/53404"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/media\/21864"}],"wp:attachment":[{"href":"https:\/\/www.assur360.ca\/en\/wp-json\/wp\/v2\/media?parent=15616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}