{"id":134,"date":"2024-06-14T11:24:27","date_gmt":"2024-06-14T09:24:27","guid":{"rendered":"https:\/\/form.advobox.com\/recht-bd\/?page_id=134"},"modified":"2024-06-17T07:38:50","modified_gmt":"2024-06-17T05:38:50","slug":"digitale-unfallerfassung","status":"publish","type":"page","link":"https:\/\/form.advobox.com\/recht-bd\/digitale-unfallerfassung\/","title":{"rendered":"Digitale Unfallerfassung"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_17' style='display:none'><div id='gf_17' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Digitale Unfallerfassung &#8211; Datenabfrage<\/h2>\n                            <p class='gform_description'>Hier k\u00f6nnen Unfalldaten digital \u00fcbermittelt werden<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17'  action='\/recht-bd\/wp-json\/wp\/v2\/pages\/134#gf_17' data-formid='17' novalidate>\n        <div id='gf_progressbar_wrapper_17' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Schritt <span class='gf_step_current_page'>1<\/span> von <span class='gf_step_page_count'>5<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_20' style='width:20%;'><span>20%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_17_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_17_42\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Nachfolgend k\u00f6nnen Sie uns die Daten Ihres Unfalls digital mitteilen. Die digitale Datenerfassung ist hilfreich, kann eine anwaltliche Beratung zu Ihrem Schadenfall jedoch nicht ersetzen. Melden Sie sich daher gerne jederzeit telefonisch oder per WhatsApp, falls Sie ein Beratungsgespr\u00e4ch ben\u00f6tigen. Teilen Sie uns am Besten auch mit, zu welchen Zeiten wir Sie gut erreichen k\u00f6nnen.\n\nBei s\u00e4mtlichen Fragen stehen wir telefonisch unter +4944319919942 zur Verf\u00fcgung.<\/div><div id=\"field_17_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Ihre Daten<\/h3><\/div><div id=\"field_17_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_1'>Vor- und Nachname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_17_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Anschrift<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_17_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_17_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_17_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_17_4_1' id='input_17_4_1_label' class='gform-field-label gform-field-label--type-sub '>Anschrift<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_17_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_17_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_17_4_3' id='input_17_4_3_label' class='gform-field-label gform-field-label--type-sub '>Stadt<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_17_4_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_17_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_17_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_17_4_5' id='input_17_4_5_label' class='gform-field-label gform-field-label--type-sub '>PLZ<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_17_4_6_container' >\n                                        <select name='input_4.6' id='input_17_4_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanien' >Albanien<\/option><option value='Algerien' >Algerien<\/option><option value='Amerikanisch-Samoa' >Amerikanisch-Samoa<\/option><option value='Amerikanische Jungferninseln' >Amerikanische Jungferninseln<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarktis' >Antarktis<\/option><option value='Antigua und Barbuda' >Antigua und Barbuda<\/option><option value='Argentinien' >Argentinien<\/option><option value='Armenien' >Armenien<\/option><option value='Aruba' >Aruba<\/option><option value='Aserbaidschan' >Aserbaidschan<\/option><option value='Australien' >Australien<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgien' >Belgien<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivien' >Bolivien<\/option><option value='Bosnien und Herzegowina' >Bosnien und Herzegowina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvetinsel' >Bouvetinsel<\/option><option value='Brasilien' >Brasilien<\/option><option value='Britische Jungferninseln' >Britische Jungferninseln<\/option><option value='Britisches Territorium im Indischen Ozean' >Britisches Territorium im Indischen Ozean<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgarien' >Bulgarien<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Caymen Inseln' >Caymen Inseln<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Cookinseln' >Cookinseln<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Demokratische Volksrepublik Laos' >Demokratische Volksrepublik Laos<\/option><option value='Deutschland' selected='selected'>Deutschland<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominikanische Republik' >Dominikanische Republik<\/option><option value='D\u00e4nemark' >D\u00e4nemark<\/option><option value='Ecuador' >Ecuador<\/option><option value='El Salvador' >El Salvador<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Falklandinseln' >Falklandinseln<\/option><option value='Fidschi' >Fidschi<\/option><option value='Finnland' >Finnland<\/option><option value='Frankreich' >Frankreich<\/option><option value='Franz\u00f6sisch-Guayana' >Franz\u00f6sisch-Guayana<\/option><option value='Franz\u00f6sisch-Polynesien' >Franz\u00f6sisch-Polynesien<\/option><option value='Franz\u00f6sische S\u00fcd- und Antarktisgebiete' >Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option value='Futuna (Wallis und Futuna)' >Futuna (Wallis und Futuna)<\/option><option value='F\u00e4r\u00f6er-Inseln' >F\u00e4r\u00f6er-Inseln<\/option><option value='Gabun' >Gabun<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenada' >Grenada<\/option><option value='Griechenland' >Griechenland<\/option><option value='Gro\u00dfbritannien' >Gro\u00dfbritannien<\/option><option value='Gr\u00f6nland' >Gr\u00f6nland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard und McDonaldinseln' >Heard und McDonaldinseln<\/option><option value='Heiliger Stuhl' >Heiliger Stuhl<\/option><option value='Honduras' >Honduras<\/option><option value='Hongkong' >Hongkong<\/option><option value='Indien' >Indien<\/option><option value='Indonesien' >Indonesien<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irland' >Irland<\/option><option value='Island' >Island<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italien' >Italien<\/option><option value='Jamaika' >Jamaika<\/option><option value='Japan' >Japan<\/option><option value='Jemen' >Jemen<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanien' >Jordanien<\/option><option value='Kambodscha' >Kambodscha<\/option><option value='Kamerun' >Kamerun<\/option><option value='Kanada' >Kanada<\/option><option value='Kap Verde' >Kap Verde<\/option><option value='Karibische Niederlande' >Karibische Niederlande<\/option><option value='Kasachstan' >Kasachstan<\/option><option value='Katar' >Katar<\/option><option value='Kenia' >Kenia<\/option><option value='Kirgistan' >Kirgistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kokosinseln' >Kokosinseln<\/option><option value='Kolumbien' >Kolumbien<\/option><option value='Komoren' >Komoren<\/option><option value='Kongo' >Kongo<\/option><option value='Kongo, Demokratische Republik des' >Kongo, Demokratische Republik des<\/option><option value='Korea. Demokratische Volksrepublik' >Korea. Demokratische Volksrepublik<\/option><option value='Kroatien' >Kroatien<\/option><option value='Kuba' >Kuba<\/option><option value='Kuwait' >Kuwait<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettland' >Lettland<\/option><option value='Libanon' >Libanon<\/option><option value='Liberia' >Liberia<\/option><option value='Libyen' >Libyen<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litauen' >Litauen<\/option><option value='Luxemburg' >Luxemburg<\/option><option value='Macau' >Macau<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Malediven' >Malediven<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marokko' >Marokko<\/option><option value='Marshall-Inseln' >Marshall-Inseln<\/option><option value='Martinique' >Martinique<\/option><option value='Mauretanien' >Mauretanien<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexiko' >Mexiko<\/option><option value='Mikronesien' >Mikronesien<\/option><option value='Moldawien' >Moldawien<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolei' >Mongolei<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mosambik' >Mosambik<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Neukaledonien' >Neukaledonien<\/option><option value='Neuseeland' >Neuseeland<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niederlande' >Niederlande<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Nordmazedonien' >Nordmazedonien<\/option><option value='Norfolkinsel' >Norfolkinsel<\/option><option value='Norwegen' >Norwegen<\/option><option value='N\u00f6rdliche Marianen' >N\u00f6rdliche Marianen<\/option><option value='Oman' >Oman<\/option><option value='Osttimor' >Osttimor<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Pal\u00e4stina, Bundesstaat' >Pal\u00e4stina, Bundesstaat<\/option><option value='Panama' >Panama<\/option><option value='Papua Neu Guinea' >Papua Neu Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippinen' >Philippinen<\/option><option value='Pitcairninseln' >Pitcairninseln<\/option><option value='Polen' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Ruanda' >Ruanda<\/option><option value='Rum\u00e4nien' >Rum\u00e4nien<\/option><option value='Russische F\u00f6deration' >Russische F\u00f6deration<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint-Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Saint-Pierre und Miquelon' >Saint-Pierre und Miquelon<\/option><option value='Salomonen' >Salomonen<\/option><option value='Sambia' >Sambia<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Saudi-Arabien' >Saudi-Arabien<\/option><option value='Schweden' >Schweden<\/option><option value='Schweiz' >Schweiz<\/option><option value='Senegal' >Senegal<\/option><option value='Serbien' >Serbien<\/option><option value='Seychellen' >Seychellen<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Simbabwe' >Simbabwe<\/option><option value='Singapur' >Singapur<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovenien' >Slovenien<\/option><option value='Slowakei' >Slowakei<\/option><option value='Somalia' >Somalia<\/option><option value='Spanien' >Spanien<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='St. Helena, Ascension und Tristan da Cunha' >St. Helena, Ascension und Tristan da Cunha<\/option><option value='St. Kitts und Nevis' >St. Kitts und Nevis<\/option><option value='St. Lucia' >St. Lucia<\/option><option value='St. Martin' >St. Martin<\/option><option value='St. Vincent und die Grenadinen' >St. Vincent und die Grenadinen<\/option><option value='Sudan' >Sudan<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard und Jan Mayen' >Svalbard und Jan Mayen<\/option><option value='Syrien, Arabische Republik' >Syrien, Arabische Republik<\/option><option value='S\u00e3o Tom\u00e9 und Pr\u00edncipe' >S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option value='S\u00fcdafrika' >S\u00fcdafrika<\/option><option value='S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln' >S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option value='S\u00fcdkorea' >S\u00fcdkorea<\/option><option value='S\u00fcdsudan' >S\u00fcdsudan<\/option><option value='Tadschikistan' >Tadschikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tansania, Vereinte Republik' >Tansania, Vereinte Republik<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad und Tobago' >Trinidad und Tobago<\/option><option value='Tschad' >Tschad<\/option><option value='Tschechien' >Tschechien<\/option><option value='Tunesien' >Tunesien<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks- und Caicosinseln' >Turks- und Caicosinseln<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkei' >T\u00fcrkei<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='Ungarn' >Ungarn<\/option><option value='Uruguay' >Uruguay<\/option><option value='Usbekistan' >Usbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vereinigte Arabische Emirate' >Vereinigte Arabische Emirate<\/option><option value='Vereinigte Staaten von Amerika' >Vereinigte Staaten von Amerika<\/option><option value='Vietnam' >Vietnam<\/option><option value='Weihnachtsinsel' >Weihnachtsinsel<\/option><option value='Wei\u00dfrussland' >Wei\u00dfrussland<\/option><option value='Westsahara' >Westsahara<\/option><option value='Zentralafrikanische Republik' >Zentralafrikanische Republik<\/option><option value='Zypern' >Zypern<\/option><option value='\u00c4gypten' >\u00c4gypten<\/option><option value='\u00c4quatorial Guinea' >\u00c4quatorial Guinea<\/option><option value='\u00c4thopien' >\u00c4thopien<\/option><option value='\u00c5landinseln' >\u00c5landinseln<\/option><option value='\u00d6sterreich' >\u00d6sterreich<\/option><\/select>\n                                        <label for='input_17_4_6' id='input_17_4_6_label' class='gform-field-label gform-field-label--type-sub '>Land<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_17_33\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Kontaktwege<\/legend><div class='gfield_description' id='gfield_description_17_33'>Wie sollen wir Sie kontaktieren?<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_17_33'><div class='gchoice gchoice_17_33_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.1' type='checkbox'  value='WhatsApp'  id='choice_17_33_1'   aria-describedby=\"gfield_description_17_33\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_17_33_1' id='label_17_33_1' class='gform-field-label gform-field-label--type-inline'>WhatsApp<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_17_33_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.2' type='checkbox'  value='E-Mail'  id='choice_17_33_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_17_33_2' id='label_17_33_2' class='gform-field-label gform-field-label--type-inline'>E-Mail<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_17_33_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_33.3' type='checkbox'  value='Post'  id='choice_17_33_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_17_33_3' id='label_17_33_3' class='gform-field-label gform-field-label--type-inline'>Post<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_34\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_34'>Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_17_34'>Bitte teilen Sie Ihre Rufnummer mit<\/div><div class='ginput_container ginput_container_phone'><input name='input_34' id='input_17_34' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_17_34\"  \/><\/div><\/div><div id=\"field_17_35\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_35'>E-Mail<\/label><div class='gfield_description' id='gfield_description_17_35'>Bitte teilen Sie Ihre Mailadresse mit<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_35' id='input_17_35' type='email' value='' class='large'     aria-invalid=\"false\" aria-describedby=\"gfield_description_17_35\" \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_17_43' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_17_2' class='gform_page' data-js='page-field-id-43' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_17_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_17_6\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Unfalldaten<\/h3><\/div><div id=\"field_17_5\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_5'>Unfalldatum<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_5' id='input_17_5' type='text' value='' class='datepicker gform-datepicker dmy_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='dd-mm-yyyy' aria-describedby=\"input_17_5_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_17_5_date_format' class='screen-reader-text'>TT Bindestrich MM Bindestrich JJJJ<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_17_5' class='gform_hidden' value='https:\/\/form.advobox.com\/recht-bd\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_17_8\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Unfallzeit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_17_8'>\n                            <input type='number' name='input_8[]' id='input_17_8_1' value=''  min='0' max='24' step='1'  placeholder='HH' aria-required='true'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_17_8_1'>Stunden<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_8[]' id='input_17_8_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_17_8_2'>Minuten<\/label>\n                        <\/div>\n                        \n                    <\/div><\/fieldset><fieldset id=\"field_17_9\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Anschrift<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_17_9' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_17_9_1_container' >\n                                        <input type='text' name='input_9.1' id='input_17_9_1' value=''    aria-required='true'    \/>\n                                        <label for='input_17_9_1' id='input_17_9_1_label' class='gform-field-label gform-field-label--type-sub '>Anschrift<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_17_9_3_container' >\n                                    <input type='text' name='input_9.3' id='input_17_9_3' value=''    aria-required='true'    \/>\n                                    <label for='input_17_9_3' id='input_17_9_3_label' class='gform-field-label gform-field-label--type-sub '>Stadt<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_9.4' id='input_17_9_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_17_9_5_container' >\n                                    <input type='text' name='input_9.5' id='input_17_9_5' value=''    aria-required='true'    \/>\n                                    <label for='input_17_9_5' id='input_17_9_5_label' class='gform-field-label gform-field-label--type-sub '>PLZ<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_9.6' id='input_17_9_6' value='Deutschland' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_17_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Der Unfallgegner hat<\/legend><div class='gfield_description' id='gfield_description_17_17'>Bitte teilen Sie mit, ob der Unfallgegner sein Verschulden einger\u00e4umt hat<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_17'>\n\t\t\t<div class='gchoice gchoice_17_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='sein Verschulden einger\u00e4umt'  id='choice_17_17_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_17_17\"   \/>\n\t\t\t\t\t<label for='choice_17_17_0' id='label_17_17_0' class='gform-field-label gform-field-label--type-inline'>sein Verschulden einger\u00e4umt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='sein Verschulden abgestritten'  id='choice_17_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_17_1' id='label_17_17_1' class='gform-field-label gform-field-label--type-inline'>sein Verschulden abgestritten<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='unbekannt'  id='choice_17_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_17_2' id='label_17_17_2' class='gform-field-label gform-field-label--type-inline'>unbekannt<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Polizei<\/legend><div class='gfield_description' id='gfield_description_17_11'>War die Polizei vor Ort?<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_17_11'><div class='gchoice gchoice_17_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='1'  id='choice_17_11_1'   aria-describedby=\"gfield_description_17_11\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_17_11_1' id='label_17_11_1' class='gform-field-label gform-field-label--type-inline'>die Polizei hat den Unfall nicht aufgenommen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_17_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='2'  id='choice_17_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_17_11_2' id='label_17_11_2' class='gform-field-label gform-field-label--type-inline'>die Polizei  hat den Unfall aufgenommen<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_13'>Name und Aktenzeichen der Polizeidienststelle<\/label><div class='gfield_description' id='gfield_description_17_13'>Bitte teilen Sie uns den Namen der Polizeidienststelle und das Aktenzeichen der Polizeidienstelle mit, soweit dieses Ihnen bekannt ist.<\/div><div class='ginput_container ginput_container_text'><input name='input_13' id='input_17_13' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_13\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Unfallhergang<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_18'>\n\t\t\t<div class='gchoice gchoice_17_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='mein Fahrzeug war abgestellt'  id='choice_17_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_18_0' id='label_17_18_0' class='gform-field-label gform-field-label--type-inline'>mein Fahrzeug war abgestellt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='mein Fahrzeug war in Bewegung'  id='choice_17_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_18_1' id='label_17_18_1' class='gform-field-label gform-field-label--type-inline'>mein Fahrzeug war in Bewegung<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Schmerzensgeld<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_24'>\n\t\t\t<div class='gchoice gchoice_17_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='ich wurde verletzt'  id='choice_17_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_24_0' id='label_17_24_0' class='gform-field-label gform-field-label--type-inline'>ich wurde verletzt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='ich wurde nicht verletzt'  id='choice_17_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_24_1' id='label_17_24_1' class='gform-field-label gform-field-label--type-inline'>ich wurde nicht verletzt<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_19'>Unfallbeschreibung<\/label><div class='gfield_description' id='gfield_description_17_19'>Bitte beschreiben Sie den Unfallhergang so detailliert wie m\u00f6glich. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_17_19' class='textarea large'  aria-describedby=\"gfield_description_17_19\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_10\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_17_10'>Unterlagen hochladen<\/label><div class='gfield_description' id='gfield_description_17_10'>Laden Sie hier alle Unterlagen hoch, die Ihnen vorliegen. Insbesondere Bilder vom Unfallort sind hilfreich. Gerne k\u00f6nnen Sie auch eine Unfallskizze fertigen und zusenden. Optional k\u00f6nnen Sie uns alle Unterlagen per WhatsApp an 04431 99 1 99 42 oder per Mail an kanzlei@verkehrsunfall-anwaelte.de zusenden. <\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_17_10' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_17_10&quot;,&quot;container&quot;:&quot;gform_multifile_upload_17_10&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_17_10&quot;,&quot;filelist&quot;:&quot;gform_preview_17_10&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/form.advobox.com\\\/recht-bd\\\/?gf_page=2eecbd1152f8d83&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/form.advobox.com\\\/recht-bd\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/form.advobox.com\\\/recht-bd\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Erlaubte Dateitypen&quot;,&quot;extensions&quot;:&quot;pdf,jpg,jpeg,png&quot;}],&quot;max_file_size&quot;:&quot;103809024b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:17,&quot;field_id&quot;:10,&quot;_gform_file_upload_nonce_17_10&quot;:&quot;c17c0a6454&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;10&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_17_10&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_17_10' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Ziehe Dateien hier her oder <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_17_10' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_17_10 gfield_description_17_10\"  >W\u00e4hle Dateien aus<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_17_10'>Akzeptierte Dateitypen: pdf, jpg, jpeg, png, Max. Dateigr\u00f6\u00dfe: 99 MB, Max. Dateien: 10.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_17_10'><\/ul> <div id='gform_preview_17_10' class='ginput_preview_list'><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_17_44' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_17_44' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_17_3' class='gform_page' data-js='page-field-id-44' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_17_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_17_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Ihr Fahrzeug<\/h3><\/div><fieldset id=\"field_17_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Eigentum<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_38'>\n\t\t\t<div class='gchoice gchoice_17_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='ich bin Eigent\u00fcmer des Fahrzeugs'  id='choice_17_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_38_0' id='label_17_38_0' class='gform-field-label gform-field-label--type-inline'>ich bin Eigent\u00fcmer des Fahrzeugs<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='das Fahrzeug ist finanziert\/geleast'  id='choice_17_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_38_1' id='label_17_38_1' class='gform-field-label gform-field-label--type-inline'>das Fahrzeug ist finanziert\/geleast<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='das Fahrzeug geh\u00f6rt einem Dritten'  id='choice_17_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_38_2' id='label_17_38_2' class='gform-field-label gform-field-label--type-inline'>das Fahrzeug geh\u00f6rt einem Dritten<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Privat- oder Gesch\u00e4ftsfahrzeug?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_25'>\n\t\t\t<div class='gchoice gchoice_17_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Privatfahrzeug'  id='choice_17_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_25_0' id='label_17_25_0' class='gform-field-label gform-field-label--type-inline'>Privatfahrzeug<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Gesch\u00e4ftsfahrzeug'  id='choice_17_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_25_1' id='label_17_25_1' class='gform-field-label gform-field-label--type-inline'>Gesch\u00e4ftsfahrzeug<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_39'>Name der Bank \/ Leasinggesellschaft<\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_17_39' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_40'>Vertragsnummer<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_17_40' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_14'>Ihr Kennzeichen<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_17_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_16'>Marke Ihres KFZ<\/label><div class='gfield_description' id='gfield_description_17_16'>Bitte teilen Sie uns die Marke Ihres Fahrzeugs mit (Audi, BMW, Mercedes, Opel&#8230;)<\/div><div class='ginput_container ginput_container_text'><input name='input_16' id='input_17_16' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_16\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Checkheft<\/legend><div class='gfield_description' id='gfield_description_17_23'>Bitte teilen Sie uns mit, ob Ihr Fahrzeug in einer Markenwerkstatt checkheftgepflegt ist. Wichtig: Es kommt darauf an, ob Ihr Fahrzeug l\u00fcckenlos in einer Vertragswerkstatt des Herstellers gewartet worden ist. Falls ja, senden Sie uns gerne direkt entsprechende Nachweise.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_23'>\n\t\t\t<div class='gchoice gchoice_17_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='mein Fahrzeug ist in einer Markenwerkstatt checkheftgepflegt'  id='choice_17_23_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_17_23\"   \/>\n\t\t\t\t\t<label for='choice_17_23_0' id='label_17_23_0' class='gform-field-label gform-field-label--type-inline'>mein Fahrzeug ist in einer Markenwerkstatt checkheftgepflegt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='mein Fahrzeug ist checkheftgepflegt, aber nicht in einer Markenwerkstatt'  id='choice_17_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_23_1' id='label_17_23_1' class='gform-field-label gform-field-label--type-inline'>mein Fahrzeug ist checkheftgepflegt, aber nicht in einer Markenwerkstatt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='mein Fahrzeug ist nicht checkheftgepflegt'  id='choice_17_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_23_2' id='label_17_23_2' class='gform-field-label gform-field-label--type-inline'>mein Fahrzeug ist nicht checkheftgepflegt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_23_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='mein Fahrzeug ist j\u00fcnger als 3 Jahre'  id='choice_17_23_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_23_3' id='label_17_23_3' class='gform-field-label gform-field-label--type-inline'>mein Fahrzeug ist j\u00fcnger als 3 Jahre<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Versicherungsstatus<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_30'>\n\t\t\t<div class='gchoice gchoice_17_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Vollkasko und Haftpflicht'  id='choice_17_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_30_0' id='label_17_30_0' class='gform-field-label gform-field-label--type-inline'>Vollkasko und Haftpflicht<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Teilkasko und haftpflicht'  id='choice_17_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_30_1' id='label_17_30_1' class='gform-field-label gform-field-label--type-inline'>Teilkasko und haftpflicht<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='nur Haftpflicht'  id='choice_17_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_30_2' id='label_17_30_2' class='gform-field-label gform-field-label--type-inline'>nur Haftpflicht<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_32\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Sie haben uns mitgeteilt, dass Sie f\u00fcr Ihr Fahrzeug eine Vollkaskoversicherung abgeschlossen haben. Wir gehen davon aus, dass der Schaden dennoch bevorzugt mit dem KFZ-Haftpflichtversicherer des Unfallgegners abgerechnet werden soll. Trotzdem sollten Sie Ihren Kaskoversicherer UNBEDINGT kurz dar\u00fcber informieren, dass es einen Unfall gab, der Schaden allerdings \u00fcber die Haftpflichtversicherung des Unfallgegners abgerechnet werden soll. Bei R\u00fcckfragen dazu melden Sie sich gerne jederzeit.\n<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_17_45' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_17_45' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_17_4' class='gform_page' data-js='page-field-id-45' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_17_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_17_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Fahrzeug des Unfallgegners<\/h3><\/div><div id=\"field_17_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_15'>Kennzeichen des Verursachers<\/label><div class='gfield_description' id='gfield_description_17_15'>Bitte nennen Sie uns das Kennzeichen des Unfallverursachers, falls bekannt.<\/div><div class='ginput_container ginput_container_text'><input name='input_15' id='input_17_15' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_15\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >ausl\u00e4ndischer Verursacher?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_28'>\n\t\t\t<div class='gchoice gchoice_17_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='der Verursacher hatte ein deutsches Kennzeichen'  id='choice_17_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_28_0' id='label_17_28_0' class='gform-field-label gform-field-label--type-inline'>der Verursacher hatte ein deutsches Kennzeichen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='der Verursacher hatte ein ausl\u00e4ndisches Kennzeichen'  id='choice_17_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_28_1' id='label_17_28_1' class='gform-field-label gform-field-label--type-inline'>der Verursacher hatte ein ausl\u00e4ndisches Kennzeichen<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_17_46' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_17_46' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_17_5' class='gform_page' data-js='page-field-id-46' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_17_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_17_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Abrechnung des Schadens<\/h3><div class='gsection_description' id='gfield_description_17_20'>Je nach H\u00f6he des Schadens ergeben sich f\u00fcr Sie verschiedene M\u00f6glichkeiten der Abrechnung des Schadens. Details m\u00fcssen wir daher mit Ihnen telefonisch besprechen.<\/div><\/div><fieldset id=\"field_17_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Umgang mit dem Fahrzeug<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_21'>\n\t\t\t<div class='gchoice gchoice_17_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='ich m\u00f6chte mein Auto behalten'  id='choice_17_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_21_0' id='label_17_21_0' class='gform-field-label gform-field-label--type-inline'>ich m\u00f6chte mein Auto behalten<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='ich m\u00f6chte mein Auto verkaufen'  id='choice_17_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_21_1' id='label_17_21_1' class='gform-field-label gform-field-label--type-inline'>ich m\u00f6chte mein Auto verkaufen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='wei\u00df nicht'  id='choice_17_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_21_2' id='label_17_21_2' class='gform-field-label gform-field-label--type-inline'>wei\u00df nicht<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Abrechnung<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_22'>\n\t\t\t<div class='gchoice gchoice_17_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='ich m\u00f6chte  nach Gutachten reparieren lassen'  id='choice_17_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_22_0' id='label_17_22_0' class='gform-field-label gform-field-label--type-inline'>ich m\u00f6chte  nach Gutachten reparieren lassen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='ich m\u00f6chte, dass der Schaden ausgezahlt wird'  id='choice_17_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_22_1' id='label_17_22_1' class='gform-field-label gform-field-label--type-inline'>ich m\u00f6chte, dass der Schaden ausgezahlt wird<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='wei\u00df nicht'  id='choice_17_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_22_2' id='label_17_22_2' class='gform-field-label gform-field-label--type-inline'>wei\u00df nicht<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_36\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Beratung gew\u00fcnscht?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_17_36'><div class='gchoice gchoice_17_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='ich m\u00f6chte von einem Anwalt angerufen werden'  id='choice_17_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_17_36_1' id='label_17_36_1' class='gform-field-label gform-field-label--type-inline'>ich m\u00f6chte von einem Anwalt angerufen werden<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_17_36_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.2' type='checkbox'  value='ich ben\u00f6tige keine weiteren Informationen'  id='choice_17_36_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_17_36_2' id='label_17_36_2' class='gform-field-label gform-field-label--type-inline'>ich ben\u00f6tige keine weiteren Informationen<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_37\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_37'>weitere Anmerkungen<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_17_37' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_41\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_41'>Unterschrift<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(erforderlich)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_17_41'>Ich versichere, dass ich die vorgenannten Fragen verstanden und wahrheitsgem\u00e4\u00df beantwortet habe. 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