{"id":12584,"date":"2025-08-21T19:13:03","date_gmt":"2025-08-21T17:13:03","guid":{"rendered":"https:\/\/www.lica.ch\/?page_id=12584"},"modified":"2026-04-24T16:59:40","modified_gmt":"2026-04-24T15:59:40","slug":"antrag-zusatzarbeitslosenversicherung","status":"publish","type":"page","link":"https:\/\/www.lica.ch\/de\/demande-assurance-chomage-complementaire\/","title":{"rendered":"Formular - Arbeitslosigkeit"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"12584\" class=\"elementor elementor-12584\" data-elementor-post-type=\"page\">\n\t\t\t\t<main class=\"elementor-element elementor-element-9989385 e-flex e-con-boxed e-con e-parent\" data-id=\"9989385\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f40d77f e-con-full e-flex e-con e-child\" data-id=\"f40d77f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-84e474e elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"84e474e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Votre protection en cas de ch\u00f4mage<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c886b46 elementor-widget elementor-widget-heading\" data-id=\"c886b46\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Compl\u00e9tez vos informations et garantissez votre salaire quoi qu'il arrive !<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0554ac9 e-con-full e-flex e-con e-child\" data-id=\"0554ac9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-e5af404 e-con-full e-flex e-con e-child\" data-id=\"e5af404\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-233eacf elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"233eacf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Compl\u00e9tez vos informations<\/h3>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-38c93b3 e-grid e-con-full asschom-elig e-con e-child\" data-id=\"38c93b3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cf9b48b elementor-widget elementor-widget-heading\" data-id=\"cf9b48b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">\u00cates-vous domicili\u00e9 en Suisse et \u00e2g\u00e9 de 18 \u00e0 60 ans ?<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5031823 eligibilite-radio elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"5031823\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-form_asschom_q1 elementor-col-100\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><div class=\"elementor-field elementor-size- \" data-pafe-form-builder-html data-pafe-form-builder-form-id=\"form_asschom\" id=\"form-field-form_asschom_q1\" name=\"form_fields[form_asschom_q1]\"><div class=\"ui-inline-radios\" role=\"radiogroup\" aria-label=\"Confirmez votre \u00e9ligibilit\u00e9\">\n  <label class=\"ui-radio-pill oui\">\n    <input type=\"radio\" name=\"form_fields[form_asschom_q1]\" value=\"Oui\" required>\n    <span class=\"dot\" aria-hidden=\"true\"><\/span>\n    <span class=\"txt\">Oui<\/span>\n  <\/label>\n\n  <label class=\"ui-radio-pill non\">\n    <input type=\"radio\" name=\"form_fields[form_asschom_q1]\" value=\"Non\">\n    <span class=\"dot\" aria-hidden=\"true\"><\/span>\n    <span class=\"txt\">Non<\/span>\n  <\/label>\n<\/div>\n<\/div><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f2b8c0 elementor-widget elementor-widget-heading\" data-id=\"7f2b8c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">\u00cates-vous apte au travail, sans arr\u00eat maladie ni accident ?<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68adbef eligibilite-radio elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"68adbef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-form_asschom_q2 elementor-col-100\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><div class=\"elementor-field elementor-size- \" data-pafe-form-builder-html data-pafe-form-builder-form-id=\"form_asschom\" id=\"form-field-form_asschom_q2\" name=\"form_fields[form_asschom_q2]\"><div class=\"ui-inline-radios\" role=\"radiogroup\" aria-label=\"Confirmez votre \u00e9ligibilit\u00e9\">\n  <label class=\"ui-radio-pill oui\">\n    <input type=\"radio\" name=\"form_fields[form_asschom_q2]\" value=\"Oui\" required>\n    <span class=\"dot\" aria-hidden=\"true\"><\/span>\n    <span class=\"txt\">Oui<\/span>\n  <\/label>\n\n  <label class=\"ui-radio-pill non\">\n    <input type=\"radio\" name=\"form_fields[form_asschom_q2]\" value=\"Non\">\n    <span class=\"dot\" aria-hidden=\"true\"><\/span>\n    <span class=\"txt\">Non<\/span>\n  <\/label>\n<\/div>\n<\/div><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68b605b elementor-widget elementor-widget-heading\" data-id=\"68b605b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">\u00cates-vous en contrat \u00e0 dur\u00e9e ind\u00e9termin\u00e9e depuis plus de 12 mois ?<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2dc419d eligibilite-radio elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"2dc419d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-form_asschom_q3 elementor-col-100\">\r\n\t\t\t\t<div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><div class=\"elementor-field elementor-size- \" data-pafe-form-builder-html data-pafe-form-builder-form-id=\"form_asschom\" id=\"form-field-form_asschom_q3\" name=\"form_fields[form_asschom_q3]\"><div class=\"ui-inline-radios\" role=\"radiogroup\" aria-label=\"Confirmez votre \u00e9ligibilit\u00e9\">\n  <label class=\"ui-radio-pill oui\">\n    <input type=\"radio\" name=\"form_fields[form_asschom_q3]\" value=\"Oui\" required>\n    <span class=\"dot\" aria-hidden=\"true\"><\/span>\n    <span class=\"txt\">Oui<\/span>\n  <\/label>\n\n  <label class=\"ui-radio-pill non\">\n    <input type=\"radio\" name=\"form_fields[form_asschom_q3]\" value=\"Non\">\n    <span class=\"dot\" aria-hidden=\"true\"><\/span>\n    <span class=\"txt\">Non<\/span>\n  <\/label>\n<\/div>\n<\/div><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3381755 e-con-full asschom-msg-non asschom-elig e-flex e-con e-child\" data-id=\"3381755\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b8f20cf elementor-widget elementor-widget-heading\" data-id=\"b8f20cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Vous ne pouvez malheureusement pas profiter de l'assurance ch\u00f4mage compl\u00e9mentaire \ud83d\ude2a<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-86c4f08 e-grid e-con-full asschom-lock e-con e-child\" data-id=\"86c4f08\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-772b83a elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"772b83a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-image_select elementor-field-group elementor-column elementor-field-group-form_asschom_civilite elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_civilite\" class=\"elementor-field-label\">Civilit\u00e9<\/label><div class=\"pafe-field-container\"><div data-pafe-image_select_min_select_check><\/div><div data-pafe-form-builder-required class='piotnet-image-select-required'><\/div>\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[form_asschom_civilite]\" id=\"form-field-form_asschom_civilite\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" data-pafe-form-builder-image-select=\"[{&quot;id&quot;:4597,&quot;url&quot;:&quot;https:\\\/\\\/www.lica.ch\\\/wp-content\\\/uploads\\\/2025\\\/07\\\/Formulaire_Demande-De-Credit_Icon_Male-1.png&quot;},{&quot;id&quot;:4598,&quot;url&quot;:&quot;https:\\\/\\\/www.lica.ch\\\/wp-content\\\/uploads\\\/2025\\\/07\\\/Formulaire_Demande-De-Credit_Icon_Female-1.png&quot;}]\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\" data-pafe-form-builder-default-value=\"\" data-options='[&quot;&quot;,&quot;Monsieur &quot;,&quot;Madame&quot;]'  >\r\n\t\t\t\t<option value=\"\" selected=\"selected\"><\/option><option value=\"Monsieur \">Monsieur <\/option><option value=\"Madame\">Madame<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff4dba1 elementor-hidden-laptop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"ff4dba1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-hidden elementor-field-group elementor-column elementor-field-group-champ_vide_1 elementor-col-100\">\r\n\t\t\t\t<label style=\"display:none\" for=\"form-field-champ_vide_1\" class=\"elementor-field-label\">champ_vide_1<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"hidden\" name=\"form_fields[champ_vide_1]\" id=\"form-field-champ_vide_1\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"12584\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18245b2 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"18245b2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_prenom elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_prenom\" class=\"elementor-field-label\">Pr\u00e9nom<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_prenom]\" id=\"form-field-form_asschom_prenom\" oninvalid=\"this.setCustomValidity(&#039; &#039;)\" onchange=\"this.setCustomValidity(&#039;&#039;)\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5188ad6 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"5188ad6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_nom elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_nom\" class=\"elementor-field-label\">Nom<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_nom]\" id=\"form-field-form_asschom_nom\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a5bfd8 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"8a5bfd8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-form_asschom_date_naissance elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_date_naissance\" class=\"elementor-field-label\">Date de naissance<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input class=\"elementor-field elementor-size-  elementor-field-textual elementor-date-field\" type=\"date\" name=\"form_fields[form_asschom_date_naissance]\" id=\"form-field-form_asschom_date_naissance\" placeholder=\"JJ.MM.AAAA\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\" data-pafe-form-builder-date-language=\"fr\" data-date-format=\"d.m.Y\" data-pafe-form-builder-date-calculate=\"0\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f226f17 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"f226f17\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-select_autocomplete elementor-field-group elementor-column elementor-field-group-form_asschom_pays elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_pays\" class=\"elementor-field-label\">Pays de r\u00e9sidence<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\">\t\t<div class=\"elementor-field elementor-select-wrapper  \">\r\n\t\t\t<select name=\"form_fields[form_asschom_pays]\" id=\"form-field-form_asschom_pays\" class=\"elementor-field-textual elementor-size-\" data-pafe-field-type=\"select\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-select-autocomplete=\"\" data-pafe-form-builder-form-id=\"form_asschom\" data-pafe-form-builder-default-value=\"Suisse|Suisse\" data-options='[&quot;Suisse|Suisse&quot;]'  >\r\n\t\t\t\t<option value=\"Suisse\">Suisse<\/option>\t\t\t<\/select>\r\n\t\t<\/div>\r\n\t\t<\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f3550ac e-con-full e-flex e-con e-child\" data-id=\"f3550ac\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div style=\"display:none\" class=\"elementor-element elementor-element-61bef21 elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"61bef21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_rue elementor-col-100 elementor-field-required\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;ed2b0c0&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;Suisse&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;},{&quot;_id&quot;:&quot;8e2363a&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;empty&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:null,&quot;pafe_conditional_logic_form_value&quot;:null,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"0\" data-pafe-form-builder-conditional-logic-easing=\"\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_rue\" class=\"elementor-field-label\">Rue<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_rue]\" id=\"form-field-form_asschom_rue\" placeholder=\"Indiquez votre adresse ici\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div style=\"display:none\" class=\"elementor-element elementor-element-d517f16 elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"d517f16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_numero elementor-col-100\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;4df787c&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;Suisse&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;},{&quot;_id&quot;:&quot;136c907&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;empty&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:null,&quot;pafe_conditional_logic_form_value&quot;:null,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"0\" data-pafe-form-builder-conditional-logic-easing=\"\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_numero\" class=\"elementor-field-label\">N\u00b0<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_numero]\" id=\"form-field-form_asschom_numero\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5217f2e e-con-full e-flex e-con e-child\" data-id=\"5217f2e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div style=\"display:none\" class=\"elementor-element elementor-element-6951f34 elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"6951f34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_npa elementor-col-100 elementor-field-required\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;fa1869b&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;Suisse&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;},{&quot;_id&quot;:&quot;0609945&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;empty&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:null,&quot;pafe_conditional_logic_form_value&quot;:null,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"0\" data-pafe-form-builder-conditional-logic-easing=\"\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_npa\" class=\"elementor-field-label\">NPA<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_npa]\" id=\"form-field-form_asschom_npa\" pattern=\"^\\d{4}$\" data-mask=\"0000\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div style=\"display:none\" class=\"elementor-element elementor-element-05d5553 elementor-widget__width-initial elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"05d5553\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_localite elementor-col-100 elementor-field-required\" data-pafe-form-builder-conditional-logic=\"[{&quot;_id&quot;:&quot;c9def5f&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;=&quot;,&quot;pafe_conditional_logic_form_value&quot;:&quot;Suisse&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:&quot;string&quot;,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;},{&quot;_id&quot;:&quot;317d0c9&quot;,&quot;pafe_conditional_logic_form_if&quot;:&quot;form_credit_pays&quot;,&quot;pafe_conditional_logic_form_comparison_operators&quot;:&quot;empty&quot;,&quot;pafe_conditional_logic_form_action&quot;:[&quot;show&quot;],&quot;pafe_conditional_logic_form_set_value&quot;:null,&quot;pafe_conditional_logic_form_set_value_for&quot;:null,&quot;pafe_conditional_logic_form_type&quot;:null,&quot;pafe_conditional_logic_form_value&quot;:null,&quot;pafe_conditional_logic_form_and_or_operators&quot;:&quot;or&quot;}]\" data-pafe-form-builder-conditional-logic-speed=\"0\" data-pafe-form-builder-conditional-logic-easing=\"\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_localite\" class=\"elementor-field-label\">Localit\u00e9<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_localite]\" id=\"form-field-form_asschom_localite\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd39671 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"fd39671\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-form_asschom_telephone elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_telephone\" class=\"elementor-field-label\">T\u00e9l\u00e9phone<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"tel\" name=\"form_fields[form_asschom_telephone]\" id=\"form-field-form_asschom_telephone\" data-mask=\"000000000000000\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"+41\" value=\"+41\" data-pafe-form-builder-value=\"+41\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\" pattern=\"[0-9()#&amp;+*\\-.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\" data-pafe-tel-field=\"\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ed79045 elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"ed79045\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-form_asschom_email elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_email\" class=\"elementor-field-label\">E-mail<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"email\" name=\"form_fields[form_asschom_email]\" id=\"form-field-form_asschom_email\" placeholder=\"@\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-148b020 e-con-full asschom-lock e-flex e-con e-child\" data-id=\"148b020\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5098891 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"5098891\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-form_asschom_commentaire elementor-col-100\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_commentaire\" class=\"elementor-field-label\">Commentaires<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><textarea class=\"elementor-field  elementor-size-\" name=\"form_fields[form_asschom_commentaire]\" id=\"form-field-form_asschom_commentaire\" rows=\"3\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/textarea><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4218e73 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"4218e73\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-form_asschom_disclaimer elementor-col-100 elementor-field-required\">\r\n\t\t\t\t<label for=\"form-field-form_asschom_disclaimer\" class=\"elementor-field-label\">Confirmation du traitement de vos donn\u00e9es<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><div class=\"elementor-field-subgroup\"><span class=\"elementor-field-option\"><input class=\"elementor-field elementor-size-  elementor-acceptance-field\" type=\"checkbox\" name=\"form_fields[form_asschom_disclaimer]\" id=\"form-field-form_asschom_disclaimer\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" required=\"required\" aria-required=\"true\" data-pafe-form-builder-form-id=\"form_asschom\" value=\"yes\"> <label for=\"form-field-form_asschom_disclaimer\" class=\"pafe-checkbox-label\">Je confirme avoir lu <a href=\"#elementor-action%3Aaction%3Dpopup%3Aopen%26settings%3DeyJpZCI6MTA0MDAsInRvZ2dsZSI6ZmFsc2V9\">les informations juridiques<\/a> dans leur int\u00e9gralit\u00e9 et je d\u00e9clare les accepter en tous points. J\u2019autorise \u00e9galement Lica \u00e0 me contacter par t\u00e9l\u00e9phone, e-mail, message ou WhatsApp dans le cadre de ma demande de financement, ainsi qu\u2019\u00e0 m\u2019adresser r\u00e9guli\u00e8rement des informations par ces m\u00eames canaux.<\/label><\/span><\/div><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eed7b43 elementor-align-center elementor-widget elementor-widget-pafe-form-builder-submit\" data-id=\"eed7b43\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"pafe-form-builder-submit.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>.elementor-element-eed7b43{display:none !important}<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-830155b elementor-align-center elementor-widget elementor-widget-pafe-form-builder-submit\" data-id=\"830155b\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"pafe-form-builder-submit.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"12584\" data-pafe-form-builder-hidden-form-id=\"form_asschom\"\/>\r\n\t\t<input type=\"hidden\" name=\"form_id\" value=\"830155b\" data-pafe-form-builder-hidden-form-id=\"form_asschom\"\/>\r\n\t\t<input type=\"hidden\" name=\"remote_ip\" value=\"216.73.216.91\" data-pafe-form-builder-hidden-form-id=\"form_asschom\"\/>\r\n\r\n\t\t\t\t\t<input type=\"hidden\" name=\"redirect\" value=\"\/de\/bestaetigung\" data-pafe-form-builder-hidden-form-id=\"form_asschom\" data-pafe-form-builder-open-new-tab=\"\"\/>\r\n\t\t\r\n\t\t\r\n\t\t\r\n\t\t\r\n\t\t<div class=\"elementor-button-wrapper\">\r\n\t\t\t<button class=\"elementor-button pafe-form-builder-button elementor-size-sm elementor-animation-grow\" data-pafe-submit-keyboard=\"false\" data-pafe-submit-hide=\"false\" role=\"button\" data-pafe-form-builder-required-text=\"Veuillez compl\u00e9ter ce champ\" pafe-form-builder-submit=\"center\" data-pafe-form-builder-submit-form-id=\"form_asschom\" data-pafe-razor-payment=\"no\" data-pafe-razor-sub=\"no\">\r\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\r\n\t\t\t<span class=\"elementor-button-text elementor-form-spinner\"><i class=\"fa fa-spinner fa-spin\"><\/i><\/span>\r\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Mein Schutzgesuch absenden<\/span>\r\n\t\t<\/span>\r\n\t\t\t\t\t<\/button>\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\t\t                \t\t\t\t\t\t\r\n        \r\n        \t\t<div id=\"pafe-form-builder-trigger-success-form_asschom\" data-pafe-form-builder-trigger-success=\"form_asschom\" data-disable-clean-form=\"no\" style=\"display: none\"><\/div>\r\n\t\t<div id=\"pafe-form-builder-trigger-failed-form_asschom\" data-pafe-form-builder-trigger-failed=\"form_asschom\" style=\"display: none\"><\/div>\r\n\t\t<div class=\"pafe-form-builder-alert pafe-form-builder-alert--mail\">\r\n\t\t\t<div class=\"elementor-message elementor-message-success\" role=\"alert\" data-pafe-form-builder-message=\"\"><\/div>\r\n\t\t\t<div class=\"elementor-message elementor-message-danger\" role=\"alert\" data-pafe-form-builder-message=\"Une erreur s&#039;est produite\">Une erreur s&#039;est produite<\/div>\r\n\t\t\t<!-- <div class=\"elementor-message elementor-help-inline\" role=\"alert\">Server error. Form not sent.<\/div> -->\r\n\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e5d67a elementor-align-center elementor-widget elementor-widget-pafe-form-builder-submit\" data-id=\"8e5d67a\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"pafe-form-builder-submit.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>.elementor-element-8e5d67a{display:none !important}<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0475f38 elementor-align-center elementor-widget elementor-widget-pafe-form-builder-submit\" data-id=\"0475f38\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"pafe-form-builder-submit.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>.elementor-element-0475f38{display:none !important}<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32c2212 elementor-align-center elementor-widget elementor-widget-pafe-form-builder-submit\" data-id=\"32c2212\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"pafe-form-builder-submit.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>.elementor-element-32c2212{display:none !important}<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-842c7eb elementor-align-center elementor-widget elementor-widget-pafe-form-builder-submit\" data-id=\"842c7eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-no-translation=\"\" data-widget_type=\"pafe-form-builder-submit.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>.elementor-element-842c7eb{display:none !important}<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8798869 e-con-full e-flex e-con e-child\" data-id=\"8798869\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3aaaeab e-con-full e-flex e-con e-child\" data-id=\"3aaaeab\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:70,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_offset_laptop&quot;:35,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;laptop&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8384c16 elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"8384c16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Choisissez votre montant<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d44e2de elementor-widget elementor-widget-html\" data-id=\"d44e2de\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"simulateur-chomage\" id=\"simulateur-chomage\">\r\n  <h3><\/h3>\r\n\r\n  <div class=\"chomage-input\">\r\n    <div class=\"chomage-display\">\r\n      <span class=\"chomage-chf\">CHF<\/span>\r\n      <span id=\"chomage_indemnite_affichee\">600<\/span>\r\n      <span style=\"font-size:16px;color:#666;font-weight:500;\">\/ mois<\/span>\r\n    <\/div>\r\n\r\n    <!-- Slider -->\r\n    <input type=\"range\" id=\"chomage_slider\" min=\"0\" max=\"9\" step=\"1\" value=\"3\" aria-label=\"Indemnit\u00e9 assur\u00e9e\">\r\n\r\n    <!-- Graduations -->\r\n    <div class=\"chomage-ticks\" aria-hidden=\"true\">\r\n        <span><\/span><span><\/span><span><\/span><span><\/span>\r\n        <span><\/span><span><\/span><span><\/span><span><\/span><span><\/span>\r\n    <\/div>\r\n  <\/div>\r\n\r\n  <p class=\"chomage-mensualite\">\r\n    Mensualit\u00e9 CHF <span id=\"chomage_mensualite\">47.70<\/span>\r\n    <small>Le montant assur\u00e9 est vers\u00e9 mensuellement, sous r\u00e9serve du paiement de la prime, effectu\u00e9e exclusivement par pr\u00e9l\u00e8vement automatique.<\/small>\r\n  <\/p>\r\n<\/div>\r\n\r\n<noscript>\r\n  <p>Ce calculateur n\u00e9cessite JavaScript pour fonctionner.<\/p>\r\n<\/noscript>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-03290c2 e-con-full e-flex e-con e-child\" data-id=\"03290c2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7d7d9c elementor-widget elementor-widget-text-editor\" data-id=\"a7d7d9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019assurance ch\u00f4mage compl\u00e9mentaire est propos\u00e9e par la compagnie Helvetia Assurances. La conclusion du contrat est soumise \u00e0 l\u2019acceptation pr\u00e9alable de la proposition par la compagnie. Le paiement des primes s\u2019effectue exclusivement par pr\u00e9l\u00e8vement automatique. Vous pouvez consulter et t\u00e9l\u00e9charger les conditions g\u00e9n\u00e9rales d\u2019assurance (CGA) en cliquant sur le lien suivant : <a href=\"\/wp-content\/uploads\/2025\/08\/HELVETIA-CGA_FR.pdf\" target=\"_blank\" rel=\"noopener\">T\u00e9l\u00e9charger les CGA<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e865d30 e-grid e-con-full elementor-hidden-tablet elementor-hidden-mobile elementor-hidden-desktop elementor-hidden-laptop always-hidden e-con e-child\" data-id=\"e865d30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0787773 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"0787773\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_montant elementor-col-100\">\r\n\t\t\t\t<label style=\"display:none\" for=\"form-field-form_asschom_montant\" class=\"elementor-field-label\">form_asschom_montant<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_montant]\" id=\"form-field-form_asschom_montant\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-086b531 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"086b531\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_mensualite elementor-col-100\">\r\n\t\t\t\t<label style=\"display:none\" for=\"form-field-form_asschom_mensualite\" class=\"elementor-field-label\">form_asschom_mensualite<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_mensualite]\" id=\"form-field-form_asschom_mensualite\" autocomplete=\"on\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73df306 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"73df306\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_langue elementor-col-100\">\r\n\t\t\t\t<label style=\"display:none\" for=\"form-field-form_asschom_langue\" class=\"elementor-field-label\">form_asschom_langue<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_langue]\" id=\"form-field-form_asschom_langue\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7157f17 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"7157f17\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_date_naissance_formatee elementor-col-100\">\r\n\t\t\t\t<label style=\"display:none\" for=\"form-field-form_asschom_date_naissance_formatee\" class=\"elementor-field-label\">form_asschom_date_naissance_formatee<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_date_naissance_formatee]\" id=\"form-field-form_asschom_date_naissance_formatee\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1464340 elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"1464340\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_canton elementor-col-100\">\r\n\t\t\t\t<label style=\"display:none\" for=\"form-field-form_asschom_canton\" class=\"elementor-field-label\">form_asschom_canton<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_canton]\" id=\"form-field-form_asschom_canton\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-731e76c elementor-widget__width-inherit elementor-widget elementor-widget-pafe-form-builder-field\" data-id=\"731e76c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pafe-form-builder-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\r\n\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above pafe-form-builder-field\">\r\n\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-form_asschom_url_clean elementor-col-100\">\r\n\t\t\t\t<label style=\"display:none\" for=\"form-field-form_asschom_url_clean\" class=\"elementor-field-label\">form_asschom_url_clean<\/label><div data-pafe-form-builder-required><\/div><div class=\"pafe-field-container\"><input size=\"1\" class=\"elementor-field elementor-size- \" type=\"text\" name=\"form_fields[form_asschom_url_clean]\" id=\"form-field-form_asschom_url_clean\" autocomplete=\"off\" data-pafe-form-builder-default-value=\"\" data-pafe-form-builder-form-id=\"form_asschom\"><\/div>\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a16981a elementor-widget elementor-widget-html\" data-id=\"a16981a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Calculateur de la mensualit\u00e9 -->\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  \/\/ --- UI du mini-calculateur ---\r\n  const slider = document.getElementById(\"chomage_slider\");               \/\/ slider index 0..9\r\n  const outInd = document.getElementById(\"chomage_indemnite_affichee\");   \/\/ affichage indemnit\u00e9\r\n  const outMen = document.getElementById(\"chomage_mensualite\");           \/\/ affichage mensualit\u00e9\r\n\r\n  if (!slider || !outInd || !outMen) return; \/\/ markup manquant\r\n\r\n  \/\/ --- Champs cach\u00e9s Piotnet (s\u00e9lecteurs par name, comme dans ton autre script) ---\r\n  const champIndemnite  = document.querySelector('[name=\"form_fields[form_asschom_montant]\"]');\r\n  const champMensualite = document.querySelector('[name=\"form_fields[form_asschom_mensualite]\"]');\r\n\r\n  \/\/ --- Tables fixes ---\r\n  const INDEMNITES  = [300, 400, 500, 600, 700, 800, 900, 1000, 1100, 1200];\r\n  const MENSUALITES = [23.85, 31.80, 39.75, 47.70, 55.65, 63.60, 71.55, 79.50, 87.45, 95.40];\r\n\r\n  \/\/ --- Helpers ---\r\n  function formatNombre(n) {\r\n    return n.toString().replace(\/\\B(?=(\\d{3})+(?!\\d))\/g, \"'\");\r\n  }\r\n  function formatCHF(n, decimals = 0) {\r\n    const fixed = Number(n).toFixed(decimals);\r\n    const [i, d] = fixed.split(\".\");\r\n    const withApos = i.replace(\/\\B(?=(\\d{3})+(?!\\d))\/g, \"'\");\r\n    return d !== undefined ? `${withApos}.${d}` : withApos;\r\n  }\r\n  function majProgressionSlider() {\r\n    const min = Number(slider.min), max = Number(slider.max), val = Number(slider.value);\r\n    const ratio = (val - min) \/ (max - min);\r\n    slider.style.setProperty(\"--progress\", (ratio * 100) + \"%\");\r\n  }\r\n  function ecrireChamp(el, val) {\r\n    if (!el) return;\r\n    const s = String(val);\r\n    if (el.value !== s) el.value = s;\r\n    el.setAttribute(\"value\", s);\r\n    if (\"defaultValue\" in el) el.defaultValue = s;\r\n    el.dispatchEvent(new Event(\"input\",  { bubbles: true }));\r\n    el.dispatchEvent(new Event(\"change\", { bubbles: true }));\r\n  }\r\n\r\n  \/\/ --- Rendu principal ---\r\n  function render() {\r\n    \/\/ S\u00e9curise l'index 0..9\r\n    const idx = Math.max(0, Math.min(9, parseInt(slider.value, 10) || 0));\r\n    const indemnite  = INDEMNITES[idx];\r\n    const mensualite = MENSUALITES[idx];\r\n\r\n    \/\/ UI\r\n    outInd.textContent = formatCHF(indemnite, 0);\r\n    outMen.textContent = formatCHF(mensualite, 2);\r\n    majProgressionSlider();\r\n\r\n    \/\/ Synchro Piotnet\r\n    ecrireChamp(champIndemnite, indemnite);\r\n    ecrireChamp(champMensualite, mensualite.toFixed(2));\r\n  }\r\n\r\n  \/\/ --- \u00c9v\u00e9nements ---\r\n  slider.addEventListener(\"input\", render);\r\n  slider.addEventListener(\"change\", render);\r\n\r\n  \/\/ Init\r\n  render();\r\n\r\n  \/\/ --- S\u00e9curit\u00e9: forcer la synchro juste avant la soumission du formulaire ---\r\n  const formEl = slider.closest(\"form\");\r\n  if (formEl) {\r\n    formEl.addEventListener(\"submit\", () => {\r\n      const idx = Math.max(0, Math.min(9, parseInt(slider.value, 10) || 0));\r\n      ecrireChamp(champIndemnite, INDEMNITES[idx]);\r\n      ecrireChamp(champMensualite, MENSUALITES[idx].toFixed(2));\r\n    });\r\n  }\r\n\r\n  \/\/ --- Retry born\u00e9 si Piotnet injecte ses champs avec un l\u00e9ger d\u00e9lai (sans observer) ---\r\n  let essais = 0;\r\n  const maxEssais = 15;\r\n  const interval = setInterval(() => {\r\n    const okInd = !!document.querySelector('[name=\"form_fields[form_asschom_montant]\"]');\r\n    const okMen = !!document.querySelector('[name=\"form_fields[form_asschom_mensualite]\"]');\r\n    if (okInd && okMen) {\r\n      clearInterval(interval);\r\n      \/\/ re-r\u00e9cup\u00e8re les r\u00e9f\u00e9rences si elles n'existaient pas au d\u00e9part\r\n      if (!champIndemnite || !champMensualite) {\r\n        \/\/ eslint-disable-next-line no-unused-vars\r\n        const _ind = document.querySelector('[name=\"form_fields[form_asschom_montant]\"]');\r\n        const _men = document.querySelector('[name=\"form_fields[form_asschom_mensualite]\"]');\r\n      }\r\n      render();\r\n    } else if (++essais >= maxEssais) {\r\n      clearInterval(interval);\r\n    }\r\n  }, 250);\r\n});\r\n<\/script>\r\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00ba96e elementor-widget elementor-widget-html\" data-id=\"00ba96e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Bloquer formulaire selon class dans sections et r\u00e9sultats des champs radios + afficher un message si au moins un \"non\" -->\r\n\r\n<style>\r\n\/* Verrouillage : sections .asschom-lock bloqu\u00e9es quand body a .asschom-locked *\/\r\n.asschom-locked .asschom-lock{\r\n  position: relative;\r\n  opacity: 1;\r\n  pointer-events: none !important;\r\n}\r\n\r\n\/* Sections d'\u00e9ligibilit\u00e9 (radios + message) toujours actives *\/\r\n.asschom-locked .asschom-elig{\r\n  opacity: 1 !important;\r\n  pointer-events: auto !important;\r\n}\r\n\r\n\/* Optionnel : att\u00e9nuer les vignettes image-select quand verrouill\u00e9 *\/\r\n.asschom-locked .asschom-lock .pafe-image-select-field .thumbnail{\r\n  filter: grayscale(20%);\r\n}\r\n\r\n\/* Message : visible dans l\u2019\u00e9diteur Elementor pour \u00e9dition *\/\r\n.asschom-msg-non{ display:block; }\r\n\r\n\/* En frontend (hors Elementor), cach\u00e9 par d\u00e9faut *\/\r\nbody:not(.elementor-editor-active) .asschom-msg-non{\r\n  display:none;\r\n}\r\n\r\n\/* En frontend, affich\u00e9 d\u00e8s qu\u2019au moins 1 \"Non\" est coch\u00e9 *\/\r\nbody.asschom-anynon .asschom-msg-non{\r\n  display:block;\r\n}\r\n\r\n\/* Supprimer l'effet visuel \"disabled\" des champs quand la section est verrouill\u00e9e *\/\r\n.asschom-locked .asschom-lock input[disabled],\r\n.asschom-locked .asschom-lock select[disabled],\r\n.asschom-locked .asschom-lock textarea[disabled]{\r\n  background-color:#fff !important;   \/* fond blanc comme normal *\/\r\n  color: inherit !important;\r\n  opacity: 1 !important;\r\n}\r\n<\/style>\r\n\r\n<script>\r\ndocument.addEventListener('DOMContentLoaded', () => {\r\n  const FORM_ID = 'form_asschom';\r\n  const RADIO_NAMES = [\r\n    'form_fields[form_asschom_q1]',\r\n    'form_fields[form_asschom_q2]',\r\n    'form_fields[form_asschom_q3]'\r\n  ];\r\n  const LOCK_SECTION_SELECTOR = '.asschom-lock';\r\n  const $$ = (s, c=document) => Array.from(c.querySelectorAll(s));\r\n\r\n  \/* Helpers *\/\r\n  const radiosFor = n => $$(`input[type=\"radio\"][name=\"${CSS.escape(n)}\"]`);\r\n  const getAllRadios = () => RADIO_NAMES.flatMap(radiosFor);\r\n\r\n  const allYesSelected = () =>\r\n    RADIO_NAMES.every(n => document.querySelector(\r\n      `input[type=\"radio\"][name=\"${CSS.escape(n)}\"][value=\"Oui\"]:checked`\r\n    ));\r\n\r\n  const anyNonSelected = () =>\r\n    RADIO_NAMES.some(n => document.querySelector(\r\n      `input[type=\"radio\"][name=\"${CSS.escape(n)}\"][value=\"Non\"]:checked`\r\n    ));\r\n\r\n  \/* Verrouillage\/d\u00e9verrouillage des champs dans les sections *\/\r\n  function setLocked(locked){\r\n    document.body.classList.toggle('asschom-locked', locked);\r\n\r\n    const controls = $$(\r\n      `${LOCK_SECTION_SELECTOR} input, ${LOCK_SECTION_SELECTOR} select, `+\r\n      `${LOCK_SECTION_SELECTOR} textarea, ${LOCK_SECTION_SELECTOR} button`\r\n    );\r\n    controls.forEach(el => {\r\n      if ('disabled' in el) {\r\n        if (locked) { el.disabled = true; el.setAttribute('disabled','disabled'); }\r\n        else        { el.disabled = false; el.removeAttribute('disabled'); }\r\n      }\r\n    });\r\n\r\n    \/\/ Bouton Envoyer\r\n    const submitBtn = document.querySelector(`[data-pafe-form-builder-submit-form-id=\"${FORM_ID}\"]`);\r\n    if (submitBtn){\r\n      submitBtn.disabled = locked;\r\n      submitBtn.style.pointerEvents = locked ? 'none' : '';\r\n      submitBtn.style.opacity = locked ? '0.6' : '';\r\n      submitBtn.setAttribute('aria-disabled', locked ? 'true' : 'false');\r\n    }\r\n  }\r\n\r\n  function refreshState(){\r\n    \/\/ Verrouiller si pas 3x Oui\r\n    setLocked(!allYesSelected());\r\n    \/\/ Afficher le message si \u22651 Non\r\n    document.body.classList.toggle('asschom-anynon', anyNonSelected());\r\n  }\r\n\r\n  function bind(){\r\n    const radios = getAllRadios();\r\n    if (radios.length === 0) return false;\r\n\r\n    radios.forEach(r => r.addEventListener('change', refreshState));\r\n    refreshState(); \/\/ \u00e9tat initial\r\n    return true;\r\n  }\r\n\r\n  \/* Lock imm\u00e9diat au chargement *\/\r\n  document.body.classList.add('asschom-locked');\r\n  $$(`${LOCK_SECTION_SELECTOR} input, ${LOCK_SECTION_SELECTOR} select, ${LOCK_SECTION_SELECTOR} textarea, ${LOCK_SECTION_SELECTOR} button`)\r\n    .forEach(el => { if ('disabled' in el) el.disabled = true; });\r\n\r\n  \/* Init robuste *\/\r\n  let tries = 0;\r\n  const iv = setInterval(() => {\r\n    if (bind()) clearInterval(iv);\r\n    else if (++tries > 40) clearInterval(iv);\r\n  }, 200);\r\n});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-090eb40 elementor-widget elementor-widget-html\" data-id=\"090eb40\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Emp\u00eacher la saisie manuel (clavier sur mobile) sur certains champs -->\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const champsASansClavier = [\r\n    '#form-field-form_asschom_pays',\r\n    '#form-field-form_credit_asschom_civil'\r\n  ];\r\n\r\n  const inputDateSelector = '#form-field-form_asschom_date_naissance';\r\n\r\n  const interval = setInterval(() => {\r\n    let toutTrouv\u00e9 = true;\r\n\r\n    \/\/ D\u00e9sactiver clavier sur les champs Selectize\r\n    champsASansClavier.forEach(selector => {\r\n      const input = document.querySelector(`${selector} + .selectize-control .selectize-input input`);\r\n      if (input) {\r\n        input.setAttribute(\"readonly\", true);\r\n        input.setAttribute(\"tabindex\", \"-1\");\r\n        input.style.caretColor = \"transparent\";\r\n      } else {\r\n        toutTrouv\u00e9 = false;\r\n      }\r\n    });\r\n\r\n    \/\/ D\u00e9sactiver clavier sur le champ date\r\n    const inputDate = document.querySelector(inputDateSelector);\r\n    if (inputDate) {\r\n      inputDate.setAttribute(\"readonly\", true);\r\n      inputDate.setAttribute(\"tabindex\", \"-1\");\r\n      inputDate.style.caretColor = \"transparent\";\r\n    } else {\r\n      toutTrouv\u00e9 = false;\r\n    }\r\n\r\n    if (toutTrouv\u00e9) clearInterval(interval);\r\n  }, 200);\r\n});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b5dfe5a elementor-widget elementor-widget-html\" data-id=\"b5dfe5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Ne pas mettre en option le s\u00e9parateur dans les menus d\u00e9roulants -->\r\n\r\n<script>\r\ndocument.addEventListener('DOMContentLoaded', function () {\r\n  const observer = new MutationObserver(() => {\r\n    const dropdownItems = document.querySelectorAll('.selectize-dropdown .option');\r\n\r\n    dropdownItems.forEach(item => {\r\n      if (item.textContent.includes('-----------------------------')) {\r\n        item.style.pointerEvents = 'none';\r\n        item.style.opacity = '0.5';\r\n        item.style.cursor = 'not-allowed';\r\n      }\r\n    });\r\n  });\r\n\r\n  \/\/ Observer tout le body pour les ajouts d'\u00e9l\u00e9ments (dropdowns)\r\n  observer.observe(document.body, {\r\n    childList: true,\r\n    subtree: true\r\n  });\r\n});\r\n<\/script>\r\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ae5470 elementor-widget elementor-widget-html\" data-id=\"1ae5470\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Limiter la date de naissance aux crit\u00e8res Helvetia et convertir JJ.MM.AAAA vers JJ-MM-AAAA -->\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const champDate = document.querySelector('input[name=\"form_fields[form_asschom_date_naissance]\"]');\r\n  const champDateFormatee = document.querySelector('input[name=\"form_fields[form_asschom_date_naissance_formatee]\"]');\r\n\r\n  if (!champDate || !champDateFormatee) return;\r\n\r\n  const today = new Date();\r\n\r\n  \/\/ D\u00e9finir les bornes (60 \u00e0 18 ans)\r\n  const minDate = new Date(today.getFullYear() - 60, today.getMonth(), today.getDate());\r\n  const maxDate = new Date(today.getFullYear() - 18, today.getMonth(), today.getDate());\r\n\r\n  \/\/ Format ISO pour AAAA-MM-JJ\r\n  const minDateStr = minDate.toISOString().split(\"T\")[0];\r\n  const maxDateStr = maxDate.toISOString().split(\"T\")[0];\r\n\r\n  \/\/ Appliquer les limites (si interpr\u00e9t\u00e9es, sinon ignor\u00e9es en mode texte)\r\n  champDate.setAttribute(\"min\", minDateStr);\r\n  champDate.setAttribute(\"max\", maxDateStr);\r\n\r\n  \/\/ Conversion du format JJ.MM.AAAA \u2192 JJ-MM-AAAA\r\n  champDate.addEventListener(\"input\", function () {\r\n    const valeur = champDate.value;\r\n    if (valeur && valeur.match(\/^\\d{2}\\.\\d{2}\\.\\d{4}$\/)) {\r\n      const [jour, mois, annee] = valeur.split(\".\");\r\n      const formatJJMMYYYY = `${jour}-${mois}-${annee}`;\r\n      champDateFormatee.value = formatJJMMYYYY;\r\n\r\n      \/\/ Mise \u00e0 jour Piotnet\r\n      champDateFormatee.dispatchEvent(new Event('input', { bubbles: true }));\r\n      champDateFormatee.dispatchEvent(new Event('change', { bubbles: true }));\r\n    }\r\n  });\r\n});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a52bd4 elementor-widget elementor-widget-html\" data-id=\"2a52bd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Traduction manuelle du champ form_asschom_date_naissance -->\r\n\r\n<script>\r\n(function () {\r\n  if (\r\n    document.body &&\r\n    (\r\n      document.body.classList.contains('elementor-editor-active') ||\r\n      document.body.classList.contains('elementor-editor-preview')\r\n    )\r\n  ) {\r\n    return;\r\n  }\r\n\r\n  function getCurrentLang() {\r\n    const htmlLang = (document.documentElement.lang || '').toLowerCase();\r\n    const path = window.location.pathname.toLowerCase();\r\n\r\n    if (htmlLang.startsWith('it') || path.startsWith('\/it\/')) return 'it';\r\n    if (htmlLang.startsWith('de') || path.startsWith('\/de\/')) return 'de';\r\n    if (htmlLang.startsWith('pt') || path.startsWith('\/pt\/')) return 'pt';\r\n    if (htmlLang.startsWith('es') || path.startsWith('\/es\/')) return 'es';\r\n    if (htmlLang.startsWith('en') || path.startsWith('\/en\/')) return 'en';\r\n\r\n    return 'fr';\r\n  }\r\n\r\n  const LOCALES = {\r\n    it: {\r\n      weekdays: {\r\n        shorthand: ['Dom', 'Lun', 'Mar', 'Mer', 'Gio', 'Ven', 'Sab'],\r\n        longhand: ['Domenica', 'Luned\u00ec', 'Marted\u00ec', 'Mercoled\u00ec', 'Gioved\u00ec', 'Venerd\u00ec', 'Sabato']\r\n      },\r\n      months: {\r\n        shorthand: ['Gen', 'Feb', 'Mar', 'Apr', 'Mag', 'Giu', 'Lug', 'Ago', 'Set', 'Ott', 'Nov', 'Dic'],\r\n        longhand: ['Gennaio', 'Febbraio', 'Marzo', 'Aprile', 'Maggio', 'Giugno', 'Luglio', 'Agosto', 'Settembre', 'Ottobre', 'Novembre', 'Dicembre']\r\n      },\r\n      firstDayOfWeek: 1\r\n    },\r\n    de: {\r\n      weekdays: {\r\n        shorthand: ['So', 'Mo', 'Di', 'Mi', 'Do', 'Fr', 'Sa'],\r\n        longhand: ['Sonntag', 'Montag', 'Dienstag', 'Mittwoch', 'Donnerstag', 'Freitag', 'Samstag']\r\n      },\r\n      months: {\r\n        shorthand: ['Jan', 'Feb', 'M\u00e4r', 'Apr', 'Mai', 'Jun', 'Jul', 'Aug', 'Sep', 'Okt', 'Nov', 'Dez'],\r\n        longhand: ['Januar', 'Februar', 'M\u00e4rz', 'April', 'Mai', 'Juni', 'Juli', 'August', 'September', 'Oktober', 'November', 'Dezember']\r\n      },\r\n      firstDayOfWeek: 1\r\n    },\r\n    pt: {\r\n      weekdays: {\r\n        shorthand: ['Dom', 'Seg', 'Ter', 'Qua', 'Qui', 'Sex', 'S\u00e1b'],\r\n        longhand: ['Domingo', 'Segunda-feira', 'Ter\u00e7a-feira', 'Quarta-feira', 'Quinta-feira', 'Sexta-feira', 'S\u00e1bado']\r\n      },\r\n      months: {\r\n        shorthand: ['Jan', 'Fev', 'Mar', 'Abr', 'Mai', 'Jun', 'Jul', 'Ago', 'Set', 'Out', 'Nov', 'Dez'],\r\n        longhand: ['Janeiro', 'Fevereiro', 'Mar\u00e7o', 'Abril', 'Maio', 'Junho', 'Julho', 'Agosto', 'Setembro', 'Outubro', 'Novembro', 'Dezembro']\r\n      },\r\n      firstDayOfWeek: 1\r\n    },\r\n    es: {\r\n      weekdays: {\r\n        shorthand: ['Dom', 'Lun', 'Mar', 'Mi\u00e9', 'Jue', 'Vie', 'S\u00e1b'],\r\n        longhand: ['Domingo', 'Lunes', 'Martes', 'Mi\u00e9rcoles', 'Jueves', 'Viernes', 'S\u00e1bado']\r\n      },\r\n      months: {\r\n        shorthand: ['Ene', 'Feb', 'Mar', 'Abr', 'May', 'Jun', 'Jul', 'Ago', 'Sep', 'Oct', 'Nov', 'Dic'],\r\n        longhand: ['Enero', 'Febrero', 'Marzo', 'Abril', 'Mayo', 'Junio', 'Julio', 'Agosto', 'Septiembre', 'Octubre', 'Noviembre', 'Diciembre']\r\n      },\r\n      firstDayOfWeek: 1\r\n    },\r\n    en: {\r\n      weekdays: {\r\n        shorthand: ['Sun', 'Mon', 'Tue', 'Wed', 'Thu', 'Fri', 'Sat'],\r\n        longhand: ['Sunday', 'Monday', 'Tuesday', 'Wednesday', 'Thursday', 'Friday', 'Saturday']\r\n      },\r\n      months: {\r\n        shorthand: ['Jan', 'Feb', 'Mar', 'Apr', 'May', 'Jun', 'Jul', 'Aug', 'Sep', 'Oct', 'Nov', 'Dec'],\r\n        longhand: ['January', 'February', 'March', 'April', 'May', 'June', 'July', 'August', 'September', 'October', 'November', 'December']\r\n      },\r\n      firstDayOfWeek: 1\r\n    }\r\n  };\r\n\r\n  function applyLocaleToFlatpickr() {\r\n    const lang = getCurrentLang();\r\n    const locale = LOCALES[lang];\r\n\r\n    if (!locale) return;\r\n\r\n    document.querySelectorAll('input').forEach(function (input) {\r\n      if (!input._flatpickr) return;\r\n\r\n      try {\r\n        input._flatpickr.set('locale', locale);\r\n        input._flatpickr.redraw();\r\n      } catch (error) {\r\n        console.warn('Flatpickr locale update failed', error);\r\n      }\r\n    });\r\n  }\r\n\r\n  function init() {\r\n    setTimeout(applyLocaleToFlatpickr, 300);\r\n    setTimeout(applyLocaleToFlatpickr, 1000);\r\n    setTimeout(applyLocaleToFlatpickr, 2000);\r\n\r\n    document.addEventListener('focusin', function (event) {\r\n      if (event.target && event.target._flatpickr) {\r\n        setTimeout(applyLocaleToFlatpickr, 50);\r\n        setTimeout(applyLocaleToFlatpickr, 150);\r\n      }\r\n    }, true);\r\n  }\r\n\r\n  if (document.readyState === 'loading') {\r\n    document.addEventListener('DOMContentLoaded', init);\r\n  } else {\r\n    init();\r\n  }\r\n})();\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-071ea77 elementor-widget elementor-widget-html\" data-id=\"071ea77\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Google Places API dans les champs adresse pour la Suisse -->\r\n\r\n<script src=\"https:\/\/maps.googleapis.com\/maps\/api\/js?key=AIzaSyDHZAYOeA-ogqBLv-TrMxKT0XXsSqJWWTE&libraries=places\"><\/script>\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const rueField      = document.querySelector('#form-field-form_asschom_rue');\r\n  const numeroField   = document.querySelector('#form-field-form_asschom_numero');\r\n  const npaField      = document.querySelector('#form-field-form_asschom_npa');\r\n  const localiteField = document.querySelector('#form-field-form_asschom_localite');\r\n  const cantonField   = document.querySelector('#form-field-form_asschom_canton');\r\n\r\n  if (!rueField) return;\r\n\r\n  const autocomplete = new google.maps.places.Autocomplete(rueField, {\r\n    types: ['address'],\r\n    componentRestrictions: { country: 'CH' } \/\/ Limit\u00e9 \u00e0 la Suisse\r\n  });\r\n\r\n  autocomplete.addListener('place_changed', () => {\r\n    const place = autocomplete.getPlace();\r\n    if (!place || !place.address_components) return;\r\n\r\n    let route = '', number = '', postal_code = '', locality = '', canton = '';\r\n\r\n    for (const comp of place.address_components) {\r\n      const types = comp.types;\r\n      if (types.includes('route'))                      route       = comp.long_name;\r\n      if (types.includes('street_number'))             number      = comp.long_name;\r\n      if (types.includes('postal_code'))               postal_code = comp.long_name;\r\n      if (types.includes('locality'))                  locality    = comp.long_name;\r\n      if (types.includes('postal_town') && !locality)  locality    = comp.long_name;\r\n      if (types.includes('administrative_area_level_1')) canton    = comp.long_name; \/\/ <-- canton\r\n      \/\/ (optionnel) fallback si un lieu renvoie level_2 comme canton\r\n      if (!canton && types.includes('administrative_area_level_2')) canton = comp.long_name;\r\n    }\r\n\r\n    if (rueField)      rueField.value = route;\r\n    if (numeroField)   numeroField.value = number;\r\n    if (npaField)      npaField.value = postal_code;\r\n    if (localiteField) localiteField.value = locality;\r\n\r\n    \/\/ Mise \u00e0 jour du champ canton + events pour Piotnet\/Elementor\r\n    if (cantonField) {\r\n      cantonField.value = canton || '';\r\n      cantonField.dispatchEvent(new Event('input',  { bubbles: true }));\r\n      cantonField.dispatchEvent(new Event('change', { bubbles: true }));\r\n    }\r\n  });\r\n});\r\n<\/script>\r\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e123112 elementor-widget elementor-widget-html\" data-id=\"e123112\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Afficher le format inputmode=\"numeric\" sur le champ NPA -->\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n   \/\/ Appliquer inputmode=\"numeric\" au champ NPA\r\n  const npa1 = document.querySelector('input[name=\"form_fields[form_asschom_npa]\"]');\r\n  if (npa1) npa1.setAttribute(\"inputmode\", \"numeric\");\r\n});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8622b83 elementor-widget elementor-widget-html\" data-id=\"8622b83\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- V\u00e9rification lors de la saisie de l'adresse e-mail -->\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const emailSelector = 'input[name=\"form_fields[form_asschom_email]\"]';\r\n  const emailField = document.querySelector(emailSelector);\r\n  if (!emailField) return;\r\n\r\n  emailField.addEventListener(\"blur\", function () {\r\n    const value = this.value.trim();\r\n    const isValid = \/^[^\\s@]+@[^\\s@]+\\.[^\\s@]{2,}$\/.test(value);\r\n\r\n    \/\/ Supprime la classe d'erreur avant d'appliquer\r\n    this.classList.remove(\"invalid-email\");\r\n\r\n    \/\/ Si une valeur existe mais n'est pas valide \u2192 rouge\r\n    if (value !== \"\" && !isValid) {\r\n      this.classList.add(\"invalid-email\");\r\n    }\r\n  });\r\n\r\n  \/\/ Supprime la bordure rouge d\u00e8s que l\u2019utilisateur recommence \u00e0 saisir\r\n  emailField.addEventListener(\"input\", function () {\r\n    this.classList.remove(\"invalid-email\");\r\n  });\r\n});\r\n<\/script>\r\n\r\n<style>\r\n.invalid-email {\r\n  border-color: red !important;\r\n}\r\n<\/style>\r\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d04e84 elementor-widget elementor-widget-html\" data-id=\"7d04e84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- D\u00e9tecter la langue et compl\u00e9ter le champ form_asschom_langue -->\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const langMap = {\r\n    'fr-FR': 'Fran\u00e7ais',\r\n    'de-CH': 'Allemand',\r\n    'it-IT': 'Italien',\r\n    'pt-PT': 'Portugais',\r\n    'es-ES': 'Espagnol',\r\n    'en-US': 'Anglais'\r\n  };\r\n\r\n  const currentLangCode = document.documentElement.lang || 'fr-FR';\r\n  const langueLisible = langMap[currentLangCode] || 'Fran\u00e7ais'; \/\/ fallback par d\u00e9faut\r\n\r\n  \/\/ Remplace 'form_fields[form_credit_langue]' par le nom exact de ton champ dans Piotnet\r\n  const champLangue = document.querySelector('[name=\"form_fields[form_asschom_langue]\"]');\r\n\r\n  if (champLangue) {\r\n    champLangue.value = langueLisible;\r\n    champLangue.dispatchEvent(new Event(\"input\", { bubbles: true }));\r\n  }\r\n});\r\n<\/script>\r\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0313ea0 elementor-widget elementor-widget-html\" data-id=\"0313ea0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Nettoyer l'URL -->\r\n\r\n<script>\r\n(function () {\r\n  var FIELD_URL_CLEAN = \"form_asschom_url_clean\";\r\n\r\n  \/\/ Param\u00e8tres \"m\u00e9tier\" \u00e0 conserver dans l\u2019URL propre\r\n  var KEEP_KEYS = [\"demande\"];\r\n\r\n  function safeUrl(){ try { return new URL(window.location.href); } catch(e) { return null; } }\r\n\r\n  function setHiddenFieldValue(fieldName, value) {\r\n    if (value == null) value = \"\";\r\n    value = String(value);\r\n\r\n    var selectors = [\r\n      \"#form-field-\" + fieldName,\r\n      \"[name='\" + fieldName + \"']\",\r\n      \"[name*='[\" + fieldName + \"]']\"\r\n    ];\r\n\r\n    for (var i=0; i<selectors.length; i++) {\r\n      var el = document.querySelector(selectors[i]);\r\n      if (el) {\r\n        el.value = value;\r\n        el.dispatchEvent(new Event(\"input\", { bubbles:true }));\r\n        el.dispatchEvent(new Event(\"change\", { bubbles:true }));\r\n        return true;\r\n      }\r\n    }\r\n    return false;\r\n  }\r\n\r\n  function buildCleanUrl(url) {\r\n    var clean = new URL(url.origin + url.pathname);\r\n    KEEP_KEYS.forEach(function(k){\r\n      var v = url.searchParams.get(k);\r\n      if (v) clean.searchParams.set(k, v);\r\n    });\r\n    return clean.searchParams.toString() ? clean.toString() : (clean.origin + clean.pathname);\r\n  }\r\n\r\n  function fill() {\r\n    var url = safeUrl();\r\n    if (!url) return;\r\n    var cleanUrl = buildCleanUrl(url);\r\n    setHiddenFieldValue(FIELD_URL_CLEAN, cleanUrl);\r\n  }\r\n\r\n  function scheduleFill() {\r\n    fill();\r\n    setTimeout(fill, 600);\r\n    setTimeout(fill, 1500);\r\n  }\r\n\r\n  if (document.readyState === \"loading\") {\r\n    document.addEventListener(\"DOMContentLoaded\", scheduleFill);\r\n  } else {\r\n    scheduleFill();\r\n  }\r\n\r\n  document.addEventListener(\"submit\", function(){\r\n    scheduleFill();\r\n  }, true);\r\n\r\n})();\r\n<\/script>\r\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eebe44c elementor-widget elementor-widget-html\" data-id=\"eebe44c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Marquage des champs requis en rouge, sans message sauf certains champs -->\r\n\r\n<style>\r\n\/* Cacher les messages Piotnet natifs *\/\r\n.elementor-field-group [data-pafe-form-builder-required] { display:none !important; }\r\n\r\n\/* Bordure rouge g\u00e9n\u00e9rique (inputs, selects, textareas) *\/\r\n.elementor-field-group.field-error .pafe-field-container input,\r\n.elementor-field-group.field-error .pafe-field-container select,\r\n.elementor-field-group.field-error .pafe-field-container textarea {\r\n  border: 1px solid red !important;\r\n}\r\n\r\n\/* SELECTIZE \u2014 enlever la bordure du mini input fant\u00f4me et border sur le wrapper visible *\/\r\n.elementor-field-group.field-error .selectize-control .selectize-input input {\r\n  border: none !important; box-shadow: none !important; outline: none !important;\r\n}\r\n.elementor-field-group.field-error .selectize-control .selectize-input {\r\n  border: 1px solid red !important; border-radius: 6px;\r\n}\r\n.selectize-control .selectize-input.focus { box-shadow: none; }\r\n\r\n\/* Message rouge personnalis\u00e9 (utilis\u00e9 pour Civilit\u00e9 et Disclaimer) *\/\r\n.field-error-msg {\r\n  color:#d93025; font-size:.9rem; line-height:1.25; margin:6px 0 0 0; display:none;\r\n}\r\n<\/style>\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const formId = \"form_asschom\";\r\n\r\n  \/\/ IDs \/ Noms des champs \"message seulement\"\r\n  const CIV_ID = \"form-field-form_asschom_civilite\";          \/\/ Image Select\r\n  const DISCLAIMER_ID = \"form-field-form_asschom_disclaimer\"; \/\/ checkbox unique\r\n\r\n  \/\/ \u2705 Email (validation format)\r\n  const EMAIL_ID = \"form-field-form_asschom_email\";\r\n\r\n  const fieldsSelector = `[data-pafe-form-builder-form-id=\"${formId}\"]`;\r\n\r\n  \/\/ \u2705 Validation email (simple + efficace)\r\n  function isValidEmail(v) {\r\n    return \/^[^\\s@]+@[^\\s@]+\\.[^\\s@]+$\/.test((v || \"\").trim());\r\n  }\r\n\r\n  \/\/ --- helpers robustes (PAFE \/ DOM dynamique) ---\r\n  function getFormElRobust() {\r\n    \/\/ 1) tentative ID direct (parfois absent)\r\n    let formEl = document.getElementById(formId);\r\n    if (formEl) return formEl;\r\n\r\n    \/\/ 2) fallback : prendre un champ PAFE puis remonter au <form>\r\n    const anyField = document.querySelector(fieldsSelector);\r\n    if (anyField) {\r\n      const f = anyField.closest(\"form\");\r\n      if (f) return f;\r\n    }\r\n    return null;\r\n  }\r\n\r\n  function getSubmitBtn() {\r\n    return document.querySelector(`[data-pafe-form-builder-submit-form-id=\"${formId}\"]`);\r\n  }\r\n  \/\/ ---------------------------------------------\r\n\r\n  function ensureMsgElInGroup(group, text) {\r\n    if (!group) return null;\r\n    let el = group.querySelector(\".field-error-msg\");\r\n    if (!el) {\r\n      el = document.createElement(\"div\");\r\n      el.className = \"field-error-msg\";\r\n      el.textContent = text || \"Veuillez compl\u00e9ter ce champ.\";\r\n      group.appendChild(el);\r\n    }\r\n    return el;\r\n  }\r\n\r\n  function setMsg(group, show, text) {\r\n    const msg = ensureMsgElInGroup(group, text);\r\n    if (msg) msg.style.display = show ? \"block\" : \"none\";\r\n  }\r\n\r\n  \/\/ Helpers pour remonter + focus sur le 1er champ en erreur\r\n  const SCROLL_OFFSET = 100;\r\n\r\n  function findFocusTarget(group) {\r\n    const selz = group.querySelector('.selectize-control .selectize-input');\r\n    if (selz) return selz;\r\n\r\n    const iti = group.querySelector('input.iti__tel-input');\r\n    if (iti) return iti;\r\n\r\n    const alt = group.querySelector('input.flatpickr-input, input.hasDatepicker');\r\n    if (alt) return alt;\r\n\r\n    const ctrl = group.querySelector('input, select, textarea, button');\r\n    return ctrl || group;\r\n  }\r\n\r\n  function scrollAndFocus(group) {\r\n    if (!group) return;\r\n    const y = (group.getBoundingClientRect().top + window.pageYOffset) - SCROLL_OFFSET;\r\n    window.scrollTo({ top: Math.max(0, y), behavior: 'smooth' });\r\n    setTimeout(() => {\r\n      const target = findFocusTarget(group);\r\n      if (target) {\r\n        if (target.classList && target.classList.contains('selectize-input')) {\r\n          target.click();\r\n        } else {\r\n          try { target.focus({ preventScroll: true }); } catch(e) { target.focus(); }\r\n        }\r\n      }\r\n    }, 250);\r\n  }\r\n\r\n  function validateAndMaybeBlock(e) {\r\n    let ok = true;\r\n    let firstErrorGroup = null;\r\n\r\n    const fields = document.querySelectorAll(fieldsSelector);\r\n    const seenNames = new Set();\r\n\r\n    fields.forEach((field) => {\r\n      const group = field.closest(\".elementor-field-group\");\r\n      if (!group) return;\r\n\r\n      field.removeAttribute(\"oninvalid\");\r\n      field.removeAttribute(\"onchange\");\r\n\r\n      \/\/ Ignore \"Commentaires\"\r\n      if (field.name === \"form_fields[form_asschom_commentaire]\") {\r\n        group.classList.remove(\"field-error\");\r\n        setMsg(group, false);\r\n        return;\r\n      }\r\n\r\n      \/\/ Groupe visible ?\r\n      const visible = group.offsetParent !== null;\r\n      if (!visible) {\r\n        group.classList.remove(\"field-error\");\r\n        setMsg(group, false);\r\n        return;\r\n      }\r\n\r\n      \/\/ 1) Civilit\u00e9 (message seulement)\r\n      if (field.id === CIV_ID) {\r\n        const val = (field.value || \"\").trim();\r\n        if (!val) {\r\n          ok = false;\r\n          group.classList.remove(\"field-error\");\r\n          setMsg(group, true, \"Veuillez choisir une civilit\u00e9.\");\r\n          if (!firstErrorGroup) firstErrorGroup = group;\r\n        } else {\r\n          setMsg(group, false);\r\n        }\r\n        return;\r\n      }\r\n\r\n      \/\/ 2) Disclaimer (message seulement)\r\n      if (field.id === DISCLAIMER_ID) {\r\n        if (!field.checked) {\r\n          ok = false;\r\n          group.classList.remove(\"field-error\");\r\n          setMsg(group, true, \"Vous devez confirmer pour continuer.\");\r\n          if (!firstErrorGroup) firstErrorGroup = group;\r\n        } else {\r\n          setMsg(group, false);\r\n        }\r\n        return;\r\n      }\r\n\r\n      \/\/ 3) Radios \/ checkboxes (g\u00e9n\u00e9rique)\r\n      const type = (field.getAttribute(\"type\") || \"\").toLowerCase();\r\n      if (type === \"radio\" || type === \"checkbox\") {\r\n        const name = field.getAttribute(\"name\");\r\n        if (!name) return;\r\n\r\n        if (seenNames.has(name)) return;\r\n        seenNames.add(name);\r\n\r\n        const groupInputs = Array.from(\r\n          document.querySelectorAll(\r\n            `[name=\"${CSS.escape(name)}\"][data-pafe-form-builder-form-id=\"${formId}\"]`\r\n          )\r\n        ).filter(inp => {\r\n          const g = inp.closest(\".elementor-field-group\");\r\n          return g && g.offsetParent !== null;\r\n        });\r\n\r\n        const required = groupInputs.some(inp => inp.required || inp.getAttribute(\"aria-required\") === \"true\");\r\n        if (!required) {\r\n          group.classList.remove(\"field-error\");\r\n          return;\r\n        }\r\n\r\n        const oneChecked = groupInputs.some(inp => inp.checked);\r\n        if (!oneChecked) {\r\n          ok = false;\r\n          group.classList.add(\"field-error\");\r\n          if (!firstErrorGroup) firstErrorGroup = group;\r\n        } else {\r\n          group.classList.remove(\"field-error\");\r\n        }\r\n        return;\r\n      }\r\n\r\n      \/\/ 4) Champs classiques\r\n      const value = (field.value || \"\").trim();\r\n      const required = field.required || field.getAttribute(\"aria-required\") === \"true\";\r\n\r\n      \/\/ \u2705 EMAIL : vide OU format invalide => erreur\r\n      if (field.id === EMAIL_ID) {\r\n        if (required && !value) {\r\n          ok = false;\r\n          group.classList.add(\"field-error\");\r\n          if (!firstErrorGroup) firstErrorGroup = group;\r\n        } else if (value && !isValidEmail(value)) {\r\n          ok = false;\r\n          group.classList.add(\"field-error\");\r\n          if (!firstErrorGroup) firstErrorGroup = group;\r\n        } else {\r\n          group.classList.remove(\"field-error\");\r\n        }\r\n        return;\r\n      }\r\n\r\n      \/\/ \u2705 Comportement original (inchang\u00e9)\r\n      if (required && !value) {\r\n        ok = false;\r\n        group.classList.add(\"field-error\");\r\n        if (!firstErrorGroup) firstErrorGroup = group;\r\n      } else {\r\n        group.classList.remove(\"field-error\");\r\n      }\r\n    });\r\n\r\n    if (!ok) {\r\n      e.preventDefault();\r\n      e.stopPropagation();\r\n      e.stopImmediatePropagation();\r\n      scrollAndFocus(firstErrorGroup);\r\n      console.log(\"Formulaire bloqu\u00e9 : champs requis manquants\");\r\n    }\r\n  }\r\n\r\n  function bindOnce() {\r\n    const formEl = getFormElRobust();\r\n    const submitBtn = getSubmitBtn();\r\n\r\n    \/\/ D\u00e9sactiver la validation HTML5\r\n    if (formEl) formEl.setAttribute(\"novalidate\", \"true\");\r\n\r\n    \/\/ Si le submit n\u2019existe pas encore (PAFE), on attend\r\n    if (!submitBtn) return false;\r\n\r\n    \/\/ Bind click (une seule fois)\r\n    if (submitBtn.dataset.vamBoundClick !== \"1\") {\r\n      submitBtn.addEventListener(\"click\", validateAndMaybeBlock);\r\n      submitBtn.dataset.vamBoundClick = \"1\";\r\n    }\r\n\r\n    \/\/ Bind submit (une seule fois)\r\n    if (formEl && formEl.dataset.vamBoundSubmit !== \"1\") {\r\n      formEl.addEventListener(\"submit\", validateAndMaybeBlock, true);\r\n      formEl.dataset.vamBoundSubmit = \"1\";\r\n    }\r\n\r\n    \/\/ Change handler (une seule fois globalement)\r\n    if (!document.documentElement.dataset.vamBoundChangeAsschom) {\r\n      document.addEventListener(\"change\", function (e) {\r\n        const el = e.target.closest(fieldsSelector);\r\n        if (!el) return;\r\n        const group = el.closest(\".elementor-field-group\");\r\n        if (!group) return;\r\n\r\n        \/\/ Civilit\u00e9\r\n        if (el.id === CIV_ID) {\r\n          const val = (el.value || \"\").trim();\r\n          setMsg(group, !val, \"Veuillez choisir une civilit\u00e9.\");\r\n          if (val) group.classList.remove(\"field-error\");\r\n          return;\r\n        }\r\n\r\n        \/\/ Disclaimer\r\n        if (el.id === DISCLAIMER_ID) {\r\n          setMsg(group, !el.checked, \"Veuillez confirmer pour continuer.\");\r\n          if (el.checked) group.classList.remove(\"field-error\");\r\n          return;\r\n        }\r\n\r\n        \/\/ \u2705 Email : retire\/ajoute la bordure rouge en live\r\n        if (el.id === EMAIL_ID) {\r\n          const v = (el.value || \"\").trim();\r\n          const required = el.required || el.getAttribute(\"aria-required\") === \"true\";\r\n          if ((required && !v) || (v && !isValidEmail(v))) group.classList.add(\"field-error\");\r\n          else group.classList.remove(\"field-error\");\r\n          return;\r\n        }\r\n\r\n        \/\/ Champs g\u00e9n\u00e9riques\r\n        const value = (el.value || \"\").trim();\r\n        const required = el.required || el.getAttribute(\"aria-required\") === \"true\";\r\n        if (required) {\r\n          if (value) group.classList.remove(\"field-error\");\r\n          else group.classList.add(\"field-error\");\r\n        }\r\n      }, true);\r\n\r\n      document.documentElement.dataset.vamBoundChangeAsschom = \"1\";\r\n    }\r\n\r\n    return true;\r\n  }\r\n\r\n  \/\/ 1) Bind imm\u00e9diat\r\n  if (bindOnce()) return;\r\n\r\n  \/\/ 2) Retry l\u00e9ger (~10s max)\r\n  let tries = 0;\r\n  const t = setInterval(() => {\r\n    tries++;\r\n    if (bindOnce() || tries >= 40) clearInterval(t);\r\n  }, 250);\r\n});\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3fe123 elementor-widget elementor-widget-html\" data-id=\"a3fe123\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- Popup ouverture et fermeture \u00e0 la soumission du formulaire -->\r\n\r\n<script>\r\ndocument.addEventListener(\"DOMContentLoaded\", function () {\r\n  const formId  = \"form_asschom\";\r\n  const popupId = 12304;\r\n\r\n  \/\/ V\u00e9rifie rapidement si le formulaire est \"complet\" (sans modifier le style)\r\n  function isFormComplete() {\r\n    const fields = document.querySelectorAll(\r\n      `[data-pafe-form-builder-form-id=\"${formId}\"]`\r\n    );\r\n\r\n    \/\/ 1) Radios \/ Checkboxes : par groupe name, au moins un coch\u00e9 si requis\r\n    const rc = Array.from(fields).filter(f => {\r\n      const t = (f.getAttribute(\"type\") || \"\").toLowerCase();\r\n      return t === \"radio\" || t === \"checkbox\";\r\n    });\r\n    const seenNames = new Set();\r\n    for (const f of rc) {\r\n      const groupEl = f.closest(\".elementor-field-group\");\r\n      if (!groupEl || groupEl.offsetParent === null) continue; \/\/ groupe masqu\u00e9\r\n      if (seenNames.has(f.name)) continue;\r\n      seenNames.add(f.name);\r\n\r\n      const group = Array.from(document.querySelectorAll(\r\n        `[name=\"${CSS.escape(f.name)}\"][data-pafe-form-builder-form-id=\"${formId}\"]`\r\n      )).filter(x => {\r\n        const g = x.closest(\".elementor-field-group\");\r\n        return g && g.offsetParent !== null;\r\n      });\r\n\r\n      const required = group.some(x => x.required || x.getAttribute(\"aria-required\") === \"true\");\r\n      if (!required) continue;\r\n      const oneChecked = group.some(x => x.checked);\r\n      if (!oneChecked) return false;\r\n    }\r\n\r\n    \/\/ 2) Select (inclut Image Select + Selectize)\r\n    const selects = Array.from(fields).filter(f => f.tagName && f.tagName.toLowerCase() === \"select\");\r\n    for (const sel of selects) {\r\n      const groupEl = sel.closest(\".elementor-field-group\");\r\n      if (!groupEl || groupEl.offsetParent === null) continue; \/\/ masqu\u00e9\r\n      if (sel.name === \"form_fields[form_asschom_commentaire]\") continue;\r\n      const required = sel.required || sel.getAttribute(\"aria-required\") === \"true\";\r\n      const val = (sel.value || \"\").trim();\r\n      if (required && !val) return false;\r\n    }\r\n\r\n    \/\/ 3) Inputs \/ Textareas standards\r\n    const basics = Array.from(fields).filter(f => {\r\n      const tag = f.tagName.toLowerCase();\r\n      if (tag === \"select\") return false; \/\/ d\u00e9j\u00e0 trait\u00e9\r\n      const t = (f.getAttribute(\"type\") || \"\").toLowerCase();\r\n      if (t === \"radio\" || t === \"checkbox\") return false; \/\/ d\u00e9j\u00e0 trait\u00e9\r\n      return true;\r\n    });\r\n\r\n    for (const field of basics) {\r\n      const groupEl = field.closest(\".elementor-field-group\");\r\n      if (!groupEl || groupEl.offsetParent === null) continue; \/\/ masqu\u00e9\r\n      if (field.name === \"form_fields[form_asschom_commentaire]\") continue;\r\n      const required = field.required || field.getAttribute(\"aria-required\") === \"true\";\r\n      const val = (field.value || \"\").trim();\r\n      if (required && !val) return false;\r\n    }\r\n\r\n    return true;\r\n  }\r\n\r\n  \/\/ Ouverture conditionnelle du popup uniquement si formulaire complet\r\n  document.addEventListener(\"click\", function (e) {\r\n    const target = e.target.closest(\r\n      `[data-pafe-form-builder-submit-form-id=\"${formId}\"]`\r\n    );\r\n    if (!target) return;\r\n\r\n    \/\/ Si le formulaire n'est pas complet \u2192 ne pas ouvrir le popup\r\n    if (!isFormComplete()) {\r\n      \/\/ L'autre script 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