{"id":2368,"date":"2017-10-02T14:00:57","date_gmt":"2017-10-02T12:00:57","guid":{"rendered":"https:\/\/staging.passies.nl\/?page_id=2368"},"modified":"2017-10-02T14:08:42","modified_gmt":"2017-10-02T12:08:42","slug":"damaged-goods-claim","status":"publish","type":"page","link":"https:\/\/staging.passies.nl\/en\/damaged-goods-claim\/","title":{"rendered":"Damaged Goods Claim"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row][vc_column][vc_column_text]We regret that damages have occurred during the move of your household goods.\u00a0Please read this instruction carefully before completing this form. Please fill out this form completely. We will acknowledge receipt of your claim within 48 hours.<\/p>\n<p>If possible\/applicable please upload a copy of the purchase receipt or a quotation of repair and (digital) pictures of the damaged items.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"ult-spacer spacer-6aeca6e84b0a3\" data-id=\"6aeca6e84b0a3\" data-height=\"10\" data-height-mobile=\"10\" data-height-tab=\"10\" data-height-tab-portrait=\"\" data-height-mobile-landscape=\"\" style=\"clear:both;display:block;\"><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2367-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"2367\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2368#wpcf7-f2367-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2367\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2367-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"wpcf7-turnstile cf-turnstile\" data-sitekey=\"0x4AAAAAAFihuSydmTk9Q8t_\" data-response-field-name=\"_wpcf7_turnstile_response\"><\/div>\n\n<style type=\"text\/css\">\n.rTable {\n display: table;\n width: 100%;\n}\n.rTableRow {\n display: table-row;\n}\n.rTableHeading {\n display: table-header-group;\n background-color: #ddd;\n}\n.rTableCell, .rTableHead {\n display: table-cell;\n padding: 1px 5px;\n}\n.rTableHeading {\n display: table-header-group;\n background-color: #ddd;\n font-weight: bold;\n}\n.rTableFoot {\n display: table-footer-group;\n font-weight: bold;\n background-color: #ddd;\n}\n.rTableBody {\n display: table-row-group;\n}\n<\/style>\n<h3>Your personal information\n<\/h3>\n<p>Last name*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld2\" \/><\/span>\n<\/p>\n<p>E-mail address*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"fld4\" \/><\/span>\n<\/p>\n<p>Please provide your daytime phone number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"fld5\" \/><\/span>\n<\/p>\n<p>Order number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please put the Passies Movers reference number here, this number is mentioned in all e-mails send to you\" value=\"\" type=\"text\" name=\"fld6\" \/><\/span>\n<\/p>\n<h3>Damage*\n<\/h3>\n<p>When did you find out about the damages*.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld7\" \/><\/span>\n<\/p>\n<p>Did you report the damages to us earlier*.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld7\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"fld7\" value=\"yes\" \/><span class=\"wpcf7-list-item-label\">yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"fld7\" value=\"no\" \/><span class=\"wpcf7-list-item-label\">no<\/span><\/span><\/span><\/span>\n<\/p>\n<p>If yes, whom<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld9\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld9\" \/><\/span>\n<\/p>\n<h3>Banking Details*\n<\/h3>\n<p>IBAN number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld12\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld12\" \/><\/span>\n<\/p>\n<p>For international transfers please also include following details.\n<\/p>\n<p>Your full address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld105\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fld105\"><\/textarea><\/span>\n<\/p>\n<p>SWIFT<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld13\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld13\" \/><\/span>\n<\/p>\n<p>Name of your bank<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld103\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld103\" \/><\/span>\n<\/p>\n<p>Full address of your bank<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld104\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fld104\"><\/textarea><\/span>\n<\/p>\n<h3>Overview of Damages\n<\/h3>\n<div class=\"rTable\">\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Inventory*<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Item<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Description in damage<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Purchase date<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Purchase amount in \u20ac<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Claim amount in \u20ac<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld18\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld18\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld19\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld19\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld20\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld20\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld21\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld21\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld22\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld22\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld23\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld23\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld26\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld26\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld27\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld27\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld28\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld28\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld29\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld29\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld30\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld30\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld31\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld31\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld34\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld34\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld35\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld35\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld36\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld36\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld37\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld37\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld38\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld38\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld39\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld39\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld42\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld42\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld43\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld43\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld44\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld44\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld45\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld45\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld46\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld46\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld47\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld47\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld50\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld50\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld51\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld51\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld52\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld52\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld53\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld53\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld54\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld54\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld55\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld55\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld58\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld58\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld59\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld59\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld60\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld60\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld61\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld61\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld62\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld62\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld63\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld63\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld66\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld66\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld67\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld67\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld68\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld68\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld69\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld69\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld70\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld70\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld71\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld71\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld74\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld74\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld75\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld75\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld76\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld76\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld77\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld77\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld78\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld78\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld79\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld79\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld82\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld82\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld83\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld83\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld84\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld84\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld85\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld85\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld86\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld86\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld87\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld87\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld90\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld90\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld91\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld91\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld92\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld92\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld93\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld93\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld94\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld94\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld95\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld95\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p>* Inventory item: please indicate the corresponding number on the descriptive inventory.\n<\/p>\n<p>If above not enough space please upload your own list. We kindly request you NOT to dispose of any damaged items. After receipt of the completed form we will check whether the form has been completed correctly and is provided with enclosures. When complete we will send the damage claim to our insurer. The insurer will decide if a reimbursement will be made based on these documents or that an assessment by an expert will be necessary. For further details we refer to our General Conditions.\n<\/p>\n<p>File with list of goods<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld99\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".txt,.pdf,.doc,.xlsx,.xls,.docx,.rtf\" aria-invalid=\"false\" type=\"file\" name=\"fld99\" \/><\/span>\n<\/p>\n<p>Remarks<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld102\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fld102\"><\/textarea><\/span>\n<\/p>\n<p>\n\t<font color=\"black\"><span class=\"wpcf7-form-control-wrap\" data-name=\"fld102\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"fld102\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> I hereby declare to have completed this form to the best of my knowledge. An incorrect claim can lead to rejection or a delay in settling the claim.\n\t<\/font>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap wpgdprc\"><span class=\"wpcf7-form-control wpcf7-wpgdprc wpcf7-validates-as-required\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"wpgdprc\" value=\"1\" aria-required=\"true\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">When you use this form, you agree to the storage and processing of your data through this website.<\/span><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text]We regret that damages have occurred during the move of your household goods.\u00a0Please read this instruction carefully before completing this form. Please fill out this form completely. We will acknowledge receipt of your claim within 48 hours. If possible\/applicable please upload a copy of the purchase receipt or a quotation of repair and (digital) pictures&hellip;<\/p>\n","protected":false},"author":32,"featured_media":0,"parent":2213,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"class_list":["post-2368","page","type-page","status-publish","hentry","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Damaged Goods Claim<\/title>\n<meta name=\"description\" content=\"Damaged Goods Claim\" \/>\n<meta name=\"robots\" content=\"noindex, nofollow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Damaged Goods Claim\" \/>\n<meta property=\"og:description\" content=\"Damaged Goods Claim\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging.passies.nl\/schadeformulier\/\" \/>\n<meta property=\"og:site_name\" content=\"Passies verhuizers\" \/>\n<meta property=\"article:modified_time\" content=\"2017-10-02T12:08:42+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/staging.passies.nl\\\/schadeformulier\\\/\",\"url\":\"https:\\\/\\\/staging.passies.nl\\\/schadeformulier\\\/\",\"name\":\"Damaged Goods Claim\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/staging.passies.nl\\\/#website\"},\"datePublished\":\"2017-10-02T12:00:57+00:00\",\"dateModified\":\"2017-10-02T12:08:42+00:00\",\"description\":\"Damaged Goods Claim\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/staging.passies.nl\\\/schadeformulier\\\/#breadcrumb\"},\"inLanguage\":\"en\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/staging.passies.nl\\\/schadeformulier\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/staging.passies.nl\\\/schadeformulier\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/staging.passies.nl\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Beveiligd: Forms\",\"item\":\"https:\\\/\\\/staging.passies.nl\\\/formulieren\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Damaged Goods Claim\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/staging.passies.nl\\\/#website\",\"url\":\"https:\\\/\\\/staging.passies.nl\\\/\",\"name\":\"Passies verhuizers\",\"description\":\"Verhuizers met Passie!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/staging.passies.nl\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Damaged Goods Claim","description":"Damaged Goods Claim","robots":{"index":"noindex","follow":"nofollow"},"og_locale":"en_US","og_type":"article","og_title":"Damaged Goods Claim","og_description":"Damaged Goods Claim","og_url":"https:\/\/staging.passies.nl\/schadeformulier\/","og_site_name":"Passies verhuizers","article_modified_time":"2017-10-02T12:08:42+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/staging.passies.nl\/schadeformulier\/","url":"https:\/\/staging.passies.nl\/schadeformulier\/","name":"Damaged Goods Claim","isPartOf":{"@id":"https:\/\/staging.passies.nl\/#website"},"datePublished":"2017-10-02T12:00:57+00:00","dateModified":"2017-10-02T12:08:42+00:00","description":"Damaged Goods Claim","breadcrumb":{"@id":"https:\/\/staging.passies.nl\/schadeformulier\/#breadcrumb"},"inLanguage":"en","potentialAction":[{"@type":"ReadAction","target":["https:\/\/staging.passies.nl\/schadeformulier\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/staging.passies.nl\/schadeformulier\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/staging.passies.nl\/"},{"@type":"ListItem","position":2,"name":"Beveiligd: Forms","item":"https:\/\/staging.passies.nl\/formulieren\/"},{"@type":"ListItem","position":3,"name":"Damaged Goods Claim"}]},{"@type":"WebSite","@id":"https:\/\/staging.passies.nl\/#website","url":"https:\/\/staging.passies.nl\/","name":"Passies verhuizers","description":"Verhuizers met Passie!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/staging.passies.nl\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en"}]}},"_links":{"self":[{"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/pages\/2368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/comments?post=2368"}],"version-history":[{"count":0,"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/pages\/2368\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/pages\/2213"}],"wp:attachment":[{"href":"https:\/\/staging.passies.nl\/en\/wp-json\/wp\/v2\/media?parent=2368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}