{"id":66,"date":"2020-04-23T23:50:10","date_gmt":"2020-04-23T20:50:10","guid":{"rendered":"https:\/\/myinsurance.partners-wa.com\/?page_id=66"},"modified":"2020-05-05T00:11:13","modified_gmt":"2020-05-04T21:11:13","slug":"claims","status":"publish","type":"page","link":"https:\/\/myinsurance.partners-wa.com\/en\/claims\/","title":{"rendered":"Claims"},"content":{"rendered":"<p>[vc_row][vc_column]<div class=\"wpcf7 no-js\" id=\"wpcf7-f65-o1\" lang=\"en-US\" dir=\"ltr\">\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\/66#wpcf7-f65-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"65\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f65-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label> Insured Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter Reporter Name\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span><\/label>\n<\/p>\n<p><label> Reporter Mobile (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mobile\"><input size=\"40\" minlength=\"8\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter Reporter Mobile Number\" value=\"\" type=\"tel\" name=\"mobile\" \/><\/span><\/label>\n<\/p>\n<p><label> Reporter Email (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Policy Number (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"policy-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"policy-number\" \/><\/span> <\/label>\n<\/p>\n<p><label> Policy Type (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"policy-type\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"policy-type\" \/><\/span> <\/label>\n<\/p>\n<p><label> Claim Date (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"claim-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"2026-04-14\" type=\"date\" name=\"claim-date\" \/><\/span><\/label>\n<\/p>\n<p><label> Your Message (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Upload Additional Documents (optional)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"claim-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"claim-file\" \/><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/pages\/66"}],"collection":[{"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/comments?post=66"}],"version-history":[{"count":8,"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/pages\/66\/revisions"}],"predecessor-version":[{"id":267,"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/pages\/66\/revisions\/267"}],"wp:attachment":[{"href":"https:\/\/myinsurance.partners-wa.com\/en\/wp-json\/wp\/v2\/media?parent=66"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}