{"id":641,"date":"2018-01-11T10:53:06","date_gmt":"2018-01-11T09:53:06","guid":{"rendered":"https:\/\/www.billy-montigny.fr\/site\/?page_id=641"},"modified":"2018-01-11T10:53:06","modified_gmt":"2018-01-11T09:53:06","slug":"demande-dacte-de-deces","status":"publish","type":"page","link":"https:\/\/www.billy-montigny.fr\/site\/demande-dacte-de-deces\/","title":{"rendered":"Demande d&rsquo;acte de d\u00e9c\u00e8s"},"content":{"rendered":"<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5a5732a39ffdf\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/www.billy-montigny.fr\/site\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5a5732a39ffdf caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5a5732a39ffdf_1\" data-form-id=\"CF5a5732a39ffdf\" aria-label=\"Demande d&#039;acte de d&eacute;c&egrave;s\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5a5732a39ffdf-tmpl\" data-cfajax=\"CF5a5732a39ffdf\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/www.billy-montigny.fr\/site\/cf-api\/CF5a5732a39ffdf\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5a5732a39ffdf\" name=\"_cf_verify\" value=\"42b50bba4d\"  data-nonce-time=\"1777399991\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/site\/wp-json\/wp\/v2\/pages\/641\" \/><div id=\"cf2-CF5a5732a39ffdf_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5a5732a39ffdf\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5a5732a39ffdf\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"641\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Twitter<\/label><input type=\"text\" name=\"twitter\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5a5732a39ffdf_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_321895\" class=\"form-group\" id=\"fld_321895_1-wrap\">\r\n\t<label id=\"fld_321895Label\" for=\"fld_321895_1\" class=\"control-label\">Nombre de copie(s) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_321895\" class=\" form-control\" id=\"fld_321895_1\" name=\"fld_321895\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_321895Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a5732a39ffdf_1-row-2\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_2207846\" class=\"form-group\" id=\"fld_2207846_1-wrap\">\r\n\t<label id=\"fld_2207846Label\" for=\"fld_2207846_1\" class=\"control-label\">Nom du d\u00e9funt <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2207846\" class=\" form-control\" id=\"fld_2207846_1\" name=\"fld_2207846\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2207846Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9504585\" class=\"form-group\" id=\"fld_9504585_1-wrap\">\r\n\t<label id=\"fld_9504585Label\" for=\"fld_9504585_1\" class=\"control-label\">Pr\u00e9noms du d\u00e9funt <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9504585\" class=\" form-control\" id=\"fld_9504585_1\" name=\"fld_9504585\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9504585Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4111554\" class=\"form-group\" id=\"fld_4111554_1-wrap\">\r\n\t<label id=\"fld_4111554Label\" for=\"fld_4111554_1\" class=\"control-label\">Date du d\u00e9c\u00e8s <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"date\" data-field=\"fld_4111554\" class=\" form-control\" id=\"fld_4111554_1\" name=\"fld_4111554\" value=\"\" data-type=\"date\" aria-required=\"true\"   aria-labelledby=\"fld_4111554Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a5732a39ffdf_1-row-3\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_2121650\" class=\"form-group\" id=\"fld_2121650_1-wrap\">\r\n\t<label id=\"fld_2121650Label\" for=\"fld_2121650_1\" class=\"control-label\">Nom et pr\u00e9noms du p\u00e8re <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2121650\" class=\" form-control\" id=\"fld_2121650_1\" name=\"fld_2121650\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2121650Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_678401\" class=\"form-group\" id=\"fld_678401_1-wrap\">\r\n\t<label id=\"fld_678401Label\" for=\"fld_678401_1\" class=\"control-label\">Nom (de jeune fille) et pr\u00e9noms de la m\u00e8re <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_678401\" class=\" form-control\" id=\"fld_678401_1\" name=\"fld_678401\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_678401Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a5732a39ffdf_1-row-4\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_805521\" class=\"form-group\" id=\"fld_805521_1-wrap\">\r\n<label id=\"fld_805521Label\" for=\"fld_805521_1\" class=\"control-label\">Vous \u00eates <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"son conjoint\" for=\"fld_805521_1_opt1680984\"><input type=\"radio\" id=\"fld_805521_1_opt1680984\" data-field=\"fld_805521\" class=\"fld_805521_1 option-required\" name=\"fld_805521\" value=\"son conjoint\" checked=\"checked\"  required=\"required\" data-radio-field=\"fld_805521_1\" data-type=\"radio\" data-calc-value=\"son conjoint\" \/>\n\t\t\tson conjoint\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"son p\u00e8re, sa m\u00e8re\" for=\"fld_805521_1_opt1851071\"><input type=\"radio\" id=\"fld_805521_1_opt1851071\" data-field=\"fld_805521\" class=\"fld_805521_1 option-required\" name=\"fld_805521\" value=\"son p\u00e8re, sa m\u00e8re\"   required=\"required\" data-radio-field=\"fld_805521_1\" data-type=\"radio\" data-calc-value=\"son p\u00e8re, sa m\u00e8re\" \/>\n\t\t\tson p\u00e8re, sa m\u00e8re\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"son fils, sa fille\" for=\"fld_805521_1_opt1364509\"><input type=\"radio\" id=\"fld_805521_1_opt1364509\" data-field=\"fld_805521\" class=\"fld_805521_1 option-required\" name=\"fld_805521\" value=\"son fils, sa fille\"   required=\"required\" data-radio-field=\"fld_805521_1\" data-type=\"radio\" data-calc-value=\"son fils, sa fille\" \/>\n\t\t\tson fils, sa fille\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"autre \" for=\"fld_805521_1_opt1510039\"><input type=\"radio\" id=\"fld_805521_1_opt1510039\" data-field=\"fld_805521\" class=\"fld_805521_1 option-required\" name=\"fld_805521\" value=\"autre \"   required=\"required\" data-radio-field=\"fld_805521_1\" data-type=\"radio\" data-calc-value=\"autre \" \/>\n\t\t\tautre \t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9818876\" class=\"form-group\" id=\"fld_9818876_1-wrap\">\r\n\t<label id=\"fld_9818876Label\" for=\"fld_9818876_1\" class=\"control-label\">Si autre, merci de pr\u00e9ciser<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9818876\" class=\" form-control\" id=\"fld_9818876_1\" name=\"fld_9818876\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9818876Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a5732a39ffdf_1-row-5\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_3483437\" class=\"form-group\" id=\"fld_3483437_1-wrap\">\r\n\t<label id=\"fld_3483437Label\" for=\"fld_3483437_1\" class=\"control-label\">Votre nom <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3483437\" class=\" form-control\" id=\"fld_3483437_1\" name=\"fld_3483437\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3483437Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6193109\" class=\"form-group\" id=\"fld_6193109_1-wrap\">\r\n\t<label id=\"fld_6193109Label\" for=\"fld_6193109_1\" class=\"control-label\">Votre pr\u00e9nom <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6193109\" class=\" form-control\" id=\"fld_6193109_1\" name=\"fld_6193109\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6193109Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9306272\" class=\"form-group\" id=\"fld_9306272_1-wrap\">\r\n\t<label id=\"fld_9306272Label\" for=\"fld_9306272_1\" class=\"control-label\">Votre adresse <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9306272\" class=\" form-control\" id=\"fld_9306272_1\" name=\"fld_9306272\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9306272Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6910677\" class=\"form-group\" id=\"fld_6910677_1-wrap\">\r\n\t<label id=\"fld_6910677Label\" for=\"fld_6910677_1\" class=\"control-label\">Code postal <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6910677\" class=\" form-control\" id=\"fld_6910677_1\" name=\"fld_6910677\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6910677Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_415270\" class=\"form-group\" id=\"fld_415270_1-wrap\">\r\n\t<label id=\"fld_415270Label\" for=\"fld_415270_1\" class=\"control-label\">Ville <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_415270\" class=\" form-control\" id=\"fld_415270_1\" name=\"fld_415270\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_415270Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6251328\" class=\"form-group\" id=\"fld_6251328_1-wrap\">\r\n\t<label id=\"fld_6251328Label\" for=\"fld_6251328_1\" class=\"control-label\">Pays <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6251328\" class=\" form-control\" id=\"fld_6251328_1\" name=\"fld_6251328\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6251328Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5953522\" class=\"form-group\" id=\"fld_5953522_1-wrap\">\r\n\t<label id=\"fld_5953522Label\" for=\"fld_5953522_1\" class=\"control-label\">Num\u00e9ro de t\u00e9l\u00e9phone <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_5953522\" class=\" form-control\" id=\"fld_5953522_1\" name=\"fld_5953522\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_5953522Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_476768\" class=\"form-group\" id=\"fld_476768_1-wrap\">\r\n\t<label id=\"fld_476768Label\" for=\"fld_476768_1\" class=\"control-label\">Adresse de messagerie <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_476768\" class=\" form-control\" id=\"fld_476768_1\" name=\"fld_476768\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_476768Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2011766\" class=\"form-group\" id=\"fld_2011766_1-wrap\">\r\n\t<label id=\"fld_2011766Label\" for=\"fld_2011766_1\" class=\"control-label\">Justificatif d'identit\u00e9 du demandeur (carte d'identit\u00e9, passeport...) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"file-prevent-overflow\">\r\n\t\t<div id=\"fld_2011766_1_file_list\" class=\"cf-multi-uploader-list\"><\/div>\n\t\t\t\t<input type=\"file\" name=\"fld_2011766\" value=\"\" data-field=\"fld_2011766\" class=\"\" id=\"fld_2011766_1\" data-controlid=\"trupl69f0f8b74634b\"   required=\"required\"   aria-labelledby=\"fld_2011766Label\">\n\t\t<input type=\"hidden\" name=\"fld_2011766\" value=\"trupl69f0f8b74634b\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4269968\" class=\"form-group\" id=\"fld_4269968_1-wrap\">\r\n\t<label id=\"fld_4269968Label\" for=\"fld_4269968_1\" class=\"control-label\">Observations<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_4269968\" value=\"\" data-field=\"fld_4269968\" class=\"form-control\" id=\"fld_4269968_1\" rows=\"4\"    aria-labelledby=\"fld_4269968Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5a5732a39ffdf_1-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_3279627\" class=\"form-group\" id=\"fld_3279627_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_3279627\" id=\"fld_3279627_1\" value=\"Envoyer\" data-field=\"fld_3279627\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_3279627\" id=\"fld_3279627_1_btn\" value=\"\" data-field=\"fld_3279627\"  \/>\n<\/div><\/div><div id=\"CF5a5732a39ffdf_1-row-7\"  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><\/div><\/div><\/form>\r\n<\/div>\r\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-641","page","type-page","status-publish","hentry"],"publishpress_future_action":{"enabled":false,"date":"2026-05-05 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