{"id":24860,"date":"2025-02-14T08:19:34","date_gmt":"2025-02-14T08:19:34","guid":{"rendered":"https:\/\/adra.be\/?page_id=24860"},"modified":"2025-02-14T08:21:36","modified_gmt":"2025-02-14T08:21:36","slug":"klacht","status":"publish","type":"page","link":"https:\/\/adra.be\/nl\/signalement\/plainte\/","title":{"rendered":"Klacht"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"24860\" class=\"elementor elementor-24860\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0e894d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0e894d7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0511850\" data-id=\"0511850\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10f85bfe elementor-widget elementor-widget-spacer\" data-id=\"10f85bfe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f2c67f0 eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"f2c67f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form eael-contact-form-align-default\">\n\t\t        <script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Introduire une plainte<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/nl\/wp-json\/wp\/v2\/pages\/24860' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations personnelles<\/h3><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'>Genre<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_3[]' id='input_3_3' class='large gfield_select'   aria-invalid=\"false\"  ><option value='Homme' >Homme<\/option><option value='Femme' >Femme<\/option><option value='Non-binaire' >Non-binaire<\/option><option value='Mon sexe n&#039;est pas mentionn\u00e9' >Mon sexe n&#039;est pas mentionn\u00e9<\/option><option value='Je pr\u00e9f\u00e8re ne pas r\u00e9pondre' >Je pr\u00e9f\u00e8re ne pas r\u00e9pondre<\/option><\/select><\/div><\/div><fieldset id=\"field_3_11\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_11'>\n                            \n                            <span id='input_3_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.3' id='input_3_11_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_3_11_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.6' id='input_3_11_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_3_11_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_5\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_5'>Date de naissance<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_5' id='input_3_5' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_5_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_3_5_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_5' class='gform_hidden' value='https:\/\/adra.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_3_6\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip has_country ginput_container_address gform-grid-row' id='input_3_6' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_6_1_container' >\n                                        <input type='text' name='input_6.1' id='input_3_6_1' value=''    aria-required='false'    \/>\n                                        <label for='input_3_6_1' id='input_3_6_1_label' class='gform-field-label gform-field-label--type-sub '>Rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_6_2_container' >\n                                        <input type='text' name='input_6.2' id='input_3_6_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_6_2' id='input_3_6_2_label' class='gform-field-label gform-field-label--type-sub '>Num\u00e9ro<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_3_6_3' value=''    aria-required='false'    \/>\n                                    <label for='input_3_6_3' id='input_3_6_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_6.4' id='input_3_6_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_3_6_5_container' >\n                                    <input type='text' name='input_6.5' id='input_3_6_5' value=''    aria-required='false'    \/>\n                                    <label for='input_3_6_5' id='input_3_6_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_3_6_6_container' >\n                                        <select name='input_6.6' id='input_3_6_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albani\u00eb' >Albani\u00eb<\/option><option value='Algerije' >Algerije<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andora' >Andora<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua en Barbuda' >Antigua en Barbuda<\/option><option value='Argentini\u00eb' >Argentini\u00eb<\/option><option value='Armeni\u00eb' >Armeni\u00eb<\/option><option value='Aruba' >Aruba<\/option><option value='Australi\u00eb' >Australi\u00eb<\/option><option value='Azerbeidzjan' >Azerbeidzjan<\/option><option value='Bahama&#039;s' >Bahama&#039;s<\/option><option value='Bahrein' >Bahrein<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgi\u00eb' >Belgi\u00eb<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius en Saba' >Bonaire, Sint Eustatius en Saba<\/option><option value='Bosni\u00eb en Herzegovina' >Bosni\u00eb en Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet' >Bouvet<\/option><option value='Brazili\u00eb' >Brazili\u00eb<\/option><option value='Brits Indische overzeese gebieden' >Brits Indische overzeese gebieden<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgarije' >Bulgarije<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodja' >Cambodja<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Centraal-Afrikaanse Republiek' >Centraal-Afrikaanse Republiek<\/option><option value='Chili' >Chili<\/option><option value='China' >China<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoren' >Comoren<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo-Brazzaville' >Congo-Brazzaville<\/option><option value='Cookeilanden' >Cookeilanden<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denemarken' >Denemarken<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominicaanse Republiek' >Dominicaanse Republiek<\/option><option value='Duitsland' >Duitsland<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypte' >Egypte<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatoriaal Guinea' >Equatoriaal Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopi\u00eb' >Ethiopi\u00eb<\/option><option value='Falklandeilanden' >Falklandeilanden<\/option><option value='Far\u00f6er Eilanden' >Far\u00f6er Eilanden<\/option><option value='Fiji' >Fiji<\/option><option value='Filipijnen' >Filipijnen<\/option><option value='Finland' >Finland<\/option><option value='Frankrijk' >Frankrijk<\/option><option value='Frans Guinea' >Frans Guinea<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgi\u00eb' >Georgi\u00eb<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenada' >Grenada<\/option><option value='Griekenland' >Griekenland<\/option><option value='Groenland' >Groenland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinee' >Guinee<\/option><option value='Guinee-Bissau' >Guinee-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heardeiland en McDonaldeilanden' >Heardeiland en McDonaldeilanden<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongarije' >Hongarije<\/option><option value='IJsland' >IJsland<\/option><option value='Ierland' >Ierland<\/option><option value='India' >India<\/option><option value='Indonesi\u00eb' >Indonesi\u00eb<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Itali\u00eb' >Itali\u00eb<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordani\u00eb' >Jordani\u00eb<\/option><option value='Kameroen' >Kameroen<\/option><option value='Kazachstan' >Kazachstan<\/option><option value='Kenia' >Kenia<\/option><option value='Kersteiland' >Kersteiland<\/option><option value='Kirgizi\u00eb' >Kirgizi\u00eb<\/option><option value='Kiribari' >Kiribari<\/option><option value='Koeweit' >Koeweit<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kroati\u00eb' >Kroati\u00eb<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Lesotho' >Lesotho<\/option><option value='Letland' >Letland<\/option><option value='Libanon' >Libanon<\/option><option value='Liberi\u00eb' >Liberi\u00eb<\/option><option value='Libi\u00eb' >Libi\u00eb<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litouwen' >Litouwen<\/option><option value='Luxemburg' >Luxemburg<\/option><option value='Macau' >Macau<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Malediven' >Malediven<\/option><option value='Maleisi\u00eb' >Maleisi\u00eb<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Mann(eiland)' >Mann(eiland)<\/option><option value='Marokko' >Marokko<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritani\u00eb' >Mauritani\u00eb<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesi\u00eb' >Micronesi\u00eb<\/option><option value='Moldavi\u00eb' >Moldavi\u00eb<\/option><option value='Monaco' >Monaco<\/option><option value='Mongoli\u00eb' >Mongoli\u00eb<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibi\u00eb' >Namibi\u00eb<\/option><option value='Nauru' >Nauru<\/option><option value='Nederland' >Nederland<\/option><option value='Nepal' >Nepal<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Nieuw Zeeland' >Nieuw Zeeland<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Noord-Macedoni\u00eb' >Noord-Macedoni\u00eb<\/option><option value='Noorwegen' >Noorwegen<\/option><option value='Norfolkeiland' >Norfolkeiland<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Oeganda' >Oeganda<\/option><option value='Oekra\u00efne' >Oekra\u00efne<\/option><option value='Oman' >Oman<\/option><option value='Oostenrijk' >Oostenrijk<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papoea-Nieuw-Guinea' >Papoea-Nieuw-Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polen' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Replubliek Vanuatu' >Replubliek Vanuatu<\/option><option value='Roemeni\u00eb' >Roemeni\u00eb<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Ruwanda' >Ruwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts en Nevis' >Saint Kitts en Nevis<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Vincent en de Grenadines' >Saint Vincent en de Grenadines<\/option><option value='Saint-Pierre en Miquelon' >Saint-Pierre en Miquelon<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saoedi-Arabi\u00eb' >Saoedi-Arabi\u00eb<\/option><option value='Senegal' >Senegal<\/option><option value='Servi\u00eb' >Servi\u00eb<\/option><option value='Seychellen' >Seychellen<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Bartholomeus' >Sint Bartholomeus<\/option><option value='Sint Lucia' >Sint Lucia<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakije' >Slovakije<\/option><option value='Sloveni\u00eb' >Sloveni\u00eb<\/option><option value='Solomoneilanden' >Solomoneilanden<\/option><option value='Somali\u00eb' >Somali\u00eb<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Spanje' >Spanje<\/option><option value='Spitsbergen en Jan Mayen' >Spitsbergen en Jan Mayen<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Tadzjikistan' >Tadzjikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau-eilanden' >Tokelau-eilanden<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad en Tobago' >Trinidad en Tobago<\/option><option value='Tsjaad' >Tsjaad<\/option><option value='Tunesi\u00eb' >Tunesi\u00eb<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks-en Caicoseilanden' >Turks-en Caicoseilanden<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Venezuela' >Venezuela<\/option><option value='Verenigd Koninkrijk' >Verenigd Koninkrijk<\/option><option value='Verenigde Arabische Emiraten' >Verenigde Arabische Emiraten<\/option><option value='Verenigde Staten van Amerika' >Verenigde Staten van Amerika<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='West-Sahara' >West-Sahara<\/option><option value='Wit-Rusland' >Wit-Rusland<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='Zuid Soedan' >Zuid Soedan<\/option><option value='Zuid-Afrika' >Zuid-Afrika<\/option><option value='Zweden' >Zweden<\/option><option value='Zwitserland' >Zwitserland<\/option><option value='\u00c5land' >\u00c5land<\/option><\/select>\n                                        <label for='input_3_6_6' id='input_3_6_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3_7\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_7'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_3_7' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'>Num\u00e9ro de t\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_number'><input name='input_8' id='input_3_8' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_3_9\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Plainte<\/h3><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>Date de d\u00e9but des faits<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_3_12' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_12_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_12_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_12' class='gform_hidden' value='https:\/\/adra.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'>Date de fin des faits<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_13' id='input_3_13' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_13_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_13_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_13' class='gform_hidden' value='https:\/\/adra.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_3_14\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Lieu des faits<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip has_country ginput_container_address gform-grid-row' id='input_3_14' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_14_1_container' >\n                                        <input type='text' name='input_14.1' id='input_3_14_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_14_1' id='input_3_14_1_label' class='gform-field-label gform-field-label--type-sub '>Rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_14_2_container' >\n                                        <input type='text' name='input_14.2' id='input_3_14_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_14_2' id='input_3_14_2_label' class='gform-field-label gform-field-label--type-sub '>Num\u00e9ro<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_14_3_container' >\n                                    <input type='text' name='input_14.3' id='input_3_14_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_14_3' id='input_3_14_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_14.4' id='input_3_14_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_3_14_5_container' >\n                                    <input type='text' name='input_14.5' id='input_3_14_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_14_5' id='input_3_14_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_3_14_6_container' >\n                                        <select name='input_14.6' id='input_3_14_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albani\u00eb' >Albani\u00eb<\/option><option value='Algerije' >Algerije<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andora' >Andora<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua en Barbuda' >Antigua en Barbuda<\/option><option value='Argentini\u00eb' >Argentini\u00eb<\/option><option value='Armeni\u00eb' >Armeni\u00eb<\/option><option value='Aruba' >Aruba<\/option><option value='Australi\u00eb' >Australi\u00eb<\/option><option value='Azerbeidzjan' >Azerbeidzjan<\/option><option value='Bahama&#039;s' >Bahama&#039;s<\/option><option value='Bahrein' >Bahrein<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belgi\u00eb' >Belgi\u00eb<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius en Saba' >Bonaire, Sint Eustatius en Saba<\/option><option value='Bosni\u00eb en Herzegovina' >Bosni\u00eb en Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet' >Bouvet<\/option><option value='Brazili\u00eb' >Brazili\u00eb<\/option><option value='Brits Indische overzeese gebieden' >Brits Indische overzeese gebieden<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgarije' >Bulgarije<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodja' >Cambodja<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Centraal-Afrikaanse Republiek' >Centraal-Afrikaanse Republiek<\/option><option value='Chili' >Chili<\/option><option value='China' >China<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoren' >Comoren<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo-Brazzaville' >Congo-Brazzaville<\/option><option value='Cookeilanden' >Cookeilanden<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denemarken' >Denemarken<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominicaanse Republiek' >Dominicaanse Republiek<\/option><option value='Duitsland' >Duitsland<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypte' >Egypte<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatoriaal Guinea' >Equatoriaal Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estland' >Estland<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopi\u00eb' >Ethiopi\u00eb<\/option><option value='Falklandeilanden' >Falklandeilanden<\/option><option value='Far\u00f6er Eilanden' >Far\u00f6er Eilanden<\/option><option value='Fiji' >Fiji<\/option><option value='Filipijnen' >Filipijnen<\/option><option value='Finland' >Finland<\/option><option value='Frankrijk' >Frankrijk<\/option><option value='Frans Guinea' >Frans Guinea<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgi\u00eb' >Georgi\u00eb<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenada' >Grenada<\/option><option value='Griekenland' >Griekenland<\/option><option value='Groenland' >Groenland<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinee' >Guinee<\/option><option value='Guinee-Bissau' >Guinee-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Heardeiland en McDonaldeilanden' >Heardeiland en McDonaldeilanden<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongarije' >Hongarije<\/option><option value='IJsland' >IJsland<\/option><option value='Ierland' >Ierland<\/option><option value='India' >India<\/option><option value='Indonesi\u00eb' >Indonesi\u00eb<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Itali\u00eb' >Itali\u00eb<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordani\u00eb' >Jordani\u00eb<\/option><option value='Kameroen' >Kameroen<\/option><option value='Kazachstan' >Kazachstan<\/option><option value='Kenia' >Kenia<\/option><option value='Kersteiland' >Kersteiland<\/option><option value='Kirgizi\u00eb' >Kirgizi\u00eb<\/option><option value='Kiribari' >Kiribari<\/option><option value='Koeweit' >Koeweit<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kroati\u00eb' >Kroati\u00eb<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Lesotho' >Lesotho<\/option><option value='Letland' >Letland<\/option><option value='Libanon' >Libanon<\/option><option value='Liberi\u00eb' >Liberi\u00eb<\/option><option value='Libi\u00eb' >Libi\u00eb<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litouwen' >Litouwen<\/option><option value='Luxemburg' >Luxemburg<\/option><option value='Macau' >Macau<\/option><option value='Madagaskar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Malediven' >Malediven<\/option><option value='Maleisi\u00eb' >Maleisi\u00eb<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Mann(eiland)' >Mann(eiland)<\/option><option value='Marokko' >Marokko<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritani\u00eb' >Mauritani\u00eb<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesi\u00eb' >Micronesi\u00eb<\/option><option value='Moldavi\u00eb' >Moldavi\u00eb<\/option><option value='Monaco' >Monaco<\/option><option value='Mongoli\u00eb' >Mongoli\u00eb<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibi\u00eb' >Namibi\u00eb<\/option><option value='Nauru' >Nauru<\/option><option value='Nederland' >Nederland<\/option><option value='Nepal' >Nepal<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Nieuw Zeeland' >Nieuw Zeeland<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Noord-Macedoni\u00eb' >Noord-Macedoni\u00eb<\/option><option value='Noorwegen' >Noorwegen<\/option><option value='Norfolkeiland' >Norfolkeiland<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Oeganda' >Oeganda<\/option><option value='Oekra\u00efne' >Oekra\u00efne<\/option><option value='Oman' >Oman<\/option><option value='Oostenrijk' >Oostenrijk<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papoea-Nieuw-Guinea' >Papoea-Nieuw-Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polen' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Replubliek Vanuatu' >Replubliek Vanuatu<\/option><option value='Roemeni\u00eb' >Roemeni\u00eb<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Ruwanda' >Ruwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts en Nevis' >Saint Kitts en Nevis<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Vincent en de Grenadines' >Saint Vincent en de Grenadines<\/option><option value='Saint-Pierre en Miquelon' >Saint-Pierre en Miquelon<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saoedi-Arabi\u00eb' >Saoedi-Arabi\u00eb<\/option><option value='Senegal' >Senegal<\/option><option value='Servi\u00eb' >Servi\u00eb<\/option><option value='Seychellen' >Seychellen<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Bartholomeus' >Sint Bartholomeus<\/option><option value='Sint Lucia' >Sint Lucia<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakije' >Slovakije<\/option><option value='Sloveni\u00eb' >Sloveni\u00eb<\/option><option value='Solomoneilanden' >Solomoneilanden<\/option><option value='Somali\u00eb' >Somali\u00eb<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='Spanje' >Spanje<\/option><option value='Spitsbergen en Jan Mayen' >Spitsbergen en Jan Mayen<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Tadzjikistan' >Tadzjikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau-eilanden' >Tokelau-eilanden<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad en Tobago' >Trinidad en Tobago<\/option><option value='Tsjaad' >Tsjaad<\/option><option value='Tunesi\u00eb' >Tunesi\u00eb<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks-en Caicoseilanden' >Turks-en Caicoseilanden<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Venezuela' >Venezuela<\/option><option value='Verenigd Koninkrijk' >Verenigd Koninkrijk<\/option><option value='Verenigde Arabische Emiraten' >Verenigde Arabische Emiraten<\/option><option value='Verenigde Staten van Amerika' >Verenigde Staten van Amerika<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='West-Sahara' >West-Sahara<\/option><option value='Wit-Rusland' >Wit-Rusland<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='Zuid Soedan' >Zuid Soedan<\/option><option value='Zuid-Afrika' >Zuid-Afrika<\/option><option value='Zweden' >Zweden<\/option><option value='Zwitserland' >Zwitserland<\/option><option value='\u00c5land' >\u00c5land<\/option><\/select>\n                                        <label for='input_3_14_6' id='input_3_14_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_3_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Votre plainte concerne-t-elle :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_15'><div class='gchoice gchoice_3_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Un membre de notre personnel'  id='choice_3_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_1' id='label_3_15_1' class='gform-field-label gform-field-label--type-inline'>Un membre de notre personnel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Un membre d\u2019un partenaire de notre organisation'  id='choice_3_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_15_2' id='label_3_15_2' class='gform-field-label gform-field-label--type-inline'>Un membre d\u2019un partenaire de notre organisation<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Description des faits<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_3_17' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_17\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_17'>Merci de donner ces informations qui nous permettront de pouvoir au mieux vous aider, vous pouvez les compl\u00e9ter par des documents en annexe.<\/div><\/div><div id=\"field_3_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_16'>Connaissez-vous d\u2019autres personnes qui sont aussi victimes de ces faits ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_3_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_18'>Avez-vous des personnes qui ont \u00e9t\u00e9 t\u00e9moins de ces faits ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_3_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_19\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'>Annexes<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_19' id='input_3_19' type='file' class='large' aria-describedby=\"gfield_upload_rules_3_19\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_19'>Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_19'><\/div> <\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Verzend'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='qfPAano2QZOAbvQ5EL3mN3ZQ7\/41iE5f9JmIWhipZRzH0CftlQIQIkQIbaGs3WmePwpOvHAgQgkK0hcM+4eZbXgqYynJOuoHlrijAJbLNbGMa9c=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' 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