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class=\u0022content-container\u0022\u003E\n  \n  \u003Cform class=\u0022webform-submission-form webform-submission-add-form webform-submission-damage-form webform-submission-damage-add-form js-webform-details-toggle webform-details-toggle antibot\u0022 data-drupal-selector=\u0022webform-submission-damage-add-form\u0022 enctype=\u0022multipart\/form-data\u0022 data-action=\u0022\/nl\/contact\/next\/damage\u0022 action=\u0022\/antibot\u0022 method=\u0022post\u0022 id=\u0022webform-submission-damage-add-form\u0022 accept-charset=\u0022UTF-8\u0022\u003E\n  \n  \u003Cnoscript\u003E\n  \u003Cdiv class=\u0022antibot-no-js antibot-message antibot-message-warning\u0022\u003EYou must have JavaScript enabled to use this form.\u003C\/div\u003E\n\u003C\/noscript\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-personal-info\u0022 id=\u0022edit-personal-info\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EPersoonlijke gegevens\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv data-drupal-selector=\u0022edit-flexbox\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-firstname js-form-item-firstname\u0022\u003E\n      \u003Clabel for=\u0022edit-firstname\u0022 class=\u0022js-form-required form-required\u0022\u003EVoornaam\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-firstname\u0022 type=\u0022text\u0022 id=\u0022edit-firstname\u0022 name=\u0022firstname\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text required\u0022 required=\u0022required\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-lastname js-form-item-lastname\u0022\u003E\n      \u003Clabel for=\u0022edit-lastname\u0022 class=\u0022js-form-required form-required\u0022\u003ENaam\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-lastname\u0022 type=\u0022text\u0022 id=\u0022edit-lastname\u0022 name=\u0022lastname\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text required\u0022 required=\u0022required\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-flexbox-01\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-01\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--2\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-street js-form-item-street\u0022\u003E\n      \u003Clabel for=\u0022edit-street\u0022 class=\u0022js-form-required form-required\u0022\u003EStraat\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-street\u0022 type=\u0022text\u0022 id=\u0022edit-street\u0022 name=\u0022street\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text required\u0022 required=\u0022required\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-number webform-type-number js-form-item form-item js-form-type-number form-item-number js-form-item-number\u0022\u003E\n      \u003Clabel for=\u0022edit-number\u0022 class=\u0022js-form-required form-required\u0022\u003ENr.\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-number\u0022 type=\u0022number\u0022 id=\u0022edit-number\u0022 name=\u0022number\u0022 value=\u0022\u0022 step=\u0022any\u0022 class=\u0022form-number required\u0022 required=\u0022required\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-bus js-form-item-bus\u0022\u003E\n      \u003Clabel for=\u0022edit-bus\u0022\u003EBus\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-bus\u0022 type=\u0022text\u0022 id=\u0022edit-bus\u0022 name=\u0022bus\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-flexbox-02\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-02\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-number webform-type-number js-form-item form-item js-form-type-number form-item-postal-code js-form-item-postal-code\u0022\u003E\n      \u003Clabel for=\u0022edit-postal-code\u0022 class=\u0022js-form-required form-required\u0022\u003EPostcode\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-postal-code\u0022 type=\u0022number\u0022 id=\u0022edit-postal-code\u0022 name=\u0022postal_code\u0022 value=\u0022\u0022 step=\u00221\u0022 min=\u00221000\u0022 max=\u00229999\u0022 class=\u0022form-number required\u0022 required=\u0022required\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--2\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-city js-form-item-city\u0022\u003E\n      \u003Clabel for=\u0022edit-city\u0022 class=\u0022js-form-required form-required\u0022\u003EPlaats\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-city\u0022 type=\u0022text\u0022 id=\u0022edit-city\u0022 name=\u0022city\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text required\u0022 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form-required\u0022\u003EE-mail\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-email\u0022 type=\u0022email\u0022 id=\u0022edit-email\u0022 name=\u0022email\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022254\u0022 class=\u0022form-email required\u0022 required=\u0022required\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-flexbox-04\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-04\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-contract-number js-form-item-contract-number\u0022\u003E\n      \u003Clabel for=\u0022edit-contract-number\u0022\u003EContractnummer\u003C\/label\u003E\n        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js-form-item-location-damage\u0022\u003E\n      \u003Clabel for=\u0022edit-location-damage\u0022 class=\u0022js-form-required form-required\u0022\u003EPlaats waar het schadegeval zich heeft voorgedaan\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-location-damage\u0022 type=\u0022text\u0022 id=\u0022edit-location-damage\u0022 name=\u0022location_damage\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text required\u0022 required=\u0022required\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-what-happened js-form-item-what-happened\u0022\u003E\n      \u003Clabel for=\u0022edit-what-happened\u0022 class=\u0022js-form-required form-required\u0022\u003EWat is er precies gebeurd?\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-what-happened\u0022 id=\u0022edit-what-happened\u0022 name=\u0022what_happened\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea required resize-vertical\u0022 required=\u0022required\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-select webform-type-select js-form-item form-item js-form-type-select form-item-which-policy js-form-item-which-policy\u0022\u003E\n      \u003Clabel for=\u0022edit-which-policy\u0022\u003EWelke verzekeringspolis is van toepassing?\u003C\/label\u003E\n        \u003Cselect data-drupal-selector=\u0022edit-which-policy\u0022 id=\u0022edit-which-policy\u0022 name=\u0022which_policy\u0022 class=\u0022form-select\u0022\u003E\u003Coption value=\u0022\u0022 selected=\u0022selected\u0022\u003E- Selecteren -\u003C\/option\u003E\u003Coption value=\u0022car\u0022\u003EAuto\u003C\/option\u003E\u003Coption value=\u0022fire\u0022\u003EBrand\u003C\/option\u003E\u003Coption value=\u0022liability\u0022\u003EAansprakelijkheid\u003C\/option\u003E\u003Coption value=\u0022legal_counsal\u0022\u003ERechtsbijstand\u003C\/option\u003E\u003Coption value=\u0022hospitalization\u0022\u003EHospitalisatie\u003C\/option\u003E\u003Coption value=\u0022personal\u0022\u003EPersoonlijk ongeval \/ gewaarborgd inkomen\u003C\/option\u003E\u003Coption value=\u0022other\u0022\u003EAndere \/ ik weet het niet\u003C\/option\u003E\u003C\/select\u003E\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset class=\u0022js-webform-states-hidden js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022 data-drupal-selector=\u0022edit-details-damage\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;filled\u0026quot;:true}}}\u0022 id=\u0022edit-details-damage\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EDetails over het schadegeval\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv class=\u0022js-webform-states-hidden js-form-wrapper form-wrapper\u0022 data-drupal-selector=\u0022edit-car\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022 id=\u0022edit-car\u0022\u003E\u003Cdiv class=\u0022js-webform-type-select webform-type-select js-form-item form-item js-form-type-select form-item-damage-type js-form-item-damage-type\u0022\u003E\n      \u003Clabel for=\u0022edit-damage-type\u0022\u003ESoort schade\u003C\/label\u003E\n        \u003Cselect data-drupal-selector=\u0022edit-damage-type\u0022 id=\u0022edit-damage-type\u0022 name=\u0022damage_type\u0022 class=\u0022form-select\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022\u003E\u003Coption value=\u0022\u0022 selected=\u0022selected\u0022\u003E- Selecteren -\u003C\/option\u003E\u003Coption value=\u0022theft\u0022\u003EDiefstal\u003C\/option\u003E\u003Coption value=\u0022glass_breakage\u0022\u003EGlasbreuk\u003C\/option\u003E\u003Coption value=\u0022with_third_parties\u0022\u003EOngeval met derden\u003C\/option\u003E\u003Coption value=\u0022without_third_parties\u0022\u003EOngeval zonder derden\u003C\/option\u003E\u003C\/select\u003E\n        \u003C\/div\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-vehicle\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022 id=\u0022edit-vehicle\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EVoertuig\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-license-plate js-form-item-license-plate\u0022\u003E\n      \u003Clabel for=\u0022edit-license-plate\u0022\u003ENummerplaat\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-license-plate\u0022 type=\u0022text\u0022 id=\u0022edit-license-plate\u0022 name=\u0022license_plate\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-vehicle-location js-form-item-vehicle-location\u0022\u003E\n      \u003Clabel for=\u0022edit-vehicle-location\u0022\u003EWaar bevindt het voertuig zich nu?\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-vehicle-location\u0022 type=\u0022text\u0022 id=\u0022edit-vehicle-location\u0022 name=\u0022vehicle_location\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-name-address-repairer js-form-item-name-address-repairer\u0022\u003E\n      \u003Clabel for=\u0022edit-name-address-repairer\u0022\u003ENaam en adres van uw hersteller\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-name-address-repairer\u0022 type=\u0022text\u0022 id=\u0022edit-name-address-repairer\u0022 name=\u0022name_address_repairer\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-driver\u0022 id=\u0022edit-driver\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EBestuurder van het voertuig op het moment van het schadegeval\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv data-drupal-selector=\u0022edit-flexbox-06\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-06\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-driver-first-name js-form-item-driver-first-name\u0022\u003E\n      \u003Clabel for=\u0022edit-driver-first-name\u0022\u003EVoornaam\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-driver-first-name\u0022 type=\u0022text\u0022 id=\u0022edit-driver-first-name\u0022 name=\u0022driver_first_name\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-driver-last-name js-form-item-driver-last-name\u0022\u003E\n      \u003Clabel for=\u0022edit-driver-last-name\u0022\u003ENaam\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-driver-last-name\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022 id=\u0022edit-driver-last-name\u0022 name=\u0022driver_last_name\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-number-drivers-license js-form-item-number-drivers-license\u0022\u003E\n      \u003Clabel for=\u0022edit-number-drivers-license\u0022\u003ENummer rijbewijs\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-number-drivers-license\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022 id=\u0022edit-number-drivers-license\u0022 name=\u0022number_drivers_license\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-damage\u0022 id=\u0022edit-damage\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003ESchade\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-damage-description js-form-item-damage-description\u0022\u003E\n      \u003Clabel for=\u0022edit-damage-description\u0022\u003EBeschrijf de schade aan het voertuig.\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-damage-description\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022 id=\u0022edit-damage-description\u0022 name=\u0022damage_description\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-material-damage js-form-item-material-damage\u0022\u003E\n      \u003Clabel for=\u0022edit-material-damage\u0022\u003EOmschrijf eventuele materi\u00eble schade (andere schade dan aan uw eigen voertuig en het voertuig van de tegenpartij).\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-material-damage\u0022 id=\u0022edit-material-damage\u0022 name=\u0022material_damage\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-counterparty\u0022 id=\u0022edit-counterparty\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003ETegenpartij\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cfieldset data-drupal-selector=\u0022edit-counterparty-available\u0022 id=\u0022edit-counterparty-available--wrapper\u0022 class=\u0022radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;\u0026quot;:\u0026quot;\u0026quot;}}}\u0022\u003E\n      \u003Clegend id=\u0022edit-counterparty-available--wrapper-legend\u0022\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EWas er een tegenpartij betrokken bij het schadegeval?\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv id=\u0022edit-counterparty-available\u0022 class=\u0022js-webform-radios webform-options-display-one-column\u0022\u003E\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-counterparty-available js-form-item-counterparty-available\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-available-yes\u0022 type=\u0022radio\u0022 id=\u0022edit-counterparty-available-yes\u0022 name=\u0022counterparty_available\u0022 value=\u0022yes\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-counterparty-available-yes\u0022 class=\u0022option\u0022\u003EJa\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-counterparty-available js-form-item-counterparty-available\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-available-yes-unknown\u0022 type=\u0022radio\u0022 id=\u0022edit-counterparty-available-yes-unknown\u0022 name=\u0022counterparty_available\u0022 value=\u0022yes_unknown\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-counterparty-available-yes-unknown\u0022 class=\u0022option\u0022\u003EJa, niet bekend\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-counterparty-available js-form-item-counterparty-available\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-available-no\u0022 type=\u0022radio\u0022 id=\u0022edit-counterparty-available-no\u0022 name=\u0022counterparty_available\u0022 value=\u0022no\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-counterparty-available-no\u0022 class=\u0022option\u0022\u003ENee \/ niet van toepassing\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cdiv class=\u0022js-webform-states-hidden js-form-wrapper form-wrapper\u0022 data-drupal-selector=\u0022edit-counterparty-container\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022counterparty_available\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;yes\u0026quot;}}}\u0022 id=\u0022edit-counterparty-container\u0022\u003E\u003Cdiv data-drupal-selector=\u0022edit-flexbox-07\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-07\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-counterparty-first-name js-form-item-counterparty-first-name\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-first-name\u0022\u003EVoornaam\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-first-name\u0022 type=\u0022text\u0022 id=\u0022edit-counterparty-first-name\u0022 name=\u0022counterparty_first_name\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-counterparty-last-name js-form-item-counterparty-last-name\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-last-name\u0022\u003ENaam\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-last-name\u0022 type=\u0022text\u0022 id=\u0022edit-counterparty-last-name\u0022 name=\u0022counterparty_last_name\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-flexbox-08\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-08\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--2\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-counterparty-street js-form-item-counterparty-street\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-street\u0022\u003EStraat\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-street\u0022 type=\u0022text\u0022 id=\u0022edit-counterparty-street\u0022 name=\u0022counterparty_street\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-number webform-type-number js-form-item form-item js-form-type-number form-item-counterparty-number js-form-item-counterparty-number\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-number\u0022\u003ENr.\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-number\u0022 type=\u0022number\u0022 id=\u0022edit-counterparty-number\u0022 name=\u0022counterparty_number\u0022 value=\u0022\u0022 step=\u0022any\u0022 class=\u0022form-number\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-counterparty-bus js-form-item-counterparty-bus\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-bus\u0022\u003EBus\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-bus\u0022 type=\u0022text\u0022 id=\u0022edit-counterparty-bus\u0022 name=\u0022counterparty_bus\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-flexbox-09\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-09\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-number webform-type-number js-form-item form-item js-form-type-number form-item-counterparty-postal-code js-form-item-counterparty-postal-code\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-postal-code\u0022\u003EPostcode\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-postal-code\u0022 type=\u0022number\u0022 id=\u0022edit-counterparty-postal-code\u0022 name=\u0022counterparty_postal_code\u0022 value=\u0022\u0022 step=\u0022any\u0022 min=\u00221000\u0022 max=\u00229999\u0022 class=\u0022form-number\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--2\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-counterparty-city js-form-item-counterparty-city\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-city\u0022\u003EPlaats\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-city\u0022 type=\u0022text\u0022 id=\u0022edit-counterparty-city\u0022 name=\u0022counterparty_city\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-flexbox-10\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-10\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-tel webform-type-tel js-form-item form-item js-form-type-tel form-item-counterparty-phone js-form-item-counterparty-phone\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-phone\u0022\u003ETelefoon \/ gsm\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-phone\u0022 type=\u0022tel\u0022 id=\u0022edit-counterparty-phone\u0022 name=\u0022counterparty_phone\u0022 value=\u0022\u0022 size=\u002230\u0022 maxlength=\u0022128\u0022 class=\u0022form-tel\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--2\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-counterparty-insurance-company js-form-item-counterparty-insurance-company\u0022\u003E\n      \u003Clabel for=\u0022edit-counterparty-insurance-company\u0022\u003EVerzekeringsmaatschappij\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-counterparty-insurance-company\u0022 type=\u0022text\u0022 id=\u0022edit-counterparty-insurance-company\u0022 name=\u0022counterparty_insurance_company\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cdiv class=\u0022js-webform-type-select webform-type-select js-form-item form-item js-form-type-select form-item-responsible js-form-item-responsible\u0022\u003E\n      \u003Clabel for=\u0022edit-responsible\u0022\u003EWie is er volgens u aansprakelijk voor de schade?\u003C\/label\u003E\n        \u003Cselect data-drupal-selector=\u0022edit-responsible\u0022 id=\u0022edit-responsible\u0022 name=\u0022responsible\u0022 class=\u0022form-select\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022\u003E\u003Coption value=\u0022\u0022 selected=\u0022selected\u0022\u003E- Selecteren -\u003C\/option\u003E\u003Coption value=\u0022counterparty\u0022\u003EDe tegenpartij was in fout\u003C\/option\u003E\u003Coption value=\u0022me\u0022\u003EIk was in fout\u003C\/option\u003E\u003Coption value=\u0022both\u0022\u003EBeide partijen voerden een fout manoeuvre uit\u003C\/option\u003E\u003Coption value=\u0022other\u0022\u003EAndere \/ ik weet het niet\u003C\/option\u003E\u003C\/select\u003E\n        \u003C\/div\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-verbalizing-entity-group\u0022 id=\u0022edit-verbalizing-entity-group\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EVerbaliserende overheid\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cfieldset data-drupal-selector=\u0022edit-police-report\u0022 id=\u0022edit-police-report--wrapper\u0022 class=\u0022radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022\u003E\n      \u003Clegend id=\u0022edit-police-report--wrapper-legend\u0022\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EWerd er een PV opgesteld?\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv id=\u0022edit-police-report\u0022 class=\u0022js-webform-radios webform-options-display-one-column\u0022\u003E\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-police-report js-form-item-police-report\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-police-report-yes\u0022 type=\u0022radio\u0022 id=\u0022edit-police-report-yes\u0022 name=\u0022police_report\u0022 value=\u0022yes\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-police-report-yes\u0022 class=\u0022option\u0022\u003EJa\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-police-report js-form-item-police-report\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-police-report-no\u0022 type=\u0022radio\u0022 id=\u0022edit-police-report-no\u0022 name=\u0022police_report\u0022 value=\u0022no\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-police-report-no\u0022 class=\u0022option\u0022\u003ENee\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cdiv class=\u0022js-webform-states-hidden js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-pv-nummer js-form-item-pv-nummer\u0022\u003E\n      \u003Clabel for=\u0022edit-pv-nummer\u0022\u003EPV-nummer (indien gekend)\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-pv-nummer\u0022 type=\u0022text\u0022 id=\u0022edit-pv-nummer\u0022 name=\u0022pv_nummer\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022police_report\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;yes\u0026quot;}}}\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-alcoholtest\u0022 id=\u0022edit-alcoholtest--wrapper\u0022 class=\u0022radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022\u003E\n      \u003Clegend id=\u0022edit-alcoholtest--wrapper-legend\u0022\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EWerd er een ademtest of bloedproef gedaan?\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv id=\u0022edit-alcoholtest\u0022 class=\u0022js-webform-radios webform-options-display-one-column\u0022\u003E\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-alcoholtest js-form-item-alcoholtest\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-alcoholtest-no\u0022 type=\u0022radio\u0022 id=\u0022edit-alcoholtest-no\u0022 name=\u0022alcoholtest\u0022 value=\u0022no\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-alcoholtest-no\u0022 class=\u0022option\u0022\u003ENee\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-alcoholtest js-form-item-alcoholtest\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-alcoholtest-yes-negative\u0022 type=\u0022radio\u0022 id=\u0022edit-alcoholtest-yes-negative\u0022 name=\u0022alcoholtest\u0022 value=\u0022yes_negative\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-alcoholtest-yes-negative\u0022 class=\u0022option\u0022\u003EJa, negatief resultaat\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-alcoholtest js-form-item-alcoholtest\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-alcoholtest-yes-positive\u0022 type=\u0022radio\u0022 id=\u0022edit-alcoholtest-yes-positive\u0022 name=\u0022alcoholtest\u0022 value=\u0022yes_positive\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-alcoholtest-yes-positive\u0022 class=\u0022option\u0022\u003EJa, positief resultaat\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-alcoholtest js-form-item-alcoholtest\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-alcoholtest-yes-unknown\u0022 type=\u0022radio\u0022 id=\u0022edit-alcoholtest-yes-unknown\u0022 name=\u0022alcoholtest\u0022 value=\u0022yes_unknown\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-alcoholtest-yes-unknown\u0022 class=\u0022option\u0022\u003EJa, ik weet het resultaat niet\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-witnesses-group\u0022 id=\u0022edit-witnesses-group\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EGetuigen\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cfieldset data-drupal-selector=\u0022edit-witnesses\u0022 id=\u0022edit-witnesses--wrapper\u0022 class=\u0022radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022\u003E\n      \u003Clegend id=\u0022edit-witnesses--wrapper-legend\u0022\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EWaren er getuigen van het schadegeval?\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv id=\u0022edit-witnesses\u0022 class=\u0022js-webform-radios webform-options-display-one-column\u0022\u003E\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-witnesses js-form-item-witnesses\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-witnesses-yes\u0022 type=\u0022radio\u0022 id=\u0022edit-witnesses-yes\u0022 name=\u0022witnesses\u0022 value=\u0022yes\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-witnesses-yes\u0022 class=\u0022option\u0022\u003EJa\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-witnesses js-form-item-witnesses\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-witnesses-no\u0022 type=\u0022radio\u0022 id=\u0022edit-witnesses-no\u0022 name=\u0022witnesses\u0022 value=\u0022no\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-witnesses-no\u0022 class=\u0022option\u0022\u003ENee\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cdiv class=\u0022js-webform-states-hidden js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-witnesses-info js-form-item-witnesses-info\u0022\u003E\n      \u003Clabel for=\u0022edit-witnesses-info\u0022\u003ENaam en contactgegevens van de getuigen\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-witnesses-info\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022witnesses\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;yes\u0026quot;}}}\u0022 id=\u0022edit-witnesses-info\u0022 name=\u0022witnesses_info\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-injured-group\u0022 id=\u0022edit-injured-group\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EGekwetsten\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cfieldset data-drupal-selector=\u0022edit-injured\u0022 id=\u0022edit-injured--wrapper\u0022 class=\u0022radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;car\u0026quot;}}}\u0022\u003E\n      \u003Clegend id=\u0022edit-injured--wrapper-legend\u0022\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EZijn er gewonden gevallen bij het schadegeval?\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv id=\u0022edit-injured\u0022 class=\u0022js-webform-radios webform-options-display-one-column\u0022\u003E\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-injured js-form-item-injured\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-injured-yes\u0022 type=\u0022radio\u0022 id=\u0022edit-injured-yes\u0022 name=\u0022injured\u0022 value=\u0022yes\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-injured-yes\u0022 class=\u0022option\u0022\u003EJa\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-type-radio webform-type-radio js-form-item form-item js-form-type-radio form-item-injured js-form-item-injured\u0022\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-injured-no\u0022 type=\u0022radio\u0022 id=\u0022edit-injured-no\u0022 name=\u0022injured\u0022 value=\u0022no\u0022 class=\u0022form-radio\u0022 \/\u003E\n\n        \u003Clabel for=\u0022edit-injured-no\u0022 class=\u0022option\u0022\u003ENee\u003C\/label\u003E\n      \u003C\/div\u003E\n\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cdiv class=\u0022js-webform-states-hidden js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-injured-info js-form-item-injured-info\u0022\u003E\n      \u003Clabel for=\u0022edit-injured-info\u0022\u003ENaam, adres en geboortedatum van het slachtoffer\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-injured-info\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022injured\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;yes\u0026quot;}}}\u0022 id=\u0022edit-injured-info\u0022 name=\u0022injured_info\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-states-hidden js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-injured-injuries js-form-item-injured-injuries\u0022\u003E\n      \u003Clabel for=\u0022edit-injured-injuries\u0022\u003EOmschrijf de aard van de letsels.\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-injured-injuries\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022injured\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;yes\u0026quot;}}}\u0022 id=\u0022edit-injured-injuries\u0022 name=\u0022injured_injuries\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-states-hidden js-form-wrapper form-wrapper\u0022 data-drupal-selector=\u0022edit-fire\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;fire\u0026quot;}}}\u0022 id=\u0022edit-fire\u0022\u003E\u003Cfieldset data-drupal-selector=\u0022edit-fire-address-group\u0022 id=\u0022edit-fire-address-group\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EAdres van het verzekerde risico\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv data-drupal-selector=\u0022edit-flexbox-11\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-11\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--2\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-fire-street js-form-item-fire-street\u0022\u003E\n      \u003Clabel for=\u0022edit-fire-street\u0022\u003EStraat\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-fire-street\u0022 type=\u0022text\u0022 id=\u0022edit-fire-street\u0022 name=\u0022fire_street\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;fire\u0026quot;}}}\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-number webform-type-number js-form-item form-item js-form-type-number form-item-fire-number js-form-item-fire-number\u0022\u003E\n      \u003Clabel for=\u0022edit-fire-number\u0022\u003ENr.\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-fire-number\u0022 type=\u0022number\u0022 id=\u0022edit-fire-number\u0022 name=\u0022fire_number\u0022 value=\u0022\u0022 step=\u0022any\u0022 class=\u0022form-number\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;fire\u0026quot;}}}\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-fire-bus js-form-item-fire-bus\u0022\u003E\n      \u003Clabel for=\u0022edit-fire-bus\u0022\u003EBus\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-fire-bus\u0022 type=\u0022text\u0022 id=\u0022edit-fire-bus\u0022 name=\u0022fire_bus\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-flexbox-12\u0022 class=\u0022webform-flexbox js-webform-flexbox js-form-wrapper form-wrapper\u0022 id=\u0022edit-flexbox-12\u0022\u003E\u003Cdiv class=\u0022webform-flex webform-flex--1\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-number webform-type-number js-form-item form-item js-form-type-number form-item-fire-postal-code js-form-item-fire-postal-code\u0022\u003E\n      \u003Clabel for=\u0022edit-fire-postal-code\u0022\u003EPostcode\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-fire-postal-code\u0022 type=\u0022number\u0022 id=\u0022edit-fire-postal-code\u0022 name=\u0022fire_postal_code\u0022 value=\u0022\u0022 step=\u0022any\u0022 min=\u00221000\u0022 max=\u00229999\u0022 class=\u0022form-number\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;fire\u0026quot;}}}\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022webform-flex webform-flex--2\u0022\u003E\u003Cdiv class=\u0022webform-flex--container\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textfield webform-type-textfield js-form-item form-item js-form-type-textfield form-item-fire-city js-form-item-fire-city\u0022\u003E\n      \u003Clabel for=\u0022edit-fire-city\u0022\u003EPlaats\u003C\/label\u003E\n        \u003Cinput data-drupal-selector=\u0022edit-fire-city\u0022 type=\u0022text\u0022 id=\u0022edit-fire-city\u0022 name=\u0022fire_city\u0022 value=\u0022\u0022 size=\u002260\u0022 maxlength=\u0022255\u0022 class=\u0022form-text\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;fire\u0026quot;}}}\u0022 \/\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-fire-damage-type-group\u0022 id=\u0022edit-fire-damage-type-group\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003ESoort schade\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv class=\u0022js-webform-type-select webform-type-select js-form-item form-item js-form-type-select form-item-fire-damage-type js-form-item-fire-damage-type\u0022\u003E\n      \u003Clabel for=\u0022edit-fire-damage-type\u0022\u003ESoort schade\u003C\/label\u003E\n        \u003Cselect data-drupal-selector=\u0022edit-fire-damage-type\u0022 id=\u0022edit-fire-damage-type\u0022 name=\u0022fire_damage_type\u0022 class=\u0022form-select\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;fire\u0026quot;}}}\u0022\u003E\u003Coption value=\u0022\u0022 selected=\u0022selected\u0022\u003E- Selecteren -\u003C\/option\u003E\u003Coption value=\u0022fire_explosion\u0022\u003EBrand \/ ontploffing\u003C\/option\u003E\u003Coption value=\u0022electrical\u0022\u003EElektrische toestellen\u003C\/option\u003E\u003Coption value=\u0022flood\u0022\u003EOverstroming\u003C\/option\u003E\u003Coption value=\u0022storm\u0022\u003EStorm en hagelschade\u003C\/option\u003E\u003Coption value=\u0022water\u0022\u003EWaterschade\u003C\/option\u003E\u003Coption value=\u0022theft\u0022\u003EDiefstal\u003C\/option\u003E\u003Coption value=\u0022other\u0022\u003EAndere \/ ik weet het niet\u003C\/option\u003E\u003C\/select\u003E\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-fire-damage-group\u0022 id=\u0022edit-fire-damage-group\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003ESchade\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-fire-damage js-form-item-fire-damage\u0022\u003E\n      \u003Clabel for=\u0022edit-fire-damage\u0022\u003EBeschrijving van de schade\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-fire-damage\u0022 aria-describedby=\u0022edit-fire-damage--description\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:\u0026quot;fire\u0026quot;}}}\u0022 id=\u0022edit-fire-damage\u0022 name=\u0022fire_damage\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n            \u003Cdiv class=\u0022description\u0022\u003E\n      \u003Cdiv id=\u0022edit-fire-damage--description\u0022 class=\u0022webform-element-description\u0022\u003EGeef bv. een omschrijving van de schade aan het gebouw, de inhoud en aan derden, de herstellingen die noodzakelijk zijn en wie ze kan uitvoeren, een raming van de schade, een vermelding van eventuele gewonden, \u2026 Via het veld \u2018Bijlagen en documenten\u2019 kunt u de nodige stavingsstukken (foto\u2019s, aankoopfacturen en documenten van de politie) meesturen. Let op: indien u huurder bent, dient de schade door de eigenaar aan diens verzekeraar aangegeven te worden!\u003C\/div\u003E\n\n    \u003C\/div\u003E\n  \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003C\/div\u003E\n\u003Cdiv class=\u0022js-webform-states-hidden js-form-wrapper form-wrapper\u0022 data-drupal-selector=\u0022edit-other\u0022 data-drupal-states=\u0022{\u0026quot;visible\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:{\u0026quot;pattern\u0026quot;:\u0026quot;^(liability|legal_counsal|hospitalization|personal|other)$\u0026quot;}}}}\u0022 id=\u0022edit-other\u0022\u003E\u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-other-damage-description js-form-item-other-damage-description\u0022\u003E\n      \u003Clabel for=\u0022edit-other-damage-description\u0022\u003EBeschrijf de schade\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-other-damage-description\u0022 data-drupal-states=\u0022{\u0026quot;required\u0026quot;:{\u0026quot;.webform-submission-damage-add-form :input[name=\\u0022which_policy\\u0022]\u0026quot;:{\u0026quot;value\u0026quot;:{\u0026quot;pattern\u0026quot;:\u0026quot;^(liability|legal_counsal|hospitalization|personal|other)$\u0026quot;}}}}\u0022 id=\u0022edit-other-damage-description\u0022 name=\u0022other_damage_description\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-extra-info-group\u0022 id=\u0022edit-extra-info-group\u0022 class=\u0022required js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend js-form-required form-required\u0022\u003EOpmerkingen \/ extra informatie\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv class=\u0022js-webform-type-textarea webform-type-textarea js-form-item form-item js-form-type-textarea form-item-exta-info js-form-item-exta-info\u0022\u003E\n      \u003Clabel for=\u0022edit-exta-info\u0022\u003EOpmerking \/ exta informatie\u003C\/label\u003E\n        \u003Cdiv\u003E\n  \u003Ctextarea data-drupal-selector=\u0022edit-exta-info\u0022 id=\u0022edit-exta-info\u0022 name=\u0022exta_info\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea resize-vertical\u0022\u003E\u003C\/textarea\u003E\n\u003C\/div\u003E\n\n        \u003C\/div\u003E\n\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cfieldset data-drupal-selector=\u0022edit-documents-group\u0022 id=\u0022edit-documents-group\u0022 class=\u0022js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper\u0022\u003E\n      \u003Clegend\u003E\n    \u003Cspan class=\u0022fieldset-legend\u0022\u003EBijlagen en documenten\u003C\/span\u003E\n  \u003C\/legend\u003E\n  \u003Cdiv class=\u0022fieldset-wrapper\u0022\u003E\n                \u003Cdiv id=\u0022ajax-wrapper\u0022\u003E\u003Cdiv class=\u0022js-webform-type-webform-document-file webform-type-webform-document-file js-form-item form-item js-form-type-webform-document-file form-item-documents js-form-item-documents\u0022\u003E\n      \u003Clabel for=\u0022edit-documents-upload\u0022 id=\u0022edit-documents--label\u0022\u003EBijlagen en document\u003C\/label\u003E\n        \u003Cdiv id=\u0022edit-documents\u0022 class=\u0022js-webform-document-file webform-document-file js-form-managed-file form-managed-file\u0022\u003E\n  \u003Cinput aria-describedby=\u0022edit-documents--description\u0022 data-drupal-selector=\u0022edit-documents-upload\u0022 multiple=\u0022multiple\u0022 type=\u0022file\u0022 id=\u0022edit-documents-upload\u0022 name=\u0022files[documents][]\u0022 size=\u002222\u0022 class=\u0022js-form-file form-file\u0022 \/\u003E\n\u003Cinput class=\u0022js-hide button js-form-submit form-submit\u0022 data-drupal-selector=\u0022edit-documents-upload-button\u0022 formnovalidate=\u0022formnovalidate\u0022 type=\u0022submit\u0022 id=\u0022edit-documents-upload-button\u0022 name=\u0022documents_upload_button\u0022 value=\u0022Uploaden\u0022 \/\u003E\n\u003Cinput data-drupal-selector=\u0022edit-documents-fids\u0022 type=\u0022hidden\u0022 name=\u0022documents[fids]\u0022 \/\u003E\n\n\u003C\/div\u003E\n\n            \u003Cdiv class=\u0022description\u0022\u003E\n      \u003Cdiv id=\u0022edit-documents--description\u0022 class=\u0022webform-element-description\u0022\u003EU kunt maximaal 5 bestanden opladen van het type \u0027jpeg\u0027, \u0027jpg\u0027, \u0027png\u0027, \u0027pdf\u0027, \u0027doc\u0027 of \u0027docx\u0027. De totale grootte van alle bestanden samen mag niet hoger zijn dan 6 MB.\u003Cbr \/\u003E\u003C\/div\u003E\n\n    \u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n          \u003C\/div\u003E\n\u003C\/fieldset\u003E\n\u003Cdiv data-drupal-selector=\u0022edit-actions\u0022 class=\u0022form-actions webform-actions js-form-wrapper form-wrapper\u0022 id=\u0022edit-actions\u0022\u003E\u003Cinput class=\u0022webform-button--submit button button--primary js-form-submit form-submit\u0022 data-drupal-selector=\u0022edit-actions-submit\u0022 type=\u0022submit\u0022 id=\u0022edit-actions-submit\u0022 name=\u0022op\u0022 value=\u0022Verzenden\u0022 \/\u003E\n\n\u003C\/div\u003E\n\u003Cinput autocomplete=\u0022off\u0022 data-drupal-selector=\u0022form-ta06oomrrigsugz8-kshzkiohjzyudeufe1u3usr-gq\u0022 type=\u0022hidden\u0022 name=\u0022form_build_id\u0022 value=\u0022form-TA06oomrrIgSugz8-KshZkiohJZyuDeuFE1U3usR_GQ\u0022 \/\u003E\n\u003Cinput data-drupal-selector=\u0022edit-webform-submission-damage-add-form\u0022 type=\u0022hidden\u0022 name=\u0022form_id\u0022 value=\u0022webform_submission_damage_add_form\u0022 \/\u003E\n\u003Cinput data-drupal-selector=\u0022edit-antibot-key\u0022 type=\u0022hidden\u0022 name=\u0022antibot_key\u0022 value=\u0022\u0022 \/\u003E\n\n\n  \n\u003C\/form\u003E\n\n\u003C\/div\u003E\n","settings":null}]