{"id":5544,"date":"2025-12-16T11:54:42","date_gmt":"2025-12-16T05:54:42","guid":{"rendered":"https:\/\/dudleyboys.xyz\/fimanul\/?page_id=5544"},"modified":"2025-12-23T20:28:19","modified_gmt":"2025-12-23T14:28:19","slug":"schaden-melden-2","status":"publish","type":"page","link":"https:\/\/dudleyboys.xyz\/fimanul\/schaden-melden-2\/","title":{"rendered":"Schaden melden"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5544\" class=\"elementor elementor-5544\">\n\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-2ab91f6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2ab91f6\" data-element_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-8d64c9a\" data-id=\"8d64c9a\" data-element_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-56bfdc2 eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"56bfdc2\" data-element_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 gppt-has-page-transitions_wrapper gform-theme__no-reset--el_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_9' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Schaden melden<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_9' id='gform_9' class='gppt-has-page-transitions gform-theme__no-reset--el ' action='\/fimanul\/wp-json\/wp\/v2\/pages\/5544' data-formid='9' novalidate>\n        <div id='gf_progressbar_wrapper_9' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>13<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_custom' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_7' style='width:7%; color:#fff; background-color:#BD1721;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_9_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_40\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\n\/*\"*\" indicates required fields ,hide \u0995\u09b0\u09be\u09b0 \u099c\u09a8\u09cd\u09af \u09a8\u09bf\u099a\u09c7\u09b0 \u0995\u09ae\u09be\u09a8\u09cd\u09a1 *\/\n.gform_required_legend {\ndisplay:none;\n}\n\n\/* wrapper *\/\n\/*this coding for gfrom center postion to take*\/\n#gform_wrapper_9 {\n   max-width: 800px;\n   display: block;\n   margin: auto;\n}\n\n\/* buttons *\/\n\nhtml body .elementor-5544 .elementor-element.elementor-element-56bfdc2 .eael-gravity-form .gform_body .gform_page_footer {\n    text-align: center;\n}\n\n\/* hover button *\/\n\n.gform_previous_button:hover {\nbackground :#000!important;\n}\n.gform_next_button:hover {\nbackground:#000!important;\n}\n.gform_button:hover {\nbackground:#000!important;\n}\n\nhtml body .elementor-5544 .elementor-element.elementor-element-56bfdc2 .eael-gravity-form .gform_body .gform_page_footer input[type=\"button\"] {\n    display: inline-block;\n    width: 250px;\n    background-color: #961514;\n    color: #ffff;\n    border-radius: 5px 5px 5px 5px;\n    padding: 20px 12px 20px 12px;\n    margin-top: 18px;\n    font-size: 18px;\n}\n#gform_next_button_9_52{\n  display: block;\n   margin: auto;\n   width: 250px;\n    background-color: #961514;\n    color: #ffff;\n    border-radius: 5px 5px 5px 5px;\n    padding: 20px 12px 20px 12px;\n    margin-top: 18px;\n    font-size: 18px;\n}\n\/*last submit button*\/\n\nhtml body .elementor-5544 .elementor-element.elementor-element-56bfdc2 .eael-gravity-form .gform_footer input[type=\"submit\"], html body .elementor-5544 .elementor-element.elementor-element-56bfdc2 .eael-gravity-form .gform_body .gform_page_footer input[type=\"submit\"], html body .elementor-5544 .elementor-element.elementor-element-56bfdc2 .eael-gravity-form .gform_body input[type=\"submit\"].gform-button {\n    font-family: \"Roboto\", Sans-serif;\n    font-size: 18px;\n    font-weight: 500;\n    display: block;\n    margin: auto;\n    width: 250px;\n    background-color: #961514;\n    color: #ffff;\n    border-radius: 5px 5px 5px 5px;\n    padding: 20px 12px 20px 12px;\n    margin-top: 18px;\n    font-size: 18px;\n    display: inline-block;\n}\n\n\n\n\/* title *\/\n\n\n.gsection_title {\nfont-size: 25px!important;\n font-weight: 500;\n}\n.gfield_label  {\nfont-size: 17px!important;\nfont-weight: 700;\nfont-family:  \"Helvetica\", Sans-serif;!important;\ncolor: #000000!important;\n}\n.gform-field-label {\nfont-size: 17px!important;\nfont-weight:600;\ncolor:#0000000;\nfont-family: \"Helvetica\", Sans-serif;\n}\n.gform_title{\ntext-align: center;\ncolor:#961514;\nfont-size:32px;\nfont-weigth:400;\n}\n\n\/*field lable*\/\n\n.gform-theme--foundation .gfield .ginput_password.large, .gform-theme--foundation .gfield input.large, .gform-theme--foundation .gfield select.large {\n    inline-size: 100%;\n    height: 55px;\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n    background-color: #F2F2F2;\n}\n#label_9_34_3{\n    font-size: 17px !important;\n    font-weight: 400;\n    font-family: \"Helvetica\", Sans-serif;\n    color: #EDEEEE;\n}\n\n.gfield select  {\n    height: 55px;\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n    background-color:#F2F2F2;\n}\n#input_9_206_6 {\nheight: 50px;\n}\n#input_9_206_3 {\n    height: 50px;\n}\n#input_9_205_3,#input_9_205_6 {\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n    background-color:#F2F2F2;\n}\n\n.gform-theme--foundation .gfield textarea.medium {\n    min-block-size: 192px;\n    border-radius: 50px 50px 50px 50px;\n    background-color: #F2F2F2;\n}\n#input_9_42,#input_9_43_1,#input_9_43_2{\nbackground-color:#F2F2F2;\n}\n#input_9_122{\n    inline-size: 100%;\n    height: 55px;\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n    background-color: #F2F2F2;\n}\n.gform_wrapper.gravity-theme .gfield input.large, .gform_wrapper.gravity-theme .gfield select.large {\n    width: 100%;\n    inline-size: 100%;\n    height: 55px;\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n    background-color: #F2F2F2;\n}\n.gform_wrapper.gravity-theme .gfield textarea.medium {\n    height: 198px;\n    border-radius: 50px;\n    background-color: #F2F2F2;\n    width: 100%;\n}\n#input_9_42,#input_9_43_1, #input_9_43_2 {\n    background-color: #F2F2F2;\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n}\n\n\n.gform_wrapper.gravity-theme .ginput_complex input, .gform_wrapper.gravity-theme .ginput_complex select {\n    width: 100%;\n    background-color: #F2F2F2;\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n}\n.gform_wrapper.gravity-theme .ginput_container_date input {\n    width: 100%;\n    background-color: #F2F2F2;\n    border-radius: 100px;\n    border-width: 0 0 0 5px;\n    border-color: #BD1721;\n}\n\n\/*timer chechbox *\/\n\n.gform-field-label {\n    font-size: 17px!important;\n    font-weight: 400;\n    font-family: \"Helvetica\", Sans-serif;\n    color: #898c90;\n}\n\n<\/style><\/div><div id=\"field_9_32\" 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\">Angaben zu Ihrer Person<\/h3><\/div><fieldset id=\"field_9_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Sind Sie eine Privatperson oder geh\u00f6rt das Fahrzeug zu einem Unternehmen?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_9'>\n\t\t\t<div class='gchoice gchoice_9_9_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Privatperson'  id='choice_9_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_9_0' id='label_9_9_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-01-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-01-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-01-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Privatperson<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_9_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Unternehmen'  id='choice_9_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_9_1' id='label_9_9_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-02-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-02-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-02-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Unternehmen<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_35\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_9_11\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_11'>Pers\u00f6nliche Angaben<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_9_11' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Frau' >Frau<\/option><option value='Her' >Her<\/option><option value='Diverse' >Diverse<\/option><\/select><\/div><\/div><fieldset id=\"field_9_205\" 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 gfield_label_before_complex' >Pers\u00f6nliche Angaben<\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_9_205'>\n                            <span id='input_9_205_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_205.2' id='input_9_205_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Frau' >Frau<\/option><option value='Herr' >Herr<\/option><option value='Diverse' >Diverse<\/option>\n                      <\/select>\n                                                    <label for='input_9_205_2' class='gform-field-label gform-field-label--type-sub '>Anrede<\/label>\n                                                  <\/span>\n                            <span id='input_9_205_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_205.3' id='input_9_205_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_205_3' class='gform-field-label gform-field-label--type-sub '>Vorname<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_205_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_205.6' id='input_9_205_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_205_6' class='gform-field-label gform-field-label--type-sub '>Nachname<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_9_25\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_25'>Adresse<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_9_25' type='text' value='' class='large'    placeholder='Strasse,Haus-Nr,Plz,Ort'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_16\" class=\"gfield gfield--type-email gfield--input-type-email 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_9_16'>E-Mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_16' id='input_9_16' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_9_18\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible pcafe_sp_field\"  data-field-class=\"pcafe_sp_field\" ><label class='gfield_label gform-field-label' for='input_9_18'>Rufnummer<\/label><div class='ginput_container ginput_container_phone'><span class='spf-phone error-msg hide'><\/span><span class='spf-phone valid-msg hide'><\/span><input name='input_18' id='input_9_18' type='tel' value='' class='large'    aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><fieldset id=\"field_9_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Wann sind Sie telefonisch zu erreichen?<\/legend><div class='gfield_description' id='gfield_description_9_41'>(Mehrauswahl m\u00f6glich)\n<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_41'><div class='gchoice gchoice_9_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='10:00 - 11:59 Uhr'  id='choice_9_41_1'   aria-describedby=\"gfield_description_9_41\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_1' id='label_9_41_1' class='gform-field-label gform-field-label--type-inline'>10:00 - 11:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='12:00 - 14:59 Uhr'  id='choice_9_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_2' id='label_9_41_2' class='gform-field-label gform-field-label--type-inline'>12:00 - 14:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='15:00 - 17:59 Uhr'  id='choice_9_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_3' id='label_9_41_3' class='gform-field-label gform-field-label--type-inline'>15:00 - 17:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.4' type='checkbox'  value='18:00 - 20:59 Uhr'  id='choice_9_41_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_4' id='label_9_41_4' class='gform-field-label gform-field-label--type-inline'>18:00 - 20:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_41_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.5' type='checkbox'  value='21:00 - 22:59 Uhr'  id='choice_9_41_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_41_5' id='label_9_41_5' class='gform-field-label gform-field-label--type-inline'>21:00 - 22:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_9_21\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_21'>Sind Sie vorsteuerabzugsberechtigt (Unternehmen)?<\/label><div class='ginput_container ginput_container_select'><select name='input_21' id='input_9_21' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_22\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_22'>Firmenname<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_9_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_206\" 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 gfield_label_before_complex' >Pers\u00f6nliche Angaben<\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_9_206'>\n                            <span id='input_9_206_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_206.2' id='input_9_206_2'    aria-required='false'   >\n                          <option value=''><\/option><option value='Frau' >Frau<\/option><option value='Herr' >Herr<\/option><option value='Diverse' >Diverse<\/option>\n                      <\/select>\n                                                    <label for='input_9_206_2' class='gform-field-label gform-field-label--type-sub '>Prefix<\/label>\n                                                  <\/span>\n                            <span id='input_9_206_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_206.3' id='input_9_206_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_206_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_206_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_206.6' id='input_9_206_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_9_206_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_9_15\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_15'>Adresse<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_9_15' type='text' value='' class='large'    placeholder='Strasse,Haus-Nr,Plz,Ort'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_26\" class=\"gfield gfield--type-email gfield--input-type-email 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_9_26'>E-Mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_26' id='input_9_26' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_9_27\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_9_27'>Rufnummer<\/label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_9_27' type='tel' value='' class='large'    aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><fieldset id=\"field_9_34\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gf_list_2col gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Wann sind Sie telefonisch zu erreichen?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_9_34'>(Mehrauswahl m\u00f6glich)\n<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_34'><div class='gchoice gchoice_9_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='10:00 - 11:59 Uhr'  id='choice_9_34_1'   aria-describedby=\"gfield_description_9_34\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_9_34_1' id='label_9_34_1' class='gform-field-label gform-field-label--type-inline'>10:00 - 11:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_34_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.2' type='checkbox'  value='12:00 - 14:59 Uhr'  id='choice_9_34_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_34_2' id='label_9_34_2' class='gform-field-label gform-field-label--type-inline'>12:00 - 14:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_34_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.3' type='checkbox'  value='15:00 - 17:59 Uhr'  id='choice_9_34_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_34_3' id='label_9_34_3' class='gform-field-label gform-field-label--type-inline'>15:00 - 17:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_34_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.4' type='checkbox'  value='18:00 - 20:59 Uhr'  id='choice_9_34_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_34_4' id='label_9_34_4' class='gform-field-label gform-field-label--type-inline'>18:00 - 20:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_34_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.5' type='checkbox'  value='21:00 - 22:59 Uhr'  id='choice_9_34_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_34_5' id='label_9_34_5' class='gform-field-label gform-field-label--type-inline'>21:00 - 22:59 Uhr<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_9_52' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_2' class='gform_page' data-js='page-field-id-52' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_50\" 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\">Angaben zum Schaden<\/h3><\/div><div id=\"field_9_42\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_9_42'>Unfalltag<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_42' id='input_9_42' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='Tag\/Monat\/Jahr' aria-describedby=\"input_9_42_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_9_42_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_42' class='gform_hidden' value='https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_9_43\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half 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' >Uhrzeit<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_9_43'>\n                            <input type='number' name='input_43[]' id='input_9_43_1' value=''  min='0' max='24' step='1'  placeholder='Std' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label' for='input_9_43_1'>HH<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_43[]' id='input_9_43_2' value=''  min='0' max='59' step='1'  placeholder='Mir' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label' for='input_9_43_2'>MM<\/label>\n                        <\/div>\n                        \n                    <\/div><\/fieldset><div id=\"field_9_122\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_122'>Unfallort<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_9_122' type='text' value='' class='large'    placeholder='placeholder=&quot;Strasse ,Haus-Nr, Pls ,Ort&quot;'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--4 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--4 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Schadenshergang<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_45'>\n\t\t\t<div class='gchoice gchoice_9_45_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Auffahrunfall'  id='choice_9_45_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_0' id='label_9_45_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-03-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-03-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-03-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Auffahrunfall<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_45_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='h\u00f6here Gewalt \/ Wildunfall'  id='choice_9_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_1' id='label_9_45_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-04-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-04-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-04-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">h\u00f6here Gewalt \/ Wildunfall<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_45_2 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='R\u00fcckw\u00e4rtsgefahren'  id='choice_9_45_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_2' id='label_9_45_2' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-05-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-05-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-05-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">R\u00fcckw\u00e4rtsgefahren<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_45_3 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Missachtung Vorfahrt'  id='choice_9_45_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_3' id='label_9_45_3' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-06-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-06-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-06-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Missachtung Vorfahrt<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_45_4 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Spurwechsel'  id='choice_9_45_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_4' id='label_9_45_4' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-07-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-07-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-07-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Spurwechsel<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_45_5 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Parkschaden'  id='choice_9_45_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_5' id='label_9_45_5' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-08-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-08-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-08-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Parkschaden<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_45_6 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Missachtung Geschwindigkeit'  id='choice_9_45_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_6' id='label_9_45_6' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-09-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-09-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-09-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Missachtung Geschwindigkeit<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_45_7 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Sonstiges'  id='choice_9_45_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_45_7' id='label_9_45_7' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-10-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-10-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-10-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Sonstiges<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_46\" class=\"gfield gfield--type-text gfield--input-type-text 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 screen-reader-text' for='input_9_46'>placeholder=&quot;Beschreibung d. Schadenshergang&quot;<\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_9_46' type='text' value='' class='large'    placeholder='placeholder=&quot;Beschreibung d. Schadenshergang&quot;'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_48\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_48'>Wurden Fotos am Unfallort aufgenommen?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_48' id='input_9_48' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><fieldset id=\"field_9_51\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_4col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Von wem?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_51'><div class='gchoice gchoice_9_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='von mir'  id='choice_9_51_1'   aria-describedby=\"gfield_description_9_51\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_9_51_1' id='label_9_51_1' class='gform-field-label gform-field-label--type-inline'>von mir<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='vom Unfallgegner'  id='choice_9_51_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_51_2' id='label_9_51_2' class='gform-field-label gform-field-label--type-inline'>vom Unfallgegner<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_51_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.3' type='checkbox'  value='von anderen Personen'  id='choice_9_51_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_51_3' id='label_9_51_3' class='gform-field-label gform-field-label--type-inline'>von anderen Personen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_51_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.4' type='checkbox'  value='von der Polizei'  id='choice_9_51_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_51_4' id='label_9_51_4' class='gform-field-label gform-field-label--type-inline'>von der Polizei<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_9_51'> (Mehrauswahl m\u00f6glich)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_66' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_66' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_3' class='gform_page' data-js='page-field-id-66' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_53\" 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\">Angaben zu Ihrem Fahrzeug<\/h3><\/div><div id=\"field_9_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_55'>Baujahr<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_9_55' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_56'>Marke<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_9_56' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_57'>Modell<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_9_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_136\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_136'>Ihr amtl. Kennzeichen<\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_9_136' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Mein Fahrzeug ist:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_60'>\n\t\t\t<div class='gchoice gchoice_9_60_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='vollst\u00e4ndig abbezahlt'  id='choice_9_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_60_0' id='label_9_60_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-11-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-11-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-11-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">vollst\u00e4ndig abbezahlt<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_60_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='geleast'  id='choice_9_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_60_1' id='label_9_60_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-13-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-13-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-13-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">geleast<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_60_2 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='finanziert'  id='choice_9_60_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_60_2' id='label_9_60_2' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-12-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-12-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-12-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">finanziert<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_62\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_62'>Wer steht im Kaufvertrag als K\u00e4ufer (Eigent\u00fcmer)?<\/label><div class='ginput_container ginput_container_select'><select name='input_62' id='input_9_62' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ich selbst' >Ich selbst<\/option><option value='Andere Person' >Andere Person<\/option><option value='Firmenfahrzeug' >Firmenfahrzeug<\/option><\/select><\/div><\/div><div id=\"field_9_63\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_63'>Ist Ihr Fahrzeug in markengebundenen Werkst\u00e4tten l\u00fcckenlos scheckheftgepflegt?<\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_9_63' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Kein Serviceheft vorhanden' >Kein Serviceheft vorhanden<\/option><\/select><\/div><\/div><fieldset id=\"field_9_140\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Vor- &amp; Nachname des Eigent\u00fcmers<\/legend><div class='ginput_complex ginput_container ginput_container--name has_prefix no_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_9_140'>\n                            <span id='input_9_140_2_container' class='name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto' >\n                                                    <select name='input_140.2' id='input_9_140_2'    aria-required='false'   >\n                          <option value=''>Vor- & Nachname des Eigent\u00fcmers<\/option><option value='Dr.' >Dr.<\/option><option value='Miss' >Miss<\/option><option value='Mr.' >Mr.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Ms.' >Ms.<\/option><option value='Mx.' >Mx.<\/option><option value='Prof.' >Prof.<\/option><option value='Rev.' >Rev.<\/option>\n                      <\/select>\n                                                    <label for='input_9_140_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Prefix<\/label>\n                                                  <\/span>\n                            \n                            \n                            \n                            \n                        <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_69' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_69' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_4' class='gform_page' data-js='page-field-id-69' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_70\" 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\">Angaben zum gegnerischen Fahrzeug<\/h3><\/div><fieldset id=\"field_9_76\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Haben Sie die Daten untereinander ausgetauscht (Personalien, Versicherung)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_76'>\n\t\t\t<div class='gchoice gchoice_9_76_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='Ja'  id='choice_9_76_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_76_0' id='label_9_76_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-14-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-14-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-14-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_76_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_76' type='radio' value='Nein'  id='choice_9_76_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_76_1' id='label_9_76_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-15-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-15-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-15-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_74\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_74'>Name des Fahrers (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_9_74' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_156\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_156'>Adresse des Fahrers (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_156' id='input_9_156' type='text' value='' class='large'    placeholder='Strasse,Hausnr,Plz,Ort'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_72\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_72'>Kennzeichen (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_9_72' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_73\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_73'>Versicherung (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_9_73' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_75\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_75'>Versicherungsschein-Nr. (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_9_75' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_77\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_77'>Schadennummer (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_9_77' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_79' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_79' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_5' class='gform_page' data-js='page-field-id-79' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_80\" 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\">Schuldfrage<\/h3><\/div><div id=\"field_9_81\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_81'>Ist die Schuldfrage f\u00fcr Sie und den Unfallgegner eindeutig?<\/label><div class='ginput_container ginput_container_select'><select name='input_81' id='input_9_81' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Unsicher' >Unsicher<\/option><\/select><\/div><\/div><div id=\"field_9_82\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_82'>Haben Sie es schriftlich?<\/label><div class='ginput_container ginput_container_select'><select name='input_82' id='input_9_82' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_94\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_94'>Haben Sie eine Rechtsschutzversicherung?<\/label><div class='ginput_container ginput_container_select'><select name='input_94' id='input_9_94' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><fieldset id=\"field_9_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Haben Sie einen Verkehrsanwalt?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_83'>\n\t\t\t<div class='gchoice gchoice_9_83_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Ja'  id='choice_9_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_83_0' id='label_9_83_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-16-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-16-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-16-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_83_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_83' type='radio' value='Nein'  id='choice_9_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_83_1' id='label_9_83_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-17-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-17-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-17-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_87\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_87'>Haben Sie ihn bereits eingeschaltet?<\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_9_87' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Nein, m\u00f6chte ich auch nicht' >Nein, m\u00f6chte ich auch nicht<\/option><\/select><\/div><\/div><div id=\"field_9_88\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_88'>Wie hei\u00dft dieser?<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_9_88' type='text' value='' class='large'    placeholder='Name des Anwalts \/ der Kanzlei'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_89\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_89'>Sollen wir unsere Anw\u00e4lte einschalten?<\/label><div class='ginput_container ginput_container_select'><select name='input_89' id='input_9_89' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja, schalten Sie Ihre Anw\u00e4lte ein' >Ja, schalten Sie Ihre Anw\u00e4lte ein<\/option><option value='Nein, der Fall soll ohne Anwalt abgewickelt werden' >Nein, der Fall soll ohne Anwalt abgewickelt werden<\/option><option value='In Absprache mit uns' >In Absprache mit uns<\/option><\/select><\/div><\/div><fieldset id=\"field_9_90\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >War die Polizei vor Ort?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_90'>\n\t\t\t<div class='gchoice gchoice_9_90_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='Ja'  id='choice_9_90_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_90_0' id='label_9_90_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-18-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-18-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-18-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_90_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='Nein'  id='choice_9_90_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_90_1' id='label_9_90_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-19-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-19-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-19-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_91\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_91'>Welches Polizeirevier und wie lautet das Aktenzeichen?<\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_9_91' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_92\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_92'>Sind au\u00dfer Ihnen und dem Unfallgegner weitere Zeugen vorhanden?<\/label><div class='ginput_container ginput_container_select'><select name='input_92' id='input_9_92' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><fieldset id=\"field_9_93\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_3col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Welche Zeugen?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_93'><div class='gchoice gchoice_9_93_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.1' type='checkbox'  value='Ja, sitzend in meinem Fahrzeug'  id='choice_9_93_1'   aria-describedby=\"gfield_description_9_93\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_9_93_1' id='label_9_93_1' class='gform-field-label gform-field-label--type-inline'>Ja, sitzend in meinem Fahrzeug<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_93_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.2' type='checkbox'  value='Ja, sitzend im Unfallgegner Fahrzeug'  id='choice_9_93_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_93_2' id='label_9_93_2' class='gform-field-label gform-field-label--type-inline'>Ja, sitzend im Unfallgegner Fahrzeug<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_93_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.3' type='checkbox'  value='Ja, au\u00dferhalb des Fahrzeugs'  id='choice_9_93_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_93_3' id='label_9_93_3' class='gform-field-label gform-field-label--type-inline'>Ja, au\u00dferhalb des Fahrzeugs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_93_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.4' type='checkbox'  value='Ja, neutrale Zeugen'  id='choice_9_93_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_93_4' id='label_9_93_4' class='gform-field-label gform-field-label--type-inline'>Ja, neutrale Zeugen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_93_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.5' type='checkbox'  value='Mir nicht bekannt'  id='choice_9_93_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_93_5' id='label_9_93_5' class='gform-field-label gform-field-label--type-inline'>Mir nicht bekannt<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_9_93'>(Mehrauswahl m\u00f6glich)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_96' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_96' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_6' class='gform_page' data-js='page-field-id-96' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_97\" 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\">Altsch\u00e4den (unreparierte Sch\u00e4den)<\/h3><\/div><fieldset id=\"field_9_98\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Hat Ihr Fahrzeug, unabh\u00e4ngig von diesem Unfall, andere noch vorhandene, bzw. unreparierte Altsch\u00e4den?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_98'>\n\t\t\t<div class='gchoice gchoice_9_98_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='Ja'  id='choice_9_98_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_98_0' id='label_9_98_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-20-1-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-20-1-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-20-1-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_98_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='Nein'  id='choice_9_98_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_98_1' id='label_9_98_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-21-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-21-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-21-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_99\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_99'>Beschreiben Sie kurz die bereits vorhandenen Altsch\u00e4den<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_9_99' type='text' value='' class='large'    placeholder='Kratzer, Dellen, Schrammen, Parkr\u00e4mpler,'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_100\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_100'>Wurden diese bei einer Versicherung damals gemeldet?<\/label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_9_100' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht' >Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht<\/option><option value='Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht' >Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht<\/option><option value='Nein, die Sch\u00e4den wurden nicht gemeldet' >Nein, die Sch\u00e4den wurden nicht gemeldet<\/option><\/select><\/div><\/div><div id=\"field_9_101\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_101'>Handelt es sich bei Ihrem Altschaden um dieselbe identische Stelle wie der aktuelle Schaden, den Sie melden<\/label><div class='ginput_container ginput_container_select'><select name='input_101' id='input_9_101' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht' >Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht<\/option><option value='Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht' >Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht<\/option><option value='Nein, die Sch\u00e4den wurden nicht gemeldet' >Nein, die Sch\u00e4den wurden nicht gemeldet<\/option><\/select><\/div><\/div><div id=\"field_9_103\" 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\">Vorsch\u00e4den (reparierte Sch\u00e4den)<\/h3><\/div><div id=\"field_9_104\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_104'>Hat Ihr Fahrzeug reparierte Sch\u00e4den (vor und w\u00e4hrend Ihres Besitzes)?<\/label><div class='ginput_container ginput_container_select'><select name='input_104' id='input_9_104' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='C' >C<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><div id=\"field_9_105\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_105'>Liegt eine Reparaturrechnung hierf\u00fcr vor?<\/label><div class='ginput_container ginput_container_select'><select name='input_105' id='input_9_105' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_106\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_106'>Wurden diese reparierten Sch\u00e4den bei der Versicherung damals gemeldet?<\/label><div class='ginput_container ginput_container_select'><select name='input_106' id='input_9_106' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_107\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_107'>Handelt es sich bei Ihrem reparierten Vorschaden um dieselbe, identische Stelle wie der aktuelle Schaden, den Sie melden?<\/label><div class='ginput_container ginput_container_select'><select name='input_107' id='input_9_107' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_108\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_108'>Wurde Ihnen das Fahrzeug \u201eunfallfrei\u201c verkauft \u2013 findet sich dieser Passus schriftlich im Kaufvertrag?<\/label><div class='ginput_container ginput_container_select'><select name='input_108' id='input_9_108' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Kaufvertrag liegt mir nicht mehr vor' >Kaufvertrag liegt mir nicht mehr vor<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_110' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_110' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_7' class='gform_page' data-js='page-field-id-110' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_111\" 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\">Kurze Beschreibung<\/h3><\/div><div id=\"field_9_112\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_112'>Kurze Beschreibung des Unfallhergangs, aus Ihrer Sicht:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_112' id='input_9_112' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_9_113\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Einwilligung<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_113'><div class='gchoice gchoice_9_113_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_113.1' type='checkbox'  value='Um Ihr Anliegen bearbeiten zu k\u00f6nnen ist die Verarbeitung Ihrer angegebenen Daten notwendig. D.h. bei Absenden des Kontaktformulars willigen Sie ein, dass Ihre Daten (Datenschutzerkl\u00e4rung\u279a) verarbeitet werden. Ihre Daten werden nach Zweckwegfall gel\u00f6scht. Sie k\u00f6nnen (siehe Art 21 DSGVO) gegen die Verarbeitung Ihrer Daten jederzeit Widerspruch einlegen.'  id='choice_9_113_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_113_1' id='label_9_113_1' class='gform-field-label gform-field-label--type-inline'>Um Ihr Anliegen bearbeiten zu k\u00f6nnen ist die Verarbeitung Ihrer angegebenen Daten notwendig. D.h. bei Absenden des Kontaktformulars willigen Sie ein, dass Ihre Daten (Datenschutzerkl\u00e4rung\u279a) verarbeitet werden. Ihre Daten werden nach Zweckwegfall gel\u00f6scht. Sie k\u00f6nnen (siehe Art 21 DSGVO) gegen die Verarbeitung Ihrer Daten jederzeit Widerspruch einlegen.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_114\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Zustimmung<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_114'><div class='gchoice gchoice_9_114_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_114.1' type='checkbox'  value='Hiermit best\u00e4tige ich, dass alle von mir freiwillig gemachten Angaben wahrheitsgem\u00e4\u00df, vollst\u00e4ndig und korrekt sind.'  id='choice_9_114_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_114_1' id='label_9_114_1' class='gform-field-label gform-field-label--type-inline'>Hiermit best\u00e4tige ich, dass alle von mir freiwillig gemachten Angaben wahrheitsgem\u00e4\u00df, vollst\u00e4ndig und korrekt sind.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_116\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_116'>Wie wurden Sie auf uns aufmerksam<\/label><div class='ginput_container ginput_container_select'><select name='input_116' id='input_9_116' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Flyer' >Flyer<\/option><option value='Google' >Google<\/option><option value='Social Media' >Social Media<\/option><option value='Durch Sie pers\u00f6nlich' >Durch Sie pers\u00f6nlich<\/option><option value='Empfehlung' >Empfehlung<\/option><option value='Weiteres' >Weiteres<\/option><\/select><\/div><\/div><div id=\"field_9_117\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_117'>Andere:<\/label><div class='ginput_container ginput_container_text'><input name='input_117' id='input_9_117' type='text' value='' class='large'    placeholder='Name eingeben'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_130' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_130' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_8' class='gform_page' data-js='page-field-id-130' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_118\" 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\">Angaben zum Schaden<\/h3><\/div><div id=\"field_9_123\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_9_123'>Unfalltag<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_123' id='input_9_123' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='Tag\/Monat\/Jahr' aria-describedby=\"input_9_123_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_9_123_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_123' class='gform_hidden' value='https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_9_124\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half 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' >Uhrzeit<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_9_124'>\n                            <input type='number' name='input_124[]' id='input_9_124_1' value=''  min='0' max='24' step='1'  placeholder='Std' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label' for='input_9_124_1'>HH<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_124[]' id='input_9_124_2' value=''  min='0' max='59' step='1'  placeholder='Mir' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label' for='input_9_124_2'>MM<\/label>\n                        <\/div>\n                        \n                    <\/div><\/fieldset><div id=\"field_9_44\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_44'>Unfallort<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_9_44' type='text' value='' class='large'    placeholder='Strasse ,Haus-Nr, Pls ,Ort'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_125\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--4 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--4 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Schadenshergang<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_125'>\n\t\t\t<div class='gchoice gchoice_9_125_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Auffahrunfall'  id='choice_9_125_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_0' id='label_9_125_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-03-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-03-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-03-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Auffahrunfall<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_125_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='h\u00f6here Gewalt \/ Wildunfall'  id='choice_9_125_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_1' id='label_9_125_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-04-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-04-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-04-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">h\u00f6here Gewalt \/ Wildunfall<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_125_2 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='R\u00fcckw\u00e4rtsgefahren'  id='choice_9_125_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_2' id='label_9_125_2' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-05-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-05-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-05-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">R\u00fcckw\u00e4rtsgefahren<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_125_3 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Missachtung Vorfahrt'  id='choice_9_125_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_3' id='label_9_125_3' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-06-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-06-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-06-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Missachtung Vorfahrt<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_125_4 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Spurwechsel'  id='choice_9_125_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_4' id='label_9_125_4' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-07-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-07-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-07-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Spurwechsel<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_125_5 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Parkschaden'  id='choice_9_125_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_5' id='label_9_125_5' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-08-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-08-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-08-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Parkschaden<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_125_6 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Missachtung Geschwindigkeit'  id='choice_9_125_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_6' id='label_9_125_6' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-09-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-09-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-09-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Missachtung Geschwindigkeit<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_125_7 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Sonstiges'  id='choice_9_125_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_125_7' id='label_9_125_7' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-10-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-10-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-10-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Sonstiges<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_126\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_126'>Wurden Fotos am Unfallort aufgenommen?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_126' id='input_9_126' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><fieldset id=\"field_9_127\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_4col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Von wem?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_127'><div class='gchoice gchoice_9_127_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.1' type='checkbox'  value='von mir'  id='choice_9_127_1'   aria-describedby=\"gfield_description_9_127\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_9_127_1' id='label_9_127_1' class='gform-field-label gform-field-label--type-inline'>von mir<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_127_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.2' type='checkbox'  value='vom Unfallgegner'  id='choice_9_127_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_127_2' id='label_9_127_2' class='gform-field-label gform-field-label--type-inline'>vom Unfallgegner<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_127_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.3' type='checkbox'  value='von anderen Personen'  id='choice_9_127_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_127_3' id='label_9_127_3' class='gform-field-label gform-field-label--type-inline'>von anderen Personen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_127_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_127.4' type='checkbox'  value='von der Polizei'  id='choice_9_127_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_127_4' id='label_9_127_4' class='gform-field-label gform-field-label--type-inline'>von der Polizei<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_9_127'> (Mehrauswahl m\u00f6glich)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_132' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_132' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_9' class='gform_page' data-js='page-field-id-132' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_131\" 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\">Angaben zu Ihrem Fahrzeug<\/h3><\/div><div id=\"field_9_133\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_133'>Baujahr<\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_9_133' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_134\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_134'>Marke<\/label><div class='ginput_container ginput_container_text'><input name='input_134' id='input_9_134' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_135\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_135'>Modell<\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_9_135' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_58\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_58'>Ihr amtl. Kennzeichen<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_9_58' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_137\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Mein Fahrzeug ist:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_137'>\n\t\t\t<div class='gchoice gchoice_9_137_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='vollst\u00e4ndig abbezahlt'  id='choice_9_137_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_137_0' id='label_9_137_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-11-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-11-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-11-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">vollst\u00e4ndig abbezahlt<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_137_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='geleast'  id='choice_9_137_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_137_1' id='label_9_137_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-13-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-13-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-13-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">geleast<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_137_2 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_137' type='radio' value='finanziert'  id='choice_9_137_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_137_2' id='label_9_137_2' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-12-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-12-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-12-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">finanziert<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_146\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_146'>Wer steht im Kaufvertrag als K\u00e4ufer (Eigent\u00fcmer)?<\/label><div class='ginput_container ginput_container_select'><select name='input_146' id='input_9_146' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ich selbst' >Ich selbst<\/option><option value='Andere Person' >Andere Person<\/option><option value='Firmenfahrzeug' >Firmenfahrzeug<\/option><\/select><\/div><\/div><div id=\"field_9_147\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_147'>Ist Ihr Fahrzeug in markengebundenen Werkst\u00e4tten l\u00fcckenlos scheckheftgepflegt?<\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_9_147' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Kein Serviceheft vorhanden' >Kein Serviceheft vorhanden<\/option><\/select><\/div><\/div><div id=\"field_9_151\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_9_151'>Vor- &amp; Nachname des Eigent\u00fcmers<\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_9_151' type='text' value='' class='large'    placeholder='Vor- &amp; Nachname des Eigent\u00fcmers'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_152' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_152' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_10' class='gform_page' data-js='page-field-id-152' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_153\" 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\">Angaben zum gegnerischen Fahrzeug<\/h3><\/div><fieldset id=\"field_9_154\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Haben Sie die Daten untereinander ausgetauscht (Personalien, Versicherung)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_154'>\n\t\t\t<div class='gchoice gchoice_9_154_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='Ja'  id='choice_9_154_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_154_0' id='label_9_154_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-14-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-14-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-14-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_154_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='Nein'  id='choice_9_154_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_154_1' id='label_9_154_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-15-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-15-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-15-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_161\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_161'>Name des Fahrers (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_161' id='input_9_161' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_162\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_162'>Adresse des Fahrers (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_162' id='input_9_162' type='text' value='' class='large'    placeholder='Strasse, Hausnr, Plz, Ort'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_157\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_157'>Kennzeichen (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_157' id='input_9_157' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_158\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_158'>Versicherung (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_158' id='input_9_158' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_159\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_159'>Versicherungsschein-Nr. (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_9_159' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_160\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_160'>Schadennummer (Unfallgegner)<\/label><div class='ginput_container ginput_container_text'><input name='input_160' id='input_9_160' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_163' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_163' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_11' class='gform_page' data-js='page-field-id-163' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_164\" 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\">Schuldfrage<\/h3><\/div><div id=\"field_9_165\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_165'>Ist die Schuldfrage f\u00fcr Sie und den Unfallgegner eindeutig?<\/label><div class='ginput_container ginput_container_select'><select name='input_165' id='input_9_165' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Unsicher' >Unsicher<\/option><\/select><\/div><\/div><div id=\"field_9_166\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_166'>Haben Sie es schriftlich?<\/label><div class='ginput_container ginput_container_select'><select name='input_166' id='input_9_166' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_167\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_167'>Haben Sie eine Rechtsschutzversicherung?<\/label><div class='ginput_container ginput_container_select'><select name='input_167' id='input_9_167' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><div id=\"field_9_169\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_169'>Bei welcher Versicherung und wie lautet die Versicherungsnummer?<\/label><div class='ginput_container ginput_container_text'><input name='input_169' id='input_9_169' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_9_172\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Haben Sie einen Verkehrsanwalt?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_172'>\n\t\t\t<div class='gchoice gchoice_9_172_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_172' type='radio' value='Ja'  id='choice_9_172_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_172_0' id='label_9_172_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-16-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-16-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-16-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_172_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_172' type='radio' value='Nein'  id='choice_9_172_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_172_1' id='label_9_172_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-17-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-17-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-17-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_173\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_173'>Haben Sie ihn bereits eingeschaltet?<\/label><div class='ginput_container ginput_container_select'><select name='input_173' id='input_9_173' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Nein, m\u00f6chte ich auch nicht' >Nein, m\u00f6chte ich auch nicht<\/option><\/select><\/div><\/div><div id=\"field_9_174\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_174'>Wie hei\u00dft dieser?<\/label><div class='ginput_container ginput_container_text'><input name='input_174' id='input_9_174' type='text' value='' class='large'    placeholder='Name des Anwalts \/ der Kanzlei'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_175\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_175'>Sollen wir Ihren Anwalt f\u00fcr Sie kontaktieren?<\/label><div class='ginput_container ginput_container_select'><select name='input_175' id='input_9_175' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja, bitte kontaktieren Sie meinen Anwalt' >Ja, bitte kontaktieren Sie meinen Anwalt<\/option><option value='Nein, Ich mache es selbst' >Nein, Ich mache es selbst<\/option><\/select><\/div><\/div><div id=\"field_9_176\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_176'>Sollen wir unsere Anw\u00e4lte einschalten?<\/label><div class='ginput_container ginput_container_select'><select name='input_176' id='input_9_176' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja, schalten Sie Ihre Anw\u00e4lte ein' >Ja, schalten Sie Ihre Anw\u00e4lte ein<\/option><option value='Nein, der Fall soll ohne Anwalt abgewickelt werden' >Nein, der Fall soll ohne Anwalt abgewickelt werden<\/option><option value='In Absprache mit uns' >In Absprache mit uns<\/option><\/select><\/div><\/div><fieldset id=\"field_9_179\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >War die Polizei vor Ort?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_179'>\n\t\t\t<div class='gchoice gchoice_9_179_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_179' type='radio' value='Ja'  id='choice_9_179_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_179_0' id='label_9_179_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-18-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-18-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-18-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_179_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_179' type='radio' value='Nein'  id='choice_9_179_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_179_1' id='label_9_179_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-19-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-19-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-19-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_180\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_180'>Welches Polizeirevier und wie lautet das Aktenzeichen?<\/label><div class='ginput_container ginput_container_text'><input name='input_180' id='input_9_180' type='text' value='' class='large'    placeholder='falls vorhanden'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_182\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_182'>Sind au\u00dfer Ihnen und dem Unfallgegner weitere Zeugen vorhanden?<\/label><div class='ginput_container ginput_container_select'><select name='input_182' id='input_9_182' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><fieldset id=\"field_9_183\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_3col gfield--width-full gf_list_3col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Welche Zeugen?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_183'><div class='gchoice gchoice_9_183_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_183.1' type='checkbox'  value='Ja, sitzend in meinem Fahrzeug'  id='choice_9_183_1'   aria-describedby=\"gfield_description_9_183\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_9_183_1' id='label_9_183_1' class='gform-field-label gform-field-label--type-inline'>Ja, sitzend in meinem Fahrzeug<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_183_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_183.2' type='checkbox'  value='Ja, sitzend im Unfallgegner Fahrzeug'  id='choice_9_183_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_183_2' id='label_9_183_2' class='gform-field-label gform-field-label--type-inline'>Ja, sitzend im Unfallgegner Fahrzeug<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_183_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_183.3' type='checkbox'  value='Ja, au\u00dferhalb des Fahrzeugs'  id='choice_9_183_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_183_3' id='label_9_183_3' class='gform-field-label gform-field-label--type-inline'>Ja, au\u00dferhalb des Fahrzeugs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_183_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_183.4' type='checkbox'  value='Ja, neutrale Zeugen'  id='choice_9_183_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_183_4' id='label_9_183_4' class='gform-field-label gform-field-label--type-inline'>Ja, neutrale Zeugen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_183_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_183.5' type='checkbox'  value='Mir nicht bekannt'  id='choice_9_183_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_183_5' id='label_9_183_5' class='gform-field-label gform-field-label--type-inline'>Mir nicht bekannt<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_9_183'>(Mehrauswahl m\u00f6glich)<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_184' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_184' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_12' class='gform_page' data-js='page-field-id-184' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_185\" 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\">Altsch\u00e4den (unreparierte Sch\u00e4den)<\/h3><\/div><fieldset id=\"field_9_186\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions \"  data-field-class=\"image-choices-field image-choices-use-images image-choices-show-labels ic-theme--simple ic-image--contain ic-cols--2 ic-cols-md--fixed ic-cols-sm--fixed ic-lightbox-captions\" ><legend class='gfield_label gform-field-label' >Hat Ihr Fahrzeug, unabh\u00e4ngig von diesem Unfall, andere noch vorhandene, bzw. unreparierte Altsch\u00e4den?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_9_186'>\n\t\t\t<div class='gchoice gchoice_9_186_0 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_186' type='radio' value='Ja'  id='choice_9_186_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_186_0' id='label_9_186_0' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-20-1-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-20-1-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-20-1-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Ja<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_9_186_1 image-choices-choice gform-theme__no-reset--children'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_186' type='radio' value='Nein'  id='choice_9_186_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label  for='choice_9_186_1' id='label_9_186_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"image-choices-choice-image-wrap\" style=\"background-image:url(https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-21-300x300-1.png)\"><img decoding=\"async\" src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-21-300x300-1.png\" alt=\"\" class=\"image-choices-choice-image\" data-lightbox-src=\"https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/uploads\/2025\/12\/Daniyeleonidas-21-300x300-1.png\" \/><\/span><span class=\"image-choices-choice-text\">Nein<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_187\" class=\"gfield gfield--type-text gfield--input-type-text 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_9_187'>Beschreiben Sie kurz die bereits vorhandenen Altsch\u00e4den<\/label><div class='ginput_container ginput_container_text'><input name='input_187' id='input_9_187' type='text' value='' class='large'    placeholder='Kratzer, Dellen, Schrammen, Parkr\u00e4mpler'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_9_188\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_188'>Wurden diese bei einer Versicherung damals gemeldet?<\/label><div class='ginput_container ginput_container_select'><select name='input_188' id='input_9_188' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht' >Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht<\/option><option value='Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht' >Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht<\/option><option value='Nein, die Sch\u00e4den wurden nicht gemeldet' >Nein, die Sch\u00e4den wurden nicht gemeldet<\/option><\/select><\/div><\/div><div id=\"field_9_189\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_189'>Handelt es sich bei Ihrem Altschaden um dieselbe identische Stelle wie der aktuelle Schaden, den Sie melden?<\/label><div class='ginput_container ginput_container_select'><select name='input_189' id='input_9_189' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht' >Ja, ich habe den Schaden bei meiner Vollkasko geltend gemacht<\/option><option value='Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht' >Ja, ich habe den Schaden bei der gegnerischen Haftpflichtversicherung geltend gemacht<\/option><option value='Nein, die Sch\u00e4den wurden nicht gemeldet' >Nein, die Sch\u00e4den wurden nicht gemeldet<\/option><\/select><\/div><\/div><div id=\"field_9_190\" 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\">Vorsch\u00e4den (reparierte Sch\u00e4den)<\/h3><\/div><div id=\"field_9_191\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_191'>Hat Ihr Fahrzeug reparierte Sch\u00e4den (vor und w\u00e4hrend Ihres Besitzes)<\/label><div class='ginput_container ginput_container_select'><select name='input_191' id='input_9_191' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Mir nicht bekannt' >Mir nicht bekannt<\/option><\/select><\/div><\/div><div id=\"field_9_193\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_193'>Liegt eine Reparaturrechnung hierf\u00fcr vor?<\/label><div class='ginput_container ginput_container_select'><select name='input_193' id='input_9_193' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_194\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_194'>Wurden diese reparierten Sch\u00e4den bei der Versicherung damals gemeldet?<\/label><div class='ginput_container ginput_container_select'><select name='input_194' id='input_9_194' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_195\" class=\"gfield gfield--type-select gfield--input-type-select 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_9_195'>Handelt es sich bei Ihrem reparierten Vorschaden um dieselbe, identische Stelle wie der aktuelle Schaden, den Sie melden?<\/label><div class='ginput_container ginput_container_select'><select name='input_195' id='input_9_195' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><\/div><div id=\"field_9_192\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_192'>Wurde Ihnen das Fahrzeug \u201eunfallfrei\u201c verkauft \u2013 findet sich dieser Passus schriftlich im Kaufvertrag?<\/label><div class='ginput_container ginput_container_select'><select name='input_192' id='input_9_192' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><option value='Kaufvertrag liegt mir nicht mehr vor' >Kaufvertrag liegt mir nicht mehr vor<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_9_202' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Zur\u00fcck'  \/> <input type='button' id='gform_next_button_9_202' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Weiter '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_9_13' class='gform_page' data-js='page-field-id-202' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_9_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_9_196\" 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\">Kurze Beschreibung<\/h3><\/div><div id=\"field_9_197\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_197'>Kurze Beschreibung des Unfallhergangs, aus Ihrer Sicht:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_197' id='input_9_197' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_9_198\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Einwilligung<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_198'><div class='gchoice gchoice_9_198_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_198.1' type='checkbox'  value='Um Ihr Anliegen bearbeiten zu k\u00f6nnen ist die Verarbeitung Ihrer angegebenen Daten notwendig. D.h. bei Absenden des Kontaktformulars willigen Sie ein, dass Ihre Daten (Datenschutzerkl\u00e4rung\u279a) verarbeitet werden. Ihre Daten werden nach Zweckwegfall gel\u00f6scht. Sie k\u00f6nnen (siehe Art 21 DSGVO) gegen die Verarbeitung Ihrer Daten jederzeit Widerspruch einlegen.'  id='choice_9_198_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_198_1' id='label_9_198_1' class='gform-field-label gform-field-label--type-inline'>Um Ihr Anliegen bearbeiten zu k\u00f6nnen ist die Verarbeitung Ihrer angegebenen Daten notwendig. D.h. bei Absenden des Kontaktformulars willigen Sie ein, dass Ihre Daten (Datenschutzerkl\u00e4rung\u279a) verarbeitet werden. Ihre Daten werden nach Zweckwegfall gel\u00f6scht. Sie k\u00f6nnen (siehe Art 21 DSGVO) gegen die Verarbeitung Ihrer Daten jederzeit Widerspruch einlegen.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_199\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Zustimmung<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_9_199'><div class='gchoice gchoice_9_199_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_199.1' type='checkbox'  value='Hiermit best\u00e4tige ich, dass alle von mir freiwillig gemachten Angaben wahrheitsgem\u00e4\u00df, vollst\u00e4ndig und korrekt sind.'  id='choice_9_199_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_199_1' id='label_9_199_1' class='gform-field-label gform-field-label--type-inline'>Hiermit best\u00e4tige ich, dass alle von mir freiwillig gemachten Angaben wahrheitsgem\u00e4\u00df, vollst\u00e4ndig und korrekt sind.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_200\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_200'>Wie wurden Sie auf uns aufmerksam?<\/label><div class='ginput_container ginput_container_select'><select name='input_200' id='input_9_200' class='large gfield_select'     aria-invalid=\"false\" ><option value='W\u00e4hlen' >W\u00e4hlen<\/option><option value='Flyer' >Flyer<\/option><option value='Google' >Google<\/option><option value='Social Media' >Social Media<\/option><option value='Social Media' >Social Media<\/option><option value='Durch Sie pers\u00f6nlich' >Durch Sie pers\u00f6nlich<\/option><option value='Empfehlung' >Empfehlung<\/option><option value='Weiteres' >Weiteres<\/option><\/select><\/div><\/div><div id=\"field_9_201\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_201'>Andere:<\/label><div class='ginput_container ginput_container_text'><input name='input_201' id='input_9_201' type='text' value='' class='large'    placeholder='Name eingeben'  aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_9' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_9' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Weiter'  \/> <input type='hidden' name='gform_ajax' value='form_id=9&amp;title=1&amp;description=1&amp;tabindex=0&amp;theme=gravity-theme&amp;hash=cc976e130986f3445ddee9e1424a44e2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_9' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_9' id='gform_theme_9' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_9' id='gform_style_settings_9' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_9' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='9' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_9' value='["{\"9\":[\"b19b930556fdd0322a63422adda77141\",\"1e638a44da4dd41e1a26bdcacb99106a\"],\"11\":[\"159c11b8be6513427d021779b44cff66\",\"13914366435b496f5374f882996fe36b\",\"214df9f4b0ce9851a199a32f5d486cd3\"],\"41.1\":\"9d23e38b537f00326088494c861a88d0\",\"41.2\":\"b30c7cd01e6365384c0896d7cbe22ff6\",\"41.3\":\"469db4b3e3ccd28948163cafa6789940\",\"41.4\":\"a2d3677c0d4e241b3d3ca58f34a19253\",\"41.5\":\"32f65cd209ac57195453c573fcb20e3d\",\"21\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"34.1\":\"9d23e38b537f00326088494c861a88d0\",\"34.2\":\"b30c7cd01e6365384c0896d7cbe22ff6\",\"34.3\":\"469db4b3e3ccd28948163cafa6789940\",\"34.4\":\"a2d3677c0d4e241b3d3ca58f34a19253\",\"34.5\":\"32f65cd209ac57195453c573fcb20e3d\",\"45\":[\"e185311ab26bea6f2c14b85ed913feb5\",\"2a30ff5405892cf441110fd5ab1e749c\",\"8a4055e90ca4becd9b7f14e09a291df6\",\"63b6cbd541a7d4615574b2eac4a2acd1\",\"a062396d4fdfff2074417d042a0a453a\",\"5c5f35ef09fb7e66a3efdcc9af222c48\",\"ce6bf2ca82dfa10c4b560a6de007137e\",\"55c9283b15feacd5f8a8e60a3377d367\"],\"48\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"51.1\":\"8348937e183cc36faaed0f831950afaf\",\"51.2\":\"41567a96b4b4ac34e2a12f2a4a606b31\",\"51.3\":\"2f58c856b734136c648498a3b984a65a\",\"51.4\":\"64d62ac89d7bb7c9e44280363a4a31a3\",\"60\":[\"563be5a3fd74163de7f42348c243a7b0\",\"ee37ac774b7564cdac5bb7a81d01d451\",\"d13fd41dc8d3e39e61a41b3b612afb30\"],\"62\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"f53c192fe83e0464af6697252eea2438\",\"04c675debc24179f54d41c98c5a7d1be\",\"2bda340561430d112925bb1deef34c15\"],\"63\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"2c335d440c3d5077597dfc9b647c6eb0\"],\"76\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"81\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"1dea43157979473c3a44ef7893d20b4c\"],\"82\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"94\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"83\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"87\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"2f547ffbee44c3468623cab9e7c6ab5f\"],\"89\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5ceb925455715f76575704171a547f0c\",\"f22e61e3cbcfbd673593eeb9a76569b2\",\"ccf986df2e4c626fd7eb8359acc2892e\"],\"90\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"92\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"93.1\":\"efc8945fb0623df58fd072d3e837ad7e\",\"93.2\":\"c66a86aca39b86b3a7982636a985a451\",\"93.3\":\"68447f62ab22c7799f3900e02530a1c3\",\"93.4\":\"7ef9a416b09f3010dde60e19b7706b59\",\"93.5\":\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\",\"98\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"100\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"d9092758fb62debf121460848e1e9236\",\"bf659bd280aa5cbb6e1d50f93542b2e4\",\"b87e3c359b93e0ef498808589784d71b\"],\"101\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"d9092758fb62debf121460848e1e9236\",\"bf659bd280aa5cbb6e1d50f93542b2e4\",\"b87e3c359b93e0ef498808589784d71b\"],\"104\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"ae38f4a2beac889b5531cbc7aaea5d1e\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"105\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"106\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"107\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"108\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"c15dd3f3f1cfe5c346220907b7660118\"],\"113.1\":\"5d8f61789dceb7dcafb259c07e6e208f\",\"114.1\":\"15aa1f98a83bde3b793d1936bc2d3075\",\"116\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"617f9a7f83ffe94c02ac4c37f7939390\",\"54489f237308ba385db8bc24f5056ea7\",\"454da85c41e42fb4b9cc18269343fa01\",\"7d7e26ce0977d058c0056873164ddab8\",\"3eccd01d29a2c2eba8b5e85efadb66d8\",\"2472bda150e08b1c881b78996ccf190d\"],\"125\":[\"e185311ab26bea6f2c14b85ed913feb5\",\"2a30ff5405892cf441110fd5ab1e749c\",\"8a4055e90ca4becd9b7f14e09a291df6\",\"63b6cbd541a7d4615574b2eac4a2acd1\",\"a062396d4fdfff2074417d042a0a453a\",\"5c5f35ef09fb7e66a3efdcc9af222c48\",\"ce6bf2ca82dfa10c4b560a6de007137e\",\"55c9283b15feacd5f8a8e60a3377d367\"],\"126\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"127.1\":\"8348937e183cc36faaed0f831950afaf\",\"127.2\":\"41567a96b4b4ac34e2a12f2a4a606b31\",\"127.3\":\"2f58c856b734136c648498a3b984a65a\",\"127.4\":\"64d62ac89d7bb7c9e44280363a4a31a3\",\"137\":[\"563be5a3fd74163de7f42348c243a7b0\",\"ee37ac774b7564cdac5bb7a81d01d451\",\"d13fd41dc8d3e39e61a41b3b612afb30\"],\"146\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"f53c192fe83e0464af6697252eea2438\",\"04c675debc24179f54d41c98c5a7d1be\",\"2bda340561430d112925bb1deef34c15\"],\"147\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"2c335d440c3d5077597dfc9b647c6eb0\"],\"154\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"165\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"1dea43157979473c3a44ef7893d20b4c\"],\"166\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"167\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"172\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"173\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"2f547ffbee44c3468623cab9e7c6ab5f\"],\"175\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"ccdfea89a7f0af087e9c1f8ee1124ecc\",\"cd240399449a4bc0db4b68e00e93218b\"],\"176\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5ceb925455715f76575704171a547f0c\",\"f22e61e3cbcfbd673593eeb9a76569b2\",\"ccf986df2e4c626fd7eb8359acc2892e\"],\"179\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"182\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"183.1\":\"efc8945fb0623df58fd072d3e837ad7e\",\"183.2\":\"c66a86aca39b86b3a7982636a985a451\",\"183.3\":\"68447f62ab22c7799f3900e02530a1c3\",\"183.4\":\"7ef9a416b09f3010dde60e19b7706b59\",\"183.5\":\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\",\"186\":[\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"188\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"d9092758fb62debf121460848e1e9236\",\"bf659bd280aa5cbb6e1d50f93542b2e4\",\"b87e3c359b93e0ef498808589784d71b\"],\"189\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"d9092758fb62debf121460848e1e9236\",\"bf659bd280aa5cbb6e1d50f93542b2e4\",\"b87e3c359b93e0ef498808589784d71b\"],\"191\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"5d179fe2f6b4d4fb0be0e6f0d38c8a79\"],\"193\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"194\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"195\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\"],\"192\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"5e0ed198d4fbf794a71800d7906585d2\",\"968f14e4e56f4f60b01eb024987ea4b0\",\"c15dd3f3f1cfe5c346220907b7660118\"],\"198.1\":\"5d8f61789dceb7dcafb259c07e6e208f\",\"199.1\":\"15aa1f98a83bde3b793d1936bc2d3075\",\"200\":[\"54b72ea64f26c8ab9e25335dd1f9976e\",\"617f9a7f83ffe94c02ac4c37f7939390\",\"54489f237308ba385db8bc24f5056ea7\",\"454da85c41e42fb4b9cc18269343fa01\",\"454da85c41e42fb4b9cc18269343fa01\",\"7d7e26ce0977d058c0056873164ddab8\",\"3eccd01d29a2c2eba8b5e85efadb66d8\",\"2472bda150e08b1c881b78996ccf190d\"]}","7d1b1bcb766c2b67883a3da436146a75"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_9' id='gform_target_page_number_9' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_9' id='gform_source_page_number_9' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_9' id='gform_ajax_frame_9' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 9, 'https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_9').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_9');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_9').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_9').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_9').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_9').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_9').val();gformInitSpinner( 9, 'https:\/\/dudleyboys.xyz\/fimanul\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [9, current_page]);window['gf_submitting_9'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_9').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [9]);window['gf_submitting_9'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_9').text());}else{jQuery('#gform_9').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"9\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_9\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_9\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_9\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 9, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\t\t\t<\/div>\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Schaden melden &quot;*&quot; indicates required fields Step 1 of 13 7% Angaben zu Ihrer Person Sind Sie eine Privatperson oder [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-5544","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/pages\/5544","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/comments?post=5544"}],"version-history":[{"count":35,"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/pages\/5544\/revisions"}],"predecessor-version":[{"id":5600,"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/pages\/5544\/revisions\/5600"}],"wp:attachment":[{"href":"https:\/\/dudleyboys.xyz\/fimanul\/wp-json\/wp\/v2\/media?parent=5544"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}