{"id":18,"date":"2016-03-17T14:14:47","date_gmt":"2016-03-17T13:14:47","guid":{"rendered":"http:\/\/demo.knepptec.de\/chris-pannwitz\/formulare\/?page_id=18"},"modified":"2016-03-17T14:14:47","modified_gmt":"2016-03-17T13:14:47","slug":"haftpflicht","status":"publish","type":"page","link":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/haftpflicht\/","title":{"rendered":"Online Schadenmeldung Privathaftpflichtversicherung"},"content":{"rendered":"<h2>Hier k\u00f6nnen Sie uns Ihren Schaden schnell und einfach melden.<\/h2>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f69-o1\" lang=\"de-DE\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/schadensmeldung\/wp-json\/wp\/v2\/pages\/18#wpcf7-f69-o1\" method=\"post\" class=\"wpcf7-form init\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"69\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"de_DE\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f69-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<h3>Pers\u00f6nliche Angaben<\/h3>\n<p><i>* Pflichtfelder: Bitte f\u00fcllen Sie die gekennzeichneten Felder in jedem Fall aus. <\/i><\/p>\n<div class=\"form-wrap\">\n<div class=\"form-inner\">\n<table>\n<tr>\n<td><b>Versicherungsgesellschaft*: <span class=\"wpcf7-form-control-wrap\" data-name=\"Versicherungsgesellschaft\"><input type=\"text\" name=\"Versicherungsgesellschaft\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/b><\/td>\n<td><b>Versicherungsnummer*: <span class=\"wpcf7-form-control-wrap\" data-name=\"Versicherungsnummer\"><input type=\"text\" name=\"Versicherungsnummer\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/b><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><b>Anrede*<\/b><br><span class=\"wpcf7-form-control-wrap\" data-name=\"Anrede\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Frau<\/span><input type=\"radio\" name=\"Anrede\" value=\"Frau\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Herr<\/span><input type=\"radio\" name=\"Anrede\" value=\"Herr\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Firma<\/span><input type=\"radio\" name=\"Anrede\" value=\"Firma\" \/><\/label><\/span><\/span><\/span><\/td>\n<td><b>Vorname<\/b><br><span class=\"wpcf7-form-control-wrap\" data-name=\"vorname\"><input type=\"text\" name=\"vorname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Nachname\/Firma*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"NachnameFirma\"><input type=\"text\" name=\"NachnameFirma\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Stra\u00dfe*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Strasse\"><input type=\"text\" name=\"Strasse\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Hausnummer*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Hausnummer\"><input type=\"text\" name=\"Hausnummer\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b><\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Land*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Land\"><input type=\"text\" name=\"Land\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>PLZ*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"PLZ\"><input type=\"text\" name=\"PLZ\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Ort*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Ort\"><input type=\"text\" name=\"Ort\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Telefon (tags\u00fcber)*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Telefontagsueber\"><input type=\"text\" name=\"Telefontagsueber\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Mobiltelefon<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Mobiltelefon\"><input type=\"text\" name=\"Mobiltelefon\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Telefax<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Telefax\"><input type=\"text\" name=\"Telefax\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td><b>E-Mail*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"email-1\"><input type=\"email\" name=\"email-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b><\/b><\/td>\n<td><b><\/b><\/td>\n<\/tr>\n<\/table>\n<\/div>\n<\/div>\n<h3>Angaben zum Schaden<\/h3>\n<p><i>* Pflichtfelder: Bitte f\u00fcllen Sie die gekennzeichneten Felder in jedem Fall aus. <\/i><\/p>\n<div class=\"form-wrap\">\n<div class=\"form-inner\">\n<table>\n<tr>\n<td><b>Art des Schadens* <\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"ArtDesSchadens\"><input type=\"text\" name=\"ArtDesSchadens\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"z.B. Feuer, Diebstahl, Blitzschlag ...\" \/><\/span><\/td>\n<td><b>Schadenort*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Schadenort\"><input type=\"text\" name=\"Schadenort\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><b>Schadentag (TT\/MM\/JJJJ)*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Schadenstag\"><input type=\"text\" name=\"Schadenstag\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"z.B. 25.06.2016\" \/><\/span><\/td>\n<td><b>Uhrzeit*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Uhrzeit\"><input type=\"text\" name=\"Uhrzeit\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"z.B. 12:30\" \/><\/span><\/td>\n<td><b>Schadenh\u00f6he in Euro (unverb. Sch\u00e4tzung)*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Schadenshoehe\"><input type=\"text\" name=\"Schadenshoehe\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Kurze Schilderung des Schadengeschehens*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"SchilderungdesSchaden\"><textarea name=\"SchilderungdesSchaden\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/td>\n<td><b>Was wurde besch\u00e4digt?<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-was\"><textarea name=\"textarea-was\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/td>\n<td><b>Datei einf\u00fcgen:<\/b><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-333\"><input type=\"file\" name=\"file-333\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.jpeg,.jpg,.png\" aria-invalid=\"false\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-885\"><input type=\"file\" name=\"file-885\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.jpeg,.jpg,.png\" aria-invalid=\"false\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-996\"><input type=\"file\" name=\"file-996\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.jpeg,.jpg,.png\" aria-invalid=\"false\" \/><\/span>\n<\/td>\n<\/tr>\n<\/table>\n<\/div>\n<\/div>\n<h3>Angaben zum Gesch\u00e4digten<\/h3>\n<p><i>* Pflichtfelder: Bitte f\u00fcllen Sie die gekennzeichneten Felder in jedem Fall aus. <\/i><\/p>\n<div class=\"form-wrap\">\n<div class=\"form-inner\">\n<table>\n<tr>\n<td><b>Anrede*<\/b><br><span class=\"wpcf7-form-control-wrap\" data-name=\"Anrede2\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Frau<\/span><input type=\"radio\" name=\"Anrede2\" value=\"Frau\" checked=\"checked\" \/><\/label><\/span><span class=\"wpcf7-list-item\"><label><span class=\"wpcf7-list-item-label\">Herr<\/span><input type=\"radio\" name=\"Anrede2\" value=\"Herr\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">Firma<\/span><input type=\"radio\" name=\"Anrede2\" value=\"Firma\" \/><\/label><\/span><\/span><\/span><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><b>Vorname<\/b><br><span class=\"wpcf7-form-control-wrap\" data-name=\"vorname2\"><input type=\"text\" name=\"vorname2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Nachname\/Firma*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"NachnameFirma2\"><input type=\"text\" name=\"NachnameFirma2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><b>Stra\u00dfe*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Strasse2\"><input type=\"text\" name=\"Strasse2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Hausnummer*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Hausnummer2\"><input type=\"text\" name=\"Hausnummer2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b><\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Land*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Land2\"><input type=\"text\" name=\"Land2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>PLZ*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"PLZ2\"><input type=\"text\" name=\"PLZ2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Ort*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Ort2\"><input type=\"text\" name=\"Ort2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Telefon (tags\u00fcber)*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Telefontagsueber2\"><input type=\"text\" name=\"Telefontagsueber2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Mobiltelefon<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Mobiltelefon2\"><input type=\"text\" name=\"Mobiltelefon2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b>Telefax<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"Telefax2\"><input type=\"text\" name=\"Telefax2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/td>\n<\/tr>\n<tr>\n<td><b>E-Mail*<\/b><span class=\"wpcf7-form-control-wrap\" data-name=\"email-2\"><input type=\"email\" name=\"email-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/td>\n<td><b><\/b><\/td>\n<td><b><\/b><\/td>\n<\/tr>\n<tr>\n<tr>\n<td colspan=\"3\">\n<div style=\"border: 1px solid silver; padding:10px;\">\n<p>\n\tIhre Angaben werden selbstverst\u00e4ndlich vertraulich behandelt. Wir sichern Ihnen zu, Ihre pers\u00f6nlichen Daten ausschlie\u00dflich zum Zweck der Bearbeitung Ihrer Anfrage zu nutzen und nicht an Dritte weiterzugeben. Wir speichern Ihre Daten lediglich zur Kontaktaufnahme und l\u00f6schen sie, sobald die Zweckbindung entf\u00e4llt. Die Daten\u00fcbertragung erfolgt verschl\u00fcsselt.\n\t<\/p>\n<\/div>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\"><span class=\"wpcf7-form-control-wrap kc_captcha\"><span class=\"wpcf7-form-control wpcf7-radio\"> \n    <span class=\"captcha-image\" >\n        <span class=\"cf7ic_instructions\">Bitte beweise, dass du kein Spambot bist und w\u00e4hle das Symbol<span> Auto<\/span> aus.<\/span><label><input type=\"radio\" name=\"kc_captcha\" value=\"kc_human\" \/><svg width=\"50\" height=\"50\" aria-hidden=\"true\" role=\"img\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path fill=\"currentColor\" d=\"M500 168h-55l-8-21a127 127 0 00-120-83H195a127 127 0 00-120 83l-8 21H12c-8 0-14 8-11 16l8 24a12 12 0 0011 8h29a64 64 0 00-33 56v48c0 16 6 31 16 42v62c0 13 11 24 24 24h48c13 0 24-11 24-24v-40h256v40c0 13 11 24 24 24h48c13 0 24-11 24-24v-62c10-11 16-26 16-42v-48c0-24-13-45-33-56h29a12 12 0 0011-8l8-24c3-8-3-16-11-16zm-365 2c9-25 33-42 60-42h122c27 0 51 17 60 42l15 38H120l15-38zM88 328a32 32 0 010-64c18 0 48 30 48 48s-30 16-48 16zm336 0c-18 0-48 2-48-16s30-48 48-48 32 14 32 32-14 32-32 32z\"\/><\/svg><\/label><label><input type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg width=\"50\" height=\"50\" aria-hidden=\"true\" role=\"img\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\"><path fill=\"currentColor\" d=\"M512 176a176 176 0 01-209 173l-24 27a24 24 0 01-18 8h-37v40c0 13-11 24-24 24h-40v40c0 13-11 24-24 24H24c-13 0-24-11-24-24v-78c0-6 3-13 7-17l162-162a176 176 0 11343-55zm-176-48a48 48 0 1096 0 48 48 0 00-96 0z\"\/><\/svg><\/label><label><input type=\"radio\" name=\"kc_captcha\" value=\"bot\" \/><svg width=\"50\" height=\"50\" aria-hidden=\"true\" role=\"img\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 640 512\"><path fill=\"currentColor\" d=\"M624 352h-16V244c0-13-5-25-14-34L494 110c-9-9-21-14-34-14h-44V48c0-26-21-48-48-48H48C22 0 0 22 0 48v320c0 27 22 48 48 48h16a96 96 0 00192 0h128a96 96 0 00192 0h48c9 0 16-7 16-16v-32c0-9-7-16-16-16zM160 464a48 48 0 110-96 48 48 0 010 96zm320 0a48 48 0 110-96 48 48 0 010 96zm80-208H416V144h44l100 100v12z\"\/><\/svg><\/label>\n    <\/span>\n    <span style=\"display:none\">\n        <input type=\"text\" name=\"kc_honeypot\">\n    <\/span><\/span><\/span><\/td>\n<\/tr>\n<td><b><input type=\"submit\" value=\"Schaden melden\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/td>\n<td><b><\/b><\/td>\n<td><b><\/b><\/td>\n<\/tr>\n<\/table>\n<\/div>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Hier k\u00f6nnen Sie uns Ihren Schaden schnell und einfach melden.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/wp-json\/wp\/v2\/pages\/18","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/wp-json\/wp\/v2\/comments?post=18"}],"version-history":[{"count":0,"href":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/wp-json\/wp\/v2\/pages\/18\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.dresden-versichern.de\/schadensmeldung\/wp-json\/wp\/v2\/media?parent=18"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}