{% extends 'base.html.twig' %} {% block title %}displayClaims{% endblock %} {% block body %} {% include '/loader/loader.html.twig' %}
{% include '/mission/top_menu.html.twig' %}
{% for message in app.flashes('success') %}
{{ message }}
{% endfor %} {% for message in app.flashes('warning') %}
{{ message }}
{% endfor %}
Espace de création de mission
{{ form_start(form) }}
Veillez à remplir toutes les informations obligatoires afin de valider la création de votre mission
{{ form_errors(form) }}
Identification
{{ form_label(form.fileNumber) }} {{ form_widget(form.fileNumber) }}
{{ form_label(form.fileCreatedBy) }} {{ form_widget(form.fileCreatedBy) }}
{{ form_label(form.fileCreatedAt) }} {{ form_widget(form.fileCreatedAt) }}
{{ form_label(form.delegateName) }} {{ form_widget(form.delegateName) }} {{ form_label(form.delegateInsuredID) }} {{ form_widget(form.delegateInsuredID) }}
{{ form_label(form.policyID) }} {{ form_widget(form.policyID) }}
{{ form_label(form.catastropheID) }} {{ form_widget(form.catastropheID) }}
Informations concernant le sinistre
{{ form_label(form.sinisterType) }} {{ form_widget(form.sinisterType) }}
{{ form_label(form.sinisterDate) }} {{ form_widget(form.sinisterDate) }} {{ form_widget(form.sinisterTime) }}
{{ form_label(form.sinisterRoom) }}
Lieu du sinistre
{{ form_label(form.sinisterAddress) }} {{ form_widget(form.sinisterAddress) }}
{{ form_label(form.sinisterAddressCpl) }} {{ form_widget(form.sinisterAddressCpl) }}
{{ form_label(form.sinisterPostcode) }} {{ form_widget(form.sinisterPostcode) }}
{{ form_label(form.sinisterCity) }} {{ form_widget(form.sinisterCity) }}
{{ form_label(form.sinisterBuiltYear) }} {{ form_widget(form.sinisterBuiltYear) }}
Informations de l'assuré
Particulier Professionel
{{ form_label(form.insuredCompanyName) }} {{ form_widget(form.insuredCompanyName) }}
{{ form_label(form.insuredGender) }} {{ form_widget(form.insuredGender) }}
{{ form_label(form.insuredLastname) }} {{ form_widget(form.insuredLastname) }}
{{ form_label(form.insuredFirstname) }} {{ form_widget(form.insuredFirstname) }}
{{ form_label(form.insuredPhone) }} {{ form_widget(form.insuredPhone) }}
{{ form_label(form.insuredMobile) }} {{ form_widget(form.insuredMobile) }}
{{ form_label(form.insuredEmail) }} {{ form_widget(form.insuredEmail) }}
Informations complémentaires
Adresse de résidence principale différente du lieu du sinistre
2ème contact assuré
Police d'assurance
{{ form_label(form.policyType) }} {{ form_widget(form.policyType) }}
{{ form_label(form.policyDate1) }} {{ form_widget(form.policyDate1) }} {{ form_label(form.policyDate2) }} {{ form_widget(form.policyDate2) }}
Informations franchise
Franchise :
Oui Non
{{ form_label(form.franchiseType) }} {{ form_widget(form.franchiseType) }}
{{ form_label(form.franchiseMin) }} {{ form_widget(form.franchiseMin) }}
{{ form_label(form.franchisePercent) }} {{ form_widget(form.franchisePercent) }}
Couverture
{{ form_label(form.franchiseCoverType) }} {{ form_widget(form.franchiseCoverType) }}
{{ form_label(form.franchiseLimit) }} {{ form_widget(form.franchiseLimit) }}
Informations expertise
{{ form_label(form.expertID) }} {{ form_widget(form.expertID) }}
{{ form_label(form.expertCompany) }} {{ form_widget(form.expertCompany) }}
{{ form_label(form.expertAddress) }} {{ form_widget(form.expertAddress) }}
{{ form_label(form.expertAddressCpl) }} {{ form_widget(form.expertAddressCpl) }}
{{ form_label(form.expertPostcode) }} {{ form_widget(form.expertPostcode) }}
{{ form_label(form.expertCity) }} {{ form_widget(form.expertCity) }}
{{ form_label(form.expertStandard) }} {{ form_widget(form.expertStandard) }}
{{ form_label(form.expertCompanyMail) }} {{ form_widget(form.expertCompanyMail) }}
{{ form_label(form.expertLastname) }} {{ form_widget(form.expertLastname) }}
{{ form_label(form.expertFirstname) }} {{ form_widget(form.expertFirstname) }}
{{ form_label(form.expertPhone) }} {{ form_widget(form.expertPhone) }}
{{ form_label(form.expertMobile) }} {{ form_widget(form.expertMobile) }}
{{ form_label(form.expertEmail) }} {{ form_widget(form.expertEmail) }}
Éléments déclaratifs
{{ form_row(form.text1) }}
{{ form_row(form.text2) }}
{{ form_row(form.text3) }}
{{ form_row(form.text4) }}
{{ form_row(form.save) }}
{{ form_end(form) }}
Ajouté une pièce
{% for expertComp in experts %} {% endfor %}
ID Nom du cabinet Voie Ville
{{ expertComp.id }} {{ expertComp.name }} {{ expertComp.place.address }} {{ expertComp.place.city }}
Nom Prénom
{% endblock %} {% block javascripts %} {% endblock %}