{"id":10772,"date":"2023-08-03T09:40:46","date_gmt":"2023-08-03T07:40:46","guid":{"rendered":"https:\/\/dunach.com\/index_beta.php?page_id=10772"},"modified":"2025-07-23T11:58:20","modified_gmt":"2025-07-23T10:58:20","slug":"funeral","status":"publish","type":"page","link":"https:\/\/dunach.com\/index_beta.php\/quotation\/individuals\/funeral\/?lang=en","title":{"rendered":"FUNERAL INSURANCE QUOTE"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10772\" class=\"elementor elementor-10772 elementor-10771\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4393e93 elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"4393e93\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;background_motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;background_motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-6b75e63\" data-id=\"6b75e63\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ed9c48b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ed9c48b\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-50 elementor-top-column elementor-element elementor-element-f5a2280\" data-id=\"f5a2280\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-578bce0 elementor-widget elementor-widget-heading\" data-id=\"578bce0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FUNERAL INSURANCE QUOTE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2490ce5 elementor-widget elementor-widget-heading\" data-id=\"2490ce5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Insurance fundamentally for the provision of services, in which the insurer assumes the management and execution of all the formalities and procedures related to the burial of the insured person's remains. National and international transfer benefits of remains to the location indicated in the policy.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c724626 elementor-widget elementor-widget-heading\" data-id=\"c724626\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Burial or cremation may be chosen. It often includes additional services, such as floristry, widow's pension arrangements and others. It can be taken out at a variable premium, depending on age, at a constant premium or at a single premium with lifetime cover (for as long as the insured person lives). <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34b7def elementor-widget elementor-widget-heading\" data-id=\"34b7def\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">&nbsp;<\/h2>\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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a20dc83\" data-id=\"a20dc83\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-49d16b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"49d16b6\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-50 elementor-top-column elementor-element elementor-element-da1e5df\" data-id=\"da1e5df\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-e0553a2 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"e0553a2\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#llista-cobertures\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-down\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">WHAT COVERAGE DO WE OFFER?<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4480664 elementor-widget elementor-widget-shortcode\" data-id=\"4480664\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-9211 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-9211\" data-uid=\"6aca22a23b539\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-9211\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-9211 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"9211\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6aca22a23b539\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-9211--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-9211--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"CONTACTE\"\n\t\t\t\tdata-actual-label=\"DADES DEL PRENEDOR DE L&#039;ASSEGURAN\u00c7A\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p style=\"color: #0081c6\"><strong>DADES DEL PRENEDOR<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6aca22a23b539\" id=\"forminator-field-text-1_6aca22a23b539-label\" class=\"forminator-label\">Nom i cognoms: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6aca22a23b539\" id=\"forminator-field-text-2_6aca22a23b539-label\" class=\"forminator-label\">NIF\/CIF\/NIE: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"9\" \/><span id=\"forminator-field-text-2_6aca22a23b539-description\" class=\"forminator-description\"><span data-limit=\"9\" data-type=\"characters\">0 \/ 9<\/span><\/span><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6aca22a23b539\" id=\"forminator-field-text-3_6aca22a23b539-label\" class=\"forminator-label\">DATA DE NAIXEMENT: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" aria-describedby=\"forminator-field-text-3_6aca22a23b539-description\" \/><span id=\"forminator-field-text-3_6aca22a23b539-description\" class=\"forminator-description\">DD\/MM\/AAAA<span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6aca22a23b539\" id=\"forminator-field-text-4_6aca22a23b539-label\" class=\"forminator-label\">ADRE\u00c7A: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6aca22a23b539\" id=\"forminator-field-text-5_6aca22a23b539-label\" class=\"forminator-label\">CODI POSTAL: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"5\" \/><span id=\"forminator-field-text-5_6aca22a23b539-description\" class=\"forminator-description\"><span data-limit=\"5\" data-type=\"characters\">0 \/ 5<\/span><\/span><\/div><\/div><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6aca22a23b539\" id=\"forminator-field-text-6_6aca22a23b539-label\" class=\"forminator-label\">POBLACI\u00d3: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6aca22a23b539\" id=\"forminator-field-phone-1_6aca22a23b539-label\" class=\"forminator-label\">TEL\u00c8FON: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6aca22a23b539\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"es\" data-validation=\"international\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6aca22a23b539\" id=\"forminator-field-email-1_6aca22a23b539-label\" class=\"forminator-label\">ADRE\u00c7A E-MAIL: <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6aca22a23b539\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-5-6aca22a23b539-label\" class=\"forminator-label\">L&#039;ASSEGURAT \u00c9S EL PRENEDOR DE L&#039;ASSEGURAN\u00c7A?<\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"Si, amb altres assegurats\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si, amb altres assegurats<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-3-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-9211--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-9211--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"DADES DEL PRENEDOR DE L&#039;ASSEGURAN\u00c7A\"\n\t\t\t\tdata-actual-label=\"DADES DE L&#039;ASSEGURAT\"\n\t\t\t\tdata-name=\"page-break-2\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p style=\"color: #0081c6\"><strong>DADES DE L'ASSEGURAT I PRENEDOR<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-3-6aca22a23b539-label\" class=\"forminator-label\">SEXE <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6aca22a23b539\" class=\"forminator-radio\" title=\"HOME\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">HOME<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6aca22a23b539\" class=\"forminator-radio\" title=\"DONA\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">DONA<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6aca22a23b539\" id=\"forminator-field-text-13_6aca22a23b539-label\" class=\"forminator-label\">PROFESSI\u00d3 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"\" id=\"forminator-field-text-13_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-13_6aca22a23b539-description\" \/><span id=\"forminator-field-text-13_6aca22a23b539-description\" class=\"forminator-description\">CAL DECLARAR LA DE MAJOR RISC SI S\u00d3N M\u00c9S D'UNA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6aca22a23b539\" id=\"forminator-field-textarea-4_6aca22a23b539-label\" class=\"forminator-label\">COMENTARIS SOBRE LA PROFESSI\u00d3:<\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_6aca22a23b539\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-6-6aca22a23b539-label\" class=\"forminator-label\">Practica algun esport de risc?<\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-6\" value=\"one\" id=\"forminator-field-radio-6-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"two\" id=\"forminator-field-radio-6-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_6aca22a23b539\" id=\"forminator-field-textarea-5_6aca22a23b539-label\" class=\"forminator-label\">COMENTARIS SOBRE ESPORTS QUE PRACTICA:<\/label><textarea name=\"textarea-5\" placeholder=\"\" id=\"forminator-field-textarea-5_6aca22a23b539\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-20\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-20-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-20-6aca22a23b539-label\" class=\"forminator-label\">HA ESTAT ASSEGURAT FINS ARA EN UNA ALTRA ENTITAT?:<\/span><label id=\"forminator-field-radio-20-label-1\" for=\"forminator-field-radio-20-1-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-20\" value=\"one\" id=\"forminator-field-radio-20-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-20-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-20-label-2\" for=\"forminator-field-radio-20-2-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"NO\"><input type=\"radio\" name=\"radio-20\" value=\"two\" id=\"forminator-field-radio-20-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-20-label-2\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6aca22a23b539\" id=\"forminator-field-text-16_6aca22a23b539-label\" class=\"forminator-label\">NOM DE L&#039;ENTITAT: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"\" id=\"forminator-field-text-16_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6aca22a23b539\" id=\"forminator-field-upload-1_6aca22a23b539-label\" class=\"forminator-label\">C\u00d2PIA DE LA P\u00d2LISSA I DARRER REBUT:<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-1_6aca22a23b539\"><input type=\"file\" name=\"upload-1[]\" id=\"forminator-field-upload-1_6aca22a23b539\" class=\"forminator-input-file forminator-field-upload-1_6aca22a23b539-9211\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"8388608\" data-size-message=\"Maximum file size allowed is 8 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Arrosegar i llan\u00e7ar (o) <a class=\"forminator-upload-file--forminator-field-upload-1_6aca22a23b539\" href=\"#\" onclick=\"return false;\">Escolliu fitxers<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-1_6aca22a23b539\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12  grup\"><label class=\"forminator-label forminator-repeater-label\">DADES DE L&#039;ASSEGURAT (diferent del prenedor)<\/label><div class=\"forminator-all-group-copies\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:4,&quot;add_text&quot;:&quot;AFEGIR ASSEGURAT&quot;,&quot;remove_text&quot;:&quot;ELIMINAR ASSEGURAT&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6aca22a23b539\" id=\"forminator-field-text-7_6aca22a23b539-label\" class=\"forminator-label\">NOM I COGNOMS: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6aca22a23b539\" id=\"forminator-field-text-8_6aca22a23b539-label\" class=\"forminator-label\">NIF: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"9\" \/><span id=\"forminator-field-text-8_6aca22a23b539-description\" class=\"forminator-description\"><span data-limit=\"9\" data-type=\"characters\">0 \/ 9<\/span><\/span><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6aca22a23b539\" id=\"forminator-field-text-9_6aca22a23b539-label\" class=\"forminator-label\">DATA DE NAIXEMENT: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" aria-describedby=\"forminator-field-text-9_6aca22a23b539-description\" \/><span id=\"forminator-field-text-9_6aca22a23b539-description\" class=\"forminator-description\">DD\/MM\/AAAA<span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6aca22a23b539\" id=\"forminator-field-text-10_6aca22a23b539-label\" class=\"forminator-label\">ADRE\u00c7A: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\" id=\"forminator-field-text-10_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6aca22a23b539\" id=\"forminator-field-text-14_6aca22a23b539-label\" class=\"forminator-label\">CODI POSTAL: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"\" id=\"forminator-field-text-14_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"5\" \/><span id=\"forminator-field-text-14_6aca22a23b539-description\" class=\"forminator-description\"><span data-limit=\"5\" data-type=\"characters\">0 \/ 5<\/span><\/span><\/div><\/div><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6aca22a23b539\" id=\"forminator-field-text-15_6aca22a23b539-label\" class=\"forminator-label\">POBLACI\u00d3: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"\" id=\"forminator-field-text-15_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6aca22a23b539\" id=\"forminator-field-phone-2_6aca22a23b539-label\" class=\"forminator-label\">Tel\u00e8fon <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6aca22a23b539\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"es\" data-validation=\"international\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6aca22a23b539\" id=\"forminator-field-email-2_6aca22a23b539-label\" class=\"forminator-label\">ADRE\u00c7A E-MAIL: <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6aca22a23b539\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-2-6aca22a23b539-label\" class=\"forminator-label\">SEXE <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6aca22a23b539\" class=\"forminator-radio\" title=\"HOME\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">HOME<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6aca22a23b539\" class=\"forminator-radio\" title=\"DONA\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">DONA<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6aca22a23b539\" id=\"forminator-field-text-11_6aca22a23b539-label\" class=\"forminator-label\">PROFESSI\u00d3: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\" id=\"forminator-field-text-11_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-11_6aca22a23b539-description\" \/><span id=\"forminator-field-text-11_6aca22a23b539-description\" class=\"forminator-description\">CAL DECLARAR LA DE MAJOR RISC SI S\u00d3N M\u00c9S D'UNA<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6aca22a23b539\" id=\"forminator-field-textarea-1_6aca22a23b539-label\" class=\"forminator-label\">COMENTARIS SOBRE LA PROFESSI\u00d3:<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6aca22a23b539\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-7-6aca22a23b539-label\" class=\"forminator-label\">Practica algun esport de risc?<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"S\u00ed\"><input type=\"radio\" name=\"radio-7\" value=\"one\" id=\"forminator-field-radio-7-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00ed<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-7\" value=\"two\" id=\"forminator-field-radio-7-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6aca22a23b539\" id=\"forminator-field-textarea-2_6aca22a23b539-label\" class=\"forminator-label\">COMENTARIS SOBRE ESPORTS QUE PRACTICA:<\/label><textarea name=\"textarea-2\" placeholder=\"\" id=\"forminator-field-textarea-2_6aca22a23b539\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-21\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-21-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-21-6aca22a23b539-label\" class=\"forminator-label\">HA ESTAT ASSEGURAT FINS ARA EN UNA ALTRA ENTITAT?:<\/span><label id=\"forminator-field-radio-21-label-1\" for=\"forminator-field-radio-21-1-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-21\" value=\"one\" id=\"forminator-field-radio-21-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-21-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-21-label-2\" for=\"forminator-field-radio-21-2-6aca22a23b539\" class=\"forminator-radio forminator-radio-inline\" title=\"NO\"><input type=\"radio\" name=\"radio-21\" value=\"two\" id=\"forminator-field-radio-21-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-21-label-2\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6aca22a23b539\" id=\"forminator-field-text-17_6aca22a23b539-label\" class=\"forminator-label\">NOM DE L&#039;ENTITAT: <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"\" id=\"forminator-field-text-17_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_6aca22a23b539\" id=\"forminator-field-upload-2_6aca22a23b539-label\" class=\"forminator-label\">C\u00d2PIA DE LA P\u00d2LISSA I DARRER REBUT:<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-2_6aca22a23b539\"><input type=\"file\" name=\"upload-2[]\" id=\"forminator-field-upload-2_6aca22a23b539\" class=\"forminator-input-file forminator-field-upload-2_6aca22a23b539-9211\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"8388608\" data-size-message=\"Maximum file size allowed is 8 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Arrosegar i llan\u00e7ar (o) <a class=\"forminator-upload-file--forminator-field-upload-2_6aca22a23b539\" href=\"#\" onclick=\"return false;\">Escolliu fitxers<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-2_6aca22a23b539\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"AFEGIR ASSEGURAT\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"ELIMINAR ASSEGURAT\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-9211--page-2\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-9211--page-2-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"2\"\n\t\t\t\tdata-label=\"DADES DE L&#039;ASSEGURAT\"\n\t\t\t\tdata-actual-label=\"COBERTURES I CAPITALS\"\n\t\t\t\tdata-name=\"page-break-3\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"radio-12\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-12-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-12-6aca22a23b539-label\" class=\"forminator-label\">SERVEIS FUNERARIS EN CAS DE DEFUNCI\u00d3: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-12-label-1\" for=\"forminator-field-radio-12-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-12\" value=\"one\" id=\"forminator-field-radio-12-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-12-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-13\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-13-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-13-6aca22a23b539-label\" class=\"forminator-label\">TRASLLAT NACIONAL I INTERNACIONAL DE LES RESTES MORTALS AL LLOC INDICAT EN LA P\u00d2LISSA: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-13-label-1\" for=\"forminator-field-radio-13-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-13\" value=\"one\" id=\"forminator-field-radio-13-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-13-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-13-label-2\" for=\"forminator-field-radio-13-2-6aca22a23b539\" class=\"forminator-radio\" title=\"NO\"><input type=\"radio\" name=\"radio-13\" value=\"two\" id=\"forminator-field-radio-13-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-13-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12  grup\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p style=\"color: #0081c6\"><strong>Cobertures opcionals i complement\u00e0ries<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-22\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-22-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-22-6aca22a23b539-label\" class=\"forminator-label\">ESPANYOLS RESIDENTS (M\u00c9S DE TRES MESOS) A L&#039;ESTRANGER<\/span><label id=\"forminator-field-radio-22-label-1\" for=\"forminator-field-radio-22-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-22\" value=\"one\" id=\"forminator-field-radio-22-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-22-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-22-label-2\" for=\"forminator-field-radio-22-2-6aca22a23b539\" class=\"forminator-radio\" title=\"NO\"><input type=\"radio\" name=\"radio-22\" value=\"two\" id=\"forminator-field-radio-22-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-22-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-23\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-23-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-23-6aca22a23b539-label\" class=\"forminator-label\">TRASLLAT AL PA\u00cdS D&#039;ORIGEN (FINS AEROPORT INTERNACIONAL I PAGAMENT D&#039;UNA SUMA ALS HEREUS))<\/span><label id=\"forminator-field-radio-23-label-1\" for=\"forminator-field-radio-23-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-23\" value=\"one\" id=\"forminator-field-radio-23-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-23-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-23-label-2\" for=\"forminator-field-radio-23-2-6aca22a23b539\" class=\"forminator-radio\" title=\"NO\"><input type=\"radio\" name=\"radio-23\" value=\"two\" id=\"forminator-field-radio-23-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-23-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-22\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-22_6aca22a23b539\" id=\"forminator-field-currency-22_6aca22a23b539-label\" class=\"forminator-label\">PRESTACI\u00d3 DI\u00c0RIA PER HOSPITALITZACI\u00d3 (EN \u20ac)<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-22\" value=\"0\" placeholder=\"\" id=\"forminator-field-currency-22_6aca22a23b539\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><span class=\"forminator-suffix\">EUR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-23\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-23_6aca22a23b539\" id=\"forminator-field-currency-23_6aca22a23b539-label\" class=\"forminator-label\">CAPITAL PER MORT (EN \u20ac)<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-23\" value=\"0\" placeholder=\"\" id=\"forminator-field-currency-23_6aca22a23b539\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><span class=\"forminator-suffix\">EUR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-24\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-24_6aca22a23b539\" id=\"forminator-field-currency-24_6aca22a23b539-label\" class=\"forminator-label\">CAPITAL PER INVALIDESA (EN \u20ac)<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-24\" value=\"0\" placeholder=\"\" id=\"forminator-field-currency-24_6aca22a23b539\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><span class=\"forminator-suffix\">EUR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-2\" class=\"forminator-field-group forminator-col forminator-col-12  grup\"><label class=\"forminator-label forminator-repeater-label\">COBERTURES I CAPITALS CONTRACTATS ASSEGURAT (DIFERENT DEL PRENEDOR)<\/label><div class=\"forminator-all-group-copies\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:4,&quot;add_text&quot;:&quot;Afegir assegurat&quot;,&quot;remove_text&quot;:&quot;Eliminar assegurat&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6aca22a23b539\" id=\"forminator-field-text-18_6aca22a23b539-label\" class=\"forminator-label\">NOM ASSEGURAT (DIFERENT DEL PRENEDOR): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"\" id=\"forminator-field-text-18_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6aca22a23b539\" id=\"forminator-field-text-19_6aca22a23b539-label\" class=\"forminator-label\">NIF ASSEGURAT (DIFERENT DEL PRENEDOR): <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"\" id=\"forminator-field-text-19_6aca22a23b539\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"9\" \/><span id=\"forminator-field-text-19_6aca22a23b539-description\" class=\"forminator-description\"><span data-limit=\"9\" data-type=\"characters\">0 \/ 9<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-16\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-16-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-16-6aca22a23b539-label\" class=\"forminator-label\">SERVEIS FUNERARIS EN CAS DE DEFUNCI\u00d3: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-16-label-1\" for=\"forminator-field-radio-16-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-16\" value=\"one\" id=\"forminator-field-radio-16-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-16-label-1\" data-calculation=\"0\" checked=\"checked\" \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-17\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-17-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-17-6aca22a23b539-label\" class=\"forminator-label\">TRASLLAT NACIONAL I INTERNACIONAL DE LES RESTES MORTALS AL LLOC INDICAT EN P\u00d2LISSA: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-17-label-1\" for=\"forminator-field-radio-17-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-17\" value=\"one\" id=\"forminator-field-radio-17-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-17-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-17-label-2\" for=\"forminator-field-radio-17-2-6aca22a23b539\" class=\"forminator-radio\" title=\"NO\"><input type=\"radio\" name=\"radio-17\" value=\"two\" id=\"forminator-field-radio-17-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-17-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><p style=\"color: #0081c6\"><strong>Cobertures opcionals i complement\u00e0ries<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-18\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-18-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-18-6aca22a23b539-label\" class=\"forminator-label\">ESPANYOLS RESIDENTS (M\u00c9S DE TRES MESOS) A L&#039;ESTRANGER<\/span><label id=\"forminator-field-radio-18-label-1\" for=\"forminator-field-radio-18-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-18\" value=\"one\" id=\"forminator-field-radio-18-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-18-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-18-label-2\" for=\"forminator-field-radio-18-2-6aca22a23b539\" class=\"forminator-radio\" title=\"NO\"><input type=\"radio\" name=\"radio-18\" value=\"two\" id=\"forminator-field-radio-18-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-18-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-24\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-24-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-24-6aca22a23b539-label\" class=\"forminator-label\">TRASLLAT AL PA\u00cdS D&#039;ORIGEN (FINS AEROPORT INTERNACIONAL I PAGAMENT D&#039;UNA SUMA ALS HEREUS)<\/span><label id=\"forminator-field-radio-24-label-1\" for=\"forminator-field-radio-24-1-6aca22a23b539\" class=\"forminator-radio\" title=\"S\u00cd\"><input type=\"radio\" name=\"radio-24\" value=\"one\" id=\"forminator-field-radio-24-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-24-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u00cd<\/span><\/label><label id=\"forminator-field-radio-24-label-2\" for=\"forminator-field-radio-24-2-6aca22a23b539\" class=\"forminator-radio\" title=\"NO\"><input type=\"radio\" name=\"radio-24\" value=\"two\" id=\"forminator-field-radio-24-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-24-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-25\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-25_6aca22a23b539\" id=\"forminator-field-currency-25_6aca22a23b539-label\" class=\"forminator-label\">PRESTACI\u00d3 DI\u00c0RIA PER HOSPITALITZACI\u00d3 (EN \u20ac)<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-25\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-25_6aca22a23b539\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><span class=\"forminator-suffix\">EUR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-26\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-26_6aca22a23b539\" id=\"forminator-field-currency-26_6aca22a23b539-label\" class=\"forminator-label\">CAPITAL PER MORT (EN \u20ac)<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-26\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-26_6aca22a23b539\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><span class=\"forminator-suffix\">EUR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-27\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-27_6aca22a23b539\" id=\"forminator-field-currency-27_6aca22a23b539-label\" class=\"forminator-label\">CAPITAL PER INVALIDESA (EN \u20ac)<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-27\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-27_6aca22a23b539\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;.&#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" \/><span class=\"forminator-suffix\">EUR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Afegir assegurat\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Eliminar assegurat\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-9211--page-3\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-9211--page-3-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"3\"\n\t\t\t\tdata-label=\"COBERTURES I CAPITALS\"\n\t\t\t\tdata-actual-label=\"CONTACTE\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6aca22a23b539-label\"><span id=\"forminator-radiogroup-radio-4-6aca22a23b539-label\" class=\"forminator-label\">DESITJO REBRE L&#039;INFORMACI\u00d3 PER MITJ\u00c0 DE:<\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6aca22a23b539\" class=\"forminator-radio\" title=\"E-MAIL\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">E-MAIL<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6aca22a23b539\" class=\"forminator-radio\" title=\"TEL\u00c8FON\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TEL\u00c8FON<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-6aca22a23b539\" class=\"forminator-radio\" title=\"CORREU\"><input type=\"radio\" name=\"radio-4\" value=\"CORREU\" id=\"forminator-field-radio-4-3-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">CORREU<\/span><\/label><label id=\"forminator-field-radio-4-label-4\" for=\"forminator-field-radio-4-4-6aca22a23b539\" class=\"forminator-radio\" title=\"VISITA D\u2019UN COMERCIAL\"><input type=\"radio\" name=\"radio-4\" value=\"VISITA-D\u2019UN-COMERCIAL\" id=\"forminator-field-radio-4-4-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-4-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">VISITA D\u2019UN COMERCIAL<\/span><\/label><label id=\"forminator-field-radio-4-label-5\" for=\"forminator-field-radio-4-5-6aca22a23b539\" class=\"forminator-radio\" title=\"EN PERSONA A L\u2019OFICINA DE DU\u00d1ACH A ROSES\"><input type=\"radio\" name=\"radio-4\" value=\"EN-PERSONA-A-L\u2019OFICINA-DE-DU\u00d1ACH-A-ROSES\" id=\"forminator-field-radio-4-5-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-4-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">EN PERSONA A L\u2019OFICINA DE DU\u00d1ACH A ROSES<\/span><\/label><label id=\"forminator-field-radio-4-label-6\" for=\"forminator-field-radio-4-6-6aca22a23b539\" class=\"forminator-radio\" title=\"EN PERSONA A L\u2019OFICINA DE DU\u00d1ACH A EMPURIABRAVA\"><input type=\"radio\" name=\"radio-4\" value=\"EN-PERSONA-A-L\u2019OFICINA-DE-DU\u00d1ACH-A-EMPURIABRAVA\" id=\"forminator-field-radio-4-6-6aca22a23b539\" aria-labelledby=\"forminator-field-radio-4-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">EN PERSONA A L\u2019OFICINA DE DU\u00d1ACH A EMPURIABRAVA<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><p style=\"color: red !important\">EL PRESENT DOCUMENT \u00c9S UNA MERA PRESA DE DADES, SENSE CAP VALOR CONTRACTUAL<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6aca22a23b539\" id=\"forminator-field-consent-1_6aca22a23b539-label\" class=\"forminator-label\">Consento \/ Consentim: <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6aca22a23b539__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6aca22a23b539\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6aca22a23b539-label\" aria-describedby=\"forminator-field-consent-1_6aca22a23b539__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6aca22a23b539__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>CONFIRMO QUE ACCEPTO LA\u00a0<a href=\"#link-popup\" rel=\"noopener\">POL\u00cdTICA DE PRIVACITAT<\/a>\u00a0D\u2019AQUEST LLOC WEB PER TAL QUE PUGUIN RESPONDRE LA MEVA SOL\u00b7LICITUD.<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-1_6aca22a23b539\" name=\"hidden-1\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-2\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-2_6aca22a23b539\" name=\"hidden-2\" value=\"\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Enviar missatge<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"19272e90bb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index_beta.php\/wp-json\/wp\/v2\/pages\/10772\" \/><input type=\"hidden\" name=\"form_id\" value=\"9211\"><input type=\"hidden\" name=\"page_id\" value=\"10772\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/dunach.com\/index_beta.php\/quotation\/individuals\/funeral\/?lang=en\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0aa57ec elementor-widget elementor-widget-html\" data-id=\"0aa57ec\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script type=\"text\/javascript\">window.addEventListener(\"load\", function() {\r\nconst cobertura = document.getElementsByName(\"text-1\");;\r\nconst nif = document.getElementsByName(\"text-2\");\r\nconst nai = document.getElementsByName(\"text-3\");\r\nconst addr = document.getElementsByName(\"text-4\");\r\nconst cp = document.getElementsByName(\"text-5\");\r\nconst pobl = document.getElementsByName(\"text-6\");\r\nconst phon = document.getElementsByName(\"phone-1\");\r\nconst ema = document.getElementsByName(\"email-1\");\r\n\r\n\/\/ alternative is to use \"change\" - explained below\r\ncobertura[0].addEventListener(\"keyup\", buttonState);\r\n\r\nfunction buttonState() {\r\n    if (cobertura[0].value.toLowerCase() === \"broker\") {\r\n        nif[0].value = \"12345678A\";\r\n        nai[0].value = \"12\/12\/1962\";\r\n        addr[0].value = \"C\/ Nou, 123\";\r\n        cp[0].value = 17487;\r\n        pobl[0].value =\"Empuriabrava\";\r\n        phon[0].value = \"+34972450430\";\r\n        ema[0].value = \"broker@dunach.com\";\r\n    }>;\r\n<\/script>\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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1b7a613\" data-id=\"1b7a613\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-c77ce5b elementor-widget elementor-widget-template\" data-id=\"c77ce5b\" data-element_type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:330,&quot;sticky_effects_offset&quot;:150,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"1965\" class=\"elementor elementor-1965\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b7952de franja-lateral-contacte elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b7952de\" 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-9e7b5e4\" data-id=\"9e7b5e4\" 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-68ab834 elementor-widget elementor-widget-spacer\" data-id=\"68ab834\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c897f95 elementor-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"c897f95\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-comments\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">voleu contactar-nos?<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-471adda elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"471adda\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-17957a5\" data-id=\"17957a5\" 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-079f24a elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"079f24a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Oficina Empuriabrava \/ <br>Castell\u00f3 d'Emp\u00faries<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1758c20 elementor-widget elementor-widget-spacer\" data-id=\"1758c20\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-735138c elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"735138c\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"tel:972450430\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">972 45 04 30<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb1510d elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"cb1510d\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"mailto:broker@dunach.com\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-envelope\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">broker@dunach.com<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cc2fd95 elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"cc2fd95\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/www.google.com\/maps\/dir\/\/Du\u00f1ach+S.A.+Corredoria+d&#039;Assegurances,+Carrer+de+Sant+Mor\u00ed,+14,+Bajo,+17487+Empuriabrava,+Girona\/@42.241695,3.0877434,13z\/data=!3m1!4b1!4m8!4m7!1m0!1m5!1m1!1s0x12ba61b0ce87c3e5:0xf5316c2e78113760!2m2!1d3.1228485!2d42.2417004\" target=\"_blank\" rel=\"nofollow\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-map-marker-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Com arribar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-405aaab elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"405aaab\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4210322\" data-id=\"4210322\" 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-089ca2b elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"089ca2b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Oficina roses<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae99ddc elementor-widget elementor-widget-spacer\" data-id=\"ae99ddc\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68abc79 elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"68abc79\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"tel:972257322\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">972 25 73 22<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39bac28 elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"39bac28\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"mailto:broker@dunach.com\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-envelope\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">broker@dunach.com<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-313117e elementor-widget__width-auto elementor-widget elementor-widget-button\" data-id=\"313117e\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/www.google.com\/maps\/dir\/\/Du\u00f1ach+S.A.+Corredoria+d&#039;Assegurances,+Av.+de+Rhode,+89,+17480+Roses,+Girona\/@42.2531743,3.1129588,13z\/data=!4m8!4m7!1m0!1m5!1m1!1s0x12ba6153d851d44d:0x660b32b34718eaae!2m2!1d3.1731079!2d42.2646588\" target=\"_blank\" rel=\"nofollow\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-map-marker-alt\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Com arribar<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\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\t\t<\/div>\n\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ddd4998 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"ddd4998\" data-element_type=\"section\" id=\"llista-cobertures\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-1654374 cobertures-oferim\" data-id=\"1654374\" 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-7da55a6 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7da55a6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"text-align: center;\">WHAT COVERAGE DO WE OFFER?<\/h3><ul><li>MANAGEMENT AND EXECUTION OF THE FUNERAL SERVICES IN THE PLACE ESTABLISHED IN THE POLICY, DUE TO THE DEATH OF THE INSURED PERSON.<\/li><li>NATIONAL AND INTERNATIONAL TRANSFER TO THE PLACE OF THE FUNERAL<\/li><li>POSSIBLE COMPLEMENTARY COVERAGE, IN SOME CASES INCORPORATED INTO THE BASIC PACKAGE:<ul><li>DIGITAL END-OF-LIFE MANAGEMENT<\/li><li>POST MORTEM ARRANGEMENTS<\/li><li>PSYCHOLOGICAL ASSISTANCE<\/li><li>SECOND MEDICAL OPINION<\/li><li>TRAVEL ASSISTANCE<\/li><li>HOSPITALISATION BENEFIT<\/li><li>CAPITAL FOR DEATH OF THE INSURED<\/li><li>CAPITAL SUM IN THE EVENT OF DISABILITY OF THE INSURED<\/li><\/ul><\/li><li>SPECIFIC CONTRACTING:<ul><li>INTERNATIONAL TRANSFER TO THE INSURED PERSON&#8217;S COUNTRY OF ORIGIN<\/li><li>COVERAGE FOR SPANISH RESIDENTS ABROAD<\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0e45600 elementor-widget elementor-widget-heading\" data-id=\"0e45600\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">THIS LIST OF GUARANTEES IS FOR INFORMATION VALUE ONLY<br> COVER WOULD BE SUBJECT TO THE GENERAL\/INDIVIDUAL CONDITIONS OF THE POLICY<\/h2>\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>FUNERAL INSURANCE QUOTE Insurance fundamentally for the provision of services, in which the insurer assumes the management and execution &#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":10801,"menu_order":21,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-10772","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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