{"id":861,"date":"2017-10-25T19:30:55","date_gmt":"2017-10-25T19:30:55","guid":{"rendered":"http:\/\/leaderteam.ro\/en\/?page_id=861"},"modified":"2026-02-06T11:21:23","modified_gmt":"2026-02-06T09:21:23","slug":"petition","status":"publish","type":"page","link":"https:\/\/leaderteam.ro\/en\/petition\/","title":{"rendered":"Petition"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span data-sheets-root=\"1\">File a Complaint or Petition<\/span><\/h1>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><strong>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f860-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"860\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/861#wpcf7-f860-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"860\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f860-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:860,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.6&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n\t<div class=\"columns small-12 medium-5\">\n\t\t<p><label> Petition <\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"PetitionType\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Notification<\/span><input type=\"checkbox\" name=\"PetitionType\" value=\"Notification\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">Complaint<\/span><input type=\"checkbox\" name=\"PetitionType\" value=\"Complaint\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Request Information<\/span><input type=\"checkbox\" name=\"PetitionType\" value=\"Request Information\" \/><\/span><\/span><\/span>\n\t\t<\/p>\n\t\t<p><label> First Name and Last Name * <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label>CNP \/ CUI* <span class=\"wpcf7-form-control-wrap\" data-name=\"cnpcui\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cnpcui\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Email * <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label>Phone * <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-phone\" \/><\/span>\n\t\t<\/p>\n\t\t<p><label>Country * <span class=\"wpcf7-form-control-wrap\" data-name=\"judet\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"judet\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Town * <span class=\"wpcf7-form-control-wrap\" data-name=\"localitate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"localitate\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Adress * <span class=\"wpcf7-form-control-wrap\" data-name=\"adresa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresa\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Insurer * <span class=\"wpcf7-form-control-wrap\" data-name=\"asigurator\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"asigurator\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Serie Polita* <span class=\"wpcf7-form-control-wrap\" data-name=\"seriepolita\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"seriepolita\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Insurance ID* <span class=\"wpcf7-form-control-wrap\" data-name=\"numarpolita\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"numarpolita\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Details of your petition * <span class=\"wpcf7-form-control-wrap\" data-name=\"detalii\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"detalii\"><\/textarea><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Your claims * <span class=\"wpcf7-form-control-wrap\" data-name=\"pretentii\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"pretentii\"><\/textarea><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Damage folder number<span class=\"wpcf7-form-control-wrap\" data-name=\"numardosardauna\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"numardosardauna\" \/><\/span><\/label>\n\t\t<\/p>\n\t\t<p><label>Does the petition relate to a damage? <span class=\"wpcf7-form-control-wrap\" data-name=\"petitiasereferalaundosardedauna\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"petitiasereferalaundosardedauna[]\" value=\"YES\" \/><span class=\"wpcf7-list-item-label\">YES<\/span><\/span><\/span><\/span><\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn\" type=\"submit\" value=\"Submit Petition\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>File a Complaint or Petition &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-861","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Petition - Leader Team Broker<\/title>\n<meta name=\"description\" content=\"Complaint and Request Form - Leader Team Broker. 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