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{"id":140,"date":"2015-05-21T11:30:25","date_gmt":"2015-05-21T10:30:25","guid":{"rendered":"http:\/\/www.capitalclaimsmanagement.com\/?page_id=140"},"modified":"2015-08-04T12:18:58","modified_gmt":"2015-08-04T11:18:58","slug":"start-your-claim-now","status":"publish","type":"page","link":"https:\/\/www.capitalclaimsmanagement.com\/start-your-claim-now\/","title":{"rendered":"Start Your claim now"},"content":{"rendered":"<p><strong>Please fill out the form below. One of our specialist consultants will phone you back to discuss your situation with you.<\/strong><\/p>\n<p><strong><span style=\"font-size: 14px; line-height: 1.9;\">Fields marked with * are mandatory<\/span><\/strong><\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f289-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"289\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/140#wpcf7-f289-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"289\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f289-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>First Name (required)\n<\/p>\n<p><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<\/p>\n<p>Last Name (required)\n<\/p>\n<p><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<\/p>\n<p>Contact Number\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ContactNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"ContactNumber\" \/><\/span>\n<\/p>\n<p>Email\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"email\" name=\"Email\" \/><\/span>\n<\/p>\n<p>Type of Accident\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"TypeofAccident\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" multiple=\"multiple\" name=\"TypeofAccident[]\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Road Traffic\">Road Traffic<\/option><option value=\"Work Place\">Work Place<\/option><option value=\"Trip Or Slip\">Trip Or Slip<\/option><option value=\"Other.........\">Other.........<\/option><\/select><\/span>\n<\/p>\n<p>Date\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Date\" \/><\/span>\n<\/p>\n<p>Subject\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-subject\" \/><\/span>\n<\/p>\n<p>Description\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n<\/p>\n<p>Attachment\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Attachment\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"Attachment\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p style=\"text-align: left;\"><strong>Any personal information which you give us will be processed in a confidential manner and in compliance with all relevant Data Protection legislation.<\/strong><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Please fill out the form below. One of our specialist consultants will phone you back to discuss your situation with you. Fields marked with * are mandatory Any personal information which you give us will be processed in a confidential manner and in compliance with all relevant Data Protection legislation. &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"_oct_exclude_from_cache":false,"footnotes":""},"class_list":["post-140","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/pages\/140","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/comments?post=140"}],"version-history":[{"count":8,"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/pages\/140\/revisions"}],"predecessor-version":[{"id":290,"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/pages\/140\/revisions\/290"}],"wp:attachment":[{"href":"https:\/\/www.capitalclaimsmanagement.com\/wp-json\/wp\/v2\/media?parent=140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}