<?xml version="1.0"?>
<formdef id="19" url="https://demarches.catalogue.publik.love/backoffice/forms/19/">
  <name>Demander un acte de d&#233;c&#232;s</name>
  <url_name>demande-d-acte-de-deces</url_name>
  <description>&lt;p&gt;Demande d'acte de d&#233;c&#232;s, r&#233;serv&#233;e aux personnes d&#233;c&#233;d&#233;es dans la commune.&lt;/p&gt;</description>
  <keywords>d&#233;c&#232;s, &#233;tat-civil, copie int&#233;grale</keywords>
  <internal_identifier>demander-un-acte-de-deces</internal_identifier>
  <discussion>false</discussion>
  <detailed_emails>true</detailed_emails>
  <disabled>false</disabled>
  <only_allow_one>false</only_allow_one>
  <enable_tracking_codes>true</enable_tracking_codes>
  <confirmation>true</confirmation>
  <always_advertise>false</always_advertise>
  <include_download_all_button>false</include_download_all_button>
  <has_captcha>false</has_captcha>
  <skip_from_360_view>false</skip_from_360_view>
  <category slug="papiers-citoyennete" category_id="7">Papiers / Citoyennet&#233;</category>
  <workflow slug="test-des-formulaires-du-catalogue" workflow_id="1">Test des formulaires du catalogue</workflow>
  <max_field_id>82</max_field_id>
  <fields>
    <field>
      <label type="str">Votre demande d'acte</label>
      <type type="str">page</type>
      <id type="str">5</id>
    </field><field>
      <label type="str">&lt;p&gt;Ce formulaire permet d'effectuer une demande d'acte de d&amp;eacute;c&amp;egrave;s &lt;u&gt;&lt;strong&gt;pour les personnes dont le d&amp;eacute;c&amp;egrave;s a &amp;eacute;t&amp;eacute; enregistr&amp;eacute; &amp;agrave; {{ collectivite }}&lt;/strong&gt;&lt;/u&gt;.&lt;/p&gt;</label>
      <type type="str">comment</type>
      <extra_css_class type="str">infonotice</extra_css_class>
      <display_locations />
      <id type="str">77</id>
    </field><field>
      <label type="str">Quel type d'acte souhaitez-vous ?</label>
      <type type="str">item</type>
      <required type="bool">True</required>
      <hint type="str">-- S&#233;lectionner --</hint>
      <varname type="str">type_acte</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
        <display_location>statistics</display_location>
      </display_locations><prefill>
        <type>none</type>
      </prefill><display_mode type="str">list</display_mode>
      <items>
        <item>Une copie int&#233;grale</item>
        <item>Un extrait d'acte plurilingue</item>
      </items><in_filters type="bool">False</in_filters>
      <anonymise type="bool">False</anonymise>
      <display_disabled_items type="bool">False</display_disabled_items>
      <id type="str">7</id>
    </field><field>
      <label type="str">Nombre d'exemplaires</label>
      <type type="str">item</type>
      <required type="bool">True</required>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><prefill>
        <type>none</type>
      </prefill><display_mode type="str">list</display_mode>
      <items>
        <item>1</item>
        <item>2</item>
        <item>3</item>
        <item>4</item>
        <item>5</item>
      </items><in_filters type="bool">False</in_filters>
      <anonymise type="bool">False</anonymise>
      <display_disabled_items type="bool">False</display_disabled_items>
      <id type="str">47</id>
    </field><field>
      <label type="str">Personne concern&#233;e par l'acte</label>
      <type type="str">page</type>
      <id type="str">16</id>
    </field><field>
      <label type="str">Nom de naissance du titulaire de l'acte</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-2 newline</extra_css_class>
      <prefill>
        <type>none</type>
      </prefill><anonymise type="bool">True</anonymise>
      <id type="str">18</id>
    </field><field>
      <label type="str">Pr&#233;noms</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <hint type="str">Ex: Anne, Ninon, Ondine (dans l'ordre de l'&#233;tat-civil)</hint>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-2</extra_css_class>
      <prefill>
        <type>none</type>
      </prefill><anonymise type="bool">True</anonymise>
      <id type="str">20</id>
    </field><field>
      <label type="str">Date de d&#233;c&#232;s</label>
      <type type="str">date</type>
      <required type="bool">True</required>
      <varname type="str">date_acte_declencheur</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><prefill>
        <type>none</type>
      </prefill><minimum_is_future type="bool">False</minimum_is_future>
      <date_in_the_past type="bool">True</date_in_the_past>
      <date_can_be_today type="bool">False</date_can_be_today>
      <id type="str">21</id>
    </field><field>
      <label type="str">&lt;p&gt;&lt;strong&gt;En cochant cette case, je confirme que le d&#233;c&#232;s a bien &#233;t&#233; enregistr&#233; dans la commune de {{collectivite}}&lt;/strong&gt;&lt;/p&gt;</label>
      <type type="str">comment</type>
      <display_locations />
      <id type="str">82</id>
    </field><field>
      <label type="str">Cochez pour confirmer</label>
      <type type="str">bool</type>
      <required type="bool">True</required>
      <varname type="str">deces_ville</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
      </display_locations><prefill>
        <type>none</type>
      </prefill><id type="str">75</id>
    </field><field>
      <label type="str">Informations compl&#233;mentaires</label>
      <type type="str">text</type>
      <required type="bool">False</required>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><prefill>
        <type>none</type>
      </prefill><display_mode type="str">plain</display_mode>
      <id type="str">81</id>
    </field><field>
      <label type="str">Vos coordonn&#233;es</label>
      <type type="str">page</type>
      <id type="str">30</id>
    </field><field>
      <label type="str">&lt;p&gt;L'acte d'&#233;tat civil vous sera envoy&#233; par courrier postal, nous vous remercions de nous indiquer vos coordonn&#233;es.&lt;/p&gt;</label>
      <type type="str">comment</type>
      <display_locations />
      <id type="str">79</id>
    </field><field>
      <label type="str">Civilit&#233;</label>
      <type type="str">item</type>
      <required type="bool">True</required>
      <varname type="str">civilite</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
        <display_location>statistics</display_location>
      </display_locations><prefill>
        <type>user</type>
        <value>_title</value>
      </prefill><display_mode type="str">radio</display_mode>
      <items>
        <item>Monsieur</item>
        <item>Madame</item>
      </items><in_filters type="bool">False</in_filters>
      <anonymise type="bool">False</anonymise>
      <display_disabled_items type="bool">False</display_disabled_items>
      <id type="str">76</id>
    </field><field>
      <label type="str">Nom</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <varname type="str">nom</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-2 newline</extra_css_class>
      <prefill>
        <type>user</type>
        <value>_last_name</value>
      </prefill><anonymise type="bool">True</anonymise>
      <id type="str">12</id>
    </field><field>
      <label type="str">Pr&#233;nom</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <varname type="str">prenom</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-2</extra_css_class>
      <prefill>
        <type>user</type>
        <value>_first_name</value>
      </prefill><anonymise type="bool">True</anonymise>
      <id type="str">13</id>
    </field><field>
      <label type="str">Adresse</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <varname type="str">adresse</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-1 newline</extra_css_class>
      <prefill>
        <type>user</type>
        <value>_address</value>
      </prefill><anonymise type="bool">True</anonymise>
      <id type="str">52</id>
    </field><field>
      <label type="str">Code postal</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <varname type="str">code_postal</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-4</extra_css_class>
      <prefill>
        <type>user</type>
        <value>_zipcode</value>
      </prefill><size type="str">5</size>
      <anonymise type="bool">True</anonymise>
      <id type="str">33</id>
    </field><field>
      <label type="str">Ville</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <varname type="str">ville</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
        <display_location>statistics</display_location>
      </display_locations><extra_css_class type="str">grid-1-2</extra_css_class>
      <prefill>
        <type>user</type>
        <value>_city</value>
      </prefill><anonymise type="bool">True</anonymise>
      <id type="str">34</id>
    </field><field>
      <label type="str">Pays</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <varname type="str">pays</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-4</extra_css_class>
      <prefill>
        <type>string</type>
        <value>France</value>
      </prefill><anonymise type="bool">True</anonymise>
      <id type="str">35</id>
    </field><field>
      <label type="str">Courriel</label>
      <type type="str">email</type>
      <required type="bool">True</required>
      <varname type="str">courriel</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-2 newline</extra_css_class>
      <prefill>
        <type>user</type>
        <value>_email</value>
      </prefill><id type="str">74</id>
    </field><field>
      <label type="str">T&#233;l&#233;phone</label>
      <type type="str">string</type>
      <required type="bool">True</required>
      <hint type="str">ex : 0611223344</hint>
      <varname type="str">telephone</varname>
      <display_locations>
        <display_location>validation</display_location>
        <display_location>summary</display_location>
        <display_location>listings</display_location>
      </display_locations><extra_css_class type="str">grid-1-2</extra_css_class>
      <prefill>
        <type>user</type>
        <value>_phone</value>
      </prefill><validation>
        <type>regex</type>
        <value>\d{2}\D*\d{2}\D*\d{2}\D*\d{2}\D*\d{2}$</value>
      </validation><anonymise type="bool">True</anonymise>
      <id type="str">14</id>
    </field>
  </fields><roles />
  <options>
    <option varname="nom_de_la_demarche_affichee">Acte de d&#233;c&#232;s</option>
    <option varname="nom_du_service">Service Etat civil</option>
    <option varname="nom_du_service_rize">Archives municipales de Villeurbanne/Le Rize</option>
    <option varname="numero_de_telephone_du_service">04 78 03 67 67</option>
    <option varname="numero_de_telephone_du_service_rize">04 37 57 17 19</option>
    <option varname="signature_du_service">Service de l'&#233;tat-civil de la Ville de Villeurbanne</option>
    <option varname="texte_standard_refus">refus</option>
    <option varname="texte_sve">Elle sera trait&#233;e dans un d&#233;lai de 5 jours ouvr&#233;s sous r&#233;serve que votre dossier soit complet et recevable. 
Si le traitement de votre dossier n&#233;cessite des informations compl&#233;mentaires, le service vous contactera et vous indiquera la liste des pi&#232;ces manquantes et le d&#233;lai pour les transmettre.</option>
    <option varname="texte_sve_rize">Elle sera trait&#233;e dans un d&#233;lai de 3 semaines sous r&#233;serve que votre dossier soit complet et recevable. 
Si le traitement de votre dossier n&#233;cessite des informations compl&#233;mentaires, le service vous contactera et vous indiquera la liste des pi&#232;ces manquantes et le d&#233;lai pour les transmettre.</option>
    <option varname="type_sve">Variable</option>
    <option varname="type_sve_display">Variable</option>
    <option varname="type_sve_structured" />
  </options><custom_views />
  <geolocations />
</formdef>