{"id":8,"date":"2025-06-06T12:23:04","date_gmt":"2025-06-06T10:23:04","guid":{"rendered":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/?page_id=8"},"modified":"2025-06-06T14:10:56","modified_gmt":"2025-06-06T12:10:56","slug":"from","status":"publish","type":"page","link":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/","title":{"rendered":"Claim Form"},"content":{"rendered":"<p><code class=\"bg-text-200\/5 border border-0.5 border-border-300 text-danger-000 whitespace-pre-wrap rounded-[0.4rem] px-1 py-px text-[0.9rem]\">\n<style>   \n\n.ycm-field-error {\n  border-color: #2f2b2b !important;\n}\n<\/style>\n\n<div class=\"ycm-form-container\">\n    <div class=\"ycm-form-header\">\n        <h2>ASSISTANCE FORM<\/h2>\n        <p class=\"ycm-form-subtitle\">\n            FILL UP THIS MODULE ADDING AS MUCH INFO AS POSSIBLE<br>\n            RIEMPI IL MODULO AGGIUNGENDO PIU' INFORMAZIONI POSSIBILE        <\/p>\n    <\/div>\n    \n    <form id=\"yacht-claim-form\" class=\"ycm-form\" enctype=\"multipart\/form-data\">\n        <input type=\"hidden\" id=\"ycm_nonce_field\" name=\"ycm_nonce_field\" value=\"d7fa4dcc0e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/pages\/8\" \/>        \n        <div class=\"ycm-form-group\">\n            <label for=\"email\">Email *<\/label>\n            <input type=\"email\" id=\"email\" name=\"email\" class=\"ycm-form-control\" required>\n            <span class=\"ycm-help-text\">Il tuo indirizzo email<\/span>\n        <\/div>\n        \n        <div class=\"ycm-form-group\">\n            <label for=\"full_name\">FULL NAME\/NOME COMPLETO *<\/label>\n            <input type=\"text\" id=\"full_name\" name=\"full_name\" class=\"ycm-form-control\" required>\n        <\/div>\n        \n        <div class=\"ycm-form-row\">\n            <div class=\"ycm-form-group ycm-col-6\">\n                <label for=\"yacht_model\">YACHT MODEL\/MODELLO NAVE *<\/label>\n                <input type=\"text\" id=\"yacht_model\" name=\"yacht_model\" class=\"ycm-form-control\" required>\n            <\/div>\n            \n            <div class=\"ycm-form-group ycm-col-6\">\n                <label for=\"hull_number\">HULL NUMBER\/NUMERO SCAFO *<\/label>\n                <input type=\"text\" id=\"hull_number\" name=\"hull_number\" class=\"ycm-form-control\" required>\n            <\/div>\n        <\/div>\n        \n        <div class=\"ycm-form-group\">\n            <label for=\"yacht_location\">YACHT LOCATION\/DOVE TI TROVI *<\/label>\n            <input type=\"text\" id=\"yacht_location\" name=\"yacht_location\" class=\"ycm-form-control\" required>\n        <\/div>\n        \n        <div class=\"ycm-form-group\">\n            <label>WHAT'S YOUR ASSISTANCE REQUEST RELATED TO\/A COSA E' RIFERITO IL PROBLEMA *<\/label>\n            <div class=\"ycm-radio-group\">\n                                    <label class=\"ycm-radio-label\">\n                        <input type=\"radio\" name=\"claim_type\" value=\"electrical\" required>\n                        <span>IMPIANTO ELETTRICO \/ ELECTRICAL SYSTEM<\/span>\n                    <\/label>\n                                    <label class=\"ycm-radio-label\">\n                        <input type=\"radio\" name=\"claim_type\" value=\"navigation\" required>\n                        <span>ELETTRONICI &amp; COMUNICAZIONI \/ ELECTRONICS &amp; COMMUNICATIONS<\/span>\n                    <\/label>\n                                    <label class=\"ycm-radio-label\">\n                        <input type=\"radio\" name=\"claim_type\" value=\"monitoring\" required>\n                        <span>SISTEMA MONITORAGGIO \/ MONITORING SYSTEM<\/span>\n                    <\/label>\n                                    <label class=\"ycm-radio-label\">\n                        <input type=\"radio\" name=\"claim_type\" value=\"other\" required>\n                        <span>ALTRO \/ OTHER<\/span>\n                    <\/label>\n                            <\/div>\n        <\/div>\n        \n        <div class=\"ycm-form-group\">\n            <label for=\"claim_description\">DESCRIBE YOUR PROBLEM\/DESCRIVI IL PROBLEMA *<\/label>\n            <textarea id=\"claim_description\" name=\"claim_description\" class=\"ycm-form-control\" rows=\"5\" required><\/textarea>\n        <\/div>\n        \n        <div class=\"ycm-form-group\">\n            <label for=\"attachments\">ADD PICTURE\/AGGIUNGI FOTO<\/label>\n            <div class=\"ycm-file-upload\">\n                <input type=\"file\" id=\"attachments\" name=\"attachments[]\" class=\"ycm-file-input\" multiple accept=\".jpg,.jpeg,.png,.gif,.pdf\">\n                <label for=\"attachments\" class=\"ycm-file-label\">\n                    <span class=\"ycm-file-icon\">\ud83d\udcce<\/span>\n                    <span class=\"ycm-file-text\">Aggiungi file<\/span>\n                <\/label>\n                <div class=\"ycm-file-info\">\n                    Carica fino a 5 file. Tipi supportati: jpg,jpeg,png,gif,pdf. Massimo 10 MB per file.                <\/div>\n                <div class=\"ycm-file-preview\" id=\"file-preview\"><\/div>\n            <\/div>\n        <\/div>\n        \n        <div class=\"ycm-form-group\">\n            <label for=\"claim_date\">DATE\/DATA *<\/label>\n            <input type=\"date\" id=\"claim_date\" name=\"claim_date\" class=\"ycm-form-control\" required value=\"2026-08-27\">\n        <\/div>\n        \n        <div class=\"ycm-form-actions\">\n            <button type=\"submit\" class=\"ycm-btn ycm-btn-primary\">\n                <span class=\"ycm-btn-text\">Invia Richiesta<\/span>\n                <span class=\"ycm-btn-loading\" style=\"display: none;\">\n                    <span class=\"ycm-spinner\"><\/span>\n                    Invio in corso...                <\/span>\n            <\/button>\n        <\/div>\n    <\/form>\n    \n    <div id=\"form-messages\"><\/div>\n<\/div>\n\n<\/code><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":13,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-no-title","meta":{"footnotes":""},"class_list":["post-8","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/pages\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":2,"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/pages\/8\/revisions"}],"predecessor-version":[{"id":12,"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/pages\/8\/revisions\/12"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/media\/13"}],"wp:attachment":[{"href":"https:\/\/www.etssecurity.it\/seaenergyform\/wordpress\/wp-json\/wp\/v2\/media?parent=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}