{"id":29913,"date":"2026-09-15T14:51:21","date_gmt":"2026-09-15T12:51:21","guid":{"rendered":"https:\/\/adapeipapillonsblancs.alsace\/?page_id=29913"},"modified":"2026-09-15T14:52:23","modified_gmt":"2026-09-15T12:52:23","slug":"fiche-saisine-mas-dom67","status":"publish","type":"page","link":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/","title":{"rendered":"Fiche saisine MAS \u00e0 Dom 67"},"content":{"rendered":"\n[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.8&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.8&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.8&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][wpforms_selector form_id=\u00a0\u00bb29905&Prime; _builder_version=\u00a0\u00bb4.27.8&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/wpforms_selector][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<div class=\"et_pb_module wpforms_selector wpforms_selector_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-29905\">\n\t\t\t\t#wpforms-29905 {\n\t\t\t\t--wpforms-container-padding: 0px;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-radius: 3px;\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-29905\"><form id=\"wpforms-form-29905\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"29905\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/29913\" data-token=\"ab8c8a921992b27608002ee6049c7d0b\" data-token-time=\"1792115918\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-29905-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Personne concern\u00e9e <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-29905-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-29905-field_1-error\" required><label for=\"wpforms-29905-field_1\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-29905-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-29905-field_1-last-error\" required><label for=\"wpforms-29905-field_1-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-29905-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_2\">Date de naissance <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-29905-field_2-error\" required><\/div><div id=\"wpforms-29905-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_3\">Adresse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-29905-field_3-error\" required><\/div><div id=\"wpforms-29905-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Situation <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-29905-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_5_1\" name=\"wpforms[fields][5]\" value=\"Vit seul(e) \u00e0 domicile\" aria-errormessage=\"wpforms-29905-field_5_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_5_1\">Vit seul(e) \u00e0 domicile<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_5_2\" name=\"wpforms[fields][5]\" value=\"Vit dans sa famille\" aria-errormessage=\"wpforms-29905-field_5_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_5_2\">Vit dans sa famille<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_5_3\" name=\"wpforms[fields][5]\" value=\"Vit en ESMS\" aria-errormessage=\"wpforms-29905-field_5_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_5_3\">Vit en ESMS<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_5_4\" name=\"wpforms[fields][5]\" value=\"Autre\" aria-errormessage=\"wpforms-29905-field_5_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_5_4\">Autre<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-29905-field_6-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Est inform\u00e9(e) de la saisine de l&#039;\u00e9quipe MAS \u00e0 Dom 67 ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-29905-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_6_1\" name=\"wpforms[fields][6][]\" value=\"Oui\" aria-errormessage=\"wpforms-29905-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_6_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_6_2\" name=\"wpforms[fields][6][]\" value=\"Non\" aria-errormessage=\"wpforms-29905-field_6_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_6_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-29905-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Est d&#039;accord que l&#039;\u00e9quipe MAS \u00e0 Dom 67 intervienne ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-29905-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Oui\" aria-errormessage=\"wpforms-29905-field_7_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_7_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_7_2\" name=\"wpforms[fields][7][]\" value=\"Non\" aria-errormessage=\"wpforms-29905-field_7_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_7_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-29905-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Mesure de protection juridique ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-29905-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Oui\" aria-errormessage=\"wpforms-29905-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_8_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Non\" aria-errormessage=\"wpforms-29905-field_8_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_8_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-29905-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_9\">Type de protection et Repr\u00e9sentant l\u00e9gal (Nom, Pr\u00e9nom, T\u00e9l, E-mail, Adresse) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-29905-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-29905-field_9-error\" required><\/textarea><\/div><div id=\"wpforms-29905-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Reconnaissance MDPH ? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-29905-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_10_1\" name=\"wpforms[fields][10][]\" value=\"Oui\" aria-errormessage=\"wpforms-29905-field_10_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_10_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_10_2\" name=\"wpforms[fields][10][]\" value=\"Non\" aria-errormessage=\"wpforms-29905-field_10_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_10_2\">Non<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_10_4\" name=\"wpforms[fields][10][]\" value=\"En cours\" aria-errormessage=\"wpforms-29905-field_10_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_10_4\">En cours<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-29905-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_12\">N\u00b0 de dossier MDPH <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-29905-field_12-error\" required><\/div><div id=\"wpforms-29905-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Nom du demandeur <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-29905-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" aria-errormessage=\"wpforms-29905-field_13-error\" required><label for=\"wpforms-29905-field_13\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-29905-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" aria-errormessage=\"wpforms-29905-field_13-last-error\" required><label for=\"wpforms-29905-field_13-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-29905-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Qualit\u00e9<\/legend><ul id=\"wpforms-29905-field_14\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_14_1\" name=\"wpforms[fields][14]\" value=\"Personne concern\u00e9e\" aria-errormessage=\"wpforms-29905-field_14_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_14_1\">Personne concern\u00e9e<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_14_2\" name=\"wpforms[fields][14]\" value=\"Professionnel\" aria-errormessage=\"wpforms-29905-field_14_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_14_2\">Professionnel<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_14_3\" name=\"wpforms[fields][14]\" value=\"Repr\u00e9sentant l\u00e9gal\" aria-errormessage=\"wpforms-29905-field_14_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_14_3\">Repr\u00e9sentant l\u00e9gal<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_14_4\" name=\"wpforms[fields][14]\" value=\"Aidant\" aria-errormessage=\"wpforms-29905-field_14_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_14_4\">Aidant<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-29905-field_14_5\" name=\"wpforms[fields][14]\" value=\"Autre\" aria-errormessage=\"wpforms-29905-field_14_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_14_5\">Autre<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-29905-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_26\">Fonction \/ Lien avec la personne\u202f <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" aria-errormessage=\"wpforms-29905-field_26-error\" required><\/div><div id=\"wpforms-29905-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_18\">Type ESMS \/ service <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-29905-field_18-error\" required><\/div><div id=\"wpforms-29905-field_16-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_16\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-29905-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" spellcheck=\"false\" aria-errormessage=\"wpforms-29905-field_16-error\" required><\/div>\t\t<div id=\"wpforms-29905-field_4-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"4\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-29905-field_4\" >Motif ? juridique<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-29905-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-29905-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_19\">T\u00e9l\u00e9phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_19\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"9999999999\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-29905-field_19-error\" required><\/div><div id=\"wpforms-29905-field_20-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"20\"><fieldset><legend class=\"wpforms-field-label\">Nom de la personne ressource <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-29905-field_20\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][20][first]\" aria-errormessage=\"wpforms-29905-field_20-error\" required><label for=\"wpforms-29905-field_20\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-29905-field_20-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][20][last]\" aria-errormessage=\"wpforms-29905-field_20-last-error\" required><label for=\"wpforms-29905-field_20-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-29905-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_21\">Fonction \/ Lien avec la personne <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-29905-field_21-error\" required><\/div><div id=\"wpforms-29905-field_22-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_22\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-29905-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" spellcheck=\"false\" aria-errormessage=\"wpforms-29905-field_22-error\" required><\/div><div id=\"wpforms-29905-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_23\">T\u00e9l\u00e9phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-29905-field_23\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"9999999999\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-29905-field_23-error\" required><\/div><div id=\"wpforms-29905-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-29905-field_24\">Motif de la demande et attentes vis-\u00e0-vis du service\u202f:  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-29905-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-29905-field_24-error\" required><\/textarea><\/div><div id=\"wpforms-29905-field_25-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Consentement RGPD <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-29905-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-29905-field_25_1\" name=\"wpforms[fields][25][]\" value=\"\u00ab J&#039;atteste de l&#039;exactitude des informations transmises et j&#039;accepte que ces donn\u00e9es soient trait\u00e9es par l&#039;\u00e9quipe MAS \u00e0 Dom 67 dans le cadre de l&#039;instruction de cette saisine. \u00bb\" aria-errormessage=\"wpforms-29905-field_25_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-29905-field_25_1\">\u00ab J'atteste de l'exactitude des informations transmises et j'accepte que ces donn\u00e9es soient trait\u00e9es par l'\u00e9quipe MAS \u00e0 Dom 67 dans le cadre de l'instruction de cette saisine. \u00bb<\/label><\/li><\/ul><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-29905-field_4-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-29905-field_4-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-29905-field_4-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"29905\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1792115918.d5d46ce9d57dc1398ad12d92d81f3c9a633b055f3924755c32561f5add3d8372\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/pages\/29913\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-29905\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/adapeipapillonsblancs.alsace\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-29913","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fiche saisine MAS \u00e0 Dom 67 - Adapei Papillons Blancs d&#039;Alsace<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fiche saisine MAS \u00e0 Dom 67 - Adapei Papillons Blancs d&#039;Alsace\" \/>\n<meta property=\"og:url\" content=\"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/\" \/>\n<meta property=\"og:site_name\" content=\"Adapei Papillons Blancs d&#039;Alsace\" \/>\n<meta property=\"article:modified_time\" content=\"2026-09-15T12:52:23+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"[wpforms_selector form_id=&quot;29905&quot; _builder_version=&quot;4.27.8&quot; _module_preset=&quot;default&quot; hover_enabled=&quot;0&quot; global_colors_info=&quot;{}&quot; sticky_enabled=&quot;0&quot;][\/wpforms_selector]\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Fiche saisine MAS \u00e0 Dom 67 - Adapei Papillons Blancs d&#039;Alsace","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/","og_locale":"fr_FR","og_type":"article","og_title":"Fiche saisine MAS \u00e0 Dom 67 - Adapei Papillons Blancs d&#039;Alsace","og_url":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/","og_site_name":"Adapei Papillons Blancs d&#039;Alsace","article_modified_time":"2026-09-15T12:52:23+00:00","twitter_card":"summary_large_image","twitter_description":"[wpforms_selector form_id=\"29905\" _builder_version=\"4.27.8\" _module_preset=\"default\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"][\/wpforms_selector]","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/","url":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/","name":"Fiche saisine MAS \u00e0 Dom 67 - Adapei Papillons Blancs d&#039;Alsace","isPartOf":{"@id":"https:\/\/adapeipapillonsblancs.alsace\/#website"},"datePublished":"2026-09-15T12:51:21+00:00","dateModified":"2026-09-15T12:52:23+00:00","breadcrumb":{"@id":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/fiche-saisine-mas-dom67\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/adapeipapillonsblancs.alsace\/"},{"@type":"ListItem","position":2,"name":"Fiche saisine MAS \u00e0 Dom 67"}]},{"@type":"WebSite","@id":"https:\/\/adapeipapillonsblancs.alsace\/#website","url":"https:\/\/adapeipapillonsblancs.alsace\/","name":"Adapei Papillons Blancs d&#039;Alsace","description":"Ensemble, plus loin, plus fort !","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/adapeipapillonsblancs.alsace\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/pages\/29913","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/comments?post=29913"}],"version-history":[{"count":3,"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/pages\/29913\/revisions"}],"predecessor-version":[{"id":29917,"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/pages\/29913\/revisions\/29917"}],"wp:attachment":[{"href":"https:\/\/adapeipapillonsblancs.alsace\/index.php\/wp-json\/wp\/v2\/media?parent=29913"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}