{"id":3290,"date":"2025-04-03T14:50:37","date_gmt":"2025-04-03T14:50:37","guid":{"rendered":"https:\/\/pbuk.pl\/?page_id=3290"},"modified":"2025-10-17T13:37:10","modified_gmt":"2025-10-17T11:37:10","slug":"enquiry-about-the-perpetrators-insurer-abroad","status":"publish","type":"page","link":"https:\/\/pbuk.pl\/en\/postepowanie-w-razie-wypadku\/zapytanie-o-ubezpieczyciela-sprawcy-szkody-za-granica\/","title":{"rendered":"Inquiry regarding the party at fault\u2019s insurer (outside PL)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3290\" class=\"elementor elementor-3290\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b9dc33 e-flex e-con-boxed e-con e-parent\" data-id=\"0b9dc33\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2aa0b79 elementor-widget elementor-widget-template\" data-id=\"2aa0b79\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"container\" data-elementor-id=\"6345\" class=\"elementor elementor-6345\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5509023f e-flex e-con-boxed e-con e-parent\" data-id=\"5509023f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-546da10b elementor-widget elementor-widget-shortcode\" data-id=\"546da10b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><nav class=\"pbuk-breadcrumbs\" aria-label=\"breadcrumb\" itemscope itemtype=\"https:\/\/schema.org\/BreadcrumbList\"><ul><li itemprop=\"itemListElement\" itemscope itemtype=\"https:\/\/schema.org\/ListItem\"><a itemprop=\"item\" href=\"https:\/\/pbuk.pl\/en\/\"><span itemprop=\"name\">Strona g\u0142\u00f3wna<\/span><\/a><meta itemprop=\"position\" content=\"1\" \/><\/li><li class=\"sep\" aria-hidden=\"true\">><\/li><li itemprop=\"itemListElement\" itemscope itemtype=\"https:\/\/schema.org\/ListItem\"><span itemprop=\"name\">W razie wypadku<\/span><meta itemprop=\"position\" content=\"2\" \/><\/li><li class=\"sep\" aria-hidden=\"true\">><\/li><li itemprop=\"itemListElement\" itemscope itemtype=\"https:\/\/schema.org\/ListItem\"><span itemprop=\"name\">Zapytanie o ubezpieczyciela sprawcy wypadku za granic\u0105<\/span><meta itemprop=\"position\" content=\"3\" \/><\/li><\/ul><\/nav><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61d33934 e-flex e-con-boxed e-con e-parent\" data-id=\"61d33934\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-63056cf7 e-con-full e-flex e-con e-child\" data-id=\"63056cf7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3bc68e8 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3bc68e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ecc7448 elementor-widget elementor-widget-heading\" data-id=\"4ecc7448\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><h3>Zapytanie o ubezpieczyciela OC sprawcy szkody i jego reprezentanta do spraw roszcze\u0144 w kraju poszkodowanego.<\/h3>\n<p>Dotyczy szk\u00f3d, kt\u00f3re mia\u0142y miejsce w jednym z kraj\u00f3w <a href=\"#\" class=\"pbuk-popup-link\" data-popup-type=\"GC\" data-toggle=\"modal\" data-target=\"#pbukPopup\">Systemu Zielonej Karty<\/a>, spowodowanych przez pojazdy mechaniczne podlegaj\u0105ce obowi\u0105zkowi rejestracji, gdzie krajem zamieszkania poszkodowanego i krajem rejestracji pojazdu sprawcy by\u0142y kraje <a href=\"#\" class=\"pbuk-popup-link\" data-popup-type=\"EOG\" data-toggle=\"modal\" data-target=\"#pbukPopup\">EOG<\/a> lub Szwajcaria.<\/p>\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c66794f e-con-full e-flex e-con e-child\" data-id=\"c66794f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6d7ca837 elementor-widget elementor-widget-image\" data-id=\"6d7ca837\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"548\" src=\"https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/home-slider4-1024x701.webp\" class=\"attachment-large size-large wp-image-1251\" alt=\"\" srcset=\"https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/home-slider4-1024x701.webp 1024w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/home-slider4-300x205.webp 300w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/home-slider4-768x525.webp 768w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/home-slider4-1536x1051.webp 1536w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/home-slider4-18x12.webp 18w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/home-slider4.webp 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5ff5e38 e-flex e-con-boxed e-con e-parent\" data-id=\"5ff5e38\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f5dfb88 e-con-full e-flex e-con e-child\" data-id=\"f5dfb88\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-de5a365 elementor-position-left elementor-vertical-align-middle elementor-widget elementor-widget-image-box\" data-id=\"de5a365\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img decoding=\"async\" width=\"320\" height=\"320\" src=\"https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/zadania-icon.webp\" class=\"attachment-full size-full wp-image-756\" alt=\"\" srcset=\"https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/zadania-icon.webp 320w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/zadania-icon-300x300.webp 300w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/zadania-icon-150x150.webp 150w, https:\/\/pbuk.pl\/wp-content\/uploads\/2024\/11\/zadania-icon-12x12.webp 12w\" sizes=\"(max-width: 320px) 100vw, 320px\" \/><\/figure><div class=\"elementor-image-box-content\"><h2 class=\"elementor-image-box-title\">W razie wypadku<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a189df9 elementor-nav-menu--dropdown-none elementor-widget elementor-widget-nav-menu\" data-id=\"a189df9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;vertical&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; class=\\&quot;e-font-icon-svg e-fas-caret-down\\&quot; viewBox=\\&quot;0 0 320 512\\&quot; xmlns=\\&quot;http:\\\/\\\/www.w3.org\\\/2000\\\/svg\\&quot;&gt;&lt;path d=\\&quot;M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z\\&quot;&gt;&lt;\\\/path&gt;&lt;\\\/svg&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;}}\" 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   <h2 class=\"gform_title\">Zapytanie o ubezpieczyciela sprawcy wypadku za granic\u0105<\/h2>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/en\/wp-json\/wp\/v2\/pages\/3290#gf_1' data-formid='1' ><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_1\" \/>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>2<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_1_46\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_46'>Name<\/label><div class='ginput_container'><input name='input_46' id='input_1_46' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_46'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_1_36\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"box box-white border-yellow4\">\n<p>\n<strong>UWAGA:<\/strong> Formularz zawiera <b>blokady<\/b> ograniczaj\u0105ce mo\u017cliwo\u015b\u0107 <b>wyboru niekt\u00f3rych danych<\/b>. Poprawne wype\u0142nienie formularza jest mo\u017cliwe jedynie przy zachowaniu <b>w\u0142a\u015bciwej kolejno\u015bci<\/b> uzupe\u0142niania danych. Je\u015bli formularza nie mo\u017cna poprawnie wype\u0142ni\u0107, oznacza to, \u017ce <strong class=\"red\">nie ma on zastosowania do danego przypadku<\/strong>. W takiej sytuacji prosimy o <strong>przes\u0142anie pisemnego zapytania<\/strong> na adres: <a href=\"mailto:pbuk@pbuk.pl?subject=Zapytanie%20o%20ubezpieczyciela%20sprawcy%20szkody\">pbuk@pbuk.pl<\/a><\/p>\n<p>\nPodanie b\u0142\u0119dnych danych podczas wype\u0142niania formularza mo\u017ce skutkowa\u0107 udzieleniem niew\u0142a\u015bciwej odpowiedzi lub brakiem mo\u017cliwo\u015bci jej udzielenia.\n<\/p>\n<\/div>\n<p style=\"margin-bottom: 0rem;\">Pola oznaczone kolorem <span class=\"red\">czerwonym i gwiazdk\u0105 s\u0105 obowi\u0105zkowe<\/span> do wype\u0142nienia.<\/p><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Dane szkody<\/h3><\/div><div id=\"field_1_14\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_14'>Data zdarzenia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_14' id='input_1_14' type='text' value='' class='datepicker gform-datepicker dmy_dot datepicker_with_icon gdatepicker_with_icon'   placeholder='dd.mm.yyyy' aria-describedby=\"input_1_14_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_1_14_date_format' class='screen-reader-text'>DD dot MM dot YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_14' class='gform_hidden' value='https:\/\/pbuk.pl\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'>Kraj zdarzenia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_1_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- wybierz kraj --<\/option><option value='Albania' >Albania<\/option><option value='Andora' >Andora<\/option><option value='Austria' >Austria<\/option><option value='Azerbejd\u017can' >Azerbejd\u017can<\/option><option value='Belgia' >Belgia<\/option><option value='Bia\u0142oru\u015b' >Bia\u0142oru\u015b<\/option><option value='Bo\u015bnia i Hercegowina' >Bo\u015bnia i Hercegowina<\/option><option value='Bu\u0142garia' >Bu\u0142garia<\/option><option value='Chorwacja' >Chorwacja<\/option><option value='Cypr' >Cypr<\/option><option value='Czarnog\u00f3ra' >Czarnog\u00f3ra<\/option><option value='Czechy' >Czechy<\/option><option value='Dania' >Dania<\/option><option value='Estonia' >Estonia<\/option><option value='Finlandia' >Finlandia<\/option><option value='Francja' >Francja<\/option><option value='Grecja' >Grecja<\/option><option value='Hiszpania' >Hiszpania<\/option><option value='Holandia' >Holandia<\/option><option value='Iran' >Iran<\/option><option value='Irlandia' >Irlandia<\/option><option value='Islandia' >Islandia<\/option><option value='Izrael' >Izrael<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litwa' >Litwa<\/option><option value='Luksemburg' >Luksemburg<\/option><option value='\u0141otwa' >\u0141otwa<\/option><option value='Macedonia' >Macedonia<\/option><option value='Malta' >Malta<\/option><option value='Maroko' >Maroko<\/option><option value='Mo\u0142dowa' >Mo\u0142dowa<\/option><option value='Niemcy' >Niemcy<\/option><option value='Norwegia' >Norwegia<\/option><option value='Polska' >Polska<\/option><option value='Portugalia' >Portugalia<\/option><option value='Rosja' >Rosja<\/option><option value='Rumunia' >Rumunia<\/option><option value='Serbia' >Serbia<\/option><option value='S\u0142owacja' >S\u0142owacja<\/option><option value='S\u0142owenia' >S\u0142owenia<\/option><option value='Szwajcaria' >Szwajcaria<\/option><option value='Szwecja' >Szwecja<\/option><option value='Tunezja' >Tunezja<\/option><option value='Turcja' >Turcja<\/option><option value='Ukraina' >Ukraina<\/option><option value='W\u0119gry' >W\u0119gry<\/option><option value='Wielka Brytania' >Wielka Brytania<\/option><option value='W\u0142ochy' >W\u0142ochy<\/option><\/select><\/div><\/div><div data-fieldId=\"16\" class=\"spacer gfield\" style=\"grid-column: span 6;\" data-groupId=\"4d8616d6\"><\/div><div id=\"field_1_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Dane sprawcy<\/h3><\/div><div id=\"field_1_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_20'>Numer rejestracyjny pojazdu<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_1_20' type='text' value='' class='large' maxlength='15'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_21'>Marka pojazdu<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_1_21' type='text' value='' class='large' maxlength='15'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_19'>Kraj rejestracji pojazdu<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_1_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- wybierz kraj --<\/option><option value='Austria' >Austria<\/option><option value='Belgia' >Belgia<\/option><option value='Bu\u0142garia' >Bu\u0142garia<\/option><option value='Chorwacja' >Chorwacja<\/option><option value='Cypr' >Cypr<\/option><option value='Czechy' >Czechy<\/option><option value='Dania' >Dania<\/option><option value='Estonia' >Estonia<\/option><option value='Finlandia' >Finlandia<\/option><option value='Francja' >Francja<\/option><option value='Grecja' >Grecja<\/option><option value='Hiszpania' >Hiszpania<\/option><option value='Holandia' >Holandia<\/option><option value='Irlandia' >Irlandia<\/option><option value='Islandia' >Islandia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litwa' >Litwa<\/option><option value='Luksemburg' >Luksemburg<\/option><option value='\u0141otwa' >\u0141otwa<\/option><option value='Malta' >Malta<\/option><option value='Niemcy' >Niemcy<\/option><option value='Norwegia' >Norwegia<\/option><option value='Polska' >Polska<\/option><option value='Portugalia' >Portugalia<\/option><option value='Rumunia' >Rumunia<\/option><option value='S\u0142owacja' >S\u0142owacja<\/option><option value='S\u0142owenia' >S\u0142owenia<\/option><option value='Szwajcaria' >Szwajcaria<\/option><option value='Szwecja' >Szwecja<\/option><option value='W\u0119gry' >W\u0119gry<\/option><option value='Wielka Brytania' >Wielka Brytania<\/option><option value='W\u0142ochy' >W\u0142ochy<\/option><\/select><\/div><\/div><div id=\"field_1_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-five-twelfths field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_23'>Nazwa ubezpieczyciela<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_1_23' type='text' value='' class='large' maxlength='150' aria-describedby=\"gfield_description_1_23\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_23'>(o ile jest znana)<\/div><\/div><div id=\"field_1_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-five-twelfths field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_24'>Numer polisy ubezpieczenia<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_1_24' type='text' value='' class='large' maxlength='30' aria-describedby=\"gfield_description_1_24\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_24'>(o ile jest znany)<\/div><\/div><div id=\"field_1_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Dane poszkodowanego<\/h3><\/div><div id=\"field_1_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_25'>Kraj zamieszkania<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_1_25' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- wybierz kraj --<\/option><option value='Austria' >Austria<\/option><option value='Belgia' >Belgia<\/option><option value='Bu\u0142garia' >Bu\u0142garia<\/option><option value='Chorwacja' >Chorwacja<\/option><option value='Cypr' >Cypr<\/option><option value='Czechy' >Czechy<\/option><option value='Dania' >Dania<\/option><option value='Estonia' >Estonia<\/option><option value='Finlandia' >Finlandia<\/option><option value='Francja' >Francja<\/option><option value='Grecja' >Grecja<\/option><option value='Hiszpania' >Hiszpania<\/option><option value='Holandia' >Holandia<\/option><option value='Irlandia' >Irlandia<\/option><option value='Islandia' >Islandia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Litwa' >Litwa<\/option><option value='Luksemburg' >Luksemburg<\/option><option value='\u0141otwa' >\u0141otwa<\/option><option value='Malta' >Malta<\/option><option value='Niemcy' >Niemcy<\/option><option value='Norwegia' >Norwegia<\/option><option value='Polska' >Polska<\/option><option value='Portugalia' >Portugalia<\/option><option value='Rumunia' >Rumunia<\/option><option value='S\u0142owacja' >S\u0142owacja<\/option><option value='S\u0142owenia' >S\u0142owenia<\/option><option value='Szwajcaria' >Szwajcaria<\/option><option value='Szwecja' >Szwecja<\/option><option value='W\u0119gry' >W\u0119gry<\/option><option value='Wielka Brytania' >Wielka Brytania<\/option><option value='W\u0142ochy' >W\u0142ochy<\/option><\/select><\/div><\/div><div data-fieldId=\"25\" class=\"spacer gfield\" style=\"grid-column: span 8;\" data-groupId=\"b4324e0b\"><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Dane kontaktowe wnioskodawcy<\/h3><\/div><fieldset id=\"field_1_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Osoba fizyczna \/ Firma<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_28'>\n\t\t\t<div class='gchoice gchoice_1_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='1'  id='choice_1_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_28_0' id='label_1_28_0' class='gform-field-label gform-field-label--type-inline'>Osoba fizyczna<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='2'  id='choice_1_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_28_1' id='label_1_28_1' class='gform-field-label gform-field-label--type-inline'>Firma<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_37'>Imi\u0119<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_1_37' type='text' value='' class='large' maxlength='150'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_38'>Nazwisko<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_1_38' type='text' value='' class='large' maxlength='150'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_30'>Nazwa firmy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_1_30' type='text' value='' class='large' maxlength='150'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_31'>Numer sprawy wnioskodawcy<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_1_31' type='text' value='' class='large' maxlength='40'     aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Preferowany spos\u00f3b udzielenia odpowiedzi<\/h3><\/div><fieldset id=\"field_1_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Preferowany kontakt<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_32'>\n\t\t\t<div class='gchoice gchoice_1_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='1'  id='choice_1_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_0' id='label_1_32_0' class='gform-field-label gform-field-label--type-inline'>Poczta elektroniczna<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='2'  id='choice_1_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_1' id='label_1_32_1' class='gform-field-label gform-field-label--type-inline'>Poczta tradycyjna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-seven-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_41'>Ulica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_1_41' type='text' value='' class='large' maxlength='100'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-five-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_42'>Numer domu\/mieszkania<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_1_42' type='text' value='' class='large' maxlength='20'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-seven-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_43'>Miasto<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_1_43' type='text' value='' class='large' maxlength='150'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-five-twelfths gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_45'>Kod pocztowy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_1_45' type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_2'>Adres e-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_1_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/ minlength=\"6\" maxlength=\"150\" data-has-counter=\"1\" aria-describedby=\"input_1_2_counter\">\n                        <div id=\"input_1_2_counter\" class=\"ginput_counter\" data-min=\"6\" data-max=\"150\"><span class=\"ginput_counter_current\">0<\/span> z 150 maksymalnej ilo\u015bci znak\u00f3w<\/div><\/div><\/div><div id=\"field_1_29\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_29'>Numer telefonu<\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_1_29' type='tel' value='' class='large'    aria-invalid=\"false\"   \/ minlength=\"9\" maxlength=\"20\" data-has-counter=\"1\" aria-describedby=\"input_1_29_counter\"><div id=\"input_1_29_counter\" class=\"ginput_counter\" data-min=\"9\" data-max=\"20\"><span class=\"ginput_counter_current\">0<\/span> z 20 maksymalnej ilo\u015bci znak\u00f3w<\/div><\/div><\/div><div id=\"field_1_33\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">O\u015bwiadczenia<\/h3><\/div><fieldset id=\"field_1_34\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >O\u015bwiadczam, \u017ce jestem osob\u0105 poszkodowan\u0105 w w\/w zdarzeniu (lub pe\u0142nomocnikiem osoby poszkodowanej)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_34.1' id='input_1_34_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_34_1' >O\u015bwiadczam, \u017ce jestem osob\u0105 poszkodowan\u0105 w w\/w zdarzeniu (lub pe\u0142nomocnikiem osoby poszkodowanej). <b class=\"red\">Potwierdzenie tego o\u015bwiadczenia jest wymagane do wys\u0142ania formularza.<\/b><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_34.2' value='O\u015bwiadczam, \u017ce jestem osob\u0105 poszkodowan\u0105 w w\/w zdarzeniu (lub pe\u0142nomocnikiem osoby poszkodowanej). &lt;b class=&quot;red&quot;&gt;Potwierdzenie tego o\u015bwiadczenia jest wymagane do wys\u0142ania formularza.&lt;\/b&gt;' class='gform_hidden' \/><input type='hidden' name='input_34.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_1_35\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >O\u015bwiadczam, \u017ce zapozna\u0142em si\u0119 z informacj\u0105 o przetwarzaniu danych osobowych przez PBUK.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_35.1' id='input_1_35_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_35_1' >O\u015bwiadczam, \u017ce zapozna\u0142em si\u0119 z informacj\u0105 o przetwarzaniu danych osobowych przez PBUK. Wi\u0119cej informacji znajdziesz na tej <a href=\"\/o-nas\/ochrona-danych-osobowych\" target=\"_blank\" rel=\"noopener\">stronie<\/a>. <b  class=\"red\">Potwierdzenie tego o\u015bwiadczenia jest wymagane do wys\u0142ania formularza.<\/b><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_35.2' value='O\u015bwiadczam, \u017ce zapozna\u0142em si\u0119 z informacj\u0105 o przetwarzaniu danych osobowych przez PBUK. Wi\u0119cej informacji znajdziesz na tej &lt;a href=&quot;\/o-nas\/ochrona-danych-osobowych&quot; target=&quot;_blank&quot; rel=&quot;noopener&quot;&gt;stronie&lt;\/a&gt;. &lt;b  class=&quot;red&quot;&gt;Potwierdzenie tego o\u015bwiadczenia jest wymagane do wys\u0142ania formularza.&lt;\/b&gt;' class='gform_hidden' \/><input type='hidden' name='input_35.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_39' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Dalej'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-39' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_1_40\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Podsumowanie formularza<\/h3>\n{all_fields:nohidden}<\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Wstecz'  \/> <input type='submit' id='gform_submit_button_1' class='gform_button button gform-button--width-full' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Wy\u015blij'  \/> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=1&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=b812ec81053a019ae3dbdb8b4f68ef8c' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='PLN' value='a2yhvNp\/amYQdDEiDRR+pwEMACbu\/zI+e19B\/SiXTo7SGhuxsbv0GxFJoC+K6UzAiARSEeBBK+py5ZfgdCxNi+PRbPzJu2PTstJuyUsrau75xk0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' value='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' \/>\n            <input type='hidden' autocomplete='off' 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