{"id":28294,"date":"2020-12-07T07:38:05","date_gmt":"2020-12-07T15:38:05","guid":{"rendered":"https:\/\/scsonline.ca\/?page_id=28294"},"modified":"2024-04-17T07:33:06","modified_gmt":"2024-04-17T11:33:06","slug":"application-dsoer-fr","status":"publish","type":"page","link":"https:\/\/scsonline.ca\/fr\/intake\/application-dsoer-fr\/","title":{"rendered":"Application DSOER FR"},"content":{"rendered":"<h1>Application SOPDIRE<\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-25251 aligncenter\" src=\"https:\/\/scsonline.ca\/wp-content\/uploads\/2017\/03\/SOPDI_ER.png\" alt=\"\" width=\"418\" height=\"173\" srcset=\"https:\/\/scsonline.ca\/wp-content\/uploads\/2017\/03\/SOPDI_ER.png 418w, https:\/\/scsonline.ca\/wp-content\/uploads\/2017\/03\/SOPDI_ER-300x124.png 300w\" sizes=\"auto, (max-width: 418px) 100vw, 418px\" \/><\/p>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_2'  action=\"\/fr\/wp-json\/wp\/v2\/pages\/28294\" data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_2_2\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >D\u00e9sirez-vous recevoir une copie du formulaire par courriel? Si oui, veuillez inscrire votre courriel ci-dessous:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_2'>\n\t\t\t<li class='gchoice gchoice_2_2_0'>\n\t\t\t\t<input name='input_2' type='radio' value='Oui'  id='choice_2_2_0'    \/>\n\t\t\t\t<label for='choice_2_2_0' id='label_2_2_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_2_1'>\n\t\t\t\t<input name='input_2' type='radio' value='Non'  id='choice_2_2_1'    \/>\n\t\t\t\t<label for='choice_2_2_1' id='label_2_2_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_1\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_1'>Adresse courriel<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_1' id='input_2_1' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_3\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Si vous avez besoin d'aide pour remplir ce formulaire, veuillez nous envoyer un courriel \u00e0 <a href=\"mailto:admin@dsoer.ca\">admin@dsoer.ca<\/a>\n\n<\/li><li id=\"field_2_64\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>\n<strong>Si, \u00e0 un moment ou un autre, vous avez besoin de plus de temps pour rassembler la documentation n\u00e9cessaire en compl\u00e9tant le formulaire, vous pouvez d\u00e9filer au bas de la page et s\u00e9lectionner \u00abEnregistrer et continuer plus tard\u00bb. Nous vous fournirons un lien sp\u00e9cial qui vous permettra de terminer le formulaire sans avoir \u00e0 compl\u00e9ter \u00e0 nouveau les champs.<\/strong><\/p>\n<\/p><\/li><li id=\"field_2_4\" class=\"gfield gfield--type-section gfield--input-type-section gsection sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SECTION 1 - \u00c0 : SERVICES DE L\u2019ONTARIO POUR LES PERSONNES AYANT UNE D\u00c9FICIENCE INTELLECTUELLE, R\u00c9GION DE L\u2019EST<\/h2><\/li><li id=\"field_2_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >R\u00e9f\u00e9r\u00e9 par une agence:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_5'>\n\t\t\t<li class='gchoice gchoice_2_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Oui'  id='choice_2_5_0'    \/>\n\t\t\t\t<label for='choice_2_5_0' id='label_2_5_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Non'  id='choice_2_5_1'    \/>\n\t\t\t\t<label for='choice_2_5_1' id='label_2_5_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_6\" class=\"gfield gfield--type-text gfield--input-type-text sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>Nom de l\u2019agence:<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_2_6' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_7\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_third sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>Nom de la personne contact:<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_2_7' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_10\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_middle_third sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_10'>T\u00e9l\u00e9phone de la personne contact:<\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_2_10' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_11\" class=\"gfield gfield--type-email gfield--input-type-email gf_middle_third sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'>Courriel de la personne contact:<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_2_11' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SECTION 2 - CONSENTEMENT ET DOCUMENTS D\u2019APPUI<\/h2><\/li><li id=\"field_2_13\" class=\"gfield gfield--type-select gfield--input-type-select sectiongreen gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_13'>PROCESSUS DE PRISE DE DECISION DE LA PERSONNE:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_2_13' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >S\u00e9lectionnez une r\u00e9ponse<\/option><option value='La personne prend ses propres d\u00e9cisions' >La personne prend ses propres d\u00e9cisions<\/option><option value='La personne prend des d\u00e9cisions avec le soutien de ses proches' >La personne prend des d\u00e9cisions avec le soutien de ses proches<\/option><option value='La personne a un mandataire sp\u00e9cial' >La personne a un mandataire sp\u00e9cial<\/option><\/select><\/div><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-name gfield--input-type-name sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Mandataire sp\u00e9cial<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_15'>\n                            \n                            <span id='input_2_15_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.3' id='input_2_15_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_15_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_15_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.6' id='input_2_15_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_15_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >EST-CE QUE LA PERSONNE (ou sa personne-contact principale) ACCEPTE D&#039;\u00caTRE R\u00c9F\u00c9R\u00c9E \u00c0 SOPDIRE?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_14'>\n\t\t\t<li class='gchoice gchoice_2_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Oui'  id='choice_2_14_0'    \/>\n\t\t\t\t<label for='choice_2_14_0' id='label_2_14_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='Non'  id='choice_2_14_1'    \/>\n\t\t\t\t<label for='choice_2_14_1' id='label_2_14_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_19\" class=\"gfield gfield--type-html gfield--input-type-html sectiongreen gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Si vous avez r\u00e9pondu OUI, veuillez compl\u00e9ter le <a href=\"https:\/\/scsonline.ca\/wp-content\/uploads\/2023\/05\/Service-Coordination-Soutien-French-Consent-with-highlights.pdf\" target=\"_blank\">formulaire de consentement <\/a> formulaire de consentement avec la personne, et t\u00e9l\u00e9charger le formulaire sign\u00e9 ci-dessous.<br>Si vous souhaitez profiter des champs de signature num\u00e9rique, vous devrez t\u00e9l\u00e9charger Adobe Acrobat. Ceci est un t\u00e9l\u00e9chargement gratuit : <a href=\"https:\/\/get.adobe.com\/reader\/\"target=\"_blank\">Obtenez Acrobat Reader.<\/a>\n<\/li><li id=\"field_2_18\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'>T\u00e9l\u00e9charger le formulaire de consentement<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='67108864' \/><input name='input_18' id='input_2_18' type='file' class='medium' aria-describedby=\"gfield_upload_rules_2_18\" onchange='javascript:gformValidateFileSize( this, 67108864 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_18'>Taille max. des fichiers\u00a0: 64 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_18'><\/div> <\/div><\/li><li id=\"field_2_17\" class=\"gfield gfield--type-textarea gfield--input-type-textarea sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'>Si vous avez r\u00e9pondu NON, s\u2019il-vous-pla\u00eet veuillez \u00e9laborer:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_2_17' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SECTION 3 - RENSEIGNEMENTS SUR LA PERSONNE QUI DEMANDE DES SERVICES ET SOUTIENS: (Le demandeur)<\/h2><\/li><li id=\"field_2_21\" class=\"gfield gfield--type-name gfield--input-type-name gf_list_inline sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_2_21'>\n                            \n                            <span id='input_2_21_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.3' id='input_2_21_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_21_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_2_21_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.4' id='input_2_21_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_21_4' class='gform-field-label gform-field-label--type-sub '>Deuxi\u00e8me nom<\/label>\n                                                <\/span>\n                            <span id='input_2_21_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_21.6' id='input_2_21_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_21_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_22\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'>Date de naissance<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_22' id='input_2_22' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_2_22_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_22_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_22' class='gform_hidden' value='https:\/\/scsonline.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_2_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_right_half gf_list_inline sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Genre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_23'>\n\t\t\t<li class='gchoice gchoice_2_23_0'>\n\t\t\t\t<input name='input_23' type='radio' value='Femme'  id='choice_2_23_0'    \/>\n\t\t\t\t<label for='choice_2_23_0' id='label_2_23_0' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_23_1'>\n\t\t\t\t<input name='input_23' type='radio' value='Homme'  id='choice_2_23_1'    \/>\n\t\t\t\t<label for='choice_2_23_1' id='label_2_23_1' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_23_2'>\n\t\t\t\t<input name='input_23' type='radio' value='Inconnu'  id='choice_2_23_2'    \/>\n\t\t\t\t<label for='choice_2_23_2' id='label_2_23_2' class='gform-field-label gform-field-label--type-inline'>Inconnu<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_23_3'>\n\t\t\t\t<input name='input_23' type='radio' value='Non Communiqu\u00e9'  id='choice_2_23_3'    \/>\n\t\t\t\t<label for='choice_2_23_3' id='label_2_23_3' class='gform-field-label gform-field-label--type-inline'>Non Communiqu\u00e9<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Je confirme que la personne qui requiert des services et soutiens est \u00e2g\u00e9e de 16 ans ou plus:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_24'>\n\t\t\t<li class='gchoice gchoice_2_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='Oui'  id='choice_2_24_0'    \/>\n\t\t\t\t<label for='choice_2_24_0' id='label_2_24_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='Non'  id='choice_2_24_1'    \/>\n\t\t\t\t<label for='choice_2_24_1' id='label_2_24_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >La personne est-elle identifi\u00e9e comme un jeune en transition (TAY)  (recevant des soins prolong\u00e9s aupr\u00e8s de la Soci\u00e9t\u00e9 d\u2019aide \u00e0 l\u2019enfance) ou un jeune ayant des besoins sp\u00e9ciaux complexes (CSN)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_70'>\n\t\t\t<li class='gchoice gchoice_2_70_0'>\n\t\t\t\t<input name='input_70' type='radio' value='Oui'  id='choice_2_70_0'    \/>\n\t\t\t\t<label for='choice_2_70_0' id='label_2_70_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_70_1'>\n\t\t\t\t<input name='input_70' type='radio' value='Non'  id='choice_2_70_1'    \/>\n\t\t\t\t<label for='choice_2_70_1' id='label_2_70_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_25\" class=\"gfield gfield--type-html gfield--input-type-html sectionblue gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span style=\"color:red;\">Le formulaire peut seulement \u00eatre rempli pour les personnes dont l'\u00e2ge est de 16 ans ou plus\n<\/span><\/li><li id=\"field_2_26\" class=\"gfield gfield--type-address gfield--input-type-address sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_2_26' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_26_1_container' >\n                                        <input type='text' name='input_26.1' id='input_2_26_1' value=''    aria-required='true'    \/>\n                                        <label for='input_2_26_1' id='input_2_26_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse de rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_2_26_2_container' >\n                                        <input type='text' name='input_26.2' id='input_2_26_2' value=''     aria-required='false'   \/>\n                                        <label for='input_2_26_2' id='input_2_26_2_label' class='gform-field-label gform-field-label--type-sub '>Num\u00e9ro d'unit\u00e9<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_26_3_container' >\n                                    <input type='text' name='input_26.3' id='input_2_26_3' value=''    aria-required='true'    \/>\n                                    <label for='input_2_26_3' id='input_2_26_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_26_4_container' >\n                                        <select name='input_26.4' id='input_2_26_4'     aria-required='true'    ><option value='' ><\/option><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' selected='selected'>Ontario<\/option><option value='\u00cele du Prince-\u00c9douard' >\u00cele du Prince-\u00c9douard<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_2_26_4' id='input_2_26_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_26_5_container' >\n                                    <input type='text' name='input_26.5' id='input_2_26_5' value=''    aria-required='true'    \/>\n                                    <label for='input_2_26_5' id='input_2_26_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_26.6' id='input_2_26_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_2_27\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_27'>R\u00e9gion: (S\u00e9lectionnez une r\u00e9gion)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_2_27' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Choisir<\/option><option value='Ottawa' >Ottawa<\/option><option value='Comt\u00e9 de Renfrew' >Comt\u00e9 de Renfrew<\/option><option value='Comt\u00e9s unis de Stormont, Dundas et Glengarry' >Comt\u00e9s unis de Stormont, Dundas et Glengarry<\/option><option value='Comt\u00e9s unis de Prescott-Russell' >Comt\u00e9s unis de Prescott-Russell<\/option><\/select><\/div><\/li><li id=\"field_2_28\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_28'>Nom de jeune fille de la m\u00e8re:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_2_28' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_29\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_29'>T\u00e9l\u00e9phone \u00e0 la maison<\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_2_29' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_30\" class=\"gfield gfield--type-email gfield--input-type-email gf_right_half sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_30'>Adresse courriel<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_30' id='input_2_30' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_31\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_31'>T\u00e9l\u00e9phone au travail<\/label><div class='ginput_container ginput_container_phone'><input name='input_31' id='input_2_31' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_32\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_right_half sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_32'>T\u00e9l\u00e9phone cellulaire<\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_2_32' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gf_list_inline sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Langue pr\u00e9f\u00e9r\u00e9e<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_33'>\n\t\t\t<li class='gchoice gchoice_2_33_0'>\n\t\t\t\t<input name='input_33' type='radio' value='Fran\u00e7ais'  id='choice_2_33_0'    \/>\n\t\t\t\t<label for='choice_2_33_0' id='label_2_33_0' class='gform-field-label gform-field-label--type-inline'>Fran\u00e7ais<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_33_1'>\n\t\t\t\t<input name='input_33' type='radio' value='Anglais'  id='choice_2_33_1'    \/>\n\t\t\t\t<label for='choice_2_33_1' id='label_2_33_1' class='gform-field-label gform-field-label--type-inline'>Anglais<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_34\" class=\"gfield gfield--type-select gfield--input-type-select gf_right_half sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_34'>\u00c9tat civil<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_2_34' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Choisir<\/option><option value='C\u00e9libataire' >C\u00e9libataire<\/option><option value='Mari\u00e9' >Mari\u00e9<\/option><option value='Veuf' >Veuf<\/option><option value='S\u00e9par\u00e9' >S\u00e9par\u00e9<\/option><option value='Divorc\u00e9' >Divorc\u00e9<\/option><option value='Conjoint' >Conjoint<\/option><option value='Conjoint de fait' >Conjoint de fait<\/option><\/select><\/div><\/li><li id=\"field_2_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gf_list_inline sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Interpr\u00e8te n\u00e9cessaire<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_35'>\n\t\t\t<li class='gchoice gchoice_2_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Oui'  id='choice_2_35_0'    \/>\n\t\t\t\t<label for='choice_2_35_0' id='label_2_35_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='Non'  id='choice_2_35_1'    \/>\n\t\t\t\t<label for='choice_2_35_1' id='label_2_35_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_36\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>Pr\u00e9cisez la Langue<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_2_36' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_37\" class=\"gfield gfield--type-section gfield--input-type-section gsection sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SECTION 4 - PERSONNE-CONTACT PRINCIPALE AVEC LAQUELLE COMMUNIQUER:<\/h2><\/li><li id=\"field_2_38\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_half sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nom<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_38'>\n                            \n                            <span id='input_2_38_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_38.3' id='input_2_38_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_38_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_38_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_38.6' id='input_2_38_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_2_38_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_39\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_39'>Relation avec la personne<\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_2_39' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Adresse identique \u00e0 la personne qui s&#039;incrit ci-dessus?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_40'>\n\t\t\t<li class='gchoice gchoice_2_40_0'>\n\t\t\t\t<input name='input_40' type='radio' value='Oui'  id='choice_2_40_0'    \/>\n\t\t\t\t<label for='choice_2_40_0' id='label_2_40_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_40_1'>\n\t\t\t\t<input name='input_40' type='radio' value='Non'  id='choice_2_40_1'    \/>\n\t\t\t\t<label for='choice_2_40_1' id='label_2_40_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_41\" class=\"gfield gfield--type-address gfield--input-type-address sectiongreen gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_2_41' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_41_1_container' >\n                                        <input type='text' name='input_41.1' id='input_2_41_1' value=''    aria-required='true'    \/>\n                                        <label for='input_2_41_1' id='input_2_41_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse de rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_2_41_2_container' >\n                                        <input type='text' name='input_41.2' id='input_2_41_2' value=''     aria-required='false'   \/>\n                                        <label for='input_2_41_2' id='input_2_41_2_label' class='gform-field-label gform-field-label--type-sub '>Num\u00e9ro d'unit\u00e9<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_41_3_container' >\n                                    <input type='text' name='input_41.3' id='input_2_41_3' value=''    aria-required='true'    \/>\n                                    <label for='input_2_41_3' id='input_2_41_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_41_4_container' >\n                                        <select name='input_41.4' id='input_2_41_4'     aria-required='true'    ><option value='' ><\/option><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' selected='selected'>Ontario<\/option><option value='\u00cele du Prince-\u00c9douard' >\u00cele du Prince-\u00c9douard<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_2_41_4' id='input_2_41_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_41_5_container' >\n                                    <input type='text' name='input_41.5' id='input_2_41_5' value=''    aria-required='true'    \/>\n                                    <label for='input_2_41_5' id='input_2_41_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_41.6' id='input_2_41_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_2_67\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half sectiongreen gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_67'>R\u00e9gion: (S\u00e9lectionnez une r\u00e9gion)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_2_67' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Choisir<\/option><option value='Ottawa' >Ottawa<\/option><option value='Comt\u00e9 de Renfrew' >Comt\u00e9 de Renfrew<\/option><option value='Comt\u00e9s unis de Stormont, Dundas et Glengarry' >Comt\u00e9s unis de Stormont, Dundas et Glengarry<\/option><option value='Comt\u00e9s unis de Prescott-Russell' >Comt\u00e9s unis de Prescott-Russell<\/option><\/select><\/div><\/li><li id=\"field_2_43\" class=\"gfield gfield--type-html gfield--input-type-html sectiongreen gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Num\u00e9ro de t\u00e9l\u00e9phone ou adresse courriel principale:<\/strong><\/li><li id=\"field_2_44\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_44'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_44' id='input_2_44' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_45\" class=\"gfield gfield--type-email gfield--input-type-email gf_right_half sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_45'>Adresse courriel<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_45' id='input_2_45' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Avec qui devons-nous communiquer?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_46'>\n\t\t\t<li class='gchoice gchoice_2_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='Demandeur'  id='choice_2_46_0'    \/>\n\t\t\t\t<label for='choice_2_46_0' id='label_2_46_0' class='gform-field-label gform-field-label--type-inline'>Demandeur<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_46_1'>\n\t\t\t\t<input name='input_46' type='radio' value='Personne-contact principale'  id='choice_2_46_1'    \/>\n\t\t\t\t<label for='choice_2_46_1' id='label_2_46_1' class='gform-field-label gform-field-label--type-inline'>Personne-contact principale<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_46_2'>\n\t\t\t\t<input name='input_46' type='radio' value='Agence'  id='choice_2_46_2'    \/>\n\t\t\t\t<label for='choice_2_46_2' id='label_2_46_2' class='gform-field-label gform-field-label--type-inline'>Agence<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_47\" class=\"gfield gfield--type-section gfield--input-type-section gsection sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SECTION 5 - SERVICES REQUIS<\/h2><\/li><li id=\"field_2_48\" class=\"gfield gfield--type-html gfield--input-type-html sectionblue gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><a href=\"https:\/\/scsonline.ca\/fr\/intake\/application-dsoer\/service-definitions-dso\/\" target=\"_blank\">Cliquez ici pour acc\u00e9der aux d\u00e9finitions des services<\/a><\/li><li id=\"field_2_49\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Services et soutiens financ\u00e9s par le minist\u00e8re pour les adultes ayant une d\u00e9ficience intellectuelle<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_49'><li class='gchoice gchoice_2_49_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='Navigation des services'  id='choice_2_49_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_49_1' id='label_2_49_1' class='gform-field-label gform-field-label--type-inline'>Navigation des services<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_49_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='Services r\u00e9sidentiels'  id='choice_2_49_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_49_2' id='label_2_49_2' class='gform-field-label gform-field-label--type-inline'>Services r\u00e9sidentiels<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_49_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.3' type='checkbox'  value='Participation communautaire'  id='choice_2_49_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_49_3' id='label_2_49_3' class='gform-field-label gform-field-label--type-inline'>Participation communautaire<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_49_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.4' type='checkbox'  value='R\u00e9pit pour l\u2019aidant naturel'  id='choice_2_49_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_49_4' id='label_2_49_4' class='gform-field-label gform-field-label--type-inline'>R\u00e9pit pour l\u2019aidant naturel<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_49_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.5' type='checkbox'  value='Planification orient\u00e9e sur la personne'  id='choice_2_49_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_49_5' id='label_2_49_5' class='gform-field-label gform-field-label--type-inline'>Planification orient\u00e9e sur la personne<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_49_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.6' type='checkbox'  value='Programme Passeport'  id='choice_2_49_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_49_6' id='label_2_49_6' class='gform-field-label gform-field-label--type-inline'>Programme Passeport<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_49_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_49.7' type='checkbox'  value='Mise \u00e0 jour du dossier ou r\u00e9\u00e9valuation pour les services aux adultes ayant une d\u00e9ficience intellectuelle'  id='choice_2_49_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_49_7' id='label_2_49_7' class='gform-field-label gform-field-label--type-inline'>Mise \u00e0 jour du dossier ou r\u00e9\u00e9valuation pour les services aux adultes ayant une d\u00e9ficience intellectuelle<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_50\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_right_half sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Services sp\u00e9cialis\u00e9s<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_50'><li class='gchoice gchoice_2_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='Programme de protection des adultes'  id='choice_2_50_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_1' id='label_2_50_1' class='gform-field-label gform-field-label--type-inline'>Programme de protection des adultes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='Service d\u2019intervention comportementale'  id='choice_2_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_2' id='label_2_50_2' class='gform-field-label gform-field-label--type-inline'>Service d\u2019intervention comportementale<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_50_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.3' type='checkbox'  value='Gestion de cas'  id='choice_2_50_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_3' id='label_2_50_3' class='gform-field-label gform-field-label--type-inline'>Gestion de cas<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_50_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.4' type='checkbox'  value='Prestation de conseils'  id='choice_2_50_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_4' id='label_2_50_4' class='gform-field-label gform-field-label--type-inline'>Prestation de conseils<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_50_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.5' type='checkbox'  value='Services de double diagnostic'  id='choice_2_50_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_5' id='label_2_50_5' class='gform-field-label gform-field-label--type-inline'>Services de double diagnostic<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_50_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.6' type='checkbox'  value='Intervention en milieu judiciaire'  id='choice_2_50_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_6' id='label_2_50_6' class='gform-field-label gform-field-label--type-inline'>Intervention en milieu judiciaire<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_50_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.7' type='checkbox'  value='Ergoth\u00e9rapie'  id='choice_2_50_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_7' id='label_2_50_7' class='gform-field-label gform-field-label--type-inline'>Ergoth\u00e9rapie<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_50_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.8' type='checkbox'  value='Orthophonie'  id='choice_2_50_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_8' id='label_2_50_8' class='gform-field-label gform-field-label--type-inline'>Orthophonie<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_51\" class=\"gfield gfield--type-textarea gfield--input-type-textarea sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_51'>Entrez les d\u00e9tails ici si &#039;Mise \u00e0 jour du dossier ou r\u00e9\u00e9valuation pour les services aux adultes ayant une d\u00e9ficience intellectuelle&#039; a \u00e9t\u00e9 s\u00e9lectionn\u00e9<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_51' id='input_2_51' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectionblue gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Le service est-il requis imm\u00e9diatement?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_52'>\n\t\t\t<li class='gchoice gchoice_2_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Oui'  id='choice_2_52_0'    \/>\n\t\t\t\t<label for='choice_2_52_0' id='label_2_52_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='Non'  id='choice_2_52_1'    \/>\n\t\t\t\t<label for='choice_2_52_1' id='label_2_52_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_69\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Si oui, s\u00e9lectionnez les raisons de l&#039;urgence parmi les choix dans la liste ci-dessous<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_69'><li class='gchoice gchoice_2_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='Mon aidant naturel, non r\u00e9mun\u00e9r\u00e9(e) (p. ex., un membre de la famille), n\u2019est plus en mesure de fournir les soins essentiels \u00e0 ma sant\u00e9 et \u00e0 mon bien-\u00eatre \u00e0 partir d\u2019aujourd\u2019hui;'  id='choice_2_69_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_69_1' id='label_2_69_1' class='gform-field-label gform-field-label--type-inline'>Mon aidant naturel, non r\u00e9mun\u00e9r\u00e9(e) (p. ex., un membre de la famille), n\u2019est plus en mesure de fournir les soins essentiels \u00e0 ma sant\u00e9 et \u00e0 mon bien-\u00eatre \u00e0 partir d\u2019aujourd\u2019hui;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='Je n\u2019ai pas de domicile, ou je suis \u00e0 risque \u00e9lev\u00e9 de ne pas avoir de domicile dans un avenir tr\u00e8s proche;'  id='choice_2_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_69_2' id='label_2_69_2' class='gform-field-label gform-field-label--type-inline'>Je n\u2019ai pas de domicile, ou je suis \u00e0 risque \u00e9lev\u00e9 de ne pas avoir de domicile dans un avenir tr\u00e8s proche;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_69_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='Mes besoins de soutien ont chang\u00e9 au point que mon programme de soutien actuel ne me conviendra bient\u00f4t plus et mon bien-\u00eatre est susceptible d&#039;\u00eatre compromis;'  id='choice_2_69_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_69_3' id='label_2_69_3' class='gform-field-label gform-field-label--type-inline'>Mes besoins de soutien ont chang\u00e9 au point que mon programme de soutien actuel ne me conviendra bient\u00f4t plus et mon bien-\u00eatre est susceptible d'\u00eatre compromis;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_55\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >En plus du choix ci-dessus:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_55'><li class='gchoice gchoice_2_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='Mes soutiens formels et informels ne sont pas disponibles pour r\u00e9duire le risque de pr\u00e9judice (blessures) ou r\u00e9pondre \u00e0 mes besoins.'  id='choice_2_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_1' id='label_2_55_1' class='gform-field-label gform-field-label--type-inline'>Mes soutiens formels et informels ne sont pas disponibles pour r\u00e9duire le risque de pr\u00e9judice (blessures) ou r\u00e9pondre \u00e0 mes besoins.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_54\" class=\"gfield gfield--type-textarea gfield--input-type-textarea sectionblue field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_54'>Entrez les d\u00e9tails additionnels sur les raisons de l&#039;urgence:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_54' id='input_2_54' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_56\" class=\"gfield gfield--type-section gfield--input-type-section gsection sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">SECTION 6 \u2013 DOCUMENTS D\u2019\u00c9LIGIBILIT\u00c9<\/h2><\/li><li id=\"field_2_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectiongreen gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Est-ce que je t\u00e9l\u00e9charge une \u00e9valuation ou un rapport psychologique, sign\u00e9(e) par un psychologue ou un associ\u00e9 en psychologie enregistr\u00e9 avec l\u2019Ordre des Psychologues de l\u2019Ontario (ou un organisme \u00e9quivalent dans une autre province), qui indique que la personne a une d\u00e9ficience intellectuelle conform\u00e9ment aux Services et Soutiens favorisant l\u2019inclusion sociale des personnes ayant une d\u00e9ficience intellectuelle?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_57'>\n\t\t\t<li class='gchoice gchoice_2_57_0'>\n\t\t\t\t<input name='input_57' type='radio' value='Oui'  id='choice_2_57_0'    \/>\n\t\t\t\t<label for='choice_2_57_0' id='label_2_57_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_57_1'>\n\t\t\t\t<input name='input_57' type='radio' value='Non'  id='choice_2_57_1'    \/>\n\t\t\t\t<label for='choice_2_57_1' id='label_2_57_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_58\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_58'>File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='67108864' \/><input name='input_58' id='input_2_58' type='file' class='medium' aria-describedby=\"gfield_upload_rules_2_58\" onchange='javascript:gformValidateFileSize( this, 67108864 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_58'>Taille max. des fichiers\u00a0: 64 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_58'><\/div> <\/div><\/li><li id=\"field_2_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectiongreen gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Est-ce que je t\u00e9l\u00e9charge un document qui fournit une preuve d\u2019\u00e2ge (permis de conduire, passeport ou certificat de naissance)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_59'>\n\t\t\t<li class='gchoice gchoice_2_59_0'>\n\t\t\t\t<input name='input_59' type='radio' value='Oui'  id='choice_2_59_0'    \/>\n\t\t\t\t<label for='choice_2_59_0' id='label_2_59_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_59_1'>\n\t\t\t\t<input name='input_59' type='radio' value='Non'  id='choice_2_59_1'    \/>\n\t\t\t\t<label for='choice_2_59_1' id='label_2_59_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_60\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_60'>File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='67108864' \/><input name='input_60' id='input_2_60' type='file' class='medium' aria-describedby=\"gfield_upload_rules_2_60\" onchange='javascript:gformValidateFileSize( this, 67108864 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_60'>Taille max. des fichiers\u00a0: 64 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_60'><\/div> <\/div><\/li><li id=\"field_2_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline sectiongreen gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Est-ce que je t\u00e9l\u00e9charge un document qui fournit une preuve de r\u00e9sidence en Ontario (document indiquant le nom, l\u2019adresse et le statut de citoyennet\u00e9 de la personne)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_61'>\n\t\t\t<li class='gchoice gchoice_2_61_0'>\n\t\t\t\t<input name='input_61' type='radio' value='Oui'  id='choice_2_61_0'    \/>\n\t\t\t\t<label for='choice_2_61_0' id='label_2_61_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_61_1'>\n\t\t\t\t<input name='input_61' type='radio' value='Non'  id='choice_2_61_1'    \/>\n\t\t\t\t<label for='choice_2_61_1' id='label_2_61_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_62\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload sectiongreen field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_62'>File<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='67108864' \/><input name='input_62' id='input_2_62' type='file' class='medium' aria-describedby=\"gfield_upload_rules_2_62\" onchange='javascript:gformValidateFileSize( this, 67108864 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_62'>Taille max. des fichiers\u00a0: 64 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_62'><\/div> <\/div><\/li><li id=\"field_2_63\" class=\"gfield gfield--type-html gfield--input-type-html sectiongreen gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><a href=\"https:\/\/www.sopdi.ca\/how-to-access-services\/the-application-process\" target=\"_blank\">Cliquez sur le lien suivant pour plus d\u2019information sur la documentation d\u2019admissibilit\u00e9 acceptable<\/a>\n<\/p>\n<p>\n<strong>Conditions g\u00e9n\u00e9rales:<\/strong>\n<br>\n\na. Les documents t\u00e9l\u00e9charg\u00e9s sont dirig\u00e9s \u00e0 une adresse courriel confidentielle.\n<br>\nb. Un fichier sera cr\u00e9\u00e9, et identifi\u00e9 comme \u00e9tant \"en cours\"\n<p><\/li><li id=\"field_2_66\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox sectiongreen gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Je comprends les risques de t\u00e9l\u00e9charger de la documentation contenant des renseignements personnels, comme avec tous les syst\u00e8mes d\u2019information \u00e9lectroniques.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_66'><li class='gchoice gchoice_2_66_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.1' type='checkbox'  value='Oui, Je comprends les risques'  id='choice_2_66_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_66_1' id='label_2_66_1' class='gform-field-label gform-field-label--type-inline'>Oui, Je comprends les risques<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_68\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Important: Vous devez remplir tous les champs obligatoires pour soumettre votre formulaire. Une fois que vous avez termin\u00e9, cliquez sur le bouton \"Soumettre\". 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