{"id":6147,"date":"2024-04-26T10:57:11","date_gmt":"2024-04-26T15:57:11","guid":{"rendered":"http:\/\/specialty-coverage.four.zysites.com\/?page_id=6147"},"modified":"2024-04-26T10:58:59","modified_gmt":"2024-04-26T15:58:59","slug":"report-a-claim","status":"publish","type":"page","link":"https:\/\/www.spciagency.com\/es\/report-a-claim\/","title":{"rendered":"Report a Claim"},"content":{"rendered":"<h3>We are here for you.<\/h3>\n<p>&nbsp;<\/p>\n<div class=\"row mt-4\">\n<div class=\"col col-md-6\"><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 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gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"164c9bc4\" data-field-span=\"6\"><label id='gfield_label_11_6' class='gfield_label gform-field-label' for='input_11_6'><span class='gform-field-label__text'>VIN of Involved Vehicle<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_11_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_11_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"755102fe\" data-field-span=\"12\"><legend id='gfield_label_11_1' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Driver Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><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_11_1'>\n                            \n                            <span id='input_11_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_11_1_3' id='input_11_1_3_label' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                    <input type='text' name='input_1.3' id='input_11_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" aria-labelledby=\"input_11_1_3_label gfield_label_11_1\"\/>\n                                                <\/span>\n                            \n                            <span id='input_11_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_11_1_6' id='input_11_1_6_label' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                            <input type='text' name='input_1.6' id='input_11_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_11_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"17f293c9\" data-field-span=\"12\"><legend id='gfield_label_11_2' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_11_2_container'>\n                                <span id='input_11_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_11_2' id='input_11_2_label' class='gform-field-label gform-field-label--type-sub '>Introduce un email<\/label>\n                                    <input class='' type='email' name='input_2' id='input_11_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  aria-labelledby=\"input_11_2_label gfield_label_11_2\" autocomplete=\"email\"\/>\n      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class='gfield_label gform-field-label' for='input_11_3'><span class='gform-field-label__text'>Summary<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_11_3'>Please include a summary of the claim.<\/div><div class='ginput_container ginput_container_textarea' data-text-counter-max='600' data-text-counter-template='{current} of {max} max characters'><textarea name='input_3' id='input_11_3' class='textarea medium'  aria-describedby=\"gfield_description_11_3\" maxlength='600'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_11_8\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"fba5d5a6\" data-field-span=\"12\"><label id='gfield_label_11_8' class='gfield_label gform-field-label' for='gform_browse_button_11_8'><span class='gform-field-label__text'>Attachment Upload<\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_11_8' 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