{"id":446,"date":"2022-07-18T12:56:06","date_gmt":"2022-07-18T11:56:06","guid":{"rendered":"https:\/\/mes-formulaires.cpamcentre.fr\/?page_id=446"},"modified":"2022-07-18T12:56:06","modified_gmt":"2022-07-18T11:56:06","slug":"signalement-de-suspicion-de-fraude","status":"publish","type":"page","link":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/signalement-de-suspicion-de-fraude\/","title":{"rendered":"Signalement de suspicion de \u00ab\u00a0fraude\u00a0\u00bb"},"content":{"rendered":"\n<p>La d\u00e9tection d\u2019abus et de fraude d\u00e9pend essentiellement de la vigilance de chacun, pour contribuer \u00e0 cette d\u00e9marche, n\u2019h\u00e9sitez pas \u00e0 signaler via le formulaire ci-dessous toute suspicion de \u00ab\u00a0fraude\u00a0\u00bb.<\/p>\n\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f445-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"445\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/446#wpcf7-f445-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"445\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f445-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div id=\"formulaire-responsive\" class=\"clearfix\">\n\n\n<!-- CODE A COPIER : : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------->\n\t<div class=\"rang-form\">\n\t\t<div class=\"colonne\">\n\t\t\t<h3 style=\"padding-top:0;margin-top:0;\"> Informations d\u00e9tecteur\n\t\t\t<\/h3>\n\t\t<\/div>\n\t<\/div> \n<!-- FIN : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------------------->\n\n\n<!-- CODE A COPIER : : 1 LIGNE\/2 COLONNES -------------------------------------------------------------------------------------------------------------->\n\t<div class=\"rang-form\">\n\t\t<div class=\"colonne\">\n\t\t\t<p>Date :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"demi-colonne\">\n\t\t\t<p>Pr\u00e9nom\/Nom* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PrenomNom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"PrenomNom\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"demi-colonne\">\n\t\t\t<p>N\u00b0 d'agent* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Numeroagent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Numeroagent\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"demi-colonne\">\n\t\t\t<p>Email :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"demi-colonne\">\n\t\t\t<p>Service d\u00e9tecteur* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Servicedetecteur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Servicedetecteur\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<!-- FIN : 1 LIGNE\/2 COLONNES -------------------------------------------------------------------------------------------------------------------------->\n\n<!-- CODE A COPIER : : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------->\n\t<div class=\"rang-form\">\n\t\t<div class=\"colonne\">\n\t\t\t<h3 style=\"padding-top:0;margin-top:0;\"> DEMANDE D\u2019AVIS sur les suites d\u2019instruction (R\u00e9serv\u00e9 service Acc\u00e8s aux droits)\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>Avis requis du SJLCF sur la poursuite de l\u2019instruction du dossier ou de l\u2019ouverture de droits :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"AvisSJCLF\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"AvisSJCLF[]\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"AvisSJCLF[]\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>Motivation de la demande :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Motivationdemande\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Motivationdemande\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div> \n<!-- FIN : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------------------->\n<!-- CODE A COPIER : : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------->\n\t<div class=\"rang-form\">\n\t\t<div class=\"colonne\">\n\t\t\t<h3 style=\"padding-top:0;margin-top:0;\"> Auteur(s) des faits\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>Auteur(s) des faits :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Auteurdesfaits\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Auteurdesfaits[]\" value=\"Assur\u00e9\" \/><span class=\"wpcf7-list-item-label\">Assur\u00e9<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"Auteurdesfaits[]\" value=\"PS ou \u00e9tablissement\" \/><span class=\"wpcf7-list-item-label\">PS ou \u00e9tablissement<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"Auteurdesfaits[]\" value=\"Employeur\" \/><span class=\"wpcf7-list-item-label\">Employeur<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Auteurdesfaits[]\" value=\"Autre (pr\u00e9cisez)\" \/><span class=\"wpcf7-list-item-label\">Autre (pr\u00e9cisez)<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>Autre, pr\u00e9cisez :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"autreprcisez\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"autreprcisez\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"demi-colonne\">\n\t\t\t<p>Nom :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nomfraudeur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Nomfraudeur\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"demi-colonne\">\n\t\t\t<p>Pr\u00e9nom :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Prenomfraudeur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Prenomfraudeur\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>Adresse :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Adresse\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>NIR ou FINESS :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NIRFINESS\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"NIRFINESS\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>N\u00b0 de SIRET:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NumSiret\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"NumSiret\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div> \n<!-- FIN : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------------------->\n\n<!-- CODE A COPIER : : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------->\n\t<div class=\"rang-form\">\n\t\t<div class=\"colonne\">\n\t\t\t<h3 style=\"padding-top:0;margin-top:0;\"> Description \/ M\u00e9canisme de la fraude\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>Description* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Description\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Description\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div> \n<!-- FIN : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------------------->\n\n<!-- CODE A COPIER : : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------->\n\t<div class=\"rang-form\">\n\t\t<div class=\"colonne\">\n\t\t\t<h3 style=\"padding-top:0;margin-top:0;\"> Circonstance de la d\u00e9couverte\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p>Circonstance \u00e0 pr\u00e9ciser* :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Circonstance\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Circonstance\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div> \n<!-- FIN : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------------------->\n\n\n<!-- CODE A COPIER : : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------->\n\t<div class=\"rang-form\">\n\t\t<div class=\"colonne\">\n\t\t\t<h3 style=\"padding-top:0;margin-top:0;\"> Pensez \u00e0 joindre vos pi\u00e8ces justificatives\n\t\t\t<\/h3>\n\t\t<\/div>\n\t\t<div class=\"rang-form\">\n\t\t\t<div class=\"colonne\">\n\t\t\t\t<p>Joindre un document (7 Mo max.) : <span class=\"wpcf7-form-control-wrap\" data-name=\"PJ\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".gif,.jpg,.jpeg,.pdf,.zip,.rar,.doc,.docx,.xls,.xlsx\" aria-invalid=\"false\" type=\"file\" name=\"PJ\" \/><\/span><br \/>\n<span style=\"font-size:12px\"><i> Formats accept\u00e9s : .gif, .jpg, .pdf, .zip, .doc, .xls<\/i><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"colonne\">\n\t\t\t<p><i>Pour les documents sup\u00e9rieurs \u00e0 7 Mo nous vous invitons \u00e0 les adresser par mail \u00e0 l'adresse <A HREF=\"mailto:fraudes.cpam-blois@assurance-maladie.fr\">fraudes.cpam-blois@assurance-maladie.fr<\/a> <\/i>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<table>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><b>Merci de saisir le code affich\u00e9 ci-dessous pour valider votre envoi : <\/b><br \/>\n<input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha-170\" value=\"369428306\" \/><img decoding=\"async\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha-170\" width=\"72\" height=\"24\" alt=\"captcha\" src=\"https:\/\/mes-formulaires.cpamcentre.fr\/wp-content\/uploads\/wpcf7_captcha\/369428306.png\" \/><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"captcha-170\"><input size=\"4\" maxlength=\"4\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"captcha-170\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t<\/table>\n\n\n<!-- FIN : 1 LIGNE\/1 COLONNE -------------------------------------------------------------------------------------------------------------------------->\n\n<!-- CODE BOUTON --------------------------------------------------------------------------------------------------------------------------------------->\n\t\t<div class=\"rang-form\">\n\t\t\t<div class=\"colonne\">\n\t\t\t\t<p>&nbsp;<br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n<!-- FIN CODE BOUTON ----------------------------------------------------------------------------------------------------------------------------------->\n\t<\/div>\n<!--fin de formulaire-responsive-->\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"171\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La d\u00e9tection d\u2019abus et de fraude d\u00e9pend essentiellement de la vigilance de chacun, pour contribuer \u00e0 cette d\u00e9marche, n\u2019h\u00e9sitez pas \u00e0 signaler via le formulaire ci-dessous toute suspicion de \u00ab\u00a0fraude\u00a0\u00bb.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-446","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages\/446"}],"collection":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/comments?post=446"}],"version-history":[{"count":4,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages\/446\/revisions"}],"predecessor-version":[{"id":587,"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/pages\/446\/revisions\/587"}],"wp:attachment":[{"href":"https:\/\/mes-formulaires.cpamcentre.fr\/index.php\/wp-json\/wp\/v2\/media?parent=446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}