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2<script type="text/javascript"> 3 4 var _gaq = _gaq || []; 5 _gaq.push(['_setAccount', 'UA-36263773-1']); 6 _gaq.push(['_setDomainName', 'lkf.ee']); 7 _gaq.push(['_trackPageview']); 8 9 (function() { 10 var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; 11 ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; 12 var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); 13 })(); 14 15 </script>
15 16<html> 17<head> 18<meta http-equiv="Content-Type" name="p_name" content="text/html; charset=utf-8"> 19<title>Kahju hüvitaja määramine</title> 20<LINK REL="StyleSheet" HREF="WEBVIEW.IES_STYLESHEET.style?pstyle=LKF20030522" TYPE="text/css">
vendor: 77 bytes, lines 20-21
20 21<script src="https://www.google.com/recaptcha/api.js" async defer></script>
22<script> 23 function reCaptchaOnSubmit(token) { 24 document.getElementById("p_frm").submit(); 25 } 26</script>
26 27</head> 28<div id="header-div"> 29<a href="http://www.lkf.ee"><img src="/images/eksl_logo_rgb_v.png" alt="LKF" id="header-logo-eksl", border="0" /></a> 30</div> 31<div style="margin-left:20px;margin-top:15px;margin-bottom:15px;"> 32<table > 33<tr> 34<td width= "382.5" style="min-width:382.5;max-width:382.5;"><font id="header-text">Kahju hüvitaja määramine</font></td> 35<td align="right" width= "382.5" style="min-width:382.5;max-width:382.5;"></td> 36</tr> 37</table> 38</div> 39<div id="body-div"> 40<table cellpadding="6px" cellspacing="0px" border="0px" style="table-layout:fixed;"> 41<tr class="resultHeaderRow"> 42<th width="790" valign="middle" align="left" style="padding-left:20px;min-width:765px;max-width:765px;">Päringu sisend</th> 43</tr> 44</table> 45<form action="!sysadm.ic_insurance_cover_pkt.show_form" method="POST" name="p_frm" id="p_frm" action="?"> 46<input type="hidden" name="p_key" value="961bp3vda40zuos03vgjnes2h3db3brb" /> 47<input type="hidden" name="p_lang" value="EST" /> 48<table cellpadding="0px" cellspacing="0px" style="table-layout:fixed";> 49<tr> 50<td width="20" style="min-width:20px;max-width:20px;"></td>
51<td width="200" style="min-width:200px;max-width:200px;"></td> 52<td width="580" style="min-width:580px;max-width:580px;"></td> 53</tr> 54<input type="hidden" name="p_purpose" value="CLAIM" id="p_purpose" /> 55<tr> 56<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"></td> 57<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;">Põhjustaja sõiduki registrimärk</td> 58<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"><input type="text" name="p_reg_no" size="25" maxlength="25" id="p_reg_no" /> näiteks 000XXX</td> 59</tr> 60<tr> 61<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"></td> 62<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;">Põhjustaja sõiduki tehasetähis</td> 63<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"><input type="text" name="p_vin" size="25" maxlength="25" id="p_vin" /> näiteks VWX000000000AB123</td> 64</tr> 65<tr> 66<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"></td> 67<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;">Põhjustaja poliisi number</td> 68<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"><input type="text" name="p_policy_no" size="25" maxlength="25" id="p_policy_no" /> näiteks E000000000T</td> 69</tr> 70<tr> 71<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"></td> 72<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;">Liiklusõnnetuse kuupäev ja kellaaeg</td> 73<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"><input type="text" name="p_validity_date" size="25" maxlength="25" value="02.10.2026 09:07" id="p_validity_date" /> kujul pp.kk.aaaa tt:mm</td> 74</tr> 75<tr> 76<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"></td> 77<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;">Liiklusõnnetuse toimumise riik</td> 78<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"><input type="radio" name="p_validity_area" value="EST" checked="checked" id="p_validity_area" />Eesti<br><input type="radio" name="p_validity_area" value="EMP" id="p_validity_area" />Muu Euroopa Majanduspiirkonna lepinguriik või Šveits<br><input type="radio" name="p_validity_area" value="RKR" id="p_validity_area" />Muu rohelise kaardi riik</td> 79</tr> 80<tr> 81<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"></td> 82<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;">Kannatanu elukoha/asukoha riik</td> 83<td valign="center", style="padding-left:3px;padding-top:3px;padding-bottom:3px;"><input type="radio" name="p_victims_area" value="EST" checked="checked" id="p_victims_area" />Eesti<br><input type="radio" name="p_victims_area" value="EMP" id="p_victims_area" />Muu Euroopa Majanduspiirkonna lepinguriik või Šveits<br><input type="radio" name="p_victims_area" value="RKR" id="p_victims_area" />Muu rohelise kaardi riik<br><input type="radio" name="p_victims_area" value="WRL" id="p_victims_area" />Muu riik</td> 84</tr> 85<tr> 86<td valign="top", style="padding-left:3px;padding-top:3px;padding-bottom:6px;"></td> 87<td valign="top", style="padding-left:3px;padding-top:3px;padding-bottom:6px;"></td> 88<td valign="top", style="padding-left:3px;padding-top:3px;padding-bottom:6px;"><button class="g-recaptcha" data-sitekey="6LeHByQtAAAAAKcOFsU20UWYUIRHQopkKQ_tFUFT" data-callback="reCaptchaOnSubmit"> Otsi </button></td> 89</tr> 90</table> 91</form> 92</div> 93<br /> 94</html>
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