
{"id":39,"date":"2024-02-20T20:58:34","date_gmt":"2024-02-20T20:58:34","guid":{"rendered":"https:\/\/housing.county-lambton.on.ca\/?page_id=39"},"modified":"2024-12-02T15:34:49","modified_gmt":"2024-12-02T20:34:49","slug":"housing-application","status":"publish","type":"page","link":"https:\/\/housing.county-lambton.on.ca\/fr\/housing-application\/","title":{"rendered":"Demande de logement"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><style type=\"text\/css\"><\/style>     <script type=\"text\/javascript\">\n        document.addEventListener('DOMContentLoaded', function () {\n            \/\/ Function to delete a specific cookie\n            function deleteCookie(name) {\n                document.cookie = name + '=; Max-Age=-99999999;';\n            }\n\n            \/\/ Function to get all cookies\n            function getCookies() {\n                var cookies = {};\n                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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/39#gf_5' data-formid='5' novalidate autocomplete=\"off\" data-trp-original-action=\"\/fr\/wp-json\/wp\/v2\/pages\/39#gf_5\"><input id=\"gpnf_session_hash_5\" type=\"hidden\" name=\"gpnf_session_hash\" value=\"7eaa293bf092\" autocomplete=\"off\"><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_5\" \/> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>13<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_7' style='width:7%;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page' data-js='page-field-id-0' >\n                                    <div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_177\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_177\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_177'>ID unique<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_177' id='input_5_177' type='text' value='69f1799b94260' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_200\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_200\" ><center><p>Pour d\u00e9terminer votre admissibilit\u00e9 \u00e0 emm\u00e9nager ou \u00e0 ajouter un membre \u00e0 un m\u00e9nage existant, veuillez remplir le formulaire ci-dessous.<\/p><\/center><\/div><div id=\"field_5_195\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_195\" ><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_195' id='input_5_195' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='New' \/><\/div><\/div><div id=\"field_5_69\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_69\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_69'>Statut<\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_5_69' class='large gfield_select'     aria-invalid=\"false\" ><option value='New' selected='selected'>Nouveau<\/option><option value='Incomplete' >Incomplet<\/option><option value='Complete' >Complet<\/option><\/select><\/div><\/div><div id=\"field_5_104\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_104\" ><h3 class=\"gsection_title\">Renseignements sur le demandeur<\/h3><\/div><fieldset id=\"field_5_157\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full copy-157-to-187 gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_157\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom officiel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/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_5_157'>\n                            \n                            <span id='input_5_157_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_157.3' id='input_5_157_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_157_3' class='gform-field-label gform-field-label--type-sub'>D&#039;abord<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_157_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_157.6' id='input_5_157_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_157_6' class='gform-field-label gform-field-label--type-sub'>Dernier<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_106\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_106\" ><label class='gfield_label gform-field-label' for='input_5_106'>Nom d\u2019usage (facultatif)<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_106' id='input_5_106' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_107\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_107\" ><label class='gfield_label gform-field-label' for='input_5_107'>Sexe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_107' id='input_5_107' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez s\u00e9lectionner votre sexe<\/option><option value='Male' >Homme<\/option><option value='Female' >Femme<\/option><option value='Other' >Autre<\/option><option value='Prefer Not to Say' >Je pr\u00e9f\u00e8re ne pas r\u00e9pondre<\/option><\/select><\/div><\/div><div id=\"field_5_108\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gcldf-field gcldf-field-date gcldf-date-format-dmy gfield_trigger_change gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_108\" ><label class='gfield_label gform-field-label' for='input_5_108'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input autocomplete=\"off\"  name='input_108' id='input_5_108' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_5_108_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_108_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input autocomplete=\"off\"  type='hidden' id='gforms_calendar_icon_input_5_108' class='gform_hidden' value='https:\/\/housing.county-lambton.on.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_109\" ><label class='gfield_label gform-field-label' for='input_5_109'>Num\u00e9ro d&#039;assurance sociale<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_109' id='input_5_109' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_227\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_227\" ><div>D\u00e9sol\u00e9... Vous devez avoir au moins 16 ans pour compl\u00e9ter cette demande<\/div><\/div><div id=\"field_5_226\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_226\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_226'>\u00c2ge (ann\u00e9es)<\/label><div class='ginput_container ginput_container_number'><input autocomplete=\"off\"  name='input_226' id='input_5_226' type='text' step='any'   value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_151\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_151\" ><label class='gfield_label gform-field-label' for='input_5_151'>Num\u00e9ro de t\u00e9l\u00e9phone \u00e0 domicile<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_151' id='input_5_151' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_203\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_203\" ><label class='gfield_label gform-field-label' for='input_5_203'>Num\u00e9ro de t\u00e9l\u00e9phone cellulaire<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_203' id='input_5_203' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_202\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_202\" ><label class='gfield_label gform-field-label' for='input_5_202'>Num\u00e9ro de t\u00e9l\u00e9phone au travail<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_202' id='input_5_202' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_167\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_167\" ><label class='gfield_label gform-field-label' for='input_5_167'>Preuve de citoyennet\u00e9 canadienne<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_167'>Veuillez t\u00e9l\u00e9charger la preuve du statut\/citoyennet\u00e9 canadien(ne) de ce membre du m\u00e9nage. Exemples : passeport, certificat de naissance, carte de r\u00e9sident permanent.\n<\/br><\/br>\n* Les permis de conduire, les cartes sant\u00e9 et les cartes d'identit\u00e9 \u00e0 photo ne sont pas accept\u00e9s.<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input autocomplete=\"off\"  name='input_167' id='input_5_167' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_167 gfield_description_5_167\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_167'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_167'><\/div><\/div><\/div><fieldset id=\"field_5_166\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_166\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Grossesse<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_166'><div class='gchoice gchoice_5_166_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_166.1' type='checkbox'  value='I am expecting a baby'  id='choice_5_166_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_166_1' id='label_5_166_1' class='gform-field-label gform-field-label--type-inline'>J'attends un enfant<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_168\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_168\" ><label class='gfield_label gform-field-label' for='input_5_168'>Date pr\u00e9vue de l\u2019accouchement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input autocomplete=\"off\"  name='input_168' id='input_5_168' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_5_168_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_168_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input autocomplete=\"off\"  type='hidden' id='gforms_calendar_icon_input_5_168' class='gform_hidden' value='https:\/\/housing.county-lambton.on.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_5_169\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_169\" ><label class='gfield_label gform-field-label' for='input_5_169'>Preuve de grossesse<\/label><div class='gfield_description' id='gfield_description_5_169'>Lettre de votre m\u00e9decin ou d'un professionnel de la sant\u00e9 confirmant votre grossesse et la date pr\u00e9vue de l'accouchement<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input autocomplete=\"off\"  name='input_169' id='input_5_169' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_169 gfield_description_5_169\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_169'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_169'><\/div><\/div><\/div><div id=\"field_5_143\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_143\" ><h3 class=\"gsection_title\">Adresse actuelle pour <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><fieldset id=\"field_5_210\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_210\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >NFA<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_210'><div class='gchoice gchoice_5_210_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_210.1' type='checkbox'  value='I currently have No Fixed Address'  id='choice_5_210_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_210_1' id='label_5_210_1' class='gform-field-label gform-field-label--type-inline'>Je n&#039;ai actuellement aucune adresse fixe<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_208\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_208\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse actuelle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_208' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_208_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_208.1' id='input_5_208_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_208_1' id='input_5_208_1_label' class='gform-field-label gform-field-label--type-sub'>Adresse de la rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_208_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_208.2' id='input_5_208_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_208_2' id='input_5_208_2_label' class='gform-field-label gform-field-label--type-sub'>Num\u00e9ro d&#039;unit\u00e9<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_208_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_208.3' id='input_5_208_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_208_3' id='input_5_208_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_5_208_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_208.4' id='input_5_208_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_208_4' id='input_5_208_4_label' class='gform-field-label gform-field-label--type-sub'>Province \/ \u00c9tat \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_208_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_208.5' id='input_5_208_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_208_5' id='input_5_208_5_label' class='gform-field-label gform-field-label--type-sub'>Code postal \/ ZIP<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_208_6_container' >\n                                        <select name='input_208.6' id='input_5_208_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbade<\/option><option value='Belarus' >Bi\u00e9lorussie<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >B\u00e9lize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Ile Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brun\u00e9i Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >\u00celes Ca\u00efmans<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >L&#039;\u00eele Christmas<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >Tch\u00e9quie<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >Egypte<\/option><option value='El Salvador' >Le Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopie<\/option><option value='Falkland Islands' >\u00celes Malouines<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guyane fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres Australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >L&#039;Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value='Korea, Republic of' >Cor\u00e9e, R\u00e9publique de<\/option><option value='Kuwait' >Koweit<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Lib\u00e9ria<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >Ile Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Birmanie<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle-Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palaos<\/option><option value='Palestine, State of' >Palestine, \u00c9tat de<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration de Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint-Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9-et-Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et les \u00eeles Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie, R\u00e9publique-Unie de<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Aller<\/option><option value='Tokelau' >Tok\u00e9laou<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_5_208_6' id='input_5_208_6_label' class='gform-field-label gform-field-label--type-sub'>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_211\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_211\" ><label class='gfield_label gform-field-label' for='input_5_211'>Depuis quand (MM\/AAAA)<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_211' id='input_5_211' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_212\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_212\" ><\/div><fieldset id=\"field_5_214\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_214\" ><legend class='gfield_label gform-field-label' >S&#039;agit-il d&#039;un logement \u00e0 loyer index\u00e9 sur le revenu ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_214'>\n\t\t\t<div class='gchoice gchoice_5_214_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_214' type='radio' value='Yes'  id='choice_5_214_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_214_0' id='label_5_214_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_214_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_214' type='radio' value='No'  id='choice_5_214_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_214_1' id='label_5_214_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_218\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_218\" ><label class='gfield_label gform-field-label' for='input_5_218'>Veuillez fournir une lettre de votre fournisseur de logement attestant que vous \u00eates \u00e0 jour de votre loyer.<\/label><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_218' id='input_5_218' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_218\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_218'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_218'><\/div><\/div><\/div><div id=\"field_5_219\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_219\" ><label class='gfield_label gform-field-label' for='input_5_219'>Nom du fournisseur de logement<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_219' id='input_5_219' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_220\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_220\" ><\/div><fieldset id=\"field_5_215\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_215\" ><legend class='gfield_label gform-field-label' >Y a-t-il des arri\u00e9r\u00e9s dus ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_215'>\n\t\t\t<div class='gchoice gchoice_5_215_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_215' type='radio' value='Yes'  id='choice_5_215_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_215_0' id='label_5_215_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_215_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_215' type='radio' value='No'  id='choice_5_215_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_215_1' id='label_5_215_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_229\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_229\" ><center><strong><p style=\"color:red\">Veuillez noter que si vous avez des arri\u00e9r\u00e9s impay\u00e9s, cela peut affecter votre \u00e9ligibilit\u00e9. <\/p><\/strong><\/center><\/div><div id=\"field_5_230\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_230\" ><\/div><div id=\"field_5_216\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_216\" ><label class='gfield_label gform-field-label' for='input_5_216'>Nom du propri\u00e9taire<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_216' id='input_5_216' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_217\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_217\" ><label class='gfield_label gform-field-label' for='input_5_217'>Num\u00e9ro de t\u00e9l\u00e9phone du propri\u00e9taire<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_217' id='input_5_217' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_233' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_2_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-233' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_209\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_209\" ><h3 class=\"gsection_title\">Ant\u00e9c\u00e9dents en mati\u00e8re de logement pour <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><div id=\"field_5_164\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_164\" >Veuillez indiquer les adresses o\u00f9 vous avez v\u00e9cu au cours des<strong> cinq derni\u00e8res ann\u00e9es<\/strong> , \u00e0 l'exclusion de votre adresse actuelle. Si vous avez \u00e9t\u00e9 sans domicile fixe \u00e0 tout moment au cours des cinq derni\u00e8res ann\u00e9es, veuillez \u00e9galement l'indiquer.<\/div><div id=\"field_5_181\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full prev-accommodation-nested field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_181\" ><label class='gfield_label gform-field-label' for='input_5_181'>Ant\u00e9c\u00e9dents en mati\u00e8re de logement<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-1\">\n\t\t\t\t\tAdresse\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tDates de vie ici\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-10\">\n\t\t\t\t\tLoyer index\u00e9 sur le revenu\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actes<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"Address\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Dates Lived Here\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f10.label, attr: { 'data-value': f10.label }\"\n\t\t\t\t\tdata-heading=\"Rent Geared to Income\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit an Accommodation {0} where Address is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Modifier<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete an Accommodation {0} where Address is {1}.'.gformFormat( $index() + 1, f1.label ) }\">Supprimer<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"5\">\n\t\t\t\tIl n&#039;y a pas de <span>Accommodations.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"3\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd an Accommodation\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of accommodations reached.\n\t\t\t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_181\"\n                id=\"input_5_181\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_234' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_234' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_3_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-234' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_189\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_189\" ><h3 class=\"gsection_title\">Informations sur la correspondance<\/h3><\/div><fieldset id=\"field_5_111\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_111\" ><legend class='gfield_label gform-field-label' >Je pr\u00e9f\u00e8re \u00eatre contact\u00e9 par<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_111'>\n\t\t\t<div class='gchoice gchoice_5_111_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_111' type='radio' value='Email'  id='choice_5_111_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_111_0' id='label_5_111_0' class='gform-field-label gform-field-label--type-inline'>E-mail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_111_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_111' type='radio' value='Mail'  id='choice_5_111_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_111_1' id='label_5_111_1' class='gform-field-label gform-field-label--type-inline'>Mail<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_112\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_112\" ><label class='gfield_label gform-field-label' for='input_5_112'>Adresse email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_112' id='input_5_112' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_5_113\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_113\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse postale<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_113'><div class='gchoice gchoice_5_113_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_113.1' type='checkbox'  value='My Mailing Address is different than my Current Address'  id='choice_5_113_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_113_1' id='label_5_113_1' class='gform-field-label gform-field-label--type-inline'>Mon adresse postale est diff\u00e9rente de mon adresse actuelle<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_114\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_114\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse postale<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_114' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_114_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_114.1' id='input_5_114_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_114_1' id='input_5_114_1_label' class='gform-field-label gform-field-label--type-sub'>Adresse de la rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_114_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_114.2' id='input_5_114_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_114_2' id='input_5_114_2_label' class='gform-field-label gform-field-label--type-sub'>Num\u00e9ro d&#039;unit\u00e9<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_114_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_114.3' id='input_5_114_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_114_3' id='input_5_114_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_5_114_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_114.4' id='input_5_114_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_114_4' id='input_5_114_4_label' class='gform-field-label gform-field-label--type-sub'>Province \/ \u00c9tat \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_114_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_114.5' id='input_5_114_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_114_5' id='input_5_114_5_label' class='gform-field-label gform-field-label--type-sub'>Code postal \/ ZIP<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_114_6_container' >\n                                        <select name='input_114.6' id='input_5_114_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbade<\/option><option value='Belarus' >Bi\u00e9lorussie<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >B\u00e9lize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Ile Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brun\u00e9i Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cayman Islands' >\u00celes Ca\u00efmans<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >L&#039;\u00eele Christmas<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >Tch\u00e9quie<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >Egypte<\/option><option value='El Salvador' >Le Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopie<\/option><option value='Falkland Islands' >\u00celes Malouines<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guyane fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres Australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >L&#039;Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value='Korea, Republic of' >Cor\u00e9e, R\u00e9publique de<\/option><option value='Kuwait' >Koweit<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Lib\u00e9ria<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >Ile Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Birmanie<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle-Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palaos<\/option><option value='Palestine, State of' >Palestine, \u00c9tat de<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration de Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint-Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9-et-Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et les \u00eeles Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie, R\u00e9publique-Unie de<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Aller<\/option><option value='Tokelau' >Tok\u00e9laou<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_5_114_6' id='input_5_114_6_label' class='gform-field-label gform-field-label--type-sub'>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_55\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_55\" ><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_55' id='input_5_55' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_17\" ><h3 class=\"gsection_title\">Coordonn\u00e9es alternatives<\/h3><\/div><div id=\"field_5_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_18\" ><label class='gfield_label gform-field-label' for='input_5_18'>Nom de la personne que vous nous autorisez \u00e0 contacter en votre absence pour parler de cette demande<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_18' id='input_5_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_19\" ><label class='gfield_label gform-field-label' for='input_5_19'>Num\u00e9ro de t\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_19' id='input_5_19' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_20\" ><label class='gfield_label gform-field-label' for='input_5_20'>Lien de parent\u00e9 avec vous (membre de la famille, ami, etc.)<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_20' id='input_5_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_235' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_235' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_4_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-235' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_120\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_120\" ><h3 class=\"gsection_title\">Informations sur les revenus pour <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><div id=\"field_5_231\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_231\" ><label class='gfield_label gform-field-label' for='input_5_231'>Annual Income for <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/label><div class='gfield_description' id='gfield_description_5_231'>Please enter the amount shown on Line 15000 of your Notice of Assessment<\/div><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_231' id='input_5_231' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_231\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_232\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_232\" ><label class='gfield_label gform-field-label' for='gform_browse_button_5_232'>Notice of Assessment Upload<\/label><div class='gfield_description' id='gfield_description_5_232'>Please upload your NOA here<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_232' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_232&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_232&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_232&quot;,&quot;filelist&quot;:&quot;gform_preview_5_232&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/housing.county-lambton.on.ca\\\/?gf_page=6e09d9d2b26667e&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/housing.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/housing.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,jpeg,gif,png,heic,pdf,doc,docx&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:232},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;1&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_5_232&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_232' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_232' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_232 gfield_description_5_232\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_232'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 10 MB, Max. files: 1.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_232'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_5_232' class='ginput_preview_list'><\/div><\/div><div id=\"field_5_126\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_126\" ><p>\u00c9num\u00e9rez tout l\u2019argent que vous recevez chaque mois. <strong>L&#039;\u00e9num\u00e9ration de tous les revenus est obligatoire<\/strong><\/p> <p>Si vous n\u2019avez aucun revenu, veuillez choisir cette option.<\/p>\n<b><p>Des documents permettant de v\u00e9rifier votre revenu actuel doivent \u00eatre joints \u00e0 votre demande.<\/p><\/b>\n<p>Vous devrez fournir une copie de votre avis de cotisation le plus r\u00e9cent de l&#039;Agence du revenu du Canada. Si vous n&#039;avez pas de copie de cet avis de cotisation, vous pouvez en demander une en appelant l&#039;Agence du revenu du Canada au 1-800-959-8281.<\/p>\n<p>Cliquez sur le bouton ci-dessous pour ajouter des sources de revenus suppl\u00e9mentaires<\/p><\/div><fieldset id=\"field_5_224\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_224\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Aucun revenu<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_224'><div class='gchoice gchoice_5_224_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_224.1' type='checkbox'  value='I have no Income'  id='choice_5_224_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_224_1' id='label_5_224_1' class='gform-field-label gform-field-label--type-inline'>Je n&#039;ai aucun revenu<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_179\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full income-nested-view field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_179\" ><label class='gfield_label gform-field-label' for='input_5_179'>Sources de revenus<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tType de revenu\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tRevenu mensuel brut ($)\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-6\">\n\t\t\t\t\tPreuve de revenu\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actes<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Type of Income\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Gross Monthly Income ($)\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f6.label, attr: { 'data-value': f6.label }\"\n\t\t\t\t\tdata-heading=\"Proof of Income\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit an Income Source {0} where Type of Income is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Modifier<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete an Income Source {0} where Type of Income is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Supprimer<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"4\">\n\t\t\t\tIl n&#039;y a pas de <span>Income Sources.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"4\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd an Income Source\n\t\t\t<\/button>\t\n\t\t \t<p class=\"gpnf-add-entry-max\">\n\t\t \t\tVous devez ajouter au moins 1 source de revenu.\n\t\t \t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_179\"\n                id=\"input_5_179\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_236' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_236' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_5_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_5' class='gform_page' data-js='page-field-id-236' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_127\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_127\" ><h3 class=\"gsection_title\">Informations sur les actifs pour <span data-gppa-live-merge-tag=\"@{Legal Name:157.3}\"><\/span> <span data-gppa-live-merge-tag=\"@{Legal Name:157.6}\"><\/span><\/h3><\/div><div id=\"field_5_128\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_128\" ><p>\u00c9num\u00e9rez tous les biens que vous poss\u00e9dez. Vous n&#039;\u00eates pas oblig\u00e9 d&#039;inclure vos v\u00e9hicules personnels. <strong>La liste de tous les actifs est obligatoire<\/strong>.<\/p><p>Si vous n&#039;avez aucun actif, veuillez choisir cette option.<\/p>\n<b>La documentation permettant de v\u00e9rifier l\u2019ensemble de vos actifs doit \u00eatre jointe \u00e0 votre demande. <\/b><\/div><fieldset id=\"field_5_223\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_223\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Aucun actif<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_223'><div class='gchoice gchoice_5_223_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_223.1' type='checkbox'  value='I have no Assets'  id='choice_5_223_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_223_1' id='label_5_223_1' class='gform-field-label gform-field-label--type-inline'>Je n&#039;ai aucun actif<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_180\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full asset-nested-view field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_180\" ><label class='gfield_label gform-field-label' for='input_5_180'>Actifs<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tType d&#039;actif (y compris ceux situ\u00e9s \u00e0 l&#039;\u00e9tranger)\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-4\">\n\t\t\t\t\tD\u00e9tails de l&#039;actif\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tValeur\/Solde du compte ($)\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-6\">\n\t\t\t\t\tPreuve de patrimoine\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actes<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Type of Asset (including those in foreign countries)\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Details of Asset\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Value\/Account Balance ($)\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f6.label, attr: { 'data-value': f6.label }\"\n\t\t\t\t\tdata-heading=\"Proof of Assets\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit an Asset {0} where Type of Asset (including those in foreign countries) is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Modifier<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete an Asset {0} where Type of Asset (including those in foreign countries) is {1}.'.gformFormat( $index() + 1, f7.label ) }\">Supprimer<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"5\">\n\t\t\t\tIl n&#039;y a pas de <span>Assets.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"6\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd an Asset\n\t\t\t<\/button>\t\n\t\t \t<p class=\"gpnf-add-entry-max\">\n\t\t \t\tVous devez ajouter au moins 1 actif.\n\t\t \t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_180\"\n                id=\"input_5_180\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><fieldset id=\"field_5_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_135\" ><legend class='gfield_label gform-field-label' >Poss\u00e9dez-vous une propri\u00e9t\u00e9 ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_135'>\n\t\t\t<div class='gchoice gchoice_5_135_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_135' type='radio' value='Yes'  id='choice_5_135_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_135_0' id='label_5_135_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_135_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_135' type='radio' value='No'  id='choice_5_135_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_135_1' id='label_5_135_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_207\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_207\" >Un m\u00e9nage doit vendre sa participation dans la propri\u00e9t\u00e9 dans les 180 jours suivant le d\u00e9but de la perception de l&#039;aide au loyer index\u00e9 sur le revenu. Si votre r\u00e9sidence est vendue alors que vous \u00eates sur la liste d&#039;attente, veuillez fournir une copie de votre liste de d\u00e9caissement pour v\u00e9rifier votre admissibilit\u00e9 continue \u00e0 l&#039;aide au loyer index\u00e9 sur le revenu. <\/div><div id=\"field_5_182\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_182\" ><label class='gfield_label gform-field-label' for='input_5_182'>Propri\u00e9t\u00e9s poss\u00e9d\u00e9es<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tLocalisation de la propri\u00e9t\u00e9\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-4\">\n\t\t\t\t\tType de bien\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-6\">\n\t\t\t\t\tValeur estim\u00e9e\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tHypoth\u00e8que due\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-8\">\n\t\t\t\t\tDocumentation pour v\u00e9rifier la valeur actuelle et l&#039;hypoth\u00e8que actuelle\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actes<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Property Location\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Type of Property\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f6.label, attr: { 'data-value': f6.label }\"\n\t\t\t\t\tdata-heading=\"Assessed Value\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Mortgage Owing\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f8.label, attr: { 'data-value': f8.label }\"\n\t\t\t\t\tdata-heading=\"Documentation to verify Current Value and Current Mortgage\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Property {0} where Property Location is {1}.'.gformFormat( $index() + 1, f5.label ) }\">Modifier<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Property {0} where Property Location is {1}.'.gformFormat( $index() + 1, f5.label ) }\">Supprimer<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"6\">\n\t\t\t\tIl n&#039;y a pas de <span>Properties.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"7\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Property\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of properties reached.\n\t\t\t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_182\"\n                id=\"input_5_182\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_237' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Previous'  \/> <input type='button' id='gform_next_button_5_237' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_6_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_6' class='gform_page' data-js='page-field-id-237' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_6' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_174\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_174\" ><h3 class=\"gsection_title\">D\u00e9claration, divulgation et consentement d&#039;informations<\/h3><div class='gsection_description' id='gfield_description_5_174'><br>Je d\u00e9clare que toutes les informations fournies dans cette demande sont correctes et compl\u00e8tes. Je comprends que la falsification des informations peut entra\u00eener l&#039;annulation de ma demande, de ma location ou de mon occupation.\n<\/br><\/br>\nToute modification des informations figurant sur cette demande doit \u00eatre signal\u00e9e par \u00e9crit dans les 30 jours au Service du logement. Le non-respect de cette consigne entra\u00eenera l&#039;annulation de ma demande ou la perte de ma place sur la liste d&#039;attente. \n<\/br><\/br>\nCette demande et tous les documents justificatifs demand\u00e9s deviennent la propri\u00e9t\u00e9 de la Corporation du comt\u00e9 de Lambton, D\u00e9partement des services de logement. Ces informations seront utilis\u00e9es pour d\u00e9terminer l&#039;admissibilit\u00e9 \u00e0 l&#039;aide au loyer index\u00e9 sur le revenu et au logement demand\u00e9, l&#039;admissibilit\u00e9 continue \u00e0 l&#039;aide au loyer index\u00e9 sur le revenu et au logement et pourront \u00eatre utilis\u00e9es pour la charge appropri\u00e9e au loyer index\u00e9 sur le revenu.\n<\/br><\/br>\nJe reconnais que mes renseignements personnels peuvent \u00eatre partag\u00e9s avec divers participants au programme comme le pr\u00e9voit l&#039;article 14(1)(a) de la Loi sur l&#039;acc\u00e8s \u00e0 l&#039;information municipale et la protection de la vie priv\u00e9e, LRO 1990, CHAPITRE m.56\n<\/br><\/br>\nJe comprends que le traitement, le stockage et la manipulation de mes renseignements personnels sont r\u00e9gis par la Loi sur l\u2019acc\u00e8s \u00e0 l\u2019information municipale et la protection de la vie priv\u00e9e, LRO 1990, CHAPITRE m.56.\n<\/br><\/br>\nLes renseignements personnels contenus dans ce formulaire ou dans les pi\u00e8ces jointes sont recueillis par la Corporation du comt\u00e9 de Lambton conform\u00e9ment \u00e0 la Loi sur l&#039;acc\u00e8s \u00e0 l&#039;information municipale et la protection de la vie priv\u00e9e (LRO 1990, cM56). Les demandes de renseignements relatives \u00e0 cette collecte doivent \u00eatre adress\u00e9es \u00e0 la Corporation du comt\u00e9 de Lambton, Service du logement, 162, rue Lochiel, bureau 100, Sarnia (Ontario) N7T 7W5 ou au 519-344-2062.\n<\/br><\/br>\nConform\u00e9ment \u00e0 la Loi sur l&#039;acc\u00e8s \u00e0 l&#039;information municipale et provinciale et \u00e0 la Loi sur la protection de la vie priv\u00e9e et \u00e0 la Loi f\u00e9d\u00e9rale sur la protection des renseignements personnels, je donne mon consentement et mon autorisation \u00e0 la Corporation du comt\u00e9 de Lambton, D\u00e9partement des services de logement pour :\n<\/br><\/br>\n<ul>\n<li>\u2022 Je me renseigne pour v\u00e9rifier les informations fournies dans cette demande et j&#039;autorise toute personne, soci\u00e9t\u00e9 ou organisme social ayant connaissance de ces informations requises \u00e0 les communiquer au d\u00e9partement des services de logement de la Corporation du comt\u00e9 de Lambton. J&#039;accepte de fournir tout document justificatif requis pour ma demande.<\/li><\/br>\n<li>\u2022 Divulguer les renseignements fournis dans ce formulaire aux soci\u00e9t\u00e9s d\u2019habitation sans but lucratif, aux coop\u00e9ratives et aux autres minist\u00e8res et organismes municipaux, provinciaux et f\u00e9d\u00e9raux qui fournissent de l\u2019aide sociale \u00e0 moi-m\u00eame et aux personnes mentionn\u00e9es dans cette demande.<\/li><\/br>\n<li>\u2022 Je\/Nous comprenons que mes\/nos renseignements sur les arri\u00e9r\u00e9s de loyer et les dommages seront partag\u00e9s avec la Housing Services Corporation et avec d&#039;autres gestionnaires de services par l&#039;interm\u00e9diaire de la base de donn\u00e9es provinciale sur les arri\u00e9r\u00e9s de la Housing Services Corporation dans le but de v\u00e9rifier l&#039;admissibilit\u00e9 \u00e0 l&#039;aide en vertu de la Loi sur les services de logement.<\/li>\n<\/ul><\/div><\/div><div id=\"field_5_175\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_175\" ><label class='gfield_label gform-field-label' for='input_5_175'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_5_175_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input autocomplete=\"off\"  type='hidden' class='gform_hidden' name='input_5_175_valid' id='input_5_175_valid' \/><canvas id='input_5_175' width='500' height='180'><\/canvas><\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_115' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Revenir'  \/> <input type='button' id='gform_next_button_5_115' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_7_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_7' class='gform_page' data-js='page-field-id-115' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_7' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_1\" ><h3 class=\"gsection_title\">Membres du m\u00e9nage<\/h3><\/div><div id=\"field_5_49\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_49\" >Veuillez \u00e9num\u00e9rer tous les membres qui vivront dans l\u2019unit\u00e9, \u00e0 l\u2019exclusion du demandeur.\n<\/div><fieldset id=\"field_5_221\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_221\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Des membres du m\u00e9nage ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_221'><div class='gchoice gchoice_5_221_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_221.1' type='checkbox'  value='I have no additional household members'  id='choice_5_221_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_221_1' id='label_5_221_1' class='gform-field-label gform-field-label--type-inline'>Je n&#039;ai pas de membres suppl\u00e9mentaires dans mon foyer<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_197\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_197\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_197'>Nombre de membres du m\u00e9nage<\/label><div class='ginput_container ginput_container_number'><input autocomplete=\"off\"  name='input_197' id='input_5_197' type='text' step='any'   value='' class='large'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_5_9\" class=\"gfield gfield--type-form gfield--input-type-form gform-theme__no-reset--children gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_9\" ><label class='gfield_label gform-field-label' for='input_5_9'>Membres du m\u00e9nage<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-49\">\n\t\t\t\t\tNom officiel\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-4\">\n\t\t\t\t\tSexe\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-5\">\n\t\t\t\t\tDate de naissance\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-7\">\n\t\t\t\t\tNum\u00e9ro d&#039;assurance sociale\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-8\">\n\t\t\t\t\tRelation\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actes<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f49.label, attr: { 'data-value': f49.label }\"\n\t\t\t\t\tdata-heading=\"Legal Name\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f4.label, attr: { 'data-value': f4.label }\"\n\t\t\t\t\tdata-heading=\"Gender\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f5.label, attr: { 'data-value': f5.label }\"\n\t\t\t\t\tdata-heading=\"Date of Birth\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f7.label, attr: { 'data-value': f7.label }\"\n\t\t\t\t\tdata-heading=\"Social Insurance Number\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f8.label, attr: { 'data-value': f8.label }\"\n\t\t\t\t\tdata-heading=\"Relationship\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\" style=\"display: none;\" data-bind=\"visible: true\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><button type=\"button\" class=\"edit-button gform-theme-button--secondary\" data-bind=\"click: $parent.editEntry, attr: { 'aria-label': 'Edit Member {0} where Legal Name is {1}.'.gformFormat( $index() + 1, f49.label ) }\">Modifier<\/button><\/li>\n\t\t\t\t\t\t\t\t\t\t<li class=\"delete\"><button type=\"button\" class=\"delete-button gform-theme-button--simple gform-theme-button--size-md\" data-bind=\"click: $parent.deleteEntry, attr: { 'aria-label': 'Delete Member {0} where Legal Name is {1}.'.gformFormat( $index() + 1, f49.label ) }\">Supprimer<\/button><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\" style=\"display: none;\">\n\t\t\t<td colspan=\"6\">\n\t\t\t\tIl n&#039;y a pas de <span>Members.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"5\"\n\t\t        data-nestedformid=\"2\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }, css: { 'gf-default-disabled': isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Member\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"visible: isMaxed\" style=\"display: none;\">\n\t\t\t\tMaximum number of members reached.\n\t\t\t<\/p>\n<\/div>\n<input autocomplete=\"off\"  type=\"hidden\"\n                name=\"input_9\"\n                id=\"input_5_9\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/div><div id=\"field_5_222\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_222\" ><div style=\"height: 100px;\"><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_72' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Revenir'  \/> <input type='button' id='gform_next_button_5_72' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_8_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_8' class='gform_page' data-js='page-field-id-72' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_8' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_29\" ><h3 class=\"gsection_title\">Statut prioritaire sp\u00e9cial<\/h3><\/div><div id=\"field_5_30\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_30\" ><p>Le statut de priorit\u00e9 sp\u00e9ciale est r\u00e9serv\u00e9 aux demandeurs qui ont \u00e9t\u00e9 victimes de violence de la part d\u2019une autre personne r\u00e9sidant dans leur foyer et\/ou qui ont \u00e9t\u00e9 victimes de la traite de personnes. Le statut de priorit\u00e9 sp\u00e9ciale aide les demandeurs qui ont besoin d'un logement subventionn\u00e9 pour se s\u00e9parer d\u00e9finitivement de la personne maltraitante.<\/p>\n<p>Pour demander le statut de priorit\u00e9 sp\u00e9ciale, vous devez remplir le formulaire de v\u00e9rification pour les victimes de maltraitance familiale et\/ou de la traite de personnes. Dans le cadre de la demande de statut de priorit\u00e9 sp\u00e9ciale, un professionnel qualifi\u00e9 doit remplir certaines sections du formulaire de v\u00e9rification pour les victimes de maltraitance familiale et\/ou de la traite de personnes. Dans le cas des victimes de maltraitance familiale, une preuve de cohabitation avec la personne maltraitante doit \u00e9galement \u00eatre fournie.  <\/p><\/div><fieldset id=\"field_5_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_37\" ><legend class='gfield_label gform-field-label' >Souhaitez-vous recevoir un formulaire de demande pour le statut de priorit\u00e9 sp\u00e9ciale?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_37'>\n\t\t\t<div class='gchoice gchoice_5_37_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_37' type='radio' value='Yes'  id='choice_5_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_37_0' id='label_5_37_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_37_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_37' type='radio' value='No'  id='choice_5_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_37_1' id='label_5_37_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_87\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_87\" ><legend class='gfield_label gform-field-label' >Pr\u00e9f\u00e9rez-vous que le formulaire vous soit envoy\u00e9 par la poste ou par courriel?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_87'>\n\t\t\t<div class='gchoice gchoice_5_87_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_87' type='radio' value='Mail'  id='choice_5_87_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_87_0' id='label_5_87_0' class='gform-field-label gform-field-label--type-inline'>Mail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_87_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_87' type='radio' value='Email'  id='choice_5_87_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_87_1' id='label_5_87_1' class='gform-field-label gform-field-label--type-inline'>E-mail<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_32\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_32\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend><div class='gfield_description' id='gfield_description_5_32'>Veuillez fournir une adresse e-mail ou postale s\u00e9curis\u00e9e ci-dessous<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_32' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_32_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_32.1' id='input_5_32_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_32_1' id='input_5_32_1_label' class='gform-field-label gform-field-label--type-sub'>Adresse de la rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_32_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_32.2' id='input_5_32_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_32_2' id='input_5_32_2_label' class='gform-field-label gform-field-label--type-sub'>Num\u00e9ro d&#039;unit\u00e9<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_32_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_32.3' id='input_5_32_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_32_3' id='input_5_32_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_5_32_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_32.4' id='input_5_32_4' value=''      aria-required='false'    \/>\n                                        <label for='input_5_32_4' id='input_5_32_4_label' class='gform-field-label gform-field-label--type-sub'>Province \/ \u00c9tat \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_32_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_32.5' id='input_5_32_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_32_5' id='input_5_32_5_label' class='gform-field-label gform-field-label--type-sub'>Code postal \/ ZIP<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_32_6_container' >\n                                        <select name='input_32.6' id='input_5_32_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbade<\/option><option value='Belarus' >Bi\u00e9lorussie<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >B\u00e9lize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Ile Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brun\u00e9i Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >\u00celes Ca\u00efmans<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >L&#039;\u00eele Christmas<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >Tch\u00e9quie<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >Egypte<\/option><option value='El Salvador' >Le Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopie<\/option><option value='Falkland Islands' >\u00celes Malouines<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guyane fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres Australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >L&#039;Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value='Korea, Republic of' >Cor\u00e9e, R\u00e9publique de<\/option><option value='Kuwait' >Koweit<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Lib\u00e9ria<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >Ile Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Birmanie<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle-Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palaos<\/option><option value='Palestine, State of' >Palestine, \u00c9tat de<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration de Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint-Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9-et-Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et les \u00eeles Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie, R\u00e9publique-Unie de<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Aller<\/option><option value='Tokelau' >Tok\u00e9laou<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_5_32_6' id='input_5_32_6_label' class='gform-field-label gform-field-label--type-sub'>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_33\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_33\" ><label class='gfield_label gform-field-label' for='input_5_33'>E-mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_33' id='input_5_33' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_34\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_34\" ><label class='gfield_label gform-field-label' for='input_5_34'>Num\u00e9ro de t\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input autocomplete=\"off\"  name='input_34' id='input_5_34' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_35\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Est-il s\u00e9curitaire de laisser des messages vocaux ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_35'><div class='gchoice gchoice_5_35_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Yes'  id='choice_5_35_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_35_1' id='label_5_35_1' class='gform-field-label gform-field-label--type-inline'>Vous pouvez me laisser des messages vocaux de fa\u00e7on s\u00e9curitaire \u00e0 ce num\u00e9ro.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_88' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Revenir'  \/> <input type='button' id='gform_next_button_5_88' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_9_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_9' class='gform_page' data-js='page-field-id-88' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_9' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_36\" ><h3 class=\"gsection_title\">Exigences m\u00e9dicales<\/h3><\/div><fieldset id=\"field_5_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_80\" ><legend class='gfield_label gform-field-label' >Un membre du m\u00e9nage a-t-il besoin d'un immeuble dot\u00e9 d'un ascenseur?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_80'>\n\t\t\t<div class='gchoice gchoice_5_80_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_80' type='radio' value='Yes'  id='choice_5_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_0' id='label_5_80_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_80_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_80' type='radio' value='No'  id='choice_5_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_80_1' id='label_5_80_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_83\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_83\" ><legend class='gfield_label gform-field-label' >Avez-vous besoin d\u2019un logement \u00e0 un \u00e9tage pr\u00e9cis?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_83'>\n\t\t\t<div class='gchoice gchoice_5_83_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_83' type='radio' value='Yes'  id='choice_5_83_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_83_0' id='label_5_83_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_83_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_83' type='radio' value='No'  id='choice_5_83_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_83_1' id='label_5_83_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_84\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_84\" ><label class='gfield_label gform-field-label' for='input_5_84'>Quel \u00e9tage?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_84' id='input_5_84' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full yesno-medical gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_39\" ><legend class='gfield_label gform-field-label' >Un membre du m\u00e9nage a-t-il besoin, pour des raisons m\u00e9dicales, d'un logement modifi\u00e9 qui est adapt\u00e9 aux fauteuils roulants?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_39'>\n\t\t\t<div class='gchoice gchoice_5_39_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_39' type='radio' value='Yes'  id='choice_5_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_0' id='label_5_39_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_39_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_39' type='radio' value='No'  id='choice_5_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_39_1' id='label_5_39_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_183\" class=\"gfield gfield--type-repeater_start gfield--input-type-repeater_start gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_183\" ><label class='gfield_label gform-field-label' for='input_5_183'>Exigences m\u00e9dicales<\/label><div class='ginput_container ginput_container_text'> <div class=\"wpforms-field-repeater-start\">\r\n\t\t\t<textarea autocomplete=\"off\"  class=\"repeater-field-header-data hidden\"><div class=\"repeater-field-header\">\r\n\t\t\t\t<div class=\"repeater-field-header-title\"> <span class=\"repeater-field-header-count\">1<\/span><\/div>\r\n\t\t\t\t<div class=\"repeater-field-header-acctions\">\r\n\t\t\t\t\t<ul>\r\n\t\t\t\t\t\t<li><i class=\"repeater-icon icon-down-open repeater-field-header-acctions-toogle\" aria-hidden=\"true\"><\/i><\/li>\r\n\t\t\t\t\t\t<li><i class=\"repeater-icon icon-cancel-1 repeater-field-header-acctions-remove\" aria-hidden=\"true\"><\/i><\/li>\r\n\t\t\t\t\t<\/ul>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/div><\/textarea>\r\n\t\t<\/div> <\/div><\/div><div id=\"field_5_90\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_90\" ><label class='gfield_label gform-field-label' for='input_5_90'>S\u00e9lectionnez le membre du m\u00e9nage qui n\u00e9cessite une unit\u00e9 adapt\u00e9e aux fauteuils roulants<\/label><div class='ginput_container ginput_container_select'><select disabled=\"true\" name='input_90' id='input_5_90' class='large gfield_select'     aria-invalid=\"false\" ><option disabled=\"true\" selected value='' >&ndash; No Results &ndash;<\/option><\/select><\/div><\/div><div id=\"field_5_225\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_225\" ><label class='gfield_label gform-field-label' for='gform_browse_button_5_225'>Note m\u00e9dicale<\/label><div class='gfield_description' id='gfield_description_5_225'>Veuillez fournir une note m\u00e9dicale d\u00e9taill\u00e9e de votre m\u00e9decin ou professionnel de la sant\u00e9 qui pr\u00e9cise clairement la raison pour laquelle vous avez besoin de cet h\u00e9bergement.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_225' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_225&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_225&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_225&quot;,&quot;filelist&quot;:&quot;gform_preview_5_225&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/housing.county-lambton.on.ca\\\/?gf_page=6e09d9d2b26667e&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/housing.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/housing.county-lambton.on.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,jpeg,gif,png,heic,pdf,doc,docx&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:225},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_5_225&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_225' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_225' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_225 gfield_description_5_225\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_225'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 10 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_225'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_5_225' class='ginput_preview_list'><\/div><\/div><div id=\"field_5_184\" class=\"gfield gfield--type-repeater_end gfield--input-type-repeater_end gfield--width-full medical-notes-repeater field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_184\" ><label class='gfield_label gform-field-label' for='input_5_184'><\/label><div class='ginput_container'><div class=\"repeater-field-warp-item-data\" data-initial_rows=\"0\" data-limit=\"9999\" data-initial_rows_map=\"input_5_\" data-map_id=\"field_5_184\">\r\n\t\t\t<div class=\"repeater-field-warp-item\">\r\n\t\t\t<\/div>\r\n\t\t\t<div class=\"repeater-field-footer\"><a href=\"#\"\" class=\"gf-repeater-field-button-add\" >Ajouter une autre note m\u00e9dicale<\/a><\/div>\r\n\t\t\t<input autocomplete=\"off\"  data-initial_rows_map='input_5_' data-map_id='field_5_184' name='input_184' id='input_5_184' type='hidden' value='' class='large gf-field-repeater-data hidden'    aria-invalid=\"false\" \/>\r\n\t\t\t<textarea autocomplete=\"off\"  class=\"gf-field-repeater-data-html hidden\"><\/textarea>\r\n\t\t<\/div><\/div><\/div><fieldset id=\"field_5_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_41\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Avez-vous besoin d&#039;une chambre suppl\u00e9mentaire pour l&#039;une des raisons suivantes\u00a0:<\/legend><div class='gfield_description' id='gfield_description_5_41'>S\u00e9lectionnez toutes les r\u00e9ponses qui s'appliquent.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_41'><div class='gchoice gchoice_5_41_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_41.1' type='checkbox'  value='To store medical equipment required by a member of the household because of a disability or medical condition'  id='choice_5_41_1'   aria-describedby=\"gfield_description_5_41\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_1' id='label_5_41_1' class='gform-field-label gform-field-label--type-inline'>Pour ranger l'\u00e9quipement m\u00e9dical dont un membre du m\u00e9nage a besoin en raison d'une incapacit\u00e9 ou d'un probl\u00e8me de sant\u00e9.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_41.2' type='checkbox'  value='A spouse requires a separate bedroom because of a disability or medical condition'  id='choice_5_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_2' id='label_5_41_2' class='gform-field-label gform-field-label--type-inline'>Un conjoint a besoin d'une chambre s\u00e9par\u00e9e en raison d'une incapacit\u00e9 ou d'un probl\u00e8me de sant\u00e9.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_42\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_42\" ><label class='gfield_label gform-field-label' for='input_5_42'>Note m\u00e9dicale<\/label><div class='gfield_description' id='gfield_description_5_42'>Veuillez fournir une note m\u00e9dicale d\u00e9taill\u00e9e de votre m\u00e9decin ou professionnel de la sant\u00e9 qui pr\u00e9cise clairement la raison pour laquelle vous avez besoin de cet h\u00e9bergement.<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_42' id='input_5_42' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_42 gfield_description_5_42\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_42'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_42'><\/div><\/div><\/div><fieldset id=\"field_5_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_43\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><legend class='gfield_label gform-field-label' >Un membre du m\u00e9nage a-t-il besoin de services de soutien afin de vivre de fa\u00e7on autonome?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_43'>\n\t\t\t<div class='gchoice gchoice_5_43_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_43' type='radio' value='Yes'  id='choice_5_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_0' id='label_5_43_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_43_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_43' type='radio' value='No'  id='choice_5_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_1' id='label_5_43_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_45\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_45\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_45'>Lettre de l&#039;organisme de soutien<\/label><div class='gfield_description' id='gfield_description_5_45'>Si vous le pouvez, veuillez fournir une lettre de votre agence de soutien d\u00e9crivant les aides dont vous avez besoin.<\/div><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_45' id='input_5_45' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_45 gfield_description_5_45\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_45'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_45'><\/div><\/div><\/div><div id=\"field_5_103\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_103\" >Les unit\u00e9s prises en charge sont des unit\u00e9s associ\u00e9es \u00e0 March of Dimes, Community Living ou Lambton County Developmental Services o\u00f9 les individus re\u00e7oivent des services sp\u00e9cifiques de ces agences pour les aider \u00e0 vivre de mani\u00e8re ind\u00e9pendante.<\/div><fieldset id=\"field_5_94\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_94\" ><legend class='gfield_label gform-field-label' >Un membre du m\u00e9nage a-t-il besoin de services de soutien afin de vivre de fa\u00e7on autonome?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_94'>\n\t\t\t<div class='gchoice gchoice_5_94_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_94' type='radio' value='Yes'  id='choice_5_94_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_94_0' id='label_5_94_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_94_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_94' type='radio' value='No'  id='choice_5_94_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_94_1' id='label_5_94_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_102\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_102\" ><label class='gfield_label gform-field-label' for='input_5_102'>Organisme de soutien<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Requis)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_102' id='input_5_102' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez s\u00e9lectionner l&#039;organisme de soutien<\/option><option value='March of Dimes' >La marche des dix sous<\/option><option value='Lambton County Developmental Services' >Services de d\u00e9veloppement du comt\u00e9 de Lambton<\/option><option value='Community Living' >Vie communautaire<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/div><div id=\"field_5_44\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_44\" ><label class='gfield_label gform-field-label' for='input_5_44'>Veuillez identifier le membre du m\u00e9nage et les soutiens dont il a besoin.<\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_44' id='input_5_44' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_95\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_95\" ><label class='gfield_label gform-field-label' for='input_5_95'>Si vous avez une lettre d&#039;approbation de l&#039;agence, veuillez la t\u00e9l\u00e9charger ici<\/label><div class='ginput_container ginput_container_fileupload'><input autocomplete=\"off\"  name='input_95' id='input_5_95' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_95\" onchange='javascript:gformValidateFileSize( this, 21474836480 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_95'>Accepted file types: jpg, jpeg, gif, png, heic, pdf, doc, docx, Max. file size: 20 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_95'><\/div><\/div><\/div><div id=\"field_5_97\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_97\" ><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_92' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Revenir'  \/> <input type='button' id='gform_next_button_5_92' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_10_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_10' class='gform_page' data-js='page-field-id-92' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_10' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_5_98\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_98\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Un m\u00e9nage est admissible au plus grand logement avec une chambre pour deux conjoints et une chambre additionnelle pour chaque membre suppl\u00e9mentaire du m\u00e9nage. Veuillez indiquer la grandeur de logement que vous pr\u00e9f\u00e9rez en cochant toutes les r\u00e9ponses qui s\u2019appliquent.<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_5_98'><div class='gchoice gchoice_5_98_1'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.1' type='checkbox'  value='Bachelor'  id='choice_5_98_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_1' id='label_5_98_1' class='gform-field-label gform-field-label--type-inline'>C\u00e9libataire<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_2'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.2' type='checkbox'  value='1 Bedroom'  id='choice_5_98_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_2' id='label_5_98_2' class='gform-field-label gform-field-label--type-inline'>1 chambre<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_3'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.3' type='checkbox'  value='2 Bedroom'  id='choice_5_98_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_3' id='label_5_98_3' class='gform-field-label gform-field-label--type-inline'>2 chambres<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_4'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.4' type='checkbox'  value='3 Bedroom'  id='choice_5_98_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_4' id='label_5_98_4' class='gform-field-label gform-field-label--type-inline'>3 chambres<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_5'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.5' type='checkbox'  value='4 Bedroom'  id='choice_5_98_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_5' id='label_5_98_5' class='gform-field-label gform-field-label--type-inline'>4 chambres<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_98_6'>\n\t\t\t\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_98.6' type='checkbox'  value='5 Bedroom'  id='choice_5_98_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_98_6' id='label_5_98_6' class='gform-field-label gform-field-label--type-inline'>5 chambres<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_85' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Revenir'  \/> <input type='button' id='gform_next_button_5_85' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_11_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_11' class='gform_page' data-js='page-field-id-85' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_11' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_100\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_100\" ><p>Vous recevrez une (1) offre de logement. Si vous refusez cette offre, votre nom pourrait \u00eatre retir\u00e9 de la liste d&#039;attente. Veuillez s\u00e9lectionner soigneusement uniquement les options que vous \u00eates pr\u00eat \u00e0 accepter.<\/p>\n<p>Pour toute question concernant vos pr\u00e9f\u00e9rences, vos am\u00e9nagements m\u00e9dicaux ou pour obtenir des informations suppl\u00e9mentaires sur les complexes immobiliers, veuillez appeler le coordonnateur de l&#039;acc\u00e8s au 519-344-2062, poste 2200.<\/p>\n<p>Veuillez cliquer et s\u00e9lectionner le ou les endroits o\u00f9 vous souhaitez vivre. Si vous s\u00e9lectionnez des endroits pour lesquels vous n&#039;\u00eates pas \u00e9ligible, votre nom ne sera pas inscrit sur ces listes d&#039;attente.<\/p>\n<\/div><div id=\"field_5_192\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_192\" ><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_192' id='input_5_192' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_5_50\" class=\"gfield gfield--type-housing_selection gfield--input-type-housing_selection gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_50\" ><label class='gfield_label gform-field-label screen-reader-text' for='input_5_50'><\/label><div class=\"housing-options\"><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-0\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Sarnia<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-0\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"11905\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Alexandre MacKenzie<\/h4><p>1625 Cour d&#039;Afton<\/p><p>Sarnia (Ontario) N7S 5Y6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1625+Afton+Court%2C+Sarnia%2C+Ontario%2C+N7S+5Y6&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville<\/p><h4>Tailles des unit\u00e9s<\/h4><p>2 chambres<br>3 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements coop\u00e9ratifs<br>Unit\u00e9s avec suppl\u00e9ment de loyer<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Utilitaires suppl\u00e9mentaires <\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Caution pour animaux de compagnie <\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> D\u00e9p\u00f4t de garantie <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Branchements pour buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Alexander MacKenzie\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"11913\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Faethorne<\/h4><p>1240 Afton Drive<\/p><p>Sarnia (Ontario) N7S 1P3<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1240+Afton+Drive%2C+Sarnia%2C+Ontario%2C+N7S+1P3&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville, Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<br>3 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements coop\u00e9ratifs<br>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Restrictions concernant les animaux de compagnie *<\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Caution pour animaux de compagnie <\/p><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> D\u00e9p\u00f4t de garantie <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"fa-solid fa-wheelchair amenity-icon\"><\/i> Unit\u00e9s adapt\u00e9es aux fauteuils roulants <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><p class='pet-policy'>* Pas de chiens<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Faethorne\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12054\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Canterbury Court<\/h4><p> Canterbury Court<\/p><p>Sarnia (Ontario), <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Canterbury+Court%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur (1 b\u00e2timent) <\/p><p><i class=\"fa-classic fa-solid fa-stairs amenity-icon\"><\/i> Walk-Up (3 b\u00e2timents) <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Canterbury Court\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"11931\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Manoir de Capel<\/h4><p>230, rue Capel<\/p><p>Sarnia (Ontario) N7T 7P9<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=230+Capel+Street%2C+Sarnia%2C+Ontario%2C+N7T+7P9&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Capel Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12073\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Jardins du Jubil\u00e9<\/h4><p>700, boulevard Cathcart<\/p><p>Sarnia (Ontario) N7V 2N5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=700+Cathcart+Boulevard%2C+Sarnia%2C+Ontario%2C+N7V+2N5&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur LULA disponible <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Jubilee Gardens\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12087\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">925 Colborne<\/h4><p>925, chemin Colborne<\/p><p>Sarnia (Ontario) N7V 3K4<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=925+Colborne+Road%2C+Sarnia%2C+Ontario%2C+N7V+3K4&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Acc\u00e8s sans rendez-vous <\/p><p><i class=\"fa-classic fa-solid fa-ban amenity-icon\"><\/i> Pas de balcons <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"925 Colborne\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12092\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Vue sur la vall\u00e9e<\/h4><p>914, rue de la Conf\u00e9d\u00e9ration<\/p><p>Sarnia (Ontario) N7S 1A1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=914+Confederation+Street%2C+Sarnia%2C+Ontario%2C+N7S+1A1&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville<\/p><h4>Tailles des unit\u00e9s<\/h4><p>2 chambres<br>3 chambres<br>4 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> \u00c9lectrom\u00e9nagers non inclus <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Valley View\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12100\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Copland<\/h4><p>747, chemin Copland<\/p><p>Sarnia (Ontario) N7T 7B6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=747+Copland+Road%2C+Sarnia%2C+Ontario%2C+N7T+7B6&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<br>Soutenu<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Copland\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12361\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Rue Devine<\/h4><p>244, rue Devine<\/p><p>Sarnia (Ontario) N7T 2R7<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=244+Devine+Street%2C+Sarnia%2C+Ontario%2C+N7T+2R7&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> \u00c9lectrom\u00e9nagers non inclus <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Branchements pour buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Cour cl\u00f4tur\u00e9e pour appartement au rez-de-chauss\u00e9e <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Terrasse cl\u00f4tur\u00e9e en b\u00e9ton pour appartement \u00e0 l&#039;\u00e9tage <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Pelouse entretenue par le comt\u00e9 de Lambton <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Devine Street\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12104\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements Avondale<\/h4><p>125, rue Euph\u00e9mie Sud<\/p><p>Sarnia (Ontario) N7T 2Y6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=125+Euphemia+Street+South%2C+Sarnia%2C+Ontario%2C+N7T+2Y6&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Avondale Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12115\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">B\u00e9r\u00e9en<\/h4><p>1445, rue Exmouth<\/p><p>Sarnia (Ontario) N7S 6J5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1445+Exmouth+Street%2C+Sarnia%2C+Ontario%2C+N7S+6J5&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville, Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<br>3 chambres<br>4 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Restrictions concernant les animaux de compagnie *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Services publics suppl\u00e9mentaires (maison de ville) <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Ascenseur (Appartements) <\/p><\/div><p class='pet-policy'>* Politique d&#039;un seul animal (max 20 lb\/20 po, st\u00e9rilis\u00e9, vaccins \u00e0 jour)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Berean\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12117\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Tours de Nottingham<\/h4><p>56, promenade Finch<\/p><p>Sarnia (Ontario) N7S 5K8<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=56+Finch+Drive%2C+Sarnia%2C+Ontario%2C+N7S+5K8&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Chauffage suppl\u00e9mentaire <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Nottingham Towers\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12139\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Kathleen Adulte<\/h4><p> Avenue Kathleen<\/p><p>Sarnia (Ontario), <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Kathleen+Avenue%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kathleen Adult\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12136\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Kathleen Semi<\/h4><p> Avenue Kathleen<\/p><p>Sarnia (Ontario), <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Kathleen+Avenue%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison jumel\u00e9e<\/p><h4>Tailles des unit\u00e9s<\/h4><p>2 chambres<br>3 chambres<br>4 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> \u00c9lectrom\u00e9nagers non inclus <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Il faut couper l&#039;herbe <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> All\u00e9e priv\u00e9e <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Branchements pour buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kathleen Semi\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12134\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">La famille Kathleen<\/h4><p> Avenue Kathleen<\/p><p>Sarnia (Ontario), <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Kathleen+Avenue%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville<\/p><h4>Tailles des unit\u00e9s<\/h4><p>2 chambres<br>3 chambres<br>4 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Charges incluses <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> \u00c9lectrom\u00e9nagers non inclus <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Branchements pour buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kathleen Family\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12058\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Les Acres de Cardiff<\/h4><p> Unit\u00e9s dispers\u00e9es<\/p><p>Sarnia (Ontario), <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Lanark+Crescent%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville, Maison individuelle, Maison jumel\u00e9e<\/p><h4>Tailles des unit\u00e9s<\/h4><p>3 chambres<br>4 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Hydro Extra <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> \u00c9lectrom\u00e9nagers non inclus <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Branchements pour buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>3 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Cardiff Acres\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12142\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Le manoir de Bethel<\/h4><p>Ligne 1575 de Londres<\/p><p>Sarnia (Ontario) N7T 7H2<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=1575+London+Line%2C+Sarnia%2C+Ontario%2C+N7T+7H2&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Propri\u00e9t\u00e9 sans fum\u00e9e <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Restrictions concernant les animaux de compagnie *<\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><p class='pet-policy'>* Politique d&#039;un seul animal (max 20 lb\/20 po, st\u00e9rilis\u00e9, vaccins \u00e0 jour)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Bethel Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12145\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Place du parc Maxwell<\/h4><p>993, rue Maxwell<\/p><p>Sarnia (Ontario) N7S 0C5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=993+Maxwell+Street%2C+Sarnia%2C+Ontario%2C+N7S+0C5&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<br>Soutenu<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Propri\u00e9t\u00e9 sans fum\u00e9e <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Maxwell Park Place\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12151\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Jardins de St. Clair<\/h4><p>150, rue Queen<\/p><p>Sarnia (Ontario) N7T 2R1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=150+Queen+Street%2C+Sarnia%2C+Ontario%2C+N7T+2R1&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"St. Clair Gardens\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12147\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Les jardins de Guernesey<\/h4><p>124, rue Queen<\/p><p>Sarnia (Ontario) N7T 2R1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=124+Queen+Street%2C+Sarnia%2C+Ontario%2C+N7T+2R1&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>C\u00e9libataire<br>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<br>Soutenu<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Guernsey Gardens\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12187\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Rue Roger<\/h4><p> Rue Roger<\/p><p>Sarnia (Ontario), <\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=+Roger+Street%2C+Sarnia%2C+Ontario%2C+&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville, Maison jumel\u00e9e<\/p><h4>Tailles des unit\u00e9s<\/h4><p>2 chambres<br>3 chambres<br>4 chambres<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> \u00c9lectrom\u00e9nagers non inclus <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Il faut couper l&#039;herbe <\/p><p><i class=\"fa-classic fa-solid fa-jug-detergent amenity-icon\"><\/i> Branchements pour buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Roger St.\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12192\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Manoir d&#039;Ozanam<\/h4><p>911, rue Wellington<\/p><p>Sarnia (Ontario) N7T 1J6<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=911+Wellington+Street%2C+Sarnia%2C+Ontario%2C+N7T+1J6&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<br>3 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<br>Soutenu<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Ozanam Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12195\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Manoir de Northgate<\/h4><p>345, croissant Willowdale<\/p><p>Sarnia (Ontario) N7T 7T5<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=345+Willowdale+Crescent%2C+Sarnia%2C+Ontario%2C+N7T+7T5&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Northgate Manor\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-1\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Alvinston<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-1\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12197\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements Alvinston<\/h4><p>3247, rue River<\/p><p>Alvinston (Ontario) N0N 1A0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=3247+River+Street%2C+Alvinston%2C+Ontario%2C+N0N+1A0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Ascenseur LULA <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Alvinston Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-2\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Arkona<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-2\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12210\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements Orchardview<\/h4><p>7294, chemin Arkona<\/p><p>Arkona (Ontario) N0M 1B0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=7294+Arkona+Road%2C+Arkona%2C+Ontario%2C+N0M+1B0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Propri\u00e9t\u00e9 sans fum\u00e9e <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Restrictions concernant les animaux de compagnie *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> Terrasses priv\u00e9es <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><p class='pet-policy'>* Politique d&#039;un seul animal (max 20 lb\/20 po, st\u00e9rilis\u00e9, vaccins \u00e0 jour)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Orchardview Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-3\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Pont<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-3\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12045\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Place du parc Brigden<\/h4><p>2444, rue Jane<\/p><p>Brigden (Ontario) N0N 1B0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=2444+Jane+Street%2C+Brigden%2C+Ontario%2C+N0N+1B0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<br>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Brigden Park Place\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-4\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Corunna<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-4\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12212\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Le Pavillon Moore<\/h4><p>203, rue Fane<\/p><p>La Corogne (Ontario) N0N 1G0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=203+Fane+Street%2C+Corunna%2C+Ontario%2C+N0N+1G0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Ascenseur LULA <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Moore Lodge\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-5\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Forest<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-5\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12221\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Villa avec vue sur la for\u00eat<\/h4><p>41, rue Morris<\/p><p>For\u00eat (Ontario) N0N 1J0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=41+Morris+Street%2C+Forest%2C+Ontario%2C+N0N+1J0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Propri\u00e9t\u00e9 sans fum\u00e9e <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Forestview Villa\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12223\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Le Lodge du Coucher de Soleil<\/h4><p>57, rue Union<\/p><p>For\u00eat (Ontario) N0N 1J0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=57+Union+Street%2C+Forest%2C+Ontario%2C+N0N+1J0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Ascenseur LULA <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Sunset Lodge\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-6\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Petrolia<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-6\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12231\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements centraux<\/h4><p>436, rue Greenfield<\/p><p>P\u00e9trolia (Ontario) N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=436+Greenfield+Street%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Ascenseur LULA <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Central Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12233\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Cour des Rois<\/h4><p>412, rue King<\/p><p>P\u00e9trolia (Ontario) N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=412+King+Street%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Kings Court\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12255\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Vall\u00e9e moyenne<\/h4><p>Ligne 4335 Petrolia<\/p><p>P\u00e9trolia (Ontario) N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=4335+Petrolia+Line%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<br>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Propri\u00e9t\u00e9 sans fum\u00e9e <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 60 ans et plus <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Mid Valley\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12253\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Lambtonien<\/h4><p>Ligne 3932 Petrolia<\/p><p>P\u00e9trolia (Ontario) N0N 1R0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=3932+Petrolia+Line%2C+Petrolia%2C+Ontario%2C+N0N+1R0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9s avec suppl\u00e9ment de loyer<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Propri\u00e9t\u00e9 sans fum\u00e9e <\/p><p><i class=\"fa-solid fa-elevator amenity-icon\"><\/i> Ascenseur <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Lambtonian\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-7\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Point Edward<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-7\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12257\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements Huronview<\/h4><p>11, rue Fort<\/p><p>Point Edward (Ontario) N7V 1M1<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=11+Fort+Street%2C+Point+Edward%2C+Ontario%2C+N7V+1M1&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-ban amenity-icon\"><\/i> Pas de patios <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Huronview Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-8\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Sombra<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-8\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12269\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements Sombra<\/h4><p>3548, rue St-Clair<\/p><p>Sombra (Ontario) N0P 2H0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=3548+St.+Clair+Street%2C+Sombra%2C+Ontario%2C+N0P+2H0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Ascenseur LULA <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Sombra Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-9\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Thedford<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-9\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12283\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Maisons de ville Meadowview<\/h4><p>173, rue Deacon<\/p><p>Thedford (Ontario) N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=173+Deacon+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville<\/p><h4>Tailles des unit\u00e9s<\/h4><p>2 chambres<br>3 chambres<br>4 chambres<br>5 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Utilitaires suppl\u00e9mentaires <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Restrictions concernant les animaux de compagnie *<\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Branchements pour buanderie <\/p><\/div><p class='pet-policy'>* 1 animal max, st\u00e9rilis\u00e9, vaccins \u00e0 jour<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>3 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Meadowview Townhouses\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12281\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Seniors de Widder Court<\/h4><p>172, rue Deacon<\/p><p>Thedford (Ontario) N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=172+Deacon+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Immeuble d&#039;appartements r\u00e9serv\u00e9 aux a\u00een\u00e9s<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-ban-smoking amenity-icon\"><\/i> Propri\u00e9t\u00e9 sans fum\u00e9e <\/p><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Restrictions concernant les animaux de compagnie *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-classic fa-solid fa-check amenity-icon\"><\/i> 65 ans et plus <\/p><\/div><p class='pet-policy'>* Politique d&#039;un seul animal (max 20 lb\/20 po, st\u00e9rilis\u00e9, vaccins \u00e0 jour)<\/p><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Widder Court Seniors\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12286\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">C\u00e9libataires de Mill Street<\/h4><p>76, rue Mill<\/p><p>Thedford (Ontario) N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=76+Mill+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-paw amenity-icon\"><\/i> Restrictions concernant les animaux de compagnie *<\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Acc\u00e8s sans rendez-vous <\/p><\/div><p class='pet-policy'>* Politique d&#039;un seul animal (max 20 lb\/20 po, st\u00e9rilis\u00e9, vaccins \u00e0 jour)<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Mill Street Singles\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12288\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Villa Dor\u00e9e<\/h4><p>47, rue Royale<\/p><p>Thedford (Ontario) N0M 2N0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=47+Royal+Street%2C+Thedford%2C+Ontario%2C+N0M+2N0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Golden Villa\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-10\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Watford<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-10\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12294\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements Watford<\/h4><p>475, rue Ontario<\/p><p>Watford (Ontario) N0M 2S0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=475+Ontario+Street%2C+Watford%2C+Ontario%2C+N0M+2S0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Ascenseur LULA <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Watford Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><div class=\"housing-option\" data-id=\"12308\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Place de l&#039;Ambassadeur<\/h4><p>356, rue St. Clair<\/p><p>Watford (Ontario) N0M 2S0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=356+St.+Clair+Street%2C+Watford%2C+Ontario%2C+N0M+2S0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Maison de ville, Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<br>2 chambres<br>3 chambres<br>4 chambres<\/p><h4>Programme<\/h4><p>Fournisseur de logements \u00e0 but non lucratif<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-dollar-sign amenity-icon\"><\/i> Utilitaires suppl\u00e9mentaires <\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Acc\u00e8s sans rendez-vous <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><p>2 chambres<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Ambassador Place\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><div class=\"accordion-section\"><h3 class=\"gsection_title accordion-header\" id=\"accordion-11\"><i class=\"fa-solid fa-caret-down\" style=\"margin-right: 20px;\"><\/i>Wyoming<\/h3><div class=\"accordion-content\" data-accordion=\"accordion-11\" style=\"display:none;\"><div class=\"housing-option\" data-id=\"12310\"><div class=\"housing-location\"><h4 class=\"housing-location-name\">Appartements Parkside<\/h4><p>587, rue Ontario<\/p><p>Wyoming (Ontario) N0N 1T0<\/p><p><a href=\"#\" class=\"map-popup-link\" data-mfp-src=\"https:\/\/maps.google.com\/maps?q=587+Ontario+Street%2C+Wyoming%2C+Ontario%2C+N0N+1T0&#038;output=embed\">Voir sur la carte<\/a><\/p><div class=\"housing-images\"><\/div><\/div><div class=\"housing-details\"><h4>Type de b\u00e2timent<\/h4><p>Appartement<\/p><h4>Tailles des unit\u00e9s<\/h4><p>1 chambre<\/p><h4>Programme<\/h4><p>Unit\u00e9 appartenant au comt\u00e9 de Lambton<\/p><\/div><div class=\"housing-notes\"><h4>Commodit\u00e9s et remarques<\/h4><div class=\"amenities-container\"><p><i class=\"fa-solid fa-check amenity-icon\"><\/i> Ascenseur LULA <i class=\"fa fa-question-circle\" data-tooltip=\"Limited Use Limited Application Elevator: A small, energy-efficient elevator designed for low-rise buildings where accessibility is required but usage is limited.\"><\/i><\/p><p><i class=\"bx bxs-washer amenity-icon\"><\/i> Buanderie <\/p><\/div><\/br><h4><i class='fa-solid fa-wheelchair'><\/i> Unit\u00e9s modifi\u00e9es pour fauteuil roulant disponibles\u00a0:<\/strong><\/h4><p>1 chambre<\/p><\/div><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Parkside Apartments\" class=\"housing-selection-checkbox\" style=\"display:none;\"><\/div><\/div><\/div><h3 class=\"gsection_title\">Autres options<\/h3><div class=\"housing-option\" style=\"display: block\"><h4>Prestation de logement transf\u00e9rable<\/h4><p style=\"line-height:normal\">La prestation de logement portable (PHB) fournit une subvention mensuelle aux demandeurs \u00e9ligibles. Cette prestation permet au m\u00e9nage de s\u00e9curiser son propre logement sur le march\u00e9 priv\u00e9 n&#039;importe o\u00f9 dans le comt\u00e9 de Lambton.<\/p><\/br><div class=\"housing-select-option\"><button type=\"button\" class=\"select-option-button\" data-value=\"Portable Housing Benefit\">S\u00e9lectionnez une option<\/button><\/div><\/br><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Portable Housing Benefit\" class=\"housing-selection-checkbox\" style=\"display:none;\" ><\/div><div class=\"housing-option\" style=\"display: block\"><h4>Informez-moi de tout futur logement<\/h4><p style=\"line-height:normal\">Je suis int\u00e9ress\u00e9 \u00e0 \u00eatre contact\u00e9 pour des emplacements non inclus dans cette liste s&#039;ils deviennent disponibles dans les municipalit\u00e9s pour lesquelles j&#039;ai manifest\u00e9 un int\u00e9r\u00eat.<\/p><\/br><div class=\"housing-select-option\"><button type=\"button\" class=\"select-option-button\" data-value=\"Let me know of any future housing\">S\u00e9lectionnez une option<\/button><\/div><\/br><input autocomplete=\"off\"  type=\"checkbox\" name=\"housing_selection_name[]\" value=\"Let me know of any future housing\" class=\"housing-selection-checkbox\" style=\"display:none;\" ><\/div><\/div><input autocomplete=\"off\"  type=\"hidden\" name=\"input_50\" id=\"input_50\" value=\"\"\/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_172' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Revenir'  \/> <input type='button' id='gform_next_button_5_172' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_12_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_12' class='gform_page' data-js='page-field-id-172' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_12' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_190\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_190\" ><h3>Veuillez v\u00e9rifier les informations ci-dessous pour d\u00e9tecter d&#039;\u00e9ventuelles erreurs avant de soumettre <\/h3>\n<\/br>\n{tous_les_champs}<\/div><div id=\"field_5_173\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_173\" ><label class='gfield_label gform-field-label' for='input_5_173'>Commentaires suppl\u00e9mentaires<\/label><div class='gfield_description' id='gfield_description_5_173'>Y a-t-il d\u2019autres informations que vous souhaiteriez inclure dans cette demande ?<\/div><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_173' id='input_5_173' class='textarea large'  aria-describedby=\"gfield_description_5_173\" maxlength='500'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_201\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_201\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_201'>Donn\u00e9es d&#039;application\/de m\u00e9nage existantes<\/label><div class='ginput_container ginput_container_textarea'><textarea autocomplete=\"off\"  name='input_201' id='input_5_201' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_204\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_204\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom de l&#039;application existante<\/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_5_204'>\n                            \n                            <span id='input_5_204_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_204.3' id='input_5_204_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_204_3' class='gform-field-label gform-field-label--type-sub'>D&#039;abord<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_204_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input autocomplete=\"off\"  type='text' name='input_204.6' id='input_5_204_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_204_6' class='gform-field-label gform-field-label--type-sub'>Dernier<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_206\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_206\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_206'>Relation avec une application existante<\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_206' id='input_5_206' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_205\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_5_205\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lors de la visualisation du formulaire\"><\/i><span>Ce champ est masqu\u00e9 lors de la visualisation du formulaire<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse existante<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_205' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_205_1_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_205.1' id='input_5_205_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_205_1' id='input_5_205_1_label' class='gform-field-label gform-field-label--type-sub'>Adresse de la rue<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_205_2_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_205.2' id='input_5_205_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_205_2' id='input_5_205_2_label' class='gform-field-label gform-field-label--type-sub'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_205_3_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_205.3' id='input_5_205_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_205_3' id='input_5_205_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_5_205_4_container' >\n                                        <input autocomplete=\"off\"  type='text' name='input_205.4' id='input_5_205_4' value=''      aria-required='false'    \/>\n                                        <label for='input_5_205_4' id='input_5_205_4_label' class='gform-field-label gform-field-label--type-sub'>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_205_5_container' >\n                                    <input autocomplete=\"off\"  type='text' name='input_205.5' id='input_5_205_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_205_5' id='input_5_205_5_label' class='gform-field-label gform-field-label--type-sub'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_205_6_container' >\n                                        <select name='input_205.6' id='input_5_205_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbade<\/option><option value='Belarus' >Bi\u00e9lorussie<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >B\u00e9lize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Ile Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l&#039;oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brun\u00e9i Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >\u00celes Ca\u00efmans<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >L&#039;\u00eele Christmas<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >Tch\u00e9quie<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >Egypte<\/option><option value='El Salvador' >Le Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopie<\/option><option value='Falkland Islands' >\u00celes Malouines<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guyane fran\u00e7aise<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres Australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyane<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >L&#039;Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value='Korea, Republic of' >Cor\u00e9e, R\u00e9publique de<\/option><option value='Kuwait' >Koweit<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Lib\u00e9ria<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >Ile Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Birmanie<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle-Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >\u00cele Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palaos<\/option><option value='Palestine, State of' >Palestine, \u00c9tat de<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration de Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint-Martin<\/option><option value='Saint Pierre and Miquelon' >Saint-Pierre-et-Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9-et-Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Saint-Martin<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et les \u00eeles Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie, R\u00e9publique-Unie de<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Aller<\/option><option value='Tokelau' >Tok\u00e9laou<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_5_205_6' id='input_5_205_6_label' class='gform-field-label gform-field-label--type-sub'>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_194' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this)' value='Revenir'  \/> <input type='button' id='gform_next_button_5_194' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this)' value='Suivant'  \/> <button type='button'  id='gform_save_5_13_link' onclick='gform.submission.handleButtonClick(this)' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Enregistrer et continuer plus tard<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_13' class='gform_page' data-js='page-field-id-194' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_13' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_5_193\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_193\" ><label class='gfield_label gform-field-label' for='input_5_193'>Confirmation par e-mail<\/label><div class='gfield_description' id='gfield_description_5_193'>Veuillez saisir votre adresse e-mail si vous souhaitez recevoir un e-mail de confirmation de soumission de candidature<\/div><div class='ginput_container ginput_container_email'>\n                            <input autocomplete=\"off\"  name='input_193' id='input_5_193' type='email' value='' 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