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Confiform
formNamedemandeenregistrement
bypassAttachmentCreatePermissiontrue
Confiform field definition
fieldNameNom
fieldLabelPrénom et nom
typetext
requiredtrue
macroHash-1263894045
Confiform field definition
fieldNameFonction
fieldLabelFonction
typetext
requiredtrue
macroHash-630663251
Confiform field definition
fieldNameMatricule
fieldLabelMatricule
typetext
macroHash-1122067916
Confiform field definition
fieldNameOrganisation
fieldLabelOrganisation
typetext
requiredtrue
macroHash613415869
Confiform field definition
fieldNameAdresse
fieldLabelAdresse
typetext
requiredtrue
macroHash-1928299719
Confiform field definition
fieldNameVille
fieldLabelVille
typetext
requiredtrue
macroHash1694773081
Confiform field definition
fieldNameTelephone
fieldLabelTéléphone
typetext
requiredtrue
macroHash2123979153
Confiform field definition
fieldNameCourriel
fieldLabelCourriel
typetext
requiredtrue
macroHash79624535
Confiform field definition
fieldNameDate
fieldLabelDate et heure de l'événement
values5
typedatetime
requiredtrue
macroHash1315669403
Confiform field definition
fieldNameTelephoneA
fieldLabelTéléphone de l'appelant
typetext
macroHash-275457228
Confiform field definition
fieldNameAdresseA
fieldLabelAdresse
typetext
macroHash967012121
Confiform field definition
fieldNameVilleA
fieldLabelVille
typetext
macroHash-2118679649
Confiform field definition
fieldNameDetail
fieldLabelDétails supplémentaires
typetextarea
macroHash-1405225743
Confiform field definition
fieldNameRaison
fieldLabelRaison de la demande
values1=Cause judiciaire|2=Dossier policier|3=Enquête coroner|4=Enquête SSI|5=Formation|6=Mandat|7=Plainte de l'appelant
typeselect
requiredtrue
macroHash2015190376
Confiform field definition
fieldNameAudio
fieldLabelAudio requis
values1=Prise d'appel 9-1-1|2=Prise d'appel incendie|3=Prise d'appel ambulance|4=Communications radio incendie
fieldDescriptionPossibilité <span style="font-size: 14px;">Possibilité de choisir plusieurs options
typemultiselect
requiredtrue
macroHash1202835640-1609446677
Confiform field definition
fieldNameSignature
fieldLabelSignature
fieldDescription<span style="font-size: 13px15px;">En cochant cette case, je certifie l’exactitude des informations fournies et reconnais que cette action vaut une signature électronique, ayant la même valeur qu’une signature manuscrite.</span>
typecheckbox
requiredtrue
macroHash428089001222160146
Confiform field definition
fieldNameCaviardage
fieldLabelCaviardage requis
values1=Oui|2=Non
fieldDescription<span style="font-size: 15px;">Les informations nominatives de l’appelant seront caviardées. Nom, téléphone et adresse.
typecheckbox_group
requiredtrue
macroHash7038074

...

Demande d’enregistrement

Note

Prévoir 5 jours ouvrables pour la production et la transmission des enregistrements audio.

Si urgent, complétez le formulaire et contactez le guichet unique au 1-800-463-8812 option 0 sur les heures de bureau et option 2 en dehors de ces heures.

Confiform entry register
overrideSaveButtonLabelEnvoyer
redirectModeView
formNamedemandeenregistrement
successMessageLe formulaire a été envoyé.
showMessageAsReplacing the form
useFullWidthtrue
afterSubmitPage reload

Demandeur

Confiform field
fieldNameNom
withLabeltrue
macroHash-1785692607

Confiform field
fieldNameFonction
withLabeltrue
macroHash1471864611

Confiform field
fieldNameMatricule
withLabeltrue
macroHash-1992138037

Confiform field
fieldNameOrganisation
withLabeltrue
macroHash-1710045285

Confiform field
fieldNameAdresse
withLabeltrue
macroHash460142974

Confiform field
fieldNameVille
withLabeltrue
macroHash1590849787

Confiform field
fieldNameTelephone
withLabeltrue
macroHash-2012100343

Confiform field
fieldNameCourriel
withLabeltrue
macroHash730902702

Événement

Confiform field
fieldNameDate
withLabeltrue
macroHash1663349831

Confiform field
fieldNameTelephoneA
withLabeltrue
macroHash387717080

Confiform field
fieldNameAdresseA
withLabeltrue
macroHash-282151421

Confiform field
fieldNameVilleA
withLabeltrue
macroHash410021414

Confiform field
fieldNameDetail
withLabeltrue
macroHash-2124061244

Confiform field
fieldNameRaison
withLabeltrue
macroHash740448125

Confiform field
fieldNameAudio
withLabeltrue
macroHash-547450377

Confiform field
fieldNameCaviardage
withLabeltrue
macroHash-1705192456

Confiform field
fieldNameSignature
withLabeltrue
macroHash683352021

...