{"id":7529,"date":"2024-01-26T00:55:26","date_gmt":"2024-01-25T23:55:26","guid":{"rendered":"https:\/\/registracija-vozila.rs\/?page_id=7529"},"modified":"2024-07-10T11:26:40","modified_gmt":"2024-07-10T09:26:40","slug":"online-dobrovoljno-zdravstveno-osiguranje","status":"publish","type":"page","link":"https:\/\/registracija-vozila.rs\/online-dobrovoljno-zdravstveno-osiguranje","title":{"rendered":"Online dobrovoljno zdravstveno osiguranje &#8211; DZO"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7529\" class=\"elementor elementor-7529\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-992c237 e-con-full e-flex e-con e-parent\" data-id=\"992c237\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16421e4 fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"16421e4\" data-element_type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n                            <div class=\"fluentform-widget-heading\">\n                                        <h3 class=\"fluentform-widget-title\">\n                        Dobrovoljno zdravstveno osiguranje                    <\/h3>\n                                                            <p class=\"fluentform-widget-description\">\n                        Pratite instrukcije i popunite formu ispod                    <\/p>\n                                    <\/div>\n            \n            <div class='fluentform ff-default fluentform_wrapper_51 ffs_modern_b_wrap'><form data-form_id=\"51\" id=\"fluentform_51\" class=\"frm-fluent-form fluent_form_51 ff-el-form-top ff_form_instance_51_1 ff-form-loading ff-form-has-steps ffs_modern_b\" data-form_instance=\"ff_form_instance_51_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Dobrovoljno zdravstveno osiguranje<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='7529' \/><input type=\"hidden\" id=\"_fluentform_51_fluentformnonce\" name=\"_fluentform_51_fluentformnonce\" value=\"81a5d08f7b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/7529\" \/><div class='ff-step-container' data-name=\"step_start-51_3\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"yes\" data-animation_type=\"slide_down\" ><div class='ff-step-header'><ul class='ff-step-titles'><li class='ff_active'><span>Vrste osiguranja<\/span><\/li><li><span>Pokri\u0107a<\/span><\/li><li><span>Va\u0161i podaci<\/span><\/li><\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-51_3\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"yes\" data-animation_type=\"slide_down\" ><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown' aria-label=\"Vrsta osiguranja\">Vrsta osiguranja<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_51_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Individualno\"  >Individualno<\/option><option value=\"Porodi\u010dno\"  >Porodi\u010dno<\/option><option value=\"Pravna lica\"  >Pravna lica<\/option><option value=\"Ostalo\"  >Ostalo<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_datetime' aria-label=\"Datum ro\u0111enja\">Datum ro\u0111enja<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Datum ro\u0111enja Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_51_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Izaberite\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_11' aria-label=\"Broj \u010dlanova porodice\">Broj \u010dlanova porodice<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_11\" id=\"ff_51_dropdown_11\" class=\"ff-el-form-control\" data-name=\"dropdown_11\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"1\"  >1<\/option><option value=\"2\"  >2<\/option><option value=\"3\"  >3<\/option><option value=\"4\"  >4<\/option><option value=\"5\"  >5<\/option><option value=\"6\"  >6<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_12' aria-label=\"Pol prvog \u010dlana\">Pol prvog \u010dlana<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_12\" id=\"ff_51_dropdown_12\" class=\"ff-el-form-control\" data-name=\"dropdown_12\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Mu\u0161ki\"  >Mu\u0161ki<\/option><option value=\"\u017denski\"  >\u017denski<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_datetime_1' aria-label=\"Datum ro\u0111enja prvog \u010dlana\">Datum ro\u0111enja prvog \u010dlana<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Datum ro\u0111enja prvog \u010dlana Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_51_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Izaberite\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_13' aria-label=\"Pol drugog \u010dlana\">Pol drugog \u010dlana<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_13\" id=\"ff_51_dropdown_13\" class=\"ff-el-form-control\" data-name=\"dropdown_13\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Mu\u0161ki\"  >Mu\u0161ki<\/option><option value=\"\u017denski\"  >\u017denski<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_datetime_2' aria-label=\"Datum ro\u0111enja drugog \u010dlana\">Datum ro\u0111enja drugog \u010dlana<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Datum ro\u0111enja drugog \u010dlana Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_2\" id=\"ff_51_datetime_2\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Izaberite\" data-name=\"datetime_2\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_14' aria-label=\"Pol tre\u0107eg \u010dlana\">Pol tre\u0107eg \u010dlana<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_14\" id=\"ff_51_dropdown_14\" class=\"ff-el-form-control\" data-name=\"dropdown_14\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Mu\u0161ki\"  >Mu\u0161ki<\/option><option value=\"\u017denski\"  >\u017denski<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_datetime_3' aria-label=\"Datum ro\u0111enja tre\u0107eg \u010dlana\">Datum ro\u0111enja tre\u0107eg \u010dlana<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Datum ro\u0111enja tre\u0107eg \u010dlana Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_3\" id=\"ff_51_datetime_3\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Izaberite\" data-name=\"datetime_3\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_15' aria-label=\"Pol \u010detvrtog \u010dlana\">Pol \u010detvrtog \u010dlana<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_15\" id=\"ff_51_dropdown_15\" class=\"ff-el-form-control\" data-name=\"dropdown_15\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Mu\u0161ki\"  >Mu\u0161ki<\/option><option value=\"\u017denski\"  >\u017denski<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_datetime_4' aria-label=\"Datum ro\u0111enja \u010detvrtog \u010dlana\">Datum ro\u0111enja \u010detvrtog \u010dlana<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Datum ro\u0111enja \u010detvrtog \u010dlana Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_4\" id=\"ff_51_datetime_4\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Izaberite\" data-name=\"datetime_4\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_16' aria-label=\"Pol petog \u010dlana\">Pol petog \u010dlana<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_16\" id=\"ff_51_dropdown_16\" class=\"ff-el-form-control\" data-name=\"dropdown_16\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Mu\u0161ki\"  >Mu\u0161ki<\/option><option value=\"\u017denski\"  >\u017denski<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_datetime_5' aria-label=\"Datum ro\u0111enja petog \u010dlana\">Datum ro\u0111enja petog \u010dlana<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Datum ro\u0111enja petog \u010dlana Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_5\" id=\"ff_51_datetime_5\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Izaberite\" data-name=\"datetime_5\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_17' aria-label=\"Pol \u0161estog \u010dlana\">Pol \u0161estog \u010dlana<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_17\" id=\"ff_51_dropdown_17\" class=\"ff-el-form-control\" data-name=\"dropdown_17\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Mu\u0161ki\"  >Mu\u0161ki<\/option><option value=\"\u017denski\"  >\u017denski<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_datetime_6' aria-label=\"Datum ro\u0111enja \u0161estog \u010dlana\">Datum ro\u0111enja \u0161estog \u010dlana<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Datum ro\u0111enja \u0161estog \u010dlana Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_6\" id=\"ff_51_datetime_6\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Izaberite\" data-name=\"datetime_6\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_numeric-field_2' aria-label=\"Broj zaposlenih\">Broj zaposlenih<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_2\" id=\"ff_51_numeric-field_2\" class=\"ff-el-form-control\" placeholder=\"Upi\u0161ite\" data-name=\"numeric-field_2\" inputmode=\"numeric\" step=\"any\" min=\"1\" aria-valuemin=\"1\" max=\"9999\" aria-valuemax=\"9999\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Prethodni korak<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Slede\u0107i korak<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-51_1\" ><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Osnovno pokri\u0107e\">Osnovno pokri\u0107e<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_382dcff4b2028d1502ea01c181770cf8><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Vanbolni\u010dko le\u010denje\"  id='input_radio_382dcff4b2028d1502ea01c181770cf8' aria-label='Vanbolni\u010dko le\u010denje' aria-invalid='false' aria-required=true> <span>Vanbolni\u010dko le\u010denje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_ef316a12101063c33b996221a23cdfbd><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Vanbolni\u010dko i bolni\u010dko le\u010denje\"  id='input_radio_ef316a12101063c33b996221a23cdfbd' aria-label='Vanbolni\u010dko i bolni\u010dko le\u010denje' aria-invalid='false' aria-required=true> <span>Vanbolni\u010dko i bolni\u010dko le\u010denje<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  aria-label=\"Dopunska pokri\u0107a\">Dopunska pokri\u0107a<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_3af0db12cd6d74cce6d5838b53337af5><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Sistematski pregled\"  id='checkbox_1_3af0db12cd6d74cce6d5838b53337af5' aria-label='Sistematski pregled' aria-invalid='false' aria-required=false> <span>Sistematski pregled<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_f4128f509bcf725c2870e011aa12d6a4><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Fizikalna terapija\"  id='checkbox_1_f4128f509bcf725c2870e011aa12d6a4' aria-label='Fizikalna terapija' aria-invalid='false' aria-required=false> <span>Fizikalna terapija<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_a2596a9da366a095e30b4a7478345e86><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Stomatolo\u0161ke usluge\"  id='checkbox_1_a2596a9da366a095e30b4a7478345e86' aria-label='Stomatolo\u0161ke usluge' aria-invalid='false' aria-required=false> <span>Stomatolo\u0161ke usluge<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_89d4905113f90f2ff208551f4591c776><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Oftamolo\u0161ke usluge\"  id='checkbox_1_89d4905113f90f2ff208551f4591c776' aria-label='Oftamolo\u0161ke usluge' aria-invalid='false' aria-required=false> <span>Oftamolo\u0161ke usluge<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_3ed724ef526934ab22db872c4cc5c230><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Lekovi propisani od strane lekara\"  id='checkbox_1_3ed724ef526934ab22db872c4cc5c230' aria-label='Lekovi propisani od strane lekara' aria-invalid='false' aria-required=false> <span>Lekovi propisani od strane lekara<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_1644ce77f1dd875d3c315264292bb653><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Homeopatija i homeopatski lekovi\"  id='checkbox_1_1644ce77f1dd875d3c315264292bb653' aria-label='Homeopatija i homeopatski lekovi' aria-invalid='false' aria-required=false> <span>Homeopatija i homeopatski lekovi<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_c6cc490215a621db040dc5645b8307cc><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Bolni\u010dko le\u010denje u inostranstvu\"  id='checkbox_1_c6cc490215a621db040dc5645b8307cc' aria-label='Bolni\u010dko le\u010denje u inostranstvu' aria-invalid='false' aria-required=false> <span>Bolni\u010dko le\u010denje u inostranstvu<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Prethodni korak<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Slede\u0107i korak<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-51_2\" ><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_3  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 33.33%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_names_first_name_' >Ime<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_51_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Upi\u0161ite ime\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_51_email\" class=\"ff-el-form-control\" placeholder=\"Upi\u0161ite Email\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 33.33%;'><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_names_1_last_name_' >Prezime<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_51_names_1_last_name_\" class=\"ff-el-form-control\" placeholder=\"Upi\u0161ite prezime\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_phone' aria-label=\"Kontakt telefon\">Kontakt telefon<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Upi\u0161ite telefon\" data-name=\"phone\" id=\"ff_51_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 33.33%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_numeric-field' aria-label=\"JMBG\">JMBG<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_51_numeric-field\" class=\"ff-el-form-control\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_input_text_3' aria-label=\"Adresa\">Adresa <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" placeholder=\"Upi\u0161ite\" data-name=\"input_text_3\" id=\"ff_51_input_text_3\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_11\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_51_dropdown_10' aria-label=\"\u017delim da dobijem ponudu od\">\u017delim da dobijem ponudu od<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_10\" id=\"ff_51_dropdown_10\" class=\"ff-el-form-control\" data-name=\"dropdown_10\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">Izaberite<\/option><option value=\"Osiguravaju\u0107ih ku\u0107a po va\u0161em izboru\"  >Osiguravaju\u0107ih ku\u0107a po va\u0161em izboru<\/option><option value=\"Od svih osiguravaju\u0107ih ku\u0107a\"  >Od svih osiguravaju\u0107ih ku\u0107a<\/option><option value=\"Od odre\u0111enih osiguravaju\u0107ih ku\u0107a\"  >Od odre\u0111enih osiguravaju\u0107ih ku\u0107a<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><\/div><\/div><div class='ff-el-group ff-el-form-hide_label has-conditions  ff_list_3col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Sve osiguravaju\u0107e ku\u0107e\">Sve osiguravaju\u0107e ku\u0107e<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_5563b4f27c5224c7a863c02b4f005a6f><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"AMS Osiguranje\"  id='checkbox_5563b4f27c5224c7a863c02b4f005a6f' aria-label='AMS Osiguranje' aria-invalid='false' aria-required=true> <span>AMS Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_0c289c565b60ad4de91414f5761f209a><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"DDOR Osiguranje\"  id='checkbox_0c289c565b60ad4de91414f5761f209a' aria-label='DDOR Osiguranje' aria-invalid='false' aria-required=true> <span>DDOR Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_85f2c38be9641e8d13a1aa22c0723573><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Dunav Osiguranje\"  id='checkbox_85f2c38be9641e8d13a1aa22c0723573' aria-label='Dunav Osiguranje' aria-invalid='false' aria-required=true> <span>Dunav Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_fade7c01a471309454929e1aa26de709><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Wiener Stadtische\"  id='checkbox_fade7c01a471309454929e1aa26de709' aria-label='Wiener Stadtische' aria-invalid='false' aria-required=true> <span>Wiener Stadtische<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_0ff981a0d63596c3761eadb72f8034d3><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Milenijum Osiguranje\"  id='checkbox_0ff981a0d63596c3761eadb72f8034d3' aria-label='Milenijum Osiguranje' aria-invalid='false' aria-required=true> <span>Milenijum Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_8361a960ef8c8f232b118ec9908f334f><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Sava Osiguranje\"  id='checkbox_8361a960ef8c8f232b118ec9908f334f' aria-label='Sava Osiguranje' aria-invalid='false' aria-required=true> <span>Sava Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_2702c9eb5d23f75f400b7bfc026a10ee><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Grawe Osiguranje\"  id='checkbox_2702c9eb5d23f75f400b7bfc026a10ee' aria-label='Grawe Osiguranje' aria-invalid='false' aria-required=true> <span>Grawe Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_0df628cf77c9a2f12f90743dc2d6a31f><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Triglav Osiguranje\"  id='checkbox_0df628cf77c9a2f12f90743dc2d6a31f' aria-label='Triglav Osiguranje' aria-invalid='false' aria-required=true> <span>Triglav Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_f988122ffba58864b8df67053b16ab01><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Uniqa Osiguranje\"  id='checkbox_f988122ffba58864b8df67053b16ab01' aria-label='Uniqa Osiguranje' aria-invalid='false' aria-required=true> <span>Uniqa Osiguranje<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_b99ae0ce23a11b42b72ece7936d09c3b><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Generali Osiguranje\"  id='checkbox_b99ae0ce23a11b42b72ece7936d09c3b' aria-label='Generali Osiguranje' aria-invalid='false' aria-required=true> <span>Generali Osiguranje<\/span><\/label><\/div><\/div><\/div>        <div class=\"ff-step-t-container ff-inner_submit_container ff-column-container ff_columns_total_2\">\n            <div class=\"ff-t-cell ff-t-column-1\"><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Prethodni korak<\/button><\/div><\/div>\n            <div class=\"ff-t-cell ff-t-column-2\">\n                <div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Po\u0161alji<\/button><\/div>            <\/div>\n        <\/div>\n        <\/div><\/div><\/div>\n        <\/fieldset><\/form><div id='fluentform_51_errors' class='ff-errors-in-stack ff_form_instance_51_1 ff-form-loading_errors ff_form_instance_51_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_51_1 = {\"id\":\"51\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_51_1\",\"form_id_selector\":\"fluentform_51\",\"rules\":{\"dropdown\":{\"required\":{\"value\":true,\"message\":\"Polje je obavezno.\",\"global_message\":\"Polje je obavezno.\",\"global\":true}},\"datetime\":{\"required\":{\"value\":true,\"message\":\"Polje je obavezno.\",\"global_message\":\"Polje je obavezno.\",\"global\":true}},\"dropdown_11\":{\"required\":{\"value\":true,\"message\":\"Polje je obavezno.\",\"global_message\":\"Polje je obavezno.\",\"global\":true}},\"dropdown_12\":{\"required\":{\"value\":true,\"message\":\"Polje je obavezno.\",\"global_message\":\"Polje je 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