Een ticket indienen

Velden met een * zijn verplicht

Aanvrager

Ik wil bezwaar maken tegen:

<div class="form-group  helpdesk_ticket_custom_field_cf_claimsoort_2299677">
    <label for="helpdesk_ticket_custom_field_cf_claimsoort_2299677" class=" form-label">
    	Is de claim al in mindering gebracht op de betaling?
	  	
	  		<span class="fw-asterisk" aria-hidden="true">*</span>
	  	
    </label>

<select
    	class="form-control choices section-field"
    	id="helpdesk_ticket_custom_field_cf_claimsoort_2299677"
    	name="helpdesk_ticket[custom_field][cf_claimsoort_2299677]"
      
      	data-placeholder = ''
    	
      	aria-describedby = 'helpdesk_ticket_custom_field_cf_claimsoort_2299677-error-message'
    	
    	required
     	
     	
    >

<option value>Kiezen...</option>

<option  data-custom-properties='{"id": "{"data-id"=>101000889685}"}'value="Nee">
            Nee
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>101000889684}"}'value="Ja">
            Ja
          </option>

</select>

<div class="invalid-feedback helpdesk_ticket_custom_field_cf_claimsoort_2299677" id="helpdesk_ticket_custom_field_cf_claimsoort_2299677-error-message"></div>
  </div>

<div class="form-group  helpdesk_ticket_custom_field_cf_claimsoort_2299677">
    <label for="helpdesk_ticket_custom_field_cf_claimsoort_2299677" class=" form-label">
    	Is de claim al in mindering gebracht op de betaling?
	  	
	  		<span class="fw-asterisk" aria-hidden="true">*</span>
	  	
    </label>

<select
    	class="form-control choices section-field"
    	id="helpdesk_ticket_custom_field_cf_claimsoort_2299677"
    	name="helpdesk_ticket[custom_field][cf_claimsoort_2299677]"
      
      	data-placeholder = ''
    	
      	aria-describedby = 'helpdesk_ticket_custom_field_cf_claimsoort_2299677-error-message'
    	
    	required
     	
     	
    >

<option value>Kiezen...</option>

<option  data-custom-properties='{"id": "{"data-id"=>101000889685}"}'value="Nee">
            Nee
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>101000889684}"}'value="Ja">
            Ja
          </option>

</select>

<div class="invalid-feedback helpdesk_ticket_custom_field_cf_claimsoort_2299677" id="helpdesk_ticket_custom_field_cf_claimsoort_2299677-error-message"></div>
  </div>

<div class="form-group  helpdesk_ticket_custom_field_cf_claimsoort_2299677">
    <label for="helpdesk_ticket_custom_field_cf_claimsoort_2299677" class=" form-label">
    	Is de claim al in mindering gebracht op de betaling?
	  	
	  		<span class="fw-asterisk" aria-hidden="true">*</span>
	  	
    </label>

<select
    	class="form-control choices section-field"
    	id="helpdesk_ticket_custom_field_cf_claimsoort_2299677"
    	name="helpdesk_ticket[custom_field][cf_claimsoort_2299677]"
      
      	data-placeholder = ''
    	
      	aria-describedby = 'helpdesk_ticket_custom_field_cf_claimsoort_2299677-error-message'
    	
    	required
     	
     	
    >

<option value>Kiezen...</option>

<option  data-custom-properties='{"id": "{"data-id"=>101000889685}"}'value="Nee">
            Nee
          </option>
       
          <option  data-custom-properties='{"id": "{"data-id"=>101000889684}"}'value="Ja">
            Ja
          </option>

</select>

<div class="invalid-feedback helpdesk_ticket_custom_field_cf_claimsoort_2299677" id="helpdesk_ticket_custom_field_cf_claimsoort_2299677-error-message"></div>
  </div>

Claimnummer

Factuurnummer

Omschrijving bezwaar

Pakbon toegevoegd?

CMR toegevoegd?

Annuleren