{"xsrfToken":"168ce508e93748ce5f5b43296b7b4ccb8cd42f79_lout","branding":{"id":"17","key":"as","name":"auxmed Studiportal","portalBaseUrl":"/servicedesk/customer/portal/17","logoUrl":"/rest/servicedesk/1/customer/viewport-resources/portal-logo/17/3","theme":{"headerBGColor":"#ffffff","headerLinkColor":"#292929","headerLinkHoverColor":"#4b8399","headerLinkHoverBGColor":"#4b8399","headerBadgeColor":"#4b8399"}},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/db52ba5e-4cb9-493f-acbf-b5ade0aa54f3/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJmZTExMDg5ZC1mNTRmLTQwZjUtYTgyZi1iZDQ4NmFlZjk4YjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmRiNTJiYTVlLTRjYjktNDkzZi1hY2JmLWI1YWRlMGFhNTRmMyI6WyJyZWFkIl19LCJleHAiOjE3NDM1NzA5MjYsIm5iZiI6MTc0MzU3MDMyNn0.cbODBd0ActveI1c1UKckpewM8YnW9ewxwe2qKekYADw&client=fe11089d-f54f-40f5-a82f-bd486aef98b6&mode=fit","logoId":"db52ba5e-4cb9-493f-acbf-b5ade0aa54f3","isLogoAvailable":true,"helpCenterTitle":"Willkommen im Serviceportal der auxmed","sharedPortalName":"Kundenportal","userInitialAnnouncementHeader":"","userInitialAnnouncementMessageWiki":"","translations":{"de-DE":{"helpCenterTitle":"Willkommen im Serviceportal der auxmed","sharedPortalName":"Kundenportal","localeDisplayName":"Deutsch (Deutschland)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"de-DE","userLanguageTag":"de-DE","portalThemeColor":"#0074e0","helpCenterTitleColor":"#fbfbfb","bannerMediaApiUrl":"https://api.media.atlassian.com/file/df1f1a19-0ac7-4cd8-8434-039709dbcf17/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJmZTExMDg5ZC1mNTRmLTQwZjUtYTgyZi1iZDQ4NmFlZjk4YjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmRmMWYxYTE5LTBhYzctNGNkOC04NDM0LTAzOTcwOWRiY2YxNyI6WyJyZWFkIl19LCJleHAiOjE3NDM1NzA5MjYsIm5iZiI6MTc0MzU3MDMyNn0.r04uXwQWgxHRSWZHRNHrfOLfRe_uReFymw8rmEN9j-E&client=fe11089d-f54f-40f5-a82f-bd486aef98b6&height=300&mode=fit","bannerMediaApiFileId":"df1f1a19-0ac7-4cd8-8434-039709dbcf17","useDefaultBanner":false,"isBannerAvailable":true,"hasTopBarBeenSplit":false},"portal":{"id":"17","key":"as","projectId":10026,"serviceDeskId":17,"name":"auxmed Studiportal","description":"<p>Willkommen! Wir freuen uns auf deine Anfrage im auxmed Studiportal.</p>","portalBaseUrl":"/servicedesk/customer/portal/17","reqTypes":[{"id":"135","name":"Allgemeine Frage","descriptionHtml":"","callToAction":"Allgemeine Frage","introHtml":"<p>Wie können wir dir helfen?</p>","icon":10466,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10466","groups":[24],"key":""},{"id":"127","name":"Anfrage per E-Mail","descriptionHtml":"","callToAction":"Anfrage per E-Mail","introHtml":"<p>Anfrage von Ihrem E-Mail-Support-Kanal erhalten.</p>","icon":10538,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10538","groups":[24],"key":""},{"id":"133","name":"BU-Aktion","descriptionHtml":"","callToAction":"BU-Aktion","introHtml":"<p>Du bist auf unsere Berunfsunfähigkeitsaktion aufmerksam geworden? Gerne geben wir dir mehr Infos darüber. Hinterlasse einfach deine Kontaktdaten und wann wir dich am besten erreichen können. Besten Dank!</p>","icon":10495,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10495","groups":[24],"key":""},{"id":"138","name":"Die Berufsunfähigkeitsversicherung für Zahnmedizinstudierende!","descriptionHtml":"","callToAction":"Die Berufsunfähigkeitsversicherung für Zahnmedizinstudierende!","introHtml":"<p>Die Berufsunfähigkeitspolice für Studierende des FVDZ e.V. schließt du ganz einfach über dieses Formular ab. Einen Leistungsüberblick, sowie alle wichtigen Unterlagen findest du unter den folgenden Links und erhältst sie zusätzlich im Anschluss per Mail.</p>","icon":10502,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10502","groups":[24],"key":""},{"id":"136","name":"Die Haftpflichtpolice des FVDZ e.V. für Studierende","descriptionHtml":"","callToAction":"Die Haftpflichtpolice des FVDZ e.V. für Studierende","introHtml":"<p>Die Haftpflichtpolice für Studierende des FVDZ e.V. schließt du ganz einfach über dieses Formular ab. Die Police ist für dich als Studierender/ Studierende über den FVDZ e.V. bis zum Ende des Studiums kostenfrei. Einen Leistungsüberblick, sowie alle wichtigen Unterlagen findest du unter den folgenden Links und erhältst sie zusätzlich im Anschluss per Mail.</p>","icon":10551,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10551","groups":[24],"key":""},{"id":"132","name":"Dringend Hilfe benötigt","descriptionHtml":"","callToAction":"Dringend Hilfe benötigt","introHtml":"<p>Du benötigst dringend Hilfe in Versicherungsfragen? Kein Problem! Beschreibe kurz dein Problem und hinterlasse deine Kontaktdaten. Wenn du magst, stell gerne noch das Fälligkeitsdatum ein, damit wir keine Fristen verpassen.</p>","icon":10489,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10489","groups":[24],"key":""},{"id":"126","name":"Sonstige Fragen","descriptionHtml":"","callToAction":"Sonstige Fragen","introHtml":"<p>Das Gesuchte nicht gefunden? Wählen Sie diese Option und wir helfen Ihnen weiter.</p>","icon":10560,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10560","groups":[24],"key":""},{"id":"134","name":"Terminwunsch","descriptionHtml":"","callToAction":"Terminwunsch","introHtml":"<p>Wir freuen uns dich kennen zu lernen <img class=\"emoticon\" src=\"/servicedesk/customershim/images/icons/emoticons/smile.png\" height=\"16\" width=\"16\" align=\"absmiddle\" alt=\"\" border=\"0\"> Hinterlasse einfach deine Kontaktdaten und wann wir dich am besten erreichen können. Wenn du magst, beschreibe kurz worum es geht oder lade ein entsprechendes Dokument hoch, um das es geht. Bis bald <img class=\"emoticon\" src=\"/servicedesk/customershim/images/icons/emoticons/smile.png\" height=\"16\" width=\"16\" align=\"absmiddle\" alt=\"\" border=\"0\"></p>","icon":10491,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10491","groups":[24],"key":""},{"id":"130","name":"Verbesserungsvorschlag machen","descriptionHtml":"","callToAction":"Verbesserungsvorschlag machen","introHtml":"<p>Haben Sie einen Verbesserungsvorschlag? Wir sind ganz Ohr.</p>","icon":10550,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[24],"key":""},{"id":"131","name":"Versicherungscheck","descriptionHtml":"<p>Hi,</p>\n<p>wir freuen uns, dass du dich näher mit dem Thema Versicherungen auseinandersetzen möchtest <img class=\"emoticon\" src=\"/servicedesk/customershim/images/icons/emoticons/smile.png\" height=\"16\" width=\"16\" align=\"absmiddle\" alt=\"\" border=\"0\"></p>\n<p>Für unseren \"Versicherungs-Check-up\" benötigen wir ein paar Informationen über dich. Ansonsten wäre es sehr hilfreich, wenn du deine aktuellen Versicherungen zur Hand hast, damit wir diese in unsere Überlegungen mit einbeziehen können.</p>\n<p>Auf gehts!</p>","callToAction":"Versicherungscheck","introHtml":"<p>Hi,<br> wir freuen uns, dass du dich näher mit dem Thema Versicherungen auseinandersetzen möchtest <img class=\"emoticon\" src=\"/servicedesk/customershim/images/icons/emoticons/smile.png\" height=\"16\" width=\"16\" align=\"absmiddle\" alt=\"\" border=\"0\"><br> Für unseren \"Versicherungs-Check-up\" benötigen wir ein paar Informationen über dich. Ansonsten wäre es sehr hilfreich, wenn du deine aktuellen Versicherungen zur Hand hast, damit wir diese in unsere Überlegungen mit einbeziehen können. <br> Auf gehts!</p>","icon":10501,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10501","groups":[24],"key":""},{"id":"137","name":"Versicherungswechsel FVDZ e.V. Haftpflichtpolice","descriptionHtml":"<p><a href=\"https://documentcloud.adobe.com/link/track?uri=urn:aaid:scds:US:07f0eaee-eca4-4dee-89e6-675ca0a26ec4\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Hier gehts zum Download der Musterkündigung für die alte Police</a></p>","callToAction":"Versicherungswechsel FVDZ e.V. Haftpflichtpolice","introHtml":"<p>Mit diesem Formular kannst du den Versicherungswechsel vornehmen. Wenn du Fragen hast, hinterlasse uns gerne eine Rückrufbitte und wir melden uns bei dir. Gerne kannst du uns auch eine Mail schreiben <img class=\"emoticon\" src=\"/servicedesk/customershim/images/icons/emoticons/smile.png\" height=\"16\" width=\"16\" align=\"absmiddle\" alt=\"\" border=\"0\"></p>","icon":10543,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10543","groups":[24],"key":""},{"id":"128","name":"Bug melden","descriptionHtml":"","callToAction":"Bug melden","introHtml":"<p>Berichten Sie uns von den aufgetretenen Problemen.</p>","icon":10556,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10556","groups":[],"key":""},{"id":"129","name":"Ein neues Feature vorschlagen","descriptionHtml":"","callToAction":"Ein neues Feature vorschlagen","introHtml":"<p>Berichten Sie uns von Ihrer Idee eines neuen Features.</p>","icon":10546,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10546","groups":[],"key":""},{"id":"124","name":"Fragen zu Lizenzierung und Abrechnung","descriptionHtml":"","callToAction":"Fragen zu Lizenzierung und Abrechnung","introHtml":"<p>Wählen Sie dies, wenn Sie Fragen zur Lizenzierung oder Abrechnung haben.</p>","icon":10547,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10547","groups":[],"key":""},{"id":"125","name":"Fragen zur Produkterprobung","descriptionHtml":"","callToAction":"Fragen zur Produkterprobung","introHtml":"<p>Erproben Sie unser Produkt und suchen Sie nach weiteren Informationen? Wählen Sie dies und wir beantworten Ihre Fragen gerne.</p>","icon":10552,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10552","groups":[],"key":""},{"id":"123","name":"Technischer Support","descriptionHtml":"","callToAction":"Technischer Support","introHtml":"<p>Benötigen Sie Hilfe bei der Installation, Konfiguration oder Problemlösung? Wählen Sie dies, um Unterstützung anzufordern.</p>","icon":10531,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10531","groups":[],"key":""}],"reqGroups":[{"id":24,"name":"Allgemein"}],"orderMapping":{"24":[138,137,136,135,134,133,132,131,127,126,130]},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"cd6ca152-1a5c-367d-bb5f-6679e9f5c00b","appLinkName":"System Confluence","appLinkUrl":"https://auxmed.atlassian.net/wiki","spaceKey":"AS","spaceName":"auxmed Studiportal","spaceUrl":"https://auxmed.atlassian.net/wiki/spaces/AS","isServer":false},"labels":[],"projectKey":"STUD","serviceDeskId":17,"kbLinkDomainURLs":["https://auxmed.atlassian.net"]},"createPermission":true,"portalAnnouncement":{"portalId":17,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"STUD","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"Deutsch (Deutschland)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJmZTExMDg5ZC1mNTRmLTQwZjUtYTgyZi1iZDQ4NmFlZjk4YjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMDAyNiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3NDM1NzE1MjYsIm5iZiI6MTc0MzU3MDMyNn0.KbkzFohvNQO6TzM3WoQTBZe3wJQXvD0Xk0GK26jGip8","targetCollection":"upload-project-10026","endpointUrl":"https://api.media.atlassian.com","clientId":"fe11089d-f54f-40f5-a82f-bd486aef98b6","tokenDurationInMins":20},"categories":{"categoriesSupported":true,"categories":[]}},"reqCreate":{"id":136,"projectId":10026,"form":{"name":"Die Haftpflichtpolice des FVDZ e.V. für Studierende","descriptionHtml":"","callToAction":"Die Haftpflichtpolice des FVDZ e.V. für Studierende","intro":"<p>Die Haftpflichtpolice für Studierende des FVDZ e.V. schließt du ganz einfach über dieses Formular ab. Die Police ist für dich als Studierender/ Studierende über den FVDZ e.V. bis zum Ende des Studiums kostenfrei. Einen Leistungsüberblick, sowie alle wichtigen Unterlagen findest du unter den folgenden Links und erhältst sie zusätzlich im Anschluss per Mail.</p>","instructions":"","icon":10551,"iconUrl":"https://auxmed.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10551","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"E-Mail-Bestätigung an","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"summary","fieldId":"summary","fieldConfigId":"","label":"Zusammenfassung","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["Haftpflicht Neuantrag"]}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/17/create/136","requestValidateBaseUrl":"/servicedesk/customer/portal/17/validate/136","calendarParams":{"firstDay":1,"date":"2025-04-02T07:05:27+0200","useISO8601WeekNumbers":false,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"cd6ca152-1a5c-367d-bb5f-6679e9f5c00b","appLinkName":"System Confluence","appLinkUrl":"https://auxmed.atlassian.net/wiki","spaceKey":"AS","spaceName":"auxmed Studiportal","spaceUrl":"https://auxmed.atlassian.net/wiki/spaces/AS","isServer":false},"labels":[],"projectKey":"STUD","serviceDeskId":17,"kbLinkDomainURLs":["https://auxmed.atlassian.net"]},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":false,"showRecaptcha":false,"siteKey":"","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJmZTExMDg5ZC1mNTRmLTQwZjUtYTgyZi1iZDQ4NmFlZjk4YjYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMDAyNiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3NDM1NzE1MjcsIm5iZiI6MTc0MzU3MDMyN30.B6lnccNIGhMux-qQQWVOoYZ2yMPz2nRHLoCbsPqYyck","targetCollection":"upload-project-10026","endpointUrl":"https://api.media.atlassian.com","clientId":"fe11089d-f54f-40f5-a82f-bd486aef98b6","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":1,"updated":"2023-02-20T08:13:22.435882Z","publish":{"jira":{"issueRequestTypeIds":[136],"newIssueRequestTypeIds":[136],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[136],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":1,"name":"Die Haftpflichtpolice des FVDZ e.V. für Studierende","submit":{"lock":false,"pdf":true},"templateFormUuid":"de1f17ae-c808-47b7-a2f0-149b5894dd76"},"layout":[{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Die Haftpflichtpolice für Studierende des FVDZ e.V. schließt Du ganz einfach über dieses Formular ab. Die Police ist für Dich als Studierender/ Studierende über den FVDZ e.V. bis zum Ende des Studiums kostenfrei!"}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"DAS WICHTIGSTE IN KÜRZE:","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Privat- und Berufshaftpflichtversicherung mit 3 Mio. Euro Versicherungssumme pauschal für Personen-, Sach- und Vermögensschäden."}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Die Berufshaftpflichtversicherung für außerdienstliche Risiken (Was heisst das? Immer dann, wenn ihr nicht über den Arbeitgeber, die Uni oder in Praktika anderweitig abgesichert seid, greift diese Police)"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Ihr habt einen Hund? Unser Bürohund „Lillu“ hat für euch eine Tierhalterhaftpflichtpolice mit hinein verhandelt. (Übrigens: Sie freut sich über Leckerlies jeder Art!)"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Ein Schutz in Höhe von 2.500 Euro, falls an Klinikmaterial oder -geräten etwas kaputt geht"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Als Studierende in Ausübung eures Studiums,"},{"type":"text","text":" während eines Praktikums oder in der Famulatur, habt ihr In- und Auslandsschutz","marks":[{"type":"strong"}]}]}]}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Einen Leistungsüberblick, sowie alle wichtigen Unterlagen findest Du weiter unten. Keine Sorge, Du erhältst sie zusätzlich im Anschluss per Mail."}]},{"type":"paragraph","content":[{"type":"text","text":"Bevor wir beginnen, bestätige bitte, dass du die Erstinformation, die du unter "},{"type":"text","text":"Erstinformation gemäß §15 VersVermV","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EYbecFQBm4pHsE4QamGYFHUBqB2Dfc3WtyZ-gcBHaGDEWA?e=ND3M8F"}}]},{"type":"text","text":" findest, gelesen und heruntergeladen hast. "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":19},"localId":"4454973d-5d37-4786-bea0-b97099235d8a"}},{"type":"paragraph","content":[{"type":"text","text":"Nun weißt du wer wir sind. Damit wir wissen, wer du bist, fülle bitte die folgenden Felder aus:"}]},{"type":"table","attrs":{"isNumberColumnEnabled":false,"layout":"default","localId":"d7d65fd6-02b6-4489-a6f3-9246f1e7945e"},"content":[{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Wie heißt du?","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":5},"localId":"b39cd00f-a5dd-4f6e-b8db-f25bb8a66b49"}}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":6},"localId":"7bc30ef0-4f2e-4ee3-bc6f-a8c437cdfece"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Wo wohnst du?","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":7},"localId":"2f0cebf4-5eef-44a3-9e5c-afc7fc4341ec"}}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":8},"localId":"db02afa1-50c1-4832-bd51-c7c33d878446"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":9},"localId":"e6331298-c235-44af-a834-0876a293c92d"}}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":10},"localId":"dcc15b86-ecdc-4cbb-88a1-bb8fb2a2b85f"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Kennst du deine FVDZ Mitgliedsnummer?","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":11},"localId":"9ebc0994-358d-477a-a2a2-90bc9b3a7e82"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Wie lautet deine FVDZ Mitgliedsnummer:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":12},"localId":"74a0fc4c-e886-4269-b347-2c9173022761"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Studienort:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":16},"localId":"d5cccc03-002a-4759-8980-20e454e19a54"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Fachsemester:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":17},"localId":"45a3eb21-ea11-4c69-b535-2a97aed5c3ca"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Geburtsdatum:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":22},"localId":"d4ee24ec-1806-45f4-98d6-741970fd811c"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{"colspan":2},"content":[{"type":"paragraph","content":[{"type":"text","text":"Gerne beraten wir dich auch persönlich zu diesem und weiteren Themen. Bitte fülle hierfür den Terminwunsch aus und wir melden uns bei dir."}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Terminwunsch/ Rückrufbitte:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":13},"localId":"5ab0b57d-94e8-4112-8792-fc5076494d69"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Telefonnummer:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":14},"localId":"010a600f-d99e-4734-8578-556d6fa22d48"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Emailadresse:","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":21},"localId":"4c7fdaa2-28be-47bb-b440-1d9c45a60b54"}}]}]}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Produktinformationen & Tarifbedingungen","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Allgemeine Versicherungsbedingungen für die Haftpflichtversicherung (AHB)","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/Efp6jZUunX5Itusss1H7bzcBX6jkg1YJFkPpiUGE2wi7FQ?e=o6VnDk"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[{"type":"text","text":"Kundeninformation zur Sach- und Haftpflichtversicherung nach §1 VVG-InfoV","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EUuj765HuiBDja9gEwvLK_4B2gJpwqATt72dY7eBkTlR9w?e=ZZ07Ak"}}]},{"type":"text","text":" "},{"type":"text","text":"Bedingungen zur Privat-Haftpflichtversicherung","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EWdgMi_T1g1OiO7-6aVmH6IB03VLQUphBiV1LBOPnfLQZA?e=nyUPeG"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[{"type":"text","text":"Besondere Bedingungen zur Haftpflichtversicherung für Ärzte und Heilberufe","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/ESXxpAFPjalEnrzsL3DFr3QBH_OMl26fRqeKmCqdMGwm6A?e=gDI1Zk"}}]},{"type":"text","text":" "},{"type":"text","text":"Allgemeine Bedingungen zur Haftpflichtversicherung von Ansprüchen aus Benachteiligungen - AVB Benachteiligungen","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/ERwglae0_E9BiPtP9AQqczwBb5_MZy47ckDuY3-H7zx_QA?e=2KX1D9"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[{"type":"text","text":"Besondere Bedingungen für Umweltschäden - Premium","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EbS_1d0bFfBFrunwoMVpnb8BixXi4xuDas5Z1lQm3b1CUA?e=WE8gK0"}}]}]},{"type":"paragraph","content":[{"type":"text","text":"Datenschutz-Informationen","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/Ef5nWD0TS25ImeIM_D8uCXgBY_klAPf02DEbluzClWzeig?e=hhOSx1"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Einverständnis zur Datenweitergabe","marks":[{"type":"strong"}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":18},"localId":"5d55fb0f-ee84-42d4-bcdb-2dacfa080f58"}}]}],"conditions":{},"sections":{},"questions":{"12":{"type":"ts","label":"","description":"","validation":{"rq":false},"jiraField":"customfield_10067","questionKey":""},"8":{"type":"ts","label":"Hausnummer","description":"","validation":{"rq":true},"jiraField":"customfield_10077","questionKey":""},"19":{"type":"cm","label":"","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Gelesen und heruntergeladen","other":false}],"questionKey":""},"22":{"type":"da","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10094","questionKey":""},"13":{"type":"dt","label":"","description":"","validation":{"rq":false},"jiraField":"customfield_10062","questionKey":""},"16":{"type":"ts","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10069","questionKey":""},"5":{"type":"ts","label":"Vorname","description":"","validation":{"rq":true},"jiraField":"customfield_10064","questionKey":""},"10":{"type":"ts","label":"Wohnort","description":"","validation":{"rq":true},"jiraField":"customfield_10075","questionKey":""},"21":{"type":"tl","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10078","questionKey":""},"6":{"type":"ts","label":"Nachname","description":"","validation":{"rq":true},"jiraField":"customfield_10065","questionKey":""},"18":{"type":"cm","label":"","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Mit dem obigen ausgefüllten Formular stimme ich zu, dass meine Daten (Name, Vorname, Geburtsdatum, Anschrift, FVDZ Nummer etc., von der auxiliummedici GmbH (uns) genutzt werden, um dich in die Haftpflichtpolice für Studierende des FVDZ e.V. mit aufzunehmen. ","other":false}],"questionKey":""},"7":{"type":"ts","label":"Straße","description":"","validation":{"rq":true},"jiraField":"customfield_10073","questionKey":""},"11":{"type":"cd","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10068","defaultAnswer":{"choices":["1"]},"questionKey":""},"9":{"type":"ts","label":"PLZ","description":"","validation":{"rq":true},"jiraField":"customfield_10079","questionKey":""},"17":{"type":"no","label":"","description":"","validation":{"rq":true,"wh":false},"jiraField":"customfield_10076","questionKey":""},"14":{"type":"ts","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10070","questionKey":""}}},"uuid":"de1f17ae-c808-47b7-a2f0-149b5894dd76"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":1,"updated":"2023-02-20T08:13:22.435882Z","publish":{"jira":{"issueRequestTypeIds":[136],"newIssueRequestTypeIds":[136],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[136],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":1,"name":"Die Haftpflichtpolice des FVDZ e.V. für Studierende","submit":{"lock":false,"pdf":true},"templateFormUuid":"de1f17ae-c808-47b7-a2f0-149b5894dd76"},"layout":[{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Die Haftpflichtpolice für Studierende des FVDZ e.V. schließt Du ganz einfach über dieses Formular ab. Die Police ist für Dich als Studierender/ Studierende über den FVDZ e.V. bis zum Ende des Studiums kostenfrei!"}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"DAS WICHTIGSTE IN KÜRZE:","marks":[{"type":"strong"}]}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Privat- und Berufshaftpflichtversicherung mit 3 Mio. Euro Versicherungssumme pauschal für Personen-, Sach- und Vermögensschäden."}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Die Berufshaftpflichtversicherung für außerdienstliche Risiken (Was heisst das? Immer dann, wenn ihr nicht über den Arbeitgeber, die Uni oder in Praktika anderweitig abgesichert seid, greift diese Police)"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Ihr habt einen Hund? Unser Bürohund „Lillu“ hat für euch eine Tierhalterhaftpflichtpolice mit hinein verhandelt. (Übrigens: Sie freut sich über Leckerlies jeder Art!)"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Ein Schutz in Höhe von 2.500 Euro, falls an Klinikmaterial oder -geräten etwas kaputt geht"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Als Studierende in Ausübung eures Studiums,"},{"type":"text","text":" während eines Praktikums oder in der Famulatur, habt ihr In- und Auslandsschutz","marks":[{"type":"strong"}]}]}]}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Einen Leistungsüberblick, sowie alle wichtigen Unterlagen findest Du weiter unten. Keine Sorge, Du erhältst sie zusätzlich im Anschluss per Mail."}]},{"type":"paragraph","content":[{"type":"text","text":"Bevor wir beginnen, bestätige bitte, dass du die Erstinformation, die du unter "},{"type":"text","text":"Erstinformation gemäß §15 VersVermV","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EYbecFQBm4pHsE4QamGYFHUBqB2Dfc3WtyZ-gcBHaGDEWA?e=ND3M8F"}}]},{"type":"text","text":" findest, gelesen und heruntergeladen hast. "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":19},"localId":"4454973d-5d37-4786-bea0-b97099235d8a"}},{"type":"paragraph","content":[{"type":"text","text":"Nun weißt du wer wir sind. Damit wir wissen, wer du bist, fülle bitte die folgenden Felder aus:"}]},{"type":"table","attrs":{"isNumberColumnEnabled":false,"layout":"default","localId":"d7d65fd6-02b6-4489-a6f3-9246f1e7945e"},"content":[{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Wie heißt du?","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":5},"localId":"b39cd00f-a5dd-4f6e-b8db-f25bb8a66b49"}}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":6},"localId":"7bc30ef0-4f2e-4ee3-bc6f-a8c437cdfece"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Wo wohnst du?","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":7},"localId":"2f0cebf4-5eef-44a3-9e5c-afc7fc4341ec"}}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":8},"localId":"db02afa1-50c1-4832-bd51-c7c33d878446"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":9},"localId":"e6331298-c235-44af-a834-0876a293c92d"}}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":10},"localId":"dcc15b86-ecdc-4cbb-88a1-bb8fb2a2b85f"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Kennst du deine FVDZ Mitgliedsnummer?","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":11},"localId":"9ebc0994-358d-477a-a2a2-90bc9b3a7e82"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Wie lautet deine FVDZ Mitgliedsnummer:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":12},"localId":"74a0fc4c-e886-4269-b347-2c9173022761"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Studienort:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":16},"localId":"d5cccc03-002a-4759-8980-20e454e19a54"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Fachsemester:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":17},"localId":"45a3eb21-ea11-4c69-b535-2a97aed5c3ca"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Geburtsdatum:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":22},"localId":"d4ee24ec-1806-45f4-98d6-741970fd811c"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{"colspan":2},"content":[{"type":"paragraph","content":[{"type":"text","text":"Gerne beraten wir dich auch persönlich zu diesem und weiteren Themen. Bitte fülle hierfür den Terminwunsch aus und wir melden uns bei dir."}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Terminwunsch/ Rückrufbitte:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":13},"localId":"5ab0b57d-94e8-4112-8792-fc5076494d69"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Telefonnummer:","marks":[{"type":"strong"}]}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":14},"localId":"010a600f-d99e-4734-8578-556d6fa22d48"}}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"Emailadresse:","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[]}]},{"type":"tableCell","attrs":{},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":21},"localId":"4c7fdaa2-28be-47bb-b440-1d9c45a60b54"}}]}]}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Produktinformationen & Tarifbedingungen","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Allgemeine Versicherungsbedingungen für die Haftpflichtversicherung (AHB)","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/Efp6jZUunX5Itusss1H7bzcBX6jkg1YJFkPpiUGE2wi7FQ?e=o6VnDk"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[{"type":"text","text":"Kundeninformation zur Sach- und Haftpflichtversicherung nach §1 VVG-InfoV","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EUuj765HuiBDja9gEwvLK_4B2gJpwqATt72dY7eBkTlR9w?e=ZZ07Ak"}}]},{"type":"text","text":" "},{"type":"text","text":"Bedingungen zur Privat-Haftpflichtversicherung","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EWdgMi_T1g1OiO7-6aVmH6IB03VLQUphBiV1LBOPnfLQZA?e=nyUPeG"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[{"type":"text","text":"Besondere Bedingungen zur Haftpflichtversicherung für Ärzte und Heilberufe","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/ESXxpAFPjalEnrzsL3DFr3QBH_OMl26fRqeKmCqdMGwm6A?e=gDI1Zk"}}]},{"type":"text","text":" "},{"type":"text","text":"Allgemeine Bedingungen zur Haftpflichtversicherung von Ansprüchen aus Benachteiligungen - AVB Benachteiligungen","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/ERwglae0_E9BiPtP9AQqczwBb5_MZy47ckDuY3-H7zx_QA?e=2KX1D9"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[{"type":"text","text":"Besondere Bedingungen für Umweltschäden - Premium","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/EbS_1d0bFfBFrunwoMVpnb8BixXi4xuDas5Z1lQm3b1CUA?e=WE8gK0"}}]}]},{"type":"paragraph","content":[{"type":"text","text":"Datenschutz-Informationen","marks":[{"type":"link","attrs":{"href":"https://auxmed-my.sharepoint.com/:b:/g/personal/j_siol_auxmed_de/Ef5nWD0TS25ImeIM_D8uCXgBY_klAPf02DEbluzClWzeig?e=hhOSx1"}}]},{"type":"text","text":" "}]},{"type":"paragraph","content":[]},{"type":"paragraph","content":[{"type":"text","text":"Einverständnis zur Datenweitergabe","marks":[{"type":"strong"}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","layout":"default","parameters":{"id":18},"localId":"5d55fb0f-ee84-42d4-bcdb-2dacfa080f58"}}]}],"conditions":{},"sections":{},"questions":{"12":{"type":"ts","label":"","description":"","validation":{"rq":false},"jiraField":"customfield_10067","questionKey":""},"8":{"type":"ts","label":"Hausnummer","description":"","validation":{"rq":true},"jiraField":"customfield_10077","questionKey":""},"19":{"type":"cm","label":"","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Gelesen und heruntergeladen","other":false}],"questionKey":""},"22":{"type":"da","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10094","questionKey":""},"13":{"type":"dt","label":"","description":"","validation":{"rq":false},"jiraField":"customfield_10062","questionKey":""},"16":{"type":"ts","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10069","questionKey":""},"5":{"type":"ts","label":"Vorname","description":"","validation":{"rq":true},"jiraField":"customfield_10064","questionKey":""},"10":{"type":"ts","label":"Wohnort","description":"","validation":{"rq":true},"jiraField":"customfield_10075","questionKey":""},"21":{"type":"tl","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10078","questionKey":""},"6":{"type":"ts","label":"Nachname","description":"","validation":{"rq":true},"jiraField":"customfield_10065","questionKey":""},"18":{"type":"cm","label":"","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Mit dem obigen ausgefüllten Formular stimme ich zu, dass meine Daten (Name, Vorname, Geburtsdatum, Anschrift, FVDZ Nummer etc., von der auxiliummedici GmbH (uns) genutzt werden, um dich in die Haftpflichtpolice für Studierende des FVDZ e.V. mit aufzunehmen. ","other":false}],"questionKey":""},"7":{"type":"ts","label":"Straße","description":"","validation":{"rq":true},"jiraField":"customfield_10073","questionKey":""},"11":{"type":"cd","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10068","defaultAnswer":{"choices":["1"]},"questionKey":""},"9":{"type":"ts","label":"PLZ","description":"","validation":{"rq":true},"jiraField":"customfield_10079","questionKey":""},"17":{"type":"no","label":"","description":"","validation":{"rq":true,"wh":false},"jiraField":"customfield_10076","questionKey":""},"14":{"type":"ts","label":"","description":"","validation":{"rq":true},"jiraField":"customfield_10070","questionKey":""}}},"uuid":"de1f17ae-c808-47b7-a2f0-149b5894dd76"},"linkedJiraFields":["customfield_10070","customfield_10094","customfield_10073","customfield_10062","customfield_10064","customfield_10075","customfield_10076","customfield_10065","customfield_10077","customfield_10067","customfield_10078","customfield_10068","customfield_10079","customfield_10069"]},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}