{"id":1291,"date":"2024-05-23T12:09:36","date_gmt":"2024-05-23T10:09:36","guid":{"rendered":"https:\/\/rf.gov.pl\/polubowne\/?page_id=1291"},"modified":"2024-05-23T12:32:57","modified_gmt":"2024-05-23T10:32:57","slug":"formularz-wniosek","status":"publish","type":"page","link":"https:\/\/rf.gov.pl\/polubowne\/formularz-wniosek\/","title":{"rendered":"Formularz, wniosek"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1289-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"1289\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/polubowne\/wp-json\/wp\/v2\/pages\/1291#wpcf7-f1289-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formularz kontaktowy\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1289\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1289-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1289,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;czy-pokazac-dane-2wnioskodawcy&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;czy-jest-2wnioskodawca&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;NIE&quot;}]},{&quot;then_field&quot;:&quot;czy-pokazac-dane-plenomocnika&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;czy-jest-pelnomocnik&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;TAK&quot;}]},{&quot;then_field&quot;:&quot;czy-pokazac-zgode-pelnomocnika&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;email-pelnomocnika&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;czy-pokazac-sygnature&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;czy-byl-rozpatrywany&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;TAK&quot;}]},{&quot;then_field&quot;:&quot;czy-pokazac-interwencyjne&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;czy-interwencyjne&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;TAK&quot;}]},{&quot;then_field&quot;:&quot;czy-pokazac-plenomocnika&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;czy-jest-pelnomocnik&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;TAK&quot;}]},{&quot;then_field&quot;:&quot;czy-pokazac-zgode-klienta&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;email-wnioskodawcy&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;TAK&quot;}]},{&quot;then_field&quot;:&quot;czy-pokazac-zgode-klienta2&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;email-wnioskodawcy2&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;TAK&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-6.0.1&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"form_page\">\n  <div class=\"row\">\n    <!-- DANE KLIENTA -->\n    <fieldset>\n    <div class=\"col-xxl-12\">\n      <div class=\"space60\"><\/div>\n      <legend><h2 class=\"dark_green\">Dane klienta<\/h2><\/legend>\n    <\/div>\n\n    <!-- WNIOSKODAWCA -->\n\n    <!-- IMIE I NAZWISKO -->\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"imie\" class=\"form-label\"><span class=\"red\">*<\/span>Imi\u0119<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"imie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"imie\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Imi\u0119\" value=\"\" type=\"text\" name=\"imie\" \/><\/span>\n      <\/div>\n    <\/div>\n    \n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"nazwisko\" class=\"form-label\"><span class=\"red\">*<\/span>Nazwisko<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nazwisko\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"nazwisko\" autocomplete=\"nazwisko\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nazwisko\" value=\"\" type=\"text\" name=\"nazwisko\" \/><\/span>\n      <\/div>\n    <\/div>\n    <\/fieldset>\n\n\n    <!-- ADRES ZAMIESZKANIA -->\n     <fieldset>\n    <div class=\"col-xxl-12\">\n      <div class=\"space30\"><\/div>\n      <legend><h3>Adres zamieszkania<\/h3><\/legend>\n    <\/div>\n\n\n    <!-- ULICA NR DOMU -->\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"Ulica\" class=\"form-label\"><span class=\"red\">*<\/span> Ulica<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"ulica\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"ulica\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ulica\" value=\"\" type=\"text\" name=\"ulica\" \/><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"nr-domu\" class=\"form-label\"><span class=\"red\">*<\/span>Numer domu<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-domu\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"nr-domu\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Numer domu\" value=\"\" type=\"text\" name=\"nr-domu\" \/><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"nr-mieszkania\" class=\"form-label\">Numer lokalu<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-mieszkania\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"nr-mieszkania\" aria-invalid=\"false\" value=\"-\" type=\"text\" name=\"nr-mieszkania\" \/><\/span>\n      <\/div>\n    <\/div>\n\n    <!-- KOD POCZTOWY -->\n    <div class=\"col-xxl-2 col-xl-2 col-lg-2 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"kod-pocztowy\" class=\"form-label\"><span class=\"red\">*<\/span> Kod pocztowy<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"kod-pocztowy\"><input size=\"40\" maxlength=\"400\" minlength=\"5\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"kod-pocztowy\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"_ _ - _ _ _\" value=\"\" type=\"text\" name=\"kod-pocztowy\" \/><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"miejscowosc\" class=\"form-label\"><span class=\"red\">*<\/span> Miejscowo\u015b\u0107<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"miejscowosc\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"miejscowosc\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Miejscowo\u015b\u0107\" value=\"\" type=\"text\" name=\"miejscowosc\" \/><\/span>\n      <\/div>\n    <\/div>\n\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <!-- Empty column as in original code -->\n    <\/div>\n\n    <!-- NR TELEFONU -->\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"tel-nr\" class=\"form-label\"><span class=\"red\"><\/span>Numer telefonu wnioskodawcy (opcjonalnie)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-nr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" id=\"tel-nr\" aria-invalid=\"false\" placeholder=\"Numer telefonu wnioskodawcy\" value=\"\" type=\"tel\" name=\"tel-nr\" \/><\/span>\n      <\/div>\n    <\/div>\n\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"emailwnioskodawcy\" class=\"form-label\"><span class=\"red\"><\/span> Adres e-mail (opcjonalnie)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"email-wnioskodawcy\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email form-control\" id=\"emailwnioskodawcy\" aria-invalid=\"false\" placeholder=\"Adres e-mail\" value=\"\" type=\"email\" name=\"email-wnioskodawcy\" \/><\/span>\n      <\/div>\n    <\/div>\n\n    <!-- Adres do eDor\u0119cze\u0144 -->\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"adresDoreczen-wnioskodawca1\" class=\"form-label\"><span class=\"red\"><\/span>Adres eDor\u0119cze\u0144 wnioskodawcy (opcjonalnie)<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"adresDoreczen-wnioskodawca1\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"adresDoreczen-wnioskodawca1\" aria-invalid=\"false\" placeholder=\"Wpisz adres\" value=\"\" type=\"text\" name=\"adresDoreczen-wnioskodawca1\" \/><\/span>\n      <\/div>\n    <\/div>\n\n    <!-- ZGODA -->\n    <div data-id=\"czy-pokazac-zgode-klienta\" data-orig_data_id=\"czy-pokazac-zgode-klienta\"  class=\"\" data-class=\"wpcf7cf_group\">\n      <div class=\"col-xxl-12\">\n        <div class=\"space60\"><\/div>\n        Zgadzam si\u0119 na elektroniczn\u0105 form\u0119 komunikacji z Rzecznikiem Finansowym w ramach post\u0119powania pozas\u0105dowego z wykorzystaniem wskazanego adresu poczty elektronicznej\n        <div class=\"space8\"><\/div>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda-na-elektroniczna\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox form-check-input\" id=\"zgoda-na-elektroniczna\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"zgoda-na-elektroniczna\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"zgoda-na-elektroniczna\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n      <\/div>\n    <\/div>\n    <\/fieldset>\n\n    <!-- DANE 2 WNIOSODAWCY -->\n    <fieldset>\n    <div class=\"col-xxl-12\">\n      <div class=\"space60\"><\/div>\n      <legend><h2 class=\"dark_green\">Dane drugiego wnioskodawcy<\/h2><\/legend>\n    <\/div>\n\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"czy-jest-2wnioskodawca\" class=\"form-label\">Czy jeste\u015b jedynym wnioskodawc\u0105?<\/label>\n        <div class=\"form-check radio_btn\">\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"czy-jest-2wnioskodawca\"><span class=\"wpcf7-form-control wpcf7-radio form-check-input\" id=\"czy-jest-pelnomocnik\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"czy-jest-2wnioskodawca\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"czy-jest-2wnioskodawca\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n        <\/div>\n      <\/div>\n    <\/div>\n    <br \/>\n    <br \/>\n    \n\n    <!-- 2 WNIOSKODAWCA -->\n    <div data-id=\"czy-pokazac-dane-2wnioskodawcy\" data-orig_data_id=\"czy-pokazac-dane-2wnioskodawcy\"  class=\"\" data-class=\"wpcf7cf_group\">\n\n      <!-- IMIE I NAZWISKO 2 -->\n      <div class=\"row mt-5\">\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"imie2\" class=\"form-label\"><span class=\"red\">*<\/span>Imi\u0119<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"imie2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"imie2\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Imi\u0119\" value=\"\" type=\"text\" name=\"imie2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"nazwisko2\" class=\"form-label\"><span class=\"red\">*<\/span>Nazwisko<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"nazwisko2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"nazwisko2\" autocomplete=\"nazwisko\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nazwisko\" value=\"\" type=\"text\" name=\"nazwisko2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <br \/>\n        <br \/>\n      <\/div>\n      <!-- ADRES ZAMIESZKANIA 2 -->\n      <div class=\"col-xxl-12\">\n        <div class=\"space30\"><\/div>\n        <h3>Adres zamieszkania<\/h3>\n      <\/div>\n      <!-- ULICA NR DOMU 2 -->\n      <div class=\"row\">\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"ulica2\" class=\"form-label\"><span class=\"red\">*<\/span> Ulica<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"ulica2\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"ulica2\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ulica\" value=\"\" type=\"text\" name=\"ulica2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"nr-domu2\" class=\"form-label\"><span class=\"red\">*<\/span>Numer domu<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-domu2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"nr-domu2\" aria-invalid=\"false\" placeholder=\"Numer domu\" value=\"\" type=\"text\" name=\"nr-domu2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"nr-mieszkania2\" class=\"form-label\">Numer lokalu<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-mieszkania2\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number form-control\" id=\"nr-mieszkania2\" aria-invalid=\"false\" value=\"-\" type=\"number\" name=\"nr-mieszkania2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <!-- KOD POCZTOWY 2 -->\n        <div class=\"col-xxl-2 col-xl-2 col-lg-2 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"kod-pocztowy2\" class=\"form-label\"><span class=\"red\">*<\/span> Kod pocztowy<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"kod-pocztowy2\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"kod-pocztowy2\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"_ _ - _ _ _\" value=\"\" type=\"text\" name=\"kod-pocztowy2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"miejscowosc2\" class=\"form-label\"><span class=\"red\">*<\/span> Miejscowo\u015b\u0107<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"miejscowosc2\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"miejscowosc2\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Miejscowo\u015b\u0107\" value=\"\" type=\"text\" name=\"miejscowosc2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <!-- Empty column -->\n        <\/div>\n        <!-- NR TELEFONU 2 -->\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"tel-nr2\" class=\"form-label\"><span class=\"red\"><\/span>Numer telefonu wnioskodawcy (opcjonalnie)<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-nr2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" id=\"tel-nr2\" aria-invalid=\"false\" placeholder=\"Numer telefonu wnioskodawcy\" value=\"\" type=\"tel\" name=\"tel-nr2\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"emailwnioskodawcy2\" class=\"form-label\"><span class=\"red\"><\/span> Adres e-mail (opcjonalnie)<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"email-wnioskodawcy2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email form-control\" id=\"emailwnioskodawcy2\" aria-invalid=\"false\" placeholder=\"Adres e-mail\" value=\"\" type=\"email\" name=\"email-wnioskodawcy2\" \/><\/span>\n          <\/div>\n        <\/div>\n      <\/div>\n      <!-- Adres do eDor\u0119cze\u0144 -->\n      <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n        <div class=\"mb-3\">\n          <label for=\"adresDoreczen-wnioskodawca2\" class=\"form-label\"><span class=\"red\"><\/span>Adres eDor\u0119cze\u0144 wnioskodawcy (opcjonalnie)<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"adresDoreczen-wnioskodawca2\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"adresDoreczen-wnioskodawca2\" aria-invalid=\"false\" placeholder=\"Wpisz adres\" value=\"\" type=\"text\" name=\"adresDoreczen-wnioskodawca2\" \/><\/span>\n        <\/div>\n      <\/div>\n      <!-- ZGODA 2 -->\n      <div data-id=\"czy-pokazac-zgode-klienta2\" data-orig_data_id=\"czy-pokazac-zgode-klienta2\"  class=\"\" data-class=\"wpcf7cf_group\">\n        <div class=\"col-xxl-12\">\n          <div class=\"space60\"><\/div>\n          Zgadzam si\u0119 na elektroniczn\u0105 form\u0119 komunikacji z Rzecznikiem Finansowym w ramach post\u0119powania pozas\u0105dowego z wykorzystaniem wskazanego adresu poczty elektronicznej\n          <div class=\"space8\"><\/div>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda-na-elektroniczna2\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox form-check-input\" id=\"zgoda-na-elektroniczna2\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"zgoda-na-elektroniczna2\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"zgoda-na-elektroniczna2\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n        <\/div>\n      <\/div>\n    <\/div>\n    <\/fieldset>\n\n    <!-- DANE PE\u0141NOMOCNIKA -->\n     <fieldset>\n    <div class=\"col-xxl-12\">\n      <div class=\"space60\"><\/div>\n      <legend><h2 class=\"dark_green\">Dane pe\u0142nomocnika<\/h2><\/legend>\n    <\/div>\n\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"czy-jest-pelnomocnik\" class=\"form-label\">Czy jest ustanowiony pe\u0142nomocnik?<\/label>\n        <div class=\"form-check radio_btn\">\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"czy-jest-pelnomocnik\"><span class=\"wpcf7-form-control wpcf7-radio form-check-input\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"czy-jest-pelnomocnik\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"czy-jest-pelnomocnik\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n        <\/div>\n      <\/div>\n    <\/div>\n    <br \/>\n    <br \/>\n\n    <!-- WNIOSKODAWCA -->\n    <br \/>\n    <div data-id=\"czy-pokazac-dane-plenomocnika\" data-orig_data_id=\"czy-pokazac-dane-plenomocnika\"  class=\"\" data-class=\"wpcf7cf_group\">\n      <!-- IMIE I NAZWISKO -->\n      <div class=\"row mt-5\">\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-6 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"imie-pelnomocnika\" class=\"form-label\"><span class=\"red\">*<\/span>Imi\u0119<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"imie-pelnomocnika\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"imie-pelnomocnika\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Imi\u0119\" value=\"\" type=\"text\" name=\"imie-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-6 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"nazwisko-pelnomocnika\" class=\"form-label\">Nazwisko (pozostaw puste, je\u015bli pe\u0142nomocnikiem nie jest osoba fizyczna)<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"nazwisko-pelnomocnika\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"nazwisko-pelnomocnika\" autocomplete=\"nazwisko\" aria-invalid=\"false\" placeholder=\"Nazwisko\" value=\"\" type=\"text\" name=\"nazwisko-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n      <\/div>\n      <!-- ADRES ZAMIESZKANIA\/SIEDZIBA -->\n      <div class=\"col-xxl-12\">\n        <div class=\"space30\"><\/div>\n        <h3>Adres zamieszkania\/siedziba<\/h3>\n      <\/div>\n      <!-- ULICA NR DOMU -->\n      <div class=\"row\">\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"ulica-pelnomocnika\" class=\"form-label\"><span class=\"red\">*<\/span> Ulica<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"ulica-pelnomocnika\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"ulica-pelnomocnika\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ulica\" value=\"\" type=\"text\" name=\"ulica-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"nr-domu-pelnomocnika\" class=\"form-label\"><span class=\"red\">*<\/span>Numer domu<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-domu-pelnomocnika\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"nr-domu-pelnomocnika\" aria-invalid=\"false\" placeholder=\"Numer domu\" value=\"\" type=\"text\" name=\"nr-domu-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"nr-mieszkania-pelnomocnika\" class=\"form-label\">Numer lokalu<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-mieszkania-pelnomocnika\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number form-control\" id=\"nr-mieszkania-pelnomocnika\" aria-invalid=\"false\" placeholder=\"Numer lokalu\" value=\"\" type=\"number\" name=\"nr-mieszkania-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n        <!-- KOD POCZTOWY -->\n        <div class=\"col-xxl-2 col-xl-2 col-lg-2 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"kod-pocztowy-pelnomocnika\" class=\"form-label\"><span class=\"red\">*<\/span> Kod pocztowy<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"kod-pocztowy-pelnomocnika\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"kod-pocztowy-pelnomocnika\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"_ _ - _ _ _\" value=\"\" type=\"text\" name=\"kod-pocztowy-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"miejscowosc-pelnomocnika\" class=\"form-label\"><span class=\"red\">*<\/span> Miejscowo\u015b\u0107<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"miejscowosc-pelnomocnika\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"miejscowosc-pelnomocnika\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Miejscowo\u015b\u0107\" value=\"\" type=\"text\" name=\"miejscowosc-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <!-- Empty column -->\n        <\/div>\n        <!-- NR TELEFONU -->\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"telnr-pelnomocnika\" class=\"form-label\"><span class=\"red\"><\/span>Numer telefonu (opcjonalnie)<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"telnr-pelnomocnika\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel form-control\" id=\"telnr-pelnomocnika\" aria-invalid=\"false\" placeholder=\"Numer telefonu pe\u0142nomocnika\" value=\"\" type=\"tel\" name=\"telnr-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"email-pelnomocnika\" class=\"form-label\"><span class=\"red\"><\/span> Adres e-mail (opcjonalnie)<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"email-pelnomocnika\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email form-control\" id=\"email-pelnomocnika\" aria-invalid=\"false\" placeholder=\"Adres e-mail\" value=\"\" type=\"email\" name=\"email-pelnomocnika\" \/><\/span>\n          <\/div>\n        <\/div>\n      <\/div>\n      <!-- Adres do eDor\u0119cze\u0144 -->\n      <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n        <div class=\"mb-3\">\n          <label for=\"telnr-pelnomocnika\" class=\"form-label\"><span class=\"red\"><\/span>Adres eDor\u0119cze\u0144 pe\u0142nomocnika (opcjonalnie)<\/label>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"adresDoreczen-pelnomocnika\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"adresDoreczen-pelnomocnika\" aria-invalid=\"false\" placeholder=\"Wpisz adres\" value=\"\" type=\"text\" name=\"adresDoreczen-pelnomocnika\" \/><\/span>\n        <\/div>\n      <\/div>\n      <!-- ZGODA -->\n      <div data-id=\"czy-pokazac-zgode-pelnomocnika\" data-orig_data_id=\"czy-pokazac-zgode-pelnomocnika\"  class=\"\" data-class=\"wpcf7cf_group\">\n        <div class=\"col-xxl-12\">\n          <div class=\"space60\"><\/div>\n          Zgadzam si\u0119 na elektroniczn\u0105 form\u0119 komunikacji z Rzecznikiem Finansowym w ramach post\u0119powania pozas\u0105dowego z wykorzystaniem wskazanego adresu poczty elektronicznej\n          <div class=\"space8\"><\/div>\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"zgoda-na-elektroniczna-pelnomocnika\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox form-check-input\" id=\"zgoda-na-elektroniczna-pelnomocnika\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"zgoda-na-elektroniczna-pelnomocnika\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"zgoda-na-elektroniczna-pelnomocnika\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n        <\/div>\n      <\/div>\n    <\/div>\n    <\/fieldset>\n\n    <!-- DANE PODMIOTU RYNKU FINANSOWEGO -->\n     <fieldset>\n    <div class=\"col-xxl-12\">\n      <div class=\"space60\"><\/div>\n      <legend><h2 class=\"dark_green\">Dane podmiotu rynku finansowego<\/h2><\/legend>\n    <\/div>\n\n    <!-- NAZWA DANE PODMIOTU RYNKU FINANSOWEGO-->\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"nazwa-podmiotu\" class=\"form-label\"><span class=\"red\">*<\/span> Nazwa\/firma<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nazwa-podmiotu\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"nazwa-podmiotu\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nazwa\" value=\"\" type=\"text\" name=\"nazwa-podmiotu\" \/><\/span>\n      <\/div>\n    <\/div>\n\n    <!-- ADRES SIEDZIBY DANE PODMIOTU RYNKU FINANSOWEGO -->\n    <div class=\"col-xxl-12\">\n      <div class=\"space30\"><\/div>\n      <h3>Adres siedziby<\/h3>\n    <\/div>\n\n    <!-- ULICA NR DOMU DANE PODMIOTU RYNKU FINANSOWEGO-->\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"ulica-podmiotu\" class=\"form-label\"><span class=\"red\">*<\/span> Ulica<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"ulica-podmiotu\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"ulica-podmiotu\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ulica\" value=\"\" type=\"text\" name=\"ulica-podmiotu\" \/><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"nr-domu-podmiotu\" class=\"form-label\"><span class=\"red\">*<\/span>Numer budynku<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-domu-podmiotu\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"nr-domu-podmiotu\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Numer budynku\" value=\"\" type=\"text\" name=\"nr-domu-podmiotu\" \/><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-3 col-xl-3 col-lg-3 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"nr-lokalu-podmiotu\" class=\"form-label\">Numer lokalu<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nr-lokalu-podmiotu\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"nr-lokalu-podmiotu\" aria-invalid=\"false\" value=\"-\" type=\"text\" name=\"nr-lokalu-podmiotu\" \/><\/span>\n      <\/div>\n    <\/div>\n    <!-- KOD POCZTOWY DANE PODMIOTU RYNKU FINANSOWEGO -->\n    <div class=\"col-xxl-2 col-xl-2 col-lg-2 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"kod-pocztowy-podmiotu\" class=\"form-label\"><span class=\"red\">*<\/span> Kod pocztowy<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"kod-pocztowy-podmiotu\"><input size=\"40\" maxlength=\"400\" minlength=\"5\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"kod-pocztowy-podmiotu\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"_ _ - _ _ _\" value=\"\" type=\"text\" name=\"kod-pocztowy-podmiotu\" \/><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-4 col-xl-4 col-lg-4 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"miejscowosc-podmiotu\" class=\"form-label\"><span class=\"red\">*<\/span> Miejscowo\u015b\u0107<\/label>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"miejscowosc-podmiotu\"><input size=\"40\" maxlength=\"400\" minlength=\"3\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"miejscowosc-podmiotu\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Miejscowo\u015b\u0107\" value=\"\" type=\"text\" name=\"miejscowosc-podmiotu\" \/><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <!-- Empty column -->\n    <\/div>\n\n    <\/fieldset>\n\n    <fieldset>\n    <!-- OPIS \u017b\u0104DANIA -->\n    <div class=\"col-xxl-12\">\n      <div class=\"space60\"><\/div>\n      <legend><h2 class=\"dark_green\">Opis \u017c\u0105dania<\/h2><\/legend>\n    <\/div>\n    <!-- Warto\u015b\u0107 roszczenia pieni\u0119\u017cnego -->\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"wartosc-roszczenia\" class=\"form-label\"><span class=\"red\">*<\/span> Warto\u015b\u0107 roszczenia pieni\u0119\u017cnego je\u015bli domagasz si\u0119 zap\u0142aty okre\u015blonej kwoty pieni\u0119\u017cnej od podmiotu rynku finansowego wpisz j\u0105 poni\u017cej; je\u017celi \u017c\u0105dania nie mo\u017cna okre\u015bli\u0107 kwotowo, wpisz zero i przejd\u017a do nast\u0119pnego pola<\/label>\n        <div class=\"input-group\">\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"wartosc-roszczenia\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"wartosc-roszczenia\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Warto\u015b\u0107 przedmiotu sporu\" value=\"\" type=\"text\" name=\"wartosc-roszczenia\" \/><\/span>\n          <span class=\"input-group-text\" id=\"basic-addon1\" style=\"font-size: 20px;padding-left: 10px;\">z\u0142<\/span>\n        <\/div>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <!-- Empty column -->\n    <\/div>\n    <br \/>\n    <br \/>\n    \n\n    \n    <!-- Okre\u015blone zachowanie podmiotu rynku finansowego -->\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"zachowanie-podmiotu\" class=\"form-label\">Okre\u015blone zachowanie podmiotu rynku finansowego<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"zachowanie-podmiotu\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea form-control\" id=\"zachowanie-podmiotu\" aria-invalid=\"false\" placeholder=\"Okre\u015blone zachowanie podmiotu\" name=\"zachowanie-podmiotu\"><\/textarea><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n          (je\u015bli domagasz si\u0119 zachowania podmiotu rynku finansowego, kt\u00f3rego nie mo\u017cna okre\u015bli\u0107 kwotowo, opisz jakiego dzia\u0142ania ze strony podmiotu oczekujesz)\n        <\/div>\n        <br \/>\n        <br \/>\n        <!-- Oczekiwanie co do sposobu zako\u0144czenia sporu -->\n        <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n              <div class=\"mb-3\">\n                <label for=\"oczkiwanie-zakonczenie\" class=\"form-label\"><span class=\"red\">*<\/span> Oczekiwanie co do sposobu zako\u0144czenia sporu<\/label>\n                <span class=\"wpcf7-form-control-wrap\" data-name=\"oczkiwanie-zakonczenie\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" id=\"oczkiwanie-zakonczenie\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Oczekiwanie co do sposobu zako\u0144czenia sporu\" name=\"oczkiwanie-zakonczenie\"><\/textarea><\/span>\n              <\/div>\n            <\/div>\n            <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n              (tutaj wpisz jaki spos\u00f3b zako\u0144czenia sporu b\u0119dzie dla ciebie satysfakcjonuj\u0105cy; mo\u017cesz r\u00f3wnie\u017c przedstawi\u0107 swoj\u0105 propozycj\u0119 ugodow\u0105)\n            <\/div>\n            <br \/>\n            <br \/>\n            <!-- RODZAJ POST\u0118POWANIA -->\n            <div class=\"col-xxl-12\">\n              <div class=\"space60\"><\/div>\n              <h2 class=\"dark_green\">Rodzaj post\u0119powania\n                <span style=\"font-size:14px;display: block;margin-top: -20px;\"><span>*<\/span> (mo\u017cesz wybra\u0107 jeden lub oba rodzaje post\u0119powania)<\/span>\n              <\/h2>\n            <\/div>\n            <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12 check_boxex_sp\" style=\"margin-top: -40px;\">\n              <div class=\"mb-3\">\n                <div class=\"form-check\">\n                  <span class=\"wpcf7-form-control-wrap\" data-name=\"umozliwienie-zblizenia\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"umozliwienie-zblizenia\" value=\"1\" class=\"form-check-input\" id=\"RP\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">umo\u017cliwienie zbli\u017cenia stanowisk stron w celu rozwi\u0105zania sporu (w tej formie post\u0119powania pomo\u017cemy stronom samodzielnie wypracowa\u0107 satysfakcjonuj\u0105ce rozwi\u0105zanie)<\/span><\/label><\/span><\/span><\/span>\n                <\/div>\n              <\/div>\n              <div class=\"mb-3\">\n                <div class=\"form-check\">\n                  <span class=\"wpcf7-form-control-wrap\" data-name=\"przedstawienie-stronom\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"przedstawienie-stronom\" value=\"1\" class=\"form-check-input\" id=\"RP1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">przedstawienie stronom propozycji rozwi\u0105zania sporu (w tej formie post\u0119powania osoba prowadz\u0105ca spraw\u0119 przedstawi stronom propozycj\u0119 rozwi\u0105zania sporu; propozycja rozwi\u0105zania sporu nie jest wi\u0105\u017c\u0105ca dla \u017cadnej ze stron)<\/span><\/label><\/span><\/span><\/span>\n                <\/div>\n              <\/div>    \n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n    <\/fieldset>\n\n    <!-- OPIS SPRAWY -->\n     <fieldset>\n    <div class=\"col-xxl-12\">\n      <div class=\"space60\"><\/div>\n      <legend><h2 class=\"dark_green\">Opis sprawy<\/h2><\/legend>\n    <\/div>\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"opis-sprawy\" class=\"form-label\"><span class=\"red\">*<\/span> Opisz czego dotyczy sp\u00f3r<\/label>\n            <span class=\"wpcf7-form-control-wrap\" data-name=\"opis-sprawy\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" id=\"opis-sprawy\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Opisz z jakiej umowy lub zdarzenia on wynika, przedstaw chronologiczny opis wydarze\u0144, opisz i uzasadnij swoje zastrze\u017cenia i \u017c\u0105dania\" name=\"opis-sprawy\"><\/textarea><\/span>\n          <\/div>\n        <\/div>\n        <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n          (tutaj zamie\u015b\u0107 informacje o tym czego dotyczy sp\u00f3r, z jakiej umowy lub zdarzenia on wynika, przedstaw chronologiczny opis wydarze\u0144, opisz i uzasadnij swoje zastrze\u017cenia i \u017c\u0105dania, wska\u017c kiedy z\u0142o\u017cy\u0142e\u015b(-\u0142a\u015b) reklamacj\u0119 oraz czy otrzyma\u0142e\u015b(-\u0142a\u015b) na ni\u0105 odpowied\u017a; je\u015bli twoje \u017c\u0105danie sk\u0142ada si\u0119 z kilku cz\u0119\u015bci, opisz ka\u017cd\u0105 z nich)\n        <\/div>\n        <br \/>\n        <br \/>\n        <!-- DOTYCHCZASOWY PRZEBIEG SPORU -->\n        <div class=\"col-xxl-12\">\n          <div class=\"space60\"><\/div>\n          <h2 class=\"dark_green\">Dotychczasowy przebieg sporu<\/h2>\n        <\/div>\n        <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n          <div class=\"mb-3\">\n            <label for=\"czy-byl-rozpatrywany\" class=\"form-label\">Czy sprawa o to samo roszczenie jest w toku albo zosta\u0142a ju\u017c rozpatrzona przez Rzecznika w post\u0119powaniu pozas\u0105dowym, s\u0105d polubowny, inny w\u0142a\u015bciwy podmiot albo s\u0105d?<\/label>\n            <div class=\"form-check radio_btn\">\n              <span class=\"wpcf7-form-control-wrap\" data-name=\"czy-byl-rozpatrywany\"><span class=\"wpcf7-form-control wpcf7-radio form-check-input\" id=\"czy-byl-rozpatrywany\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"czy-byl-rozpatrywany\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"czy-byl-rozpatrywany\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div class=\"mb-3 mt-5\">\n          <div data-id=\"czy-pokazac-sygnature\" data-orig_data_id=\"czy-pokazac-sygnature\"  class=\"\" data-class=\"wpcf7cf_group\"> Je\u015bli w pkt poprzednim zaznaczy\u0142e\u015b(-\u0142a\u015b) odpowied\u017a TAK, poni\u017cej wska\u017c nazw\u0119 s\u0105du lub podmiotu, kt\u00f3ry rozpatrywa\u0142 sp\u00f3r, dat\u0119 wyroku lub rozstrzygni\u0119cia ko\u0144cz\u0105cego post\u0119powanie w sprawie, a w przypadku, gdy sprawa jest w toku - dat\u0119 z\u0142o\u017cenia pozwu lub wniosku o wszcz\u0119cie post\u0119powania oraz sygnatur\u0119 sprawy <span class=\"wpcf7-form-control-wrap\" data-name=\"syngatura-rzecznika\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"syngatura-rzecznika\" \/><\/span><\/div>\n        <\/div>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-6 col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"czy-interwencyjne\" class=\"form-label\">Czy sprawa by\u0142a ju\u017c rozpatrywana przez Rzecznika Finansowego w post\u0119powaniu interwencyjnym<\/label>\n        <div class=\"form-check radio_btn\">\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"czy-interwencyjne\"><span class=\"wpcf7-form-control wpcf7-radio form-check-input\" id=\"czy-interwencyjne\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"czy-interwencyjne\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"czy-interwencyjne\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n        <\/div>\n      <\/div>\n    <\/div>\n    <div class=\"mb-3 mt-5\">\n      <div data-id=\"czy-pokazac-interwencyjne\" data-orig_data_id=\"czy-pokazac-interwencyjne\"  class=\"\" data-class=\"wpcf7cf_group\"> Je\u015bli w pkt poprzednim zaznaczy\u0142e\u015b(-\u0142a\u015b) odpowied\u017a TAK, poni\u017cej wska\u017c numer sprawy <span class=\"wpcf7-form-control-wrap\" data-name=\"numer-sprawy-intwerwencyjne\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"numer-sprawy-intwerwencyjne\" \/><\/span><\/div>\n    <\/div>\n    <\/fieldset>\n\n    <!-- O\u015aWIADCZENIA -->\n    <fieldset>\n    <div class=\"col-xxl-12\">\n      <div class=\"space60\"><\/div>\n      <legend><h2 class=\"dark_green\">O\u015bwiadczenia<\/h2><\/legend>\n    <\/div>\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <label for=\"czy-jest-ustanowiony\" class=\"form-label\">\n          1. Upowa\u017cniam Rzecznika Finansowego do przekazywania mojemu pe\u0142nomocnikowi w trakcie trwania tego pozas\u0105dowego post\u0119powania w sprawie rozwi\u0105zania spor\u00f3w, a\u017c do odwo\u0142ania, wszystkich informacji i dokument\u00f3w dotycz\u0105cych czynno\u015bci lub stosunku prawnego, z kt\u00f3rym zwi\u0105zany jest ww. sp\u00f3r, a obj\u0119tych \u2013 na podstawie w\u0142a\u015bciwych przepis\u00f3w prawa jako poufnych \u2013 tajemnic\u0105 (w tym bankow\u0105, ubezpieczeniow\u0105, zawodow\u0105), a tak\u017ce udost\u0119pniania moich danych osobowych, w tym wra\u017cliwych w rozumieniu rozporz\u0105dzenia Parlamentu Europejskiego i Rady (UE) 2016\/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony os\u00f3b fizycznych w zwi\u0105zku z przetwarzaniem danych osobowych i w sprawie swobodnego przep\u0142ywu takich danych oraz uchylenia dyrektywy 95\/46\/WE (og\u00f3lne rozporz\u0105dzenie o ochronie danych) (Dz. Urz. UE L 119 z 4 maja 2016, str. 1)\n        <\/label>\n        <div class=\"form-check radio_btn\">\n          <span class=\"wpcf7-form-control-wrap\" data-name=\"czy-jest-ustanowiony\"><span class=\"wpcf7-form-control wpcf7-radio form-check-input\" id=\"czy-jest-ustanowiony\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"czy-jest-ustanowiony\" value=\"TAK\" \/><span class=\"wpcf7-list-item-label\">TAK<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"czy-jest-ustanowiony\" value=\"NIE\" \/><span class=\"wpcf7-list-item-label\">NIE<\/span><\/label><\/span><\/span><\/span>\n        <\/div>\n      <\/div>\n    <\/div>\n    <div class=\"mb-3 mt-5\">\n      <div data-id=\"czy-pokazac-plenomocnika\" data-orig_data_id=\"czy-pokazac-plenomocnika\"  class=\"\" data-class=\"wpcf7cf_group\">\n      (je\u015bli ustanowiony zosta\u0142 pe\u0142nomocnik tutaj wpisz jego dane; w pozosta\u0142ych przypadkach pole pozostaw puste):<br>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"dane-pelnomocnika\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"dane-pelnomocnika\"><\/textarea><\/span>\n      <\/div>\n    <\/div>\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        2. Jestem \u015bwiadomy(-ma) ci\u0105\u017c\u0105cego na mnie, na mocy art. 39a ustawy z dnia 5 sierpnia 2015 r. o rozpatrywaniu reklamacji przez podmioty rynku finansowego, o Rzeczniku Finansowym i o Funduszu Edukacji Finansowej (tj. Dz. U. 2023 poz. 1809), obowi\u0105zku zachowania w tajemnicy wszelkich informacji uzyskanych w trakcie wnioskowanego post\u0119powania.<br>\n        3. Zapozna\u0142em(-\u0142am) si\u0119 z informacj\u0105, \u017ce administratorem moich Danych Osobowych jest Rzecznik Finansowy z siedzib\u0105 w Warszawie ul. Nowogrodzka 47A, 00-695 w Warszawie. Szczeg\u00f3\u0142owe informacje znajduj\u0105 si\u0119 w klauzuli informacyjnej pod adresem: https:\/\/rf.gov.pl\/polityka-prywatnosci\/.\n      <\/div>\n    <\/div>\n    <br \/>\n    <br \/>\n    <\/fieldset>\n    <div class=\"col-xxl-12 col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n      <div class=\"mb-3\">\n        <button type=\"submit\" class=\"btn form_page_btn10\">Wygeneruj wniosek jako PDF <img decoding=\"async\" src=\"https:\/\/rf.gov.pl\/wp-content\/themes\/rfmain\/images\/right.svg\" alt=\"\"><\/button>\n      <\/div>\n    <\/div>\n    <br \/>\n    <br \/>\n    <br \/>\n  <\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<div style=\"height:235px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template-inner-page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-1291","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/pages\/1291","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/comments?post=1291"}],"version-history":[{"count":3,"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/pages\/1291\/revisions"}],"predecessor-version":[{"id":1312,"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/pages\/1291\/revisions\/1312"}],"wp:attachment":[{"href":"https:\/\/rf.gov.pl\/polubowne\/wp-json\/wp\/v2\/media?parent=1291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}