covid-test.webapps.authentic.network Open in urlscan Pro
35.238.118.48  Public Scan

Form analysis
1 forms found in the DOM

POST ./submit-form

<form class="form-signin" action="./submit-form" method="post">
  <h1>Signalez un test Covid positif</h1>
  <p class="mt-4">Nom et adresse</p>
  <label for="inputNameAddress" class="sr-only">Nom et adresse</label>
  <textarea type="text" id="nameAddress" name="nameAddress" class="form-control nom-et-adresse" placeholder="Nom et adresse" autofocus=""></textarea>
  <input type="hidden" name="scanid" value="">
  <button class="btn btn-lg btn-primary btn-block mt-3" type="submit">Soumettre</button>
</form>

Text Content

SIGNALEZ UN TEST COVID POSITIF

Nom et adresse

Nom et adresse Soumettre