customer.natgenpremier.com Open in urlscan Pro
167.19.21.74  Public Scan

Form analysis
2 forms found in the DOM

POST /Home/

<form action="/Home/" method="post"><input name="__RequestVerificationToken" type="hidden" value="EfzoRUOkgiKYchjWTTKg62-ctKPuV-Hb3rRtpZXzyaTPlPBCVcycff4JVnAFXKHy9zTf5VJJ7pUUs9VeYnx2lbOXpKIbcDgWLC3jLxi8ZEs1">
  <p class="pageTitle" style="font-weight: bold;">Account Login</p>
  <div class="w-clearfix formdiv">
    <input id="Policy" name="Policy" type="hidden" value="2011269192">
    <div class="fieldWrapper">
      <label for="name" class="label-form label-mobile-form">User Name:</label>
      <input value="" class="w-input input-med mobiletxt" data-val="true" data-val-length="Your User Name must contain at least five alphanumeric characters." data-val-length-max="20" data-val-length-min="5"
        data-val-required="The User Name field is required." id="UserName" name="UserName" placeholder="*Enter User Name" type="text">
      <span class="field-validation-valid field-validation-error" data-valmsg-for="UserName" data-valmsg-replace="true"></span>
    </div>
    <div class="fieldWrapper">
      <label for="name" class="label-form label-mobile-form">Password:</label>
      <input autocomplete="off" class="w-input input-med mobiletxt" data-val="true" data-val-required="The Password field is required." id="Password" maxlength="32" name="Password" placeholder="*Enter Password" type="password">
      <span class="field-validation-valid field-validation-error" data-valmsg-for="Password" data-valmsg-replace="true"></span>
    </div>
    <div class="fieldWrapper remember-me">
      <label class="checkbox"> <input data-val="true" data-val-required="The Remember me? field is required." id="RememberMe" name="RememberMe" style="margin-top: 4px;" type="checkbox" value="true"><input name="RememberMe" type="hidden"
          value="false"> Remember me?</label>
    </div>
    <div class="fieldWrapper change-alignment" id="submitForm">
      <input class="margin" type="submit" value="Log In">
    </div>
  </div>
</form>

POST

<form id="FooterForm" method="post" data-ajax="false">
  <div class="w-section footerinfo">
    <div class="w-container footer ">
      <div class="footer_wrapper">
        <a href="https://nghcprivacy.com/nationalgeneral/onlineprivacystatement" target="_blank">Privacy Statement</a>
        <span>&nbsp;&nbsp;&nbsp;</span>
        <a href="https://nghcprivacy.com/nationalgeneral/termsandconditions" target="_blank">Terms &amp; Conditions</a>
        <span>&nbsp;&nbsp;&nbsp;</span>
        <a href="https://nghcprivacy.com/nationalgeneral/onlineprivacystatement#infocollection" target="_blank">California Consumer Privacy</a><br>
        <br>
        <span>© 2023 <b>National General Premier Insurance</b> All Rights Reserved.</span>
      </div>
    </div>
  </div>
</form>

Text Content

Account Login

User Name:
Password:
Remember me?


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Privacy Statement     Terms & Conditions     California Consumer Privacy

© 2023 National General Premier Insurance All Rights Reserved.