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Form analysis
1 forms found in the DOM

POST

<form class="form-inline" id="verify-form" method="post">
  <div class="container" id="verify-content">
    <div class="row">
      <div class="col-sm-12 col-md-12">
        <p class="text-center"> You have been requested to complete a Professional Reference Verification for JULIANNE OLIVO. <a href="/quickverifyrelease/release.taz?a=256dfc87ef109404bb6db614821e51988cfd7e67"><strong>View Release</strong></a>
          <br>The verification form should only take a few minutes to complete.
        </p>
        <hr class="style-faded">
        <h3>Provided Information</h3>
        <div class="row">
          <div class="col-sm-4 col-md-4">
            <p>
              <strong>Reference</strong>
              <br>SHEENA QUINN
            </p>
          </div>
          <div class="col-sm-8 col-md-8">
            <p>
              <strong>Applicant</strong>
              <br>JULIANNE OLIVO <br>Not provided <br>Not provided
            </p>
          </div>
          <div class="col-sm-12 col-md-12 pad-top">
            <p>
            </p>
            <div class="checkbox"><label class="radio">
                <input type="radio" id="cert-yes-current" name="referenceType" value="reference"> I certify <strong>I know</strong> the individual listed above. </label></div>
            <p></p>
            <p>
            </p>
            <div class="checkbox"><label class="radio">
                <input type="radio" id="cert-no" name="referenceType" value="none"> I certify <strong>I DO NOT know</strong> the individual listed above. </label></div>
            <p></p>
          </div>
          <!-- form options begin here -->
          <div class="col-sm-12 col-md-12">
            <div id="verify-options" class="row">
              <div id="verify-file" class="col-sm-6 col-md-6">
                <p class="text-muted">File #192913</p>
              </div>
              <div class="col-sm-6 col-md-6 text-right">
                <div id="verify-buttons">
                  <a id="verify-cancel" class="btn btn-link"><strong>Cancel</strong></a>
                  <button id="verify-next" class="btn btn-lg btn-success" type="submit">Next</button>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <!-- modal window means no more zorn! -->
  <div class="modal" id="modal-warning">
    <div class="modal-dialog">
      <div class="modal-content">
        <div class="modal-header">
          <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
          <h4 class="modal-title" id="modal-warning-title">Warning</h4>
        </div>
        <div class="modal-body" id="modal-warning-text"> Message </div>
        <div class="modal-footer">
          <a href="#" class="btn btn-primary" data-dismiss="modal">OK</a>
        </div>
      </div>
    </div>
  </div>
  <div class="modal" id="modal-cancel">
    <div class="modal-dialog">
      <div class="modal-content">
        <div class="modal-header">
          <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
          <h4 class="modal-title">Cancel Verification</h4>
        </div>
        <div class="modal-body">
          <p> Are you sure you want to cancel the verification process? </p>
          <p> Clicking "Cancel" below will allow you to restart the verification later. </p>
        </div>
        <div class="modal-footer">
          <a href="#" class="btn btn-default" data-dismiss="modal">Nevermind</a>
          <a href="#" class="btn btn-primary" id="modal-cancel-confirm">Cancel and Restart Later</a>
        </div>
      </div>
    </div>
  </div>
  <input type="hidden" id="token" name="token" value="gj1c4ukqo748vaj1pcoc3q43midk840jjpja">
</form>

Text Content

Professional Reference Verification Request for JULIANNE OLIVO
Step 1 of 4

You have been requested to complete a Professional Reference Verification for
JULIANNE OLIVO. View Release
The verification form should only take a few minutes to complete.

--------------------------------------------------------------------------------


PROVIDED INFORMATION

Reference
SHEENA QUINN

Applicant
JULIANNE OLIVO
Not provided
Not provided

I certify I know the individual listed above.





I certify I DO NOT know the individual listed above.



File #192913

Cancel Next
×

WARNING

Message
OK
×

CANCEL VERIFICATION

Are you sure you want to cancel the verification process?

Clicking "Cancel" below will allow you to restart the verification later.

Nevermind Cancel and Restart Later