trillium-family-services.bhosted.bendtel.net Open in urlscan Pro
66.39.177.71  Public Scan

Form analysis
1 forms found in the DOM

POST ?display=dashboard

<form id="frm-login" method="POST" action="?display=dashboard">
  <input type="hidden" name="token" value="135bed9b0b7fd40dca882854647a0672">
  <h2 class="header text-center">User Control Panel</h2>
  <div class="alert alert-warning jsalert" style="display:none;"></div>
  <div id="error-msg" class="alert alert-danger" style="display:none"></div>
  <div class="input-group input-margin">
    <span class="input-group-addon"><i class="fa fa-user fa-fw"></i></span>
    <input type="text" name="username" class="form-control" placeholder="Username" autocapitalize="off" autocorrect="off">
  </div>
  <div class="lshow">
    <div class="input-group input-margin">
      <span class="input-group-addon"><i class="fa fa-key fa-fw"></i></span>
      <input type="password" name="password" class="form-control" placeholder="Password" autocapitalize="off" autocorrect="off">
    </div>
  </div>
  <div class="lhide text-center"> or </div>
  <div class="lhide">
    <div class="input-group input-margin">
      <span class="input-group-addon"><i class="fa fa-envelope fa-fw"></i></span>
      <input type="text" name="email" class="form-control" placeholder="Email" autocapitalize="off" autocorrect="off">
    </div>
  </div>
  <div class="row">
    <div class="col-md-12 col-ºsm-12">
      <table class="extras">
        <tbody>
          <tr class="action-switch">
            <td colspan="2" class="lshow"><span data-show="lhide" data-hide="lshow">Forgot Password <i class="fa fa-question"></i></span></td>
            <td colspan="2" class="lhide"><span data-show="lshow" data-hide="lhide"><i class="fa fa-sign-in"></i> Login</span></td>
          </tr>
          <tr class="lshow remember-me">
            <td class="text">Remember Me</td>
            <td id="rm-checkbox" class="checkbox-c">
              <div class="onoffswitch">
                <input type="checkbox" name="rememberme" class="onoffswitch-checkbox" id="rememberme">
                <label class="onoffswitch-label" for="rememberme">
                  <div class="onoffswitch-inner"></div>
                  <div class="onoffswitch-switch"></div>
                </label>
              </div>
            </td>
          </tr>
          <tr>
            <td colspan="3" class="button-row">
              <button type="submit" id="btn-login" class="btn btn-default lshow" disabled="">Loading...</button>
              <button type="button" id="btn-forgot" class="btn btn-default lhide">Send Me A Password Reset Link</button>
            </td>
          </tr>
        </tbody>
      </table>
    </div>
  </div>
</form>

Text Content

WELCOME


USER CONTROL PANEL





or


Forgot Password Login Remember Me

Loading... Send Me A Password Reset Link

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10.148.192.3