policypayments.com Open in urlscan Pro
199.59.128.69  Public Scan

Form analysis
1 forms found in the DOM

POST https://policypayments.com/get_payment_option

<form id="aspnetForm" action="https://policypayments.com/get_payment_option" method="POST">
  <input type="hidden" name="_token" value="I1SaIpTkLBnhhIotTW964wTg0ljLT5j4FlAMWTYq">
  <div class="card search-bg pl-5 pr-5 pt-5 pb-5 bg-color-section-3">
    <div class="col-md-12">
      <div class="row">
        <div class="col-md-6">
          <div class="form-group">
            <label for="PaymentID"> <span class="font-color-section-3">Policy Payment ID</span><span class="text-danger">*</span><span class="what-this"> <u>What is this?</u> <span class="what-this-block">
                  <img src="https://policypayments.com/images/policypaymentid.png"> <a href="#" class="text-white text-decoration-none">What is this? </a></span></span></label>
            <input type="number" oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);" class="form-control " name="policy_payment_id" value="" maxlength="11" placeholder="Policy Payment ID"
              id="PaymentID">
          </div>
        </div>
        <div class="col-md-6">
          <div class="form-group">
            <label for="postalcode"><span class="font-color-section-3">Postal Code</span><span class="text-danger">*</span></label>
            <input type="text" class="form-control postalcode_en " oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);" name="postal_code" maxlength="11" value="" placeholder="Postal Code"
              id="postalcode">
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="row m-m-0">
    <div class="col-md-12  mt-4 mb-3">
      <a href="https://policypayments.com/NoPPid/BrokerlinkON" class="btn float-left mb-2 r-middel-btn  btn-primary next-btn no_pp_id font-color-section-5 bg-color-section-5">No Policy Payments ID?</a>
      <div>
        <div class="grecaptcha-badge" data-style="none" style="width: 256px; height: 60px; position: fixed; visibility: hidden;">
          <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-jkztoqvkvtk7" frameborder="0" scrolling="no"
              sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
              src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lfdr9gUAAAAAIxAqIDkLZLU14RDOnqOfly2XCi7&amp;co=aHR0cHM6Ly9wb2xpY3lwYXltZW50cy5jb206NDQz&amp;hl=en&amp;v=YurWEBlMIwR4EqFPncmQTkxQ&amp;size=invisible&amp;cb=nu45m3k9g4tz"></iframe>
          </div>
          <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
            style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
        </div><iframe style="display: none;"></iframe>
      </div><button class="btn float-right mb-2 r-middel-btn  btn-primary next-btn font-color-section-4 bg-color-section-4 g-recaptcha" data-sitekey="6Lfdr9gUAAAAAIxAqIDkLZLU14RDOnqOfly2XCi7" data-callback="onSubmit" data-size="invisible"> Next
      </button>
    </div>
  </div>
</form>

Text Content

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Brokerlink Inc. - Toronto

700 University Avenue, Suite 1000, Toronto, ON, M5G 1Z5

Conveniently make a payment for your insurance policy

Policy Payment ID* What is this? What is this?
Postal Code*
No Policy Payments ID?

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