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life.selectquote.com Open in urlscan Pro
2606:4700:20::681a:3b9  Public Scan

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Submitted URL: http://learnloft.info/H2aeunMDlk/M4vm4zHO/bhTu4ToF
Effective URL: https://life.selectquote.com/quote-form?sCode=ZCMS&cid=t%3Aaff%3Ac%3A26346%3Aad%3Ac72aa87470d0bde7998e59dc6ef77440%3Ase%3Auuf...
Submission Tags: phishing
Submission: On September 16 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

<form id="form1" tabindex="0" class="fields-container d-flex flex-column gap-3 my-5">
  <div class="fd-wrapper"><label>Month<select class="form-select " aria-label="Birth Month" name="month">
        <option value="" disabled="">Please select</option>
        <option value="1">January</option>
        <option value="2">February</option>
        <option value="3">March</option>
        <option value="4">April</option>
        <option value="5">May</option>
        <option value="6">June</option>
        <option value="7">July</option>
        <option value="8">August</option>
        <option value="9">September</option>
        <option value="10">October</option>
        <option value="11">November</option>
        <option value="12">December</option>
      </select>
      <div class="error-message"></div>
    </label><label>Day<select name="day" aria-label="Birth Day" class="form-select ">
        <option value="" disabled="">Please select</option>
      </select>
      <div class="error-message"></div>
    </label><label>Year<input type="text" inputmode="numeric" class="form-control " placeholder="XXXX" aria-label="Birth Year" name="year" maxlength="4" value="">
      <div class="error-message"></div>
    </label></div><input type="submit" tabindex="-1">
</form>

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