www.safeware.com Open in urlscan Pro
67.154.188.204  Public Scan

URL: https://www.safeware.com/customerformdelivery2?DSParam1=03154966-8c82-46ed-8659-f8297bda4c18
Submission: On March 09 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

POST /customerformdelivery2?DSParam1=03154966-8c82-46ed-8659-f8297bda4c18

<form method="post" action="/customerformdelivery2?DSParam1=03154966-8c82-46ed-8659-f8297bda4c18" onsubmit="javascript:return WebForm_OnSubmit();" id="Form" enctype="multipart/form-data">
  <div class="aspNetHidden">
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="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">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['Form'];
    if (!theForm) {
      theForm = document.Form;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script src="/WebResource.axd?d=pynGkmcFUV0sm1BmePpVrIzHaInTIugJDBxy73IhY-lCNrap3W-5p4ZnmK81&amp;t=637729444233813844" type="text/javascript"></script>
  <script src="/ScriptResource.axd?d=NJmAwtEo3IrnxmQrlBquazV_2fz19e33pkkhZkc4ZAJ-Ysb_VN-6A0L01GmVyxb26_EPh8mSSVP9p_c7sEOz-KxQIi05HOGFLz_1Dxkihxtpot2qIqymuCakCV2GlKepNTtoVQ2&amp;t=ffffffff8333b97c" type="text/javascript"></script>
  <script src="/ScriptResource.axd?d=dwY9oWetJoJM9tG52Z71UBHtXk2eA48uM49m39BsrwHvig_bAhG59SNyLcGA8DuSY51ujVSKhwLh7yNOXD7HxOe8aZ8_Y1nevsoenBIw8hx2zIm1BOaO_jEjUtrSC73HGQAFvwsoyBk88okB0&amp;t=ffffffff8333b97c" type="text/javascript"></script>
  <script src="/DesktopModules/Dynamic Forms/js/jquery.rating.pack.js" type="text/javascript"></script>
  <script src="/DesktopModules/Dynamic Forms/js/jquery.ezmark.min.js" type="text/javascript"></script>
  <script src="/Portals/0/DynamicForms_Module_1563.js" type="text/javascript"></script>
  <script src="/DesktopModules/Dynamic Forms/js/DynamicForms_Config.js" type="text/javascript"></script>
  <div id="dhtmltooltip"></div><img id="dhtmlpointer" src="/desktopmodules/dynamic forms/arrow2.gif">
  <script src="/DesktopModules/Dynamic Forms/js/jquery.blockUI.js" type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    function WebForm_OnSubmit() {
      dnn.controls.submitComp.onsubmit();
      return true;
    }
    //]]>
  </script>
  <div class="aspNetHidden">
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CA0B0334">
    <input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value="">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="zxbjL8opzpztEwSK3Xvht0jYa9ECKz9Zj/CfxNp9z5iut+7vLJzS9xdm9IS5i7223SVc6VogJQWuxw4NgCY3yxUHbEivX9Ex5zqdxY5DxrDvyDVwoib6+0jFbCsfz7LYp21baMdPmvGaOEC2AUIdcAZxAVXdl2DKevGf/Tens/B7hqxBXukexmnrOEySd5ElkKS9rjfaA6D7IZwD7icW3DOk3pv0FaggNp67C/HXmibVXgL7CLoPC5UKhUHJamCDQJgDXw==">
  </div>
  <script src="/js/dnn.js?cdv=246" type="text/javascript"></script>
  <script src="/js/dnn.xmlhttp.js?cdv=246" type="text/javascript"></script>
  <script src="/js/dnn.xmlhttp.jsxmlhttprequest.js?cdv=246" type="text/javascript"></script>
  <script src="/js/dnn.controls.js?cdv=246" type="text/javascript"></script>
  <script src="/js/dnn.modalpopup.js?cdv=246" type="text/javascript"></script>
  <script src="/Resources/Shared/Scripts/jquery/jquery.hoverIntent.min.js?cdv=246" type="text/javascript"></script>
  <script src="/WebResource.axd?d=MZmjywClmE-BvWNl9f4SBIHknfifgOxlnnuo4x-QCiLB0y_26Y-fgjCtgwHVEWuttXT53OOaYKDsrjUp7433FuXSZ0n4R94BiWCoXHDRPuQR2efMJFtnZMN-EtOoGuUxfSFKPIzD1R5NGzXbyhAo8X9ozz57Eij4JWw2wosSQJTBnK-y0&amp;t=636591358280000000&amp;cdv=246"
    type="text/javascript"></script>
  <script src="/js/dnncore.js?cdv=246" type="text/javascript"></script>
  <script
    src="/WebResource.axd?d=wL4KpjWgthYE08InxW15LawEDSdtpk4Sk-SP5flIeCqEBFqYUwMs0bKpdaw3onYH-DVYOd7wnoG8vpMlw66yPimWkdvDhUn4DmU0ZXvzgVtb_Ey3KyPJW11guGpqUDQ7eQy5Rj9y3PqAOK0NwbdzSKGEuYuaa8_PjVKJYbzGoS2xKRjygRkMz23-ILmc61wnNqTeKg2&amp;t=636591358280000000&amp;cdv=246"
    type="text/javascript"></script>
  <script src="/Resources/Search/SearchSkinObjectPreview.js?cdv=246" type="text/javascript"></script>
  <script src="/js/dnn.servicesframework.js?cdv=246" type="text/javascript"></script>
  <script src="/Portals/_default/skins/porto/Resources/Menu/menu.min.js?cdv=246" type="text/javascript"></script>
  <script src="/js/dnn.dom.positioning.js?cdv=246" type="text/javascript"></script>
  <script src="/js/dnn.controls.dnnmenu.js?cdv=246" type="text/javascript"></script>
  <script src="/Resources/Shared/Scripts/dnn.jquery.js?cdv=246" type="text/javascript"></script>
  <script
    src="/WebResource.axd?d=CON4WpTji6GnyTpDOo2UWD_VQxVCumDNh1PdLY5z5RM1mtGlLqiT4Z7FPTyUX9CodiQ6lNHqr90PWPiElzuU6CYSn6MllYz7_pMJ1285xT2smD8yxUs4a_-bM5YiNoKDumhXcGc1aSV11giwGnv4nXGBLTIg0ne_-i5Y4mp9sjEq-mhpkLdq3iBUTk6XL9glcNM-jxcnzM4mL1WB0&amp;t=636591358280000000&amp;cdv=246"
    type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    Sys.WebForms.PageRequestManager._initialize('ScriptManager', 'Form', [], [], [], 90, '');
    //]]>
  </script>
  <link id="font" href="//fonts.googleapis.com/css?family=Open+Sans:300,400,600,700,800%7CShadows+Into+Light" rel="stylesheet" type="text/css">
  <div class="wrapper" canvas="containers">
    <div class="body">
      <header class="fixedheader flat-header ddrheader" id="header">
        <div class="container">
          <div class="logo">
            <a id="dnn_LOGO1_hypLogo" title="Safeware" aria-label="Safeware" href="https://www.safeware.com/"><img id="dnn_LOGO1_imgLogo" src="/Portals/0/SW_One80_WEB2021.png?ver=OkkdZpWJeZX6-tj0ThE45Q%3d%3d" alt="Safeware"></a>
          </div>
          <div class="search">
            <div class="input-group">
              <span id="dnn_dnnSearch_ClassicSearch">
                <span class="searchInputContainer" data-moreresults="See More Results" data-noresult="No Results Found">
                  <input name="dnn$dnnSearch$txtSearch" type="text" maxlength="255" size="20" id="dnn_dnnSearch_txtSearch" class="NormalTextBox" aria-label="Search" autocomplete="off" placeholder="Search...">
                  <a class="dnnSearchBoxClearText" title="Clear search text"></a>
                  <label class="sr-only" for="dnn_dnnSearch_txtSearch">Search</label></span>
                <a id="dnn_dnnSearch_cmdSearch" class="icon-search" href="javascript:__doPostBack('dnn$dnnSearch$cmdSearch','')" style="text-indent: -9999px;">Search</a>
              </span>
              <script type="text/javascript">
                $(function() {
                  if (typeof dnn != "undefined" && typeof dnn.searchSkinObject != "undefined") {
                    var searchSkinObject = new dnn.searchSkinObject({
                      delayTriggerAutoSearch: 400,
                      minCharRequiredTriggerAutoSearch: 2,
                      searchType: 'S',
                      enableWildSearch: true,
                      cultureCode: 'en-US',
                      portalId: -1
                    });
                    searchSkinObject.init();
                    // attach classic search
                    var siteBtn = $('#dnn_dnnSearch_SiteRadioButton');
                    var webBtn = $('#dnn_dnnSearch_WebRadioButton');
                    var clickHandler = function() {
                      if (siteBtn.is(':checked')) searchSkinObject.settings.searchType = 'S';
                      else searchSkinObject.settings.searchType = 'W';
                    };
                    siteBtn.on('change', clickHandler);
                    webBtn.on('change', clickHandler);
                  }
                });
              </script>
            </div>
          </div>
          <div id="login">
            <div id="dnn_dnnUser_registerGroup" class="registerGroup">
              <ul class="buttonGroup">
                <li class="userDisplayName"><a id="dnn_dnnUser_enhancedRegisterLink" title="My Account" rel="nofollow" href="https://www.safeware.com/CustomerHome?returnurl=https%3a%2f%2fwww.safeware.com%2fcustomerformdelivery2">My Account</a></li>
              </ul>
            </div>
            <div id="dnn_dnnLogin_loginGroup" class="loginGroup">
              <a id="dnn_dnnLogin_enhancedLoginLink" title="Login" class="LoginLink" rel="nofollow" href="https://www.safeware.com/Login?returnurl=%2fcustomerformdelivery2%3fDSParam1%3d03154966-8c82-46ed-8659-f8297bda4c18">Login</a>
            </div>
          </div>
          <div class="language">
            <div class="language-object">
            </div>
          </div>
          <button type="button" class="btn btn-responsive-nav btn-inverse" data-toggle="collapse" data-target=".nav-main-collapse" style="display: none;">
            <em class="fa fa-bars"></em><span class="btn-text-indent">Button</span>
          </button>
        </div>
        <div class="navbar-collapse nav-main-collapse collapse">
          <div class="container">
            <div class="social-icons">
              <ul class="social-icons new">
                <li class="facebook"><a href="https://www.facebook.com/SafewareInc/" target="_blank" title="Facebook">Facebook</a></li>
                <li class="instagram"><a href="https://www.instagram.com/safeware_inc/" target="_blank" title="Instagram">Instagram</a></li>
                <li class="linkedin"><a href="https://www.linkedin.com/company/safeware-insurance/" target="_blank" title="Linkedin">Linkedin</a></li>
                <li class="twitter"><a href="https://twitter.com/Safeware_Inc" target="_blank" title="Twitter">Twitter</a></li>
              </ul>
            </div>
            <nav class="nav-main mega-menu ddrmenu">
              <ul class="nav nav-pills nav-main" id="mainMenu">
                <li data-col="" class="dropdown dropdown-full-color dropdown-primary"><a href="https://www.safeware.com/Solution-Center" class="dropdown-toggle">Solution Center<i class="fa fa-caret-down"></i></a>
                  <ul class="dropdown-menu">
                    <li><a href="https://www.safeware.com/Solution-Center/Report-New-Claim">Report New Claim</a></li>
                    <li><a href="https://www.safeware.com/Solution-Center/Report-New-Claim/ClaimStatusLookup">Check Claim Status</a></li>
                    <li><a href="https://www.safeware.com/Solution-Center/Update-Your-Plan">Update Your Plan</a></li>
                    <li><a href="https://www.safeware.com/Solution-Center/Make-a-Payment">Make a Payment</a></li>
                  </ul>
                </li>
                <li data-col="" class="dropdown dropdown-full-color dropdown-primary"><a href="javascript:void(0)" class="dropdown-toggle">Products &amp; Services<i class="fa fa-caret-down"></i></a>
                  <ul class="dropdown-menu">
                    <li><a href="https://www.safeware.com/Products-Services/Business">Business</a></li>
                    <li class="dropdown-submenu"><a href="https://www.safeware.com/Products-Services/Higher-Education">Higher Education<i class="fa fa-caret-down"></i></a>
                      <ul class="dropdown-menu">
                        <li><a href="https://www.safeware.com/Products-Services/Higher-Education/Parents-Students">Parents &amp; Students</a></li>
                        <li><a href="https://www.safeware.com/Products-Services/Higher-Education/Campus-Store-Partners">Campus Store Partners</a></li>
                        <li><a href="https://www.safeware.com/Products-Services/Higher-Education/Institutional-Programs">Institutional Programs</a></li>
                      </ul>
                    </li>
                    <li><a href="https://www.safeware.com/Products-Services/K-12">K-12</a></li>
                    <li><a href="https://www.safeware.com/Products-Services/Renters-Insurance">Renters Insurance</a></li>
                    <li><a href="https://www.safeware.com/Products-Services/Fitness">Fitness</a></li>
                    <li><a href="https://www.safeware.com/Products-Services/Furniture">Furniture</a></li>
                    <li><a href="https://www.safeware.com/Products-Services/Appliance">Appliance</a></li>
                  </ul>
                </li>
                <li data-col="" class="dropdown dropdown-full-color dropdown-primary"><a href="javascript:void(0)" class="dropdown-toggle">Partners<i class="fa fa-caret-down"></i></a>
                  <ul class="dropdown-menu">
                    <li><a href="https://www.safeware.com/Partners/Resellers">Resellers</a></li>
                    <li><a href="https://www.safeware.com/Partners/Servicers">Servicers</a></li>
                  </ul>
                </li>
                <li data-col="" class="dropdown dropdown-full-color dropdown-primary"><a href="javascript:void(0)" class="dropdown-toggle">Resources<i class="fa fa-caret-down"></i></a>
                  <ul class="dropdown-menu">
                    <li><a href="https://blog.safeware.com/">Blog</a></li>
                    <li><a href="https://www.safeware.com/Resources/Press">Press</a></li>
                    <li><a href="https://www.safeware.com/Resources/FAQ">FAQ</a></li>
                  </ul>
                </li>
                <li data-col="" class="dropdown dropdown-full-color dropdown-primary"><a href="javascript:void(0)" class="dropdown-toggle">About Us<i class="fa fa-caret-down"></i></a>
                  <ul class="dropdown-menu">
                    <li><a href="https://www.safeware.com/About-Us/The-Safeware-Story">The Safeware Story</a></li>
                    <li><a href="https://www.safeware.com/About-Us/Careers">Careers</a></li>
                  </ul>
                </li>
                <li data-col="" class=" dropdown-full-color dropdown-primary"><a href="https://www.safeware.com/Contact-Us">Contact Us</a></li>
              </ul>
            </nav>
          </div>
        </div>
      </header>
      <div role="main" class="main">
        <div id="dnn_ContentPaneFull">
          <div class="DnnModule DnnModule-LiveSlider DnnModule-1581"><a name="1581"></a>
            <div id="dnn_ctr1581_ContentPane"><!-- Start_Module_1581 -->
              <div id="dnn_ctr1581_ModuleContent" class="DNNModuleContent ModLiveSliderC">
                <div class="ls-wp-fullwidth-container" style="height:200px;">
                  <div class="ls-wp-fullwidth-helper" style="width: 1600px; height: 200px; left: 0px;">
                    <div id="LiveSlider1581" style="width: 1600px; height: 200px; visibility: visible;" class="ls-container ls-v5">
                      <div class="ls-inner" style="background-color: transparent; width: 1600px; height: 200px;">
                        <div class="ls-slide ls-slide-1 ls-animating" data-ls="transition2d: 5; " style="width: 1600px; height: 200px; visibility: visible; display: none; inset: 0px 0px auto auto;"><img
                            src="/Portals/0/Custom_SubHead_25c.jpg?ver=2018-10-12-101000-907" class="ls-bg ls-preloaded" alt="" style="padding: 0px; border-width: 0px; width: 1920px; height: 290px; margin-left: -160px; margin-top: -45px;">
                          <div class="ls-gpuhack" style="width: auto; height: auto; padding: 0px; border-width: 0px; left: 200px; top: 0px;"></div>
                          <div class="ls-l"
                            style="width: auto; height: auto; padding: 0px; border-width: 0px; border-style: initial; border-color: initial; font-size: 35px; line-height: normal; color: rgb(77, 77, 77); background-color: transparent; border-radius: 0px; top: 63px; left: 387px; overflow-wrap: normal; visibility: visible; margin-left: 0px; margin-top: 0px; transform-origin: 50% 50% 0px; transform: matrix3d(1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1, 0, 0, 0, 0, 1); opacity: 1;"
                            data-ls="">Download Your Documents</div>
                        </div>
                        <div class="ls-circle-timer">
                          <div class="ls-ct-left">
                            <div class="ls-ct-rotate">
                              <div class="ls-ct-hider">
                                <div class="ls-ct-half"></div>
                              </div>
                            </div>
                          </div>
                          <div class="ls-ct-right">
                            <div class="ls-ct-rotate">
                              <div class="ls-ct-hider">
                                <div class="ls-ct-half"></div>
                              </div>
                            </div>
                          </div>
                          <div class="ls-ct-center"></div>
                        </div>
                      </div>
                      <div class="ls-loading-container" style="z-index: -1; display: none;">
                        <div class="ls-loading-indicator"></div>
                      </div>
                      <div class="ls-shadow"></div>
                    </div>
                  </div>
                </div>
                <script type="text/javascript">
                  $('#LiveSlider1581').layerSlider({
                    responsive: false,
                    responsiveUnder: 1200,
                    layersContainer: 1200,
                    skinsPath: '/DesktopModules/LiveSlider/Themes/'
                  });
                </script>
              </div><!-- End_Module_1581 -->
            </div>
          </div>
        </div>
        <div class="container">
          <div class="row">
            <div class="col-md-12">
              <div id="dnn_contentPane">
                <div class="DnnModule DnnModule-DNN_HTML DnnModule-1562"><a name="1562"></a>
                  <div id="dnn_ctr1562_ContentPane"><!-- Start_Module_1562 -->
                    <div id="dnn_ctr1562_ModuleContent" class="DNNModuleContent ModDNNHTMLC">
                      <div id="dnn_ctr1562_HtmlModule_lblContent" class="Normal">
                        <div class="row">
                          <div class="col-md-12 center">
                            <h1 class="mb-sm small">Secure Document Download</h1>
                            <p class="lead">Your documents have been generated. Please click on the link(s) below to open, view, print, or download the file(s).</p>
                          </div>
                        </div>
                      </div>
                    </div><!-- End_Module_1562 -->
                  </div>
                </div>
                <div class="DnnModule DnnModule-DynamicForms DnnModule-1563"><a name="1563"></a>
                  <div id="dnn_ctr1563_ContentPane"><!-- Start_Module_1563 -->
                    <div id="dnn_ctr1563_ModuleContent" class="DNNModuleContent ModDynamicFormsC">
                      <script>
                        $(function() {
                          $('#DS-headerTabs').tabs({
                            show: 'fade',
                            hide: 'fade'
                          });
                        });
                      </script>
                      <div class="dnnForm dnnDynForms dnnClear" id="EntryForm">
                        <a name="dftoppage"></a>
                        <span><span class="" id="dnn_ctr1563_DynamicForms_myDNNMenu" tabindex="0"></span></span>
                        <script language="javascript">
                          // Get a reference to the PageRequestManager.
                          var prm = Sys.WebForms.PageRequestManager.getInstance();
                          // Using that prm reference, hook _initializeRequest
                          // and _endRequest, to run our code at the begin and end
                          // of any async postbacks that occur.
                          if (null != prm) {
                            prm.add_initializeRequest(InitializeRequest);
                            prm.add_endRequest(EndRequest);
                          }
                          // Executed anytime an async postback occurs.
                          function InitializeRequest(sender, args) {
                            // Change the Container div's CSS class to .Progress.
                            // $get('dnn_ctr455_DynamicForms_tblQuestions').className = 'Progress';
                            // $get('Body').className = 'Progress';
                            jQuery('input[type=radio].star').rating();
                            try {
                              jQuery.blockUI({
                                message: '<div class="DynamicForms_AJAXModalMessage"><br /><br /><img src="/DesktopModules/Dynamic Forms/Progress.gif" /><br /><br />Processing...</div><BR>'
                              });
                            } catch (err) {
                              //Handle errors here
                            }
                          }
                          // Executed when the async postback completes.
                          function EndRequest(sender, args) {
                            // Change the Container div's class back to .Normal.
                            //$get('dnn_ctr455_DynamicForms_tblQuestions').className = 'DynamicForms_MainTable';
                            //jQuery('#dynamicforms_ajaxbackground').remove();
                            // Get a reference to the element that raised the postback
                            //   which is completing, and enable it.
                            // $get(sender._postBackSettings.sourceElement.id).disabled = false;
                            //$get('dnn_ctr455_DynamicForms_lnkSave').disabled = false;
                            try {
                              jQuery.unblockUI();
                            } catch (err) {
                              //Handle errors here
                            }
                            try {
                              //call initial JavaScript
                              eval(document.getElementById('dnn_ctr1563_DynamicForms_DataSprings_Onload2').value);
                            } catch (err) {
                              //Handle er
                            }
                            try {
                              loadMask();
                            } catch (err) {
                              //Handle errors here
                            }
                            try {
                              loadCombo();
                            } catch (err) {
                              //Handle errors here
                            }
                            try {
                              jQuery('input[type=radio].star').rating();
                            } catch (err) {
                              //Handle errors here
                            }
                            try {
                              dynamicforms_watermark();
                            } catch (err) {
                              //Handle errors here
                            }
                          }
                        </script>
                        <script language="javascript" type="text/javascript">
                          jQuery(document).ready(function() {
                            dynamicforms_watermark();
                          });

                          function dynamicforms_watermark() {
                            swapValues = [];
                            jQuery(".dynamicforms_watermark").each(function(i) {
                              swapValues[i] = jQuery(this).val();
                              jQuery(this).focus(function() {
                                if (jQuery(this).val() == swapValues[i]) {
                                  jQuery(this).val("")
                                  jQuery(this).removeClass("dynamicforms_watermark");
                                  jQuery(this).addClass("dynamicforms_textbox")
                                }
                              }).blur(function() {
                                if (jQuery.trim(jQuery(this).val()) == "") {
                                  jQuery(this).val(swapValues[i])
                                  jQuery(this).addClass("dynamicforms_watermark")
                                }
                              })
                            })
                          }

                          function dynamicforms_checkall(id, pID) {
                            jQuery("#" + pID + " :checkbox").attr('checked', jQuery('#' + id).is(':checked'));
                          }
                        </script>
                        <script type="text/javascript">
                          function showWait(myfile) {
                            if ($get(myFile).value.length > 0) {
                              $get('UpdateProgress1').style.display = 'block';
                            }
                          }
                        </script>
                        <script language="javascript" type="text/javascript">
                          jQuery.fn.highlight = function(selector, className, eventStart, eventEnd) {
                            // variables
                            var className = className || 'highlight';
                            if (eventStart == undefined && eventEnd == undefined) {
                              var eventStart = 'mouseover';
                              var eventEnd = 'mouseout';
                            } else if (eventStart == eventEnd || eventStart != undefined && eventEnd == undefined) {
                              var toggle = true;
                            }
                            // code
                            this.each(function() {
                              var tagName = this.tagName.toLowerCase();
                              if (tagName == 'form') {
                                selector = selector || 'li';
                                var elements = jQuery("textarea, select, multi-select, :text, :image, :password, :radio, :checkbox, :file", this);
                                elements.bind('focus', function() {
                                  var parents = jQuery(this).parents(selector)
                                  var parent = jQuery(parents.get(0))
                                  parent.addClass(className);
                                });
                                elements.bind('blur', function() {
                                  var parents = jQuery(this).parents(selector)
                                  var parent = jQuery(parents.get(0))
                                  parent.removeClass(className);
                                });
                              } else {
                                if (tagName.match(/^(table|tbody)$/) != null) {
                                  selector = selector || 'tr';
                                } else if (tagName.match(/^(ul|ol)$/) != null) {
                                  selector = selector || 'li';
                                } else {
                                  selector = '*';
                                }
                                var elements = jQuery(selector, this);
                                if (toggle) {
                                  elements.bind(eventStart, function() {
                                    if (jQuery(this).hasClass(className)) {
                                      jQuery(this).removeClass(className);
                                    } else {
                                      jQuery(this).addClass(className);
                                    }
                                  });
                                } else {
                                  elements.bind(eventStart, function() {
                                    jQuery(this).addClass(className);
                                  });
                                  elements.bind(eventEnd, function() {
                                    jQuery(this).removeClass(className);
                                  });
                                }
                              }
                            });
                          }

                          function save_rate(myratingid, myhiddenratingid) {
                            var state = $find(myratingid).get_Rating();
                            document.getElementById(myhiddenratingid).value = state;
                          }

                          function checkEnter(event, buttonId) {
                            NS4 = (document.layers) ? true : false;
                            var code = 0;
                            if (NS4) code = event.which;
                            else code = event.keyCode;
                            if (code == 13) {
                              ForceClick(buttonId);
                              return (false);
                            }
                          }

                          function ForceClick(buttonId) {
                            button = document.getElementById(buttonId);
                            if (button) button.click();
                          }

                          function clearfields(stralert) {
                            var answer = confirm(stralert)
                            if (answer) document.forms[0].reset();
                            else stralert == '';
                          }

                          function hidehtml(pass) {
                            var divs = document.getElementsByTagName('div');
                            for (i = 0; i < divs.length; i++) {
                              if (divs[i].id.match(pass)) { //if they are 'see' divs 
                                if (document.getElementById) // DOM3 = IE5, NS6 
                                  divs[i].style.display = 'none'; // show/hide 
                                else
                                if (document.layers) // Netscape 4 
                                  document.layers[divs[i]].display = 'hidden';
                                else // IE 4 
                                  document.all.hideShow.divs[i].visibility = 'hidden';
                              }
                            }
                          }

                          function showhtml(pass) {
                            var divs = document.getElementsByTagName('div');
                            for (i = 0; i < divs.length; i++) {
                              if (divs[i].id.match(pass)) {
                                if (document.getElementById) divs[i].style.display = ''; // show/hide 
                                else
                                if (document.layers) // Netscape 4 
                                  document.layers[divs[i]].display = 'visible';
                                else // IE 4 
                                  document.all.hideShow.divs[i].visibility = 'visible';
                              }
                            }
                          }
                        </script>
                        <script language="javascript" type="text/javascript">
                          function dropItems(idOfDraggedItem, targetId, x, y) {
                            javascript: __doPostBack('MoveDFField' + idOfDraggedItem + '$$$$$' + targetId + '$$$$$', '');
                          }

                          function dropItemsToClone(idOfDraggedItem, targetId, x, y) {
                            javascript: __doPostBack('CloneField' + idOfDraggedItem + '$$$$$' + targetId + '$$$$$', '');
                          }

                          function dropItemsToRecycle(idOfDraggedItem, targetId, x, y) {
                            javascript: __doPostBack('RecycleField' + idOfDraggedItem + '$$$$$' + targetId + '$$$$$', '');
                          }
                        </script>
                        <link id="DynamicForms_StyleSheet" runat="server" href="/Portals/0/DynamicForms_Module_1563.css" type="text/css" rel="stylesheet">
                        <div id="dnn_ctr1563_DynamicForms_pnlRegistration" class="DynamicForms_MainPanel">
                          <div id="dnn_ctr1563_DynamicForms_pnlAJAXFields">
                            <div id="dnn_ctr1563_DynamicForms_ValidationSummary1" class="DynamicForms_Summary" style="display:none;">
                            </div>
                            <div id="dnn_ctr1563_DynamicForms_lblHeader" class="Normal">
                            </div>
                            <div class="dnnFormItem">
                              <span id="dnn_ctr1563_DynamicForms_lblAlreadyExists" class="NormalRed"></span>
                            </div>
                            <table id="dnn_ctr1563_DynamicForms_tblQuestions" class="DynamicForms_Maintable" border="0">
                              <tbody>
                                <tr id="dnn_ctr1563_DynamicForms_8627dd38-b42c-413f-9c94-0618c9f2fdb2" valign="Top">
                                  <td id="dnn_ctr1563_DynamicForms_Cell_da8c14fd-c241-4ddd-b6bc-52753086aba7" valign="Top" width="125" class="NormalBold" align="Left" colspan="1" rowspan="1"><label
                                      id="dnn_ctr1563_DynamicForms_Label_da8c14fd-c241-4ddd-b6bc-52753086aba7_label" for="dnn_ctr1563_DynamicForms_Responses_da8c14fd-c241-4ddd-b6bc-52753086aba7">
                                      <a id="dnn_ctr1563_DynamicForms_Label_da8c14fd-c241-4ddd-b6bc-52753086aba7_cmdHelp" tabindex="-1" class="aspNetDisabled"></a>
                                      <span id="dnn_ctr1563_DynamicForms_Label_da8c14fd-c241-4ddd-b6bc-52753086aba7_lblUserLabel" class="NormalBold">Contract #:</span>
                                    </label>
                                    <br>
                                  </td>
                                  <td id="dnn_ctr1563_DynamicForms_DynamicForms_Cell_da8c14fd-c241-4ddd-b6bc-52753086aba7" colspan="1" rowspan="1" valign="Top">
                                    <div id="dnn_ctr1563_DynamicForms_QuestionPanel_da8c14fd-c241-4ddd-b6bc-52753086aba7" class="DynamicForms_QuestionPanel">
                                      <table>
                                        <tbody>
                                          <tr>
                                            <td valign="Top"><span id="dnn_ctr1563_DynamicForms_Label_GUIDda8c14fd-c241-4ddd-b6bc-52753086aba7policyno" class="normallabel" style="display:inline-block;width:200px;">ESP 20926126-1</span></td>
                                          </tr>
                                        </tbody>
                                      </table>
                                    </div>
                                  </td>
                                </tr>
                                <tr id="dnn_ctr1563_DynamicForms_bafb4024-c7f7-4668-b58f-1ad795c6e3ff" valign="Top">
                                  <td id="dnn_ctr1563_DynamicForms_Cell_bafb4024-c7f7-4668-b58f-1ad795c6e3ff" valign="Top" width="125" class="NormalBold" align="Left" colspan="1" rowspan="1"><label
                                      id="dnn_ctr1563_DynamicForms_Label_bafb4024-c7f7-4668-b58f-1ad795c6e3ff_label" for="dnn_ctr1563_DynamicForms_Responses_bafb4024-c7f7-4668-b58f-1ad795c6e3ff">
                                      <a id="dnn_ctr1563_DynamicForms_Label_bafb4024-c7f7-4668-b58f-1ad795c6e3ff_cmdHelp" tabindex="-1" class="aspNetDisabled"></a>
                                      <span id="dnn_ctr1563_DynamicForms_Label_bafb4024-c7f7-4668-b58f-1ad795c6e3ff_lblUserLabel" class="NormalBold">Name:</span>
                                    </label>
                                    <br>
                                  </td>
                                  <td id="dnn_ctr1563_DynamicForms_DynamicForms_Cell_bafb4024-c7f7-4668-b58f-1ad795c6e3ff" colspan="1" rowspan="1" valign="Top">
                                    <div id="dnn_ctr1563_DynamicForms_QuestionPanel_bafb4024-c7f7-4668-b58f-1ad795c6e3ff" class="DynamicForms_QuestionPanel">
                                      <table>
                                        <tbody>
                                          <tr>
                                            <td valign="Top"><span id="dnn_ctr1563_DynamicForms_Label_GUIDbafb4024-c7f7-4668-b58f-1ad795c6e3ffName" class="normallabel" style="display:inline-block;width:200px;">JENNIFER MORROW</span></td>
                                          </tr>
                                        </tbody>
                                      </table>
                                    </div>
                                  </td>
                                </tr>
                                <tr id="dnn_ctr1563_DynamicForms_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e" valign="Top">
                                  <td id="dnn_ctr1563_DynamicForms_Cell_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e" valign="Top" width="125" class="NormalBold" align="Left" colspan="1" rowspan="1"><label
                                      id="dnn_ctr1563_DynamicForms_Label_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e_label" for="dnn_ctr1563_DynamicForms_Responses_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e">
                                      <a id="dnn_ctr1563_DynamicForms_Label_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e_cmdHelp" tabindex="-1" class="aspNetDisabled"></a>
                                      <span id="dnn_ctr1563_DynamicForms_Label_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e_lblUserLabel" class="NormalBold">Document:</span>
                                    </label>
                                    <br>
                                  </td>
                                  <td id="dnn_ctr1563_DynamicForms_DynamicForms_Cell_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e" colspan="1" rowspan="1" valign="Top">
                                    <div id="dnn_ctr1563_DynamicForms_QuestionPanel_43ddb340-dc17-4ec6-8d8b-6a9a5909bb1e" class="DynamicForms_QuestionPanel">
                                      <table>
                                        <tbody>
                                          <tr>
                                            <td valign="Top"><span id="dnn_ctr1563_DynamicForms_Label_GUID43ddb340-dc17-4ec6-8d8b-6a9a5909bb1eDocument" class="normallabel"
                                                style="display:inline-block;width:200px;"><a target="blank" href="\Portals\0\CustomerDocumentDelivery\20220308\b7fa5798-979f-456d-abf5-85e909e0f64e.pdf"> New Dec - Policy Declaration   </a> &nbsp;
                                                &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp;</span></td>
                                          </tr>
                                        </tbody>
                                      </table>
                                    </div>
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                            <div id="SaveForm_1563" class="DynamicForms_SaveFormDiv" style="display: none;">
                              <p align="Left">
                                <span id="dnn_ctr1563_DynamicForms_lblValBottom" style="color:Red;"></span>
                                <a id="dnn_ctr1563_DynamicForms_lnkSave" class="dnnPrimaryAction dynamicforms_link" href="javascript:__doPostBack('dnn$ctr1563$DynamicForms$lnkSave','')">Submit</a>&nbsp;&nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp;
                              </p>
                            </div>
                          </div>
                          <div id="dnn_ctr1563_DynamicForms_pnlHidden">
                            <input name="dnn$ctr1563$DynamicForms$Responses_0d68b4d7-0aa5-4af8-ba9b-a03427fc1df4S" type="hidden" id="dnn_ctr1563_DynamicForms_Responses_0d68b4d7-0aa5-4af8-ba9b-a03427fc1df4S" value="1"><input
                              name="dnn$ctr1563$DynamicForms$Responses_2261629c-890a-4604-b9e2-f3c1cecdb749ID" type="hidden" id="dnn_ctr1563_DynamicForms_Responses_2261629c-890a-4604-b9e2-f3c1cecdb749ID"
                              value="03154966-8C82-46ED-8659-F8297BDA4C18"><input name="dnn$ctr1563$DynamicForms$Responses_8627dd38-b42c-413f-9c94-0618c9f2fdb2DSParam1" type="hidden"
                              id="dnn_ctr1563_DynamicForms_Responses_8627dd38-b42c-413f-9c94-0618c9f2fdb2DSParam1" value="03154966-8c82-46ed-8659-f8297bda4c18">
                          </div>
                          <div id="dnn_ctr1563_DynamicForms_lblFooter" class="Normal">
                          </div>
                        </div>
                        <div id="dnn_ctr1563_DynamicForms_pnlHiddenAJAX">
                          <input type="hidden" name="dnn$ctr1563$DynamicForms$DataSprings_Onload2" id="dnn_ctr1563_DynamicForms_DataSprings_Onload2">
                        </div>
                        <table id="dnn_ctr1563_DynamicForms_tblTest" cellspacing="1" cellpadding="1" border="0">
                          <tbody>
                            <tr>
                              <td>
                              </td>
                            </tr>
                          </tbody>
                        </table>
                        <a name="dfbottompage"></a>
                        <style type="text/css">
                          #dhtmltooltip {
                            position: absolute;
                            left: -500px;
                            width: 450px;
                            border: 1px solid black;
                            padding: 2px;
                            background-color: lightblue;
                            visibility: hidden;
                            z-index: 300;
                            /*Remove below line to remove shadow. Below line should always appear last within this CSS*/
                            filter: progid:DXImageTransform.Microsoft.Shadow(color=black, direction=135);
                          }

                          #dhtmlpointer {
                            position: absolute;
                            left: -300px;
                            z-index: 201;
                            visibility: hidden;
                          }

                          .highlight {
                            background-color: #e2e2e2;
                            background-image: url(../images/delete.gif);
                          }

                          .df_newfield {
                            padding: 4pt;
                          }
                        </style>
                      </div>
                    </div><!-- End_Module_1563 -->
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div id="dnn_TopPaneFull" class="DNNEmptyPane">
        </div>
        <div id="dnn_TopUpperPaneFull" class="DNNEmptyPane">
        </div>
        <div class="container">
          <div class="row">
            <div id="dnn_TopPane">
              <div class="DnnModule DnnModule-DNN_HTML DnnModule-1567"><a name="1567"></a>
                <div id="dnn_ctr1567_ContentPane"><!-- Start_Module_1567 -->
                  <div id="dnn_ctr1567_ModuleContent" class="DNNModuleContent ModDNNHTMLC">
                    <div id="dnn_ctr1567_HtmlModule_lblContent" class="Normal">
                      <!-- Global site tag (gtag.js) - Google Analytics -->
                      <script async="" src="https://www.googletagmanager.com/gtag/js?id=UA-231584-6"></script>
                      <script>
                        window.dataLayer = window.dataLayer || [];

                        function gtag() {
                          dataLayer.push(arguments);
                        }
                        gtag('js', new Date());
                        gtag('config', 'UA-231584-6');
                      </script>
                    </div>
                  </div><!-- End_Module_1567 -->
                </div>
              </div>
            </div>
          </div>
        </div>
        <div id="dnn_TopLowerPaneFull" class="DNNEmptyPane">
        </div>
        <div class="container">
          <div class="row">
            <div class="col-md-3">
              <div id="dnn_TopLeftSidebar" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-9">
              <div id="dnn_TopLeftSidebarOuter" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-9">
              <div id="dnn_TopRightSidebarOuter" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_TopRightSidebar" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-3">
              <div id="dnn_TopLeftOuter" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_TopLeftInner" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_TopRightInner" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_TopRightOuter" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-4">
              <div id="dnn_TopLeftPane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-4">
              <div id="dnn_TopMiddlePane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-4">
              <div id="dnn_TopRightPane" class="DNNEmptyPane">
              </div>
            </div>
          </div>
        </div>
        <div id="dnn_MiddlePaneFull" class="DNNEmptyPane">
        </div>
        <div class="container">
          <div class="row">
            <div class="col-md-12">
              <div id="dnn_MiddlePane" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-3">
              <div id="dnn_LeftShortPane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-6">
              <div id="dnn_CenterPane">
                <div class="DnnModule DnnModule-DNN_HTML DnnModule-2547"><a name="2547"></a>
                  <div id="dnn_ctr2547_ContentPane"><!-- Start_Module_2547 -->
                    <div id="dnn_ctr2547_ModuleContent" class="DNNModuleContent ModDNNHTMLC">
                      <div id="dnn_ctr2547_HtmlModule_lblContent" class="Normal">
                      </div>
                    </div><!-- End_Module_2547 -->
                  </div>
                </div>
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_RightShortPane" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-8">
              <div id="dnn_RightSidebarOuter" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-4">
              <div id="dnn_RightSidebar" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-4">
              <div id="dnn_LeftSidebar" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-8">
              <div id="dnn_LeftSidebarOuter" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-6">
              <div id="dnn_LeftPane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-6">
              <div id="dnn_RightPane" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-4">
              <div id="dnn_BottomLeftPane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-4">
              <div id="dnn_BottomCenterPane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-4">
              <div id="dnn_BottomRightPane" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div id="dnn_ContentLowerPane" class="DNNEmptyPane">
            </div>
          </div>
          <div class="row">
            <div class="col-md-12">
              <div id="dnn_BottomPane" class="DNNEmptyPane">
              </div>
            </div>
          </div>
        </div>
      </div>
      <div id="dnn_BottomPaneFull" class="DNNEmptyPane">
      </div>
      <footer id="footer">
        <div class="container">
          <div class="row">
            <div class="col-md-12">
              <div id="dnn_FooterTop">
                <div class="DnnModule DnnModule-DNN_HTML DnnModule-1216"><a name="1216"></a>
                  <div id="dnn_ctr1216_ContentPane"><!-- Start_Module_1216 -->
                    <div id="dnn_ctr1216_ModuleContent" class="DNNModuleContent ModDNNHTMLC">
                      <div id="dnn_ctr1216_HtmlModule_lblContent" class="Normal">
                        <div class="row">
                          <div class="col-md-9">
                            <h4 class="heading-primary">About Safeware</h4>
                            <p>Having pioneered the technology insurance industry in 1982, Safeware is now one of the most recognized names in product protection. Safeware's innovative approach to insurance and extended warranty solutions has
                              propelled the company into multiple industries including education, government, corporate technology, fitness, furniture and appliances. ...
                              <a class="btn-flat btn-xs" href="/aboutus/thesafewarestory">View More <em class="fa fa-arrow-right"></em></a></p>
                            <hr class="light">
                            <div class="row">
                              <div class="col-md-3">
                                <h5 class="heading-primary">Solution Center</h5>
                                <ul class="list list-icons list-icons-sm">
                                  <li><em class="fa fa-caret-right"></em><a href="/solutioncenter/reportnewclaim">New Claim</a></li>
                                  <li><em class="fa fa-caret-right"></em><a href="/solutioncenter/checkclaimstatus">Existing Claim</a></li>
                                  <li><em class="fa fa-caret-right"></em><a href="/contact-us">Contact</a></li>
                                </ul>
                              </div>
                              <div class="col-md-3">
                                <h5 class="heading-primary">Products &amp; Services</h5>
                                <ul class="list list-icons list-icons-sm">
                                  <li><em class="fa fa-caret-right"></em><a href="/productsservices/business">Business</a></li>
                                  <li><em class="fa fa-caret-right"></em><a href="/productsservices/k-12">K12</a></li>
                                  <li><em class="fa fa-caret-right"></em><a href="/productsservices/highereducation">Higher Education</a></li>
                                </ul>
                              </div>
                              <div class="col-md-3">
                                <h5 class="heading-primary">Partners</h5>
                                <ul class="list list-icons list-icons-sm">
                                  <li><em class="fa fa-caret-right"></em><a href="/partners/resellers">Resellers</a></li>
                                  <li><em class="fa fa-caret-right"></em><a href="/partners/servicers">Servicers</a></li>
                                </ul>
                              </div>
                              <div class="col-md-3">
                                <h5 class="heading-primary">About Us</h5>
                                <ul class="list list-icons list-icons-sm">
                                  <li><em class="fa fa-caret-right"></em><a href="/aboutus/thesafewarestory">The Safeware Story</a></li>
                                  <li><em class="fa fa-caret-right"></em><a href="/aboutus/careers">Careers</a></li>
                                  <li><em class="fa fa-caret-right"></em><a href="/sitemap.aspx">Sitemap</a></li>
                                </ul>
                              </div>
                            </div>
                          </div>
                          <div class="col-md-3">
                            <h5 class="mb-sm">Contact Us</h5>
                            <span class="phone">(800) 800-1492</span>
                            <ul class="list list-icons mt-sm">
                              <li><em class="fa fa-map-marker"></em><strong>Address:</strong> 5700 Perimeter Dr. STE E Dublin, Ohio 43017</li>
                              <li><em class="fa fa-envelope"></em><strong>Service:</strong> <a href="/Contact-Us">Contact Us</a></li>
                            </ul>
                            <em
                              class="fa fa-map-email"><a href="https://www.bbb.org/us/oh/dublin/profile/extended-warranty-contract-service-companies/the-safeware-insurance-agency-inc-0302-8492/#sealclick" rel="nofollow" target="_blank"><img alt="The Safeware Insurance Agency Inc. BBB Business Review" src="https://seal-centralohio.bbb.org/seals/blue-seal-200-42-whitetxt-bbb-8492.png" style="border: 0;"></a>
                            </em>
                            <div class="social-icons mt-xl">
                              <ul class="social-icons">
                                <li class="facebook"><a data-placement="bottom" href="https://www.facebook.com/SafewareInc/" target="_blank" title="Facebook">Facebook</a></li>
                                <li class="twitter"><a data-placement="bottom" href="https://twitter.com/Safeware_Inc" target="_blank" title="Twitter">Twitter</a></li>
                                <li class="linkedin"><a data-placement="bottom" href="https://www.linkedin.com/company/safeware-insurance/" target="_blank" title="Linkedin">Linkedin</a></li>
                                <li class="instagram"><a data-placement="bottom" href="https://www.instagram.com/safeware_inc/" target="_blank" title="Instagram">Instagram</a></li>
                              </ul>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div><!-- End_Module_1216 -->
                  </div>
                </div>
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-6">
              <div id="dnn_FooterLeft" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-6">
              <div id="dnn_FooterRight" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-4">
              <div id="dnn_FooterLeftPane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-4">
              <div id="dnn_FooterCenterPane" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-4">
              <div id="dnn_FooterRightPane" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-3">
              <div id="dnn_FooterLeftOuter" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_FooterLeftInner" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_FooterRightInner" class="DNNEmptyPane">
              </div>
            </div>
            <div class="col-md-3">
              <div id="dnn_FooterRightOuter" class="DNNEmptyPane">
              </div>
            </div>
          </div>
          <div class="row">
            <div class="col-md-12">
              <div id="dnn_FooterBottom" class="DNNEmptyPane">
              </div>
            </div>
          </div>
        </div>
        <div class="footer-copyright">
          <div class="container">
            <div class="row">
              <div class="col-md-12">
                <span class="copyright">©</span>
                <span id="dnn_dnnCopyright_lblCopyright" class="copyright">Copyright 2022 by Safeware</span>
                <a id="dnn_dnnTerms_hypTerms" class="terms" rel="nofollow" href="https://www.safeware.com/Terms">Terms Of Use</a>
                <a id="dnn_dnnPrivacy_hypPrivacy" class="privacy" rel="nofollow" href="https://www.safeware.com/Privacy">Privacy Statement</a>
              </div>
            </div>
          </div>
        </div>
      </footer>
      <div class="layout_trigger">
      </div>
    </div>
  </div>
  <script type="text/javascript">
    jQuery('#login').find('a').removeAttr('onclick');
    jQuery('#login').children('a').removeAttr('onclick');
  </script>
  <input name="ScrollTop" type="hidden" id="ScrollTop">
  <input name="__dnnVariable" type="hidden" id="__dnnVariable" autocomplete="off"
    value="{&quot;__scdoff&quot;:&quot;1&quot;,&quot;sf_siteRoot&quot;:&quot;/&quot;,&quot;sf_tabId&quot;:&quot;231&quot;,&quot;dnn_ctr1563_DynamicForms_myDNNMenu_json&quot;:&quot;&quot;,&quot;dnn_ctr1563_DynamicForms_myDNNMenu_p&quot;:&quot;{easeDir:'0',postback:'__doPostBack(\\'dnn$ctr1563$DynamicForms$myDNNMenu\\',\\'[NODEID]~|~Click\\')',callback:'dnn.xmlhttp.doCallBack(\\'myDNNMenu dnn_ctr1563_DynamicForms_myDNNMenu\\',\\'[NODEXML]\\',this.callBackSuccess,mNode,this.callBackFail,this.callBackStatus,null,null,0);'}&quot;}">
  <input name="__RequestVerificationToken" type="hidden" value="81XCIaes1veJdNzWT94nNwu9DpWEj73v6JPNrg_TqJGYR6HQassgnJ2PjddBsxlHyu7HYQ2">
  <script src="/Portals/_default/skins/porto/HomePage.base.js?cdv=246" type="text/javascript"></script>
  <script src="/Portals/_default/skins/porto/HomePage.js?cdv=246" type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    var Page_ValidationSummaries = new Array(document.getElementById("dnn_ctr1563_DynamicForms_ValidationSummary1"));
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    var dnn_ctr1563_DynamicForms_ValidationSummary1 = document.all ? document.all["dnn_ctr1563_DynamicForms_ValidationSummary1"] : document.getElementById("dnn_ctr1563_DynamicForms_ValidationSummary1");
    dnn_ctr1563_DynamicForms_ValidationSummary1.validationGroup = "DynamicForms_1563";
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    hidehtml('SaveForm_1563'); //]]>
  </script>
  <script language="javascript" type="text/javascript">
    function ExecuteDragDrop() {}
  </script>
  <script type="text/javascript">
    //<![CDATA[
    (function(id) {
      var e = document.getElementById(id);
      if (e) {
        e.dispose = function() {
          Array.remove(Page_ValidationSummaries, document.getElementById(id));
        }
        e = null;
      }
    })('dnn_ctr1563_DynamicForms_ValidationSummary1');
    //]]>
  </script>
  <script type="text/javascript">
    dnn.controls.toolbars['tbDynamicF'] = {
      cssbh: 'eipborderhover',
      vis: -1,
      cssb: 'eipbuttonbackimg',
      btns: [{
        alt: 'Edit',
        ca: 'edit',
        key: 'edit',
        css: 'eipbutton_edit'
      }, {
        alt: 'Update',
        ca: 'save',
        key: 'save',
        css: 'eipbutton_save'
      }, {
        ca: 'cancel',
        key: 'cancel',
        alt: 'Cancel'
      }],
      css: 'eipbackimg'
    };
  </script>
  <script type="text/javascript">
    dnn.setVar('dnn_ctr1563_DynamicForms_myDNNMenu_p',
      '{easeDir:\'0\',postback:\'__doPostBack(\\\'dnn$ctr1563$DynamicForms$myDNNMenu\\\',\\\'[NODEID]~|~Click\\\')\',callback:\'dnn.xmlhttp.doCallBack(\\\'myDNNMenu dnn_ctr1563_DynamicForms_myDNNMenu\\\',\\\'[NODEXML]\\\',this.callBackSuccess,mNode,this.callBackFail,this.callBackStatus,null,null,0);\'}'
      );
    dnn.controls.initMenu($get('dnn_ctr1563_DynamicForms_myDNNMenu'));
  </script>
</form>

Text Content

Search Search
 * My Account

Login

Button
 * Facebook
 * Instagram
 * Linkedin
 * Twitter

 * Solution Center
   * Report New Claim
   * Check Claim Status
   * Update Your Plan
   * Make a Payment
 * Products & Services
   * Business
   * Higher Education
     * Parents & Students
     * Campus Store Partners
     * Institutional Programs
   * K-12
   * Renters Insurance
   * Fitness
   * Furniture
   * Appliance
 * Partners
   * Resellers
   * Servicers
 * Resources
   * Blog
   * Press
   * FAQ
 * About Us
   * The Safeware Story
   * Careers
 * Contact Us

Download Your Documents





SECURE DOCUMENT DOWNLOAD

Your documents have been generated. Please click on the link(s) below to open,
view, print, or download the file(s).

Contract #:


ESP 20926126-1

Name:


JENNIFER MORROW

Document:


New Dec - Policy Declaration               

Submit           
















ABOUT SAFEWARE

Having pioneered the technology insurance industry in 1982, Safeware is now one
of the most recognized names in product protection. Safeware's innovative
approach to insurance and extended warranty solutions has propelled the company
into multiple industries including education, government, corporate technology,
fitness, furniture and appliances. ... View More

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

SOLUTION CENTER

 * New Claim
 * Existing Claim
 * Contact

PRODUCTS & SERVICES

 * Business
 * K12
 * Higher Education

PARTNERS

 * Resellers
 * Servicers

ABOUT US

 * The Safeware Story
 * Careers
 * Sitemap

CONTACT US

(800) 800-1492
 * Address: 5700 Perimeter Dr. STE E Dublin, Ohio 43017
 * Service: Contact Us

 * Facebook
 * Twitter
 * Linkedin
 * Instagram





© Copyright 2022 by Safeware Terms Of Use Privacy Statement

scroller