ochsner.benevity.org Open in urlscan Pro
18.234.14.92  Public Scan

Submitted URL: https://e35d6127-262a-4995-b12c-2ce48400e089.ct0.app/r/pk21t0zed3mdsqkr01wcn131m8vn
Effective URL: https://ochsner.benevity.org/user/login
Submission: On April 01 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://ochsner.benevity.org/user/login

<form method="POST" action="https://ochsner.benevity.org/user/login">
  <div class="c-login-form__section">
    <div class="c-ui-input-container">
      <div class="c-ui-input-container__label-wrapper">
        <label class="c-ui-input-container__label-wrapper-text" for="edit-name">
          <span>Username</span>
        </label>
      </div>
      <div class="c-ui-input-container__input-wrapper ">
        <input required="" id="edit-name" name="name" autocapitalize="off" autocorrect="off" aria-required="true" type="text">
      </div>
    </div>
    <div class="c-ui-input-container">
      <div class="c-ui-input-container__label-wrapper">
        <label class="c-ui-input-container__label-wrapper-text" for="edit-pass">
          <span>Password</span>
        </label>
      </div>
      <div class="c-ui-input-container__input-wrapper ">
        <input required="" id="edit-pass" type="password" name="password" aria-required="true" autocomplete="off">
      </div>
    </div>
    <p class="c-login-form__forgot">
      <a href="https://ochsner.benevity.org/user/password">Forgot Password?</a>
    </p>
    <button type="submit" class="form-submit u-mv--400 t-button t-button--brand c-ui-button t-button--brand c-ui-button--full-width" id="edit-submit">
      <span class="c-ui-button__label"> Sign in </span>
    </button>
    <input type="hidden" name="_token" value="SmDe2JQhkhlC80OKoQP4iakg7I5Xk1V0BBSVjOYb">
  </div>
</form>

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