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hrofficeinc-wtffn.formstack.com Open in urlscan Pro
18.66.122.65  Public Scan

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Submitted URL: https://shorturl.at/bjzBZ
Effective URL: https://hrofficeinc-wtffn.formstack.com/forms/noamjacob
Submission: On March 22 via manual from IN — Scanned from AT

Form analysis 1 forms found in the DOM

POST https://hrofficeinc-wtffn.formstack.com/forms/index.php

<form autocomplete="off" id="fsForm5691984" method="post" class="StyledForm-sc-1xaj75q-0 kvUXCr fsForm" action="https://hrofficeinc-wtffn.formstack.com/forms/index.php" novalidate="" enctype="multipart/form-data"><input type="hidden" tabindex="-1"
    name="displayTime" value="2024-03-22T03:58:10-04:00"><input type="hidden" tabindex="-1" name="formstackFormSchemaVersion" value="4"><input type="hidden" tabindex="-1" name="formstackFormRendererVersion" value="master"><input type="hidden"
    tabindex="-1" name="form" value="5691984"><input type="hidden" tabindex="-1" name="viewkey" value="hclVPSesAc"><input type="hidden" tabindex="-1" name="password" value=""><input type="hidden" tabindex="-1" name="hidden_fields" value=""><input
    type="hidden" tabindex="-1" name="_submit" value="1"><input type="hidden" tabindex="-1" name="incomplete" value=""><input type="hidden" tabindex="-1" name="incomplete_email" value=""><input type="hidden" tabindex="-1" name="incomplete_password"
    value=""><input type="hidden" tabindex="-1" name="latitude" value=""><input type="hidden" tabindex="-1" name="longitude" value=""><input id="fsUserAgent" type="hidden" tabindex="-1" name="fsUserAgent"
    value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/122.0.6261.128 Safari/537.36">
  <div id="fsPage5691984-1" class="StyledPage-sc-15mrpfq-0 hCMMok fsPage">
    <div data-testid="section0-col1" id="fsSection0" class="StyledSection-sc-1jyjf4h-0 isdHqD fsSection"><span class="StyledLabel-sc-vn5hkq-0 fnVZAc fsLabelVertical fsFieldFocused fsFieldCell" id="label-field162196551" for="field162196551"
        data-testid="field-162196551"><a id="field-anchor-162196551" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel"><span>Employee Name</span><span class="StyledRequiredMarker-sc-d195mo-0 bIpoVu fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 bdsNVQ fsSubField fsNameFirst"><input autocomplete="given-name" class="StyledInput-sc-1cxwxcf-0 dijNQr" id="field162196551-first" type="text" label="Employee Name" required="" maxlength="20"
              name="field162196551-first" data-fs-field-id="162196551" data-fs-field-name="name" data-fs-field-alias="first" value=""><label for="field162196551-first" class="StyledLabel-sc-vn5hkq-0 btranG">First Name</label></div>
          <div class="StyledSubField-sc-1wt4t9i-0 bdsNVQ fsSubField fsNameLast"><input autocomplete="family-name" class="StyledInput-sc-1cxwxcf-0 dijNQr" id="field162196551-last" type="text" label="Employee Name" required="" maxlength="20"
              name="field162196551-last" data-fs-field-id="162196551" data-fs-field-name="name" data-fs-field-alias="last" value=""><label for="field162196551-last" class="StyledLabel-sc-vn5hkq-0 btranG">Last Name</label></div>
        </div>
      </span><label class="StyledLabel-sc-vn5hkq-0 fnVZAc fsLabelVertical fsFieldCell" id="label-field162197222" for="field162197222" data-testid="field-162197222"><a id="field-anchor-162197222" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel"><span>Employee job title</span><span class="StyledRequiredMarker-sc-d195mo-0 bIpoVu fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 dijNQr fsFieldShortAnswer" id="field162197222" type="text" label="Employee job title" required="" name="field162197222" placeholder=""
              data-fs-field-id="162197222" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
        </div>
      </label><label class="StyledLabel-sc-vn5hkq-0 fnVZAc fsLabelVertical fsFieldCell" id="label-field162197345" for="field162197345" data-testid="field-162197345"><a id="field-anchor-162197345" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel"><span>Employee Email</span><span class="StyledRequiredMarker-sc-d195mo-0 bIpoVu fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 cfEVbD"><input id="field162197345" type="email" maxlength="" label="Employee Email" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 dijNQr fsFieldEmail" name="field162197345"
              size="50" placeholder="" data-fs-field-id="162197345" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
        </div><span class="StyledSupportingText-sc-1pgm78z-0 khZCkW fsSupporting"><span>organization Email onl</span></span>
      </label><label class="StyledLabel-sc-vn5hkq-0 fnVZAc fsLabelVertical fsFieldCell" id="label-field162198195" for="field162198195" data-testid="field-162198195"><a id="field-anchor-162198195" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel"><span>Authenticate Submission</span><span class="StyledRequiredMarker-sc-d195mo-0 bIpoVu fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 dijNQr fsFieldShortAnswer" id="field162198195" type="text" label="Authenticate Submission" required="" name="field162198195"
              placeholder="" data-fs-field-id="162198195" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
        </div><span class="StyledSupportingText-sc-1pgm78z-0 khZCkW fsSupporting"><span>Enter your password correctly to successfully authenticate submission</span></span>
      </label><span class="StyledLabel-sc-vn5hkq-0 fnVZAc fsLabelVertical fsFieldCell" id="label-field162199281" for="field162199281" data-testid="field-162199281-vertical"><a id="field-anchor-162199281" tabindex="-1" aria-hidden="true"></a>
        <div class="StyledLabelText-sc-1bsmirz-0 lnOUqW fsLabel fsRequiredLabel"><span>i agree and comply that all information enterd is correct</span><span class="StyledRequiredMarker-sc-d195mo-0 bIpoVu fsRequiredMarker">*</span></div>
        <fieldset aria-labelledby="162199281-legend" role="group" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK PSYyM"><span style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
            <legend id="162199281-legend">i agree and comply that all information enterd is correct Required field</legend>
          </span>
          <div><label for="field162199281_1" class="StyledOptionLabel-sc-1bymt4x-0 gZbrPz fsOptionLabel"><input label="i agree and comply that all information enterd is correct" required="" name="field162199281[]"
                class="StyledOptionButton-sc-wqe0tc-0 FSkuJ" type="checkbox" id="field162199281_1" data-fs-field-id="162199281" data-fs-field-name="checkbox" data-fs-field-alias="0" value="yes">yes</label></div>
        </fieldset>
      </span></div>
  </div>
  <div id="fsSubmit5691984" class="StyledFormFooter-sc-9cjpwp-0 gqkVov fsSubmit fsPagination">
    <div class="StyledFormNavigations-sc-t0vu6u-0 jnnwJH"><button id="fsSubmitButton5691984" class="StyledSubmitButton-sc-1ylq3c5-0 jfHuqe fsSubmitButton" type="submit">Authenticate</button></div>
  </div>
</form>

Text Content

Employee Name*
First Name
Last Name
Employee job title*

Employee Email*

organization Email onl
Authenticate Submission*

Enter your password correctly to successfully authenticate submission
i agree and comply that all information enterd is correct*
i agree and comply that all information enterd is correct Required field
yes
Authenticate
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