tpaservices.uscky.com
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urlscan Pro
4.30.84.37
Public Scan
Submitted URL: https://url.us.m.mimecastprotect.com/s/IhHwCBBXO4TjMxkQIzflH2FHth?domain=tpaservices.uscky.com
Effective URL: https://tpaservices.uscky.com/invited.aspx?id=bcoroovesc
Submission Tags: falconsandbox
Submission: On November 20 via api from US — Scanned from US
Effective URL: https://tpaservices.uscky.com/invited.aspx?id=bcoroovesc
Submission Tags: falconsandbox
Submission: On November 20 via api from US — Scanned from US
Form analysis
1 forms found in the DOMPOST ./invited.aspx?id=bcoroovesc
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<div style="background-color: #302E42 !important;">
<div style="float: left; margin: 10px 0 5px 10px;">
<a href="default.aspx"><img src="./images/charles-taylor-logo.png" style="height:50px;" alt=""></a>
</div>
<div style="float: right; margin-right: 10px; margin-top: 18px;">
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<br style="clear: both;">
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<div class="whole">
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<fieldset class="normalFieldset">
<legend>Create User Profile</legend>
<table id="Table1" style="background-color: white; WIDTH: 591px; HEIGHT: 200px" cellspacing="0" cellpadding="0" border="0">
<tbody>
<tr>
<td colspan="2">
<p> Thank you for responding to our invitation. To confirm your invitation please fill out all fields below. <br>
<br> Please note, due to security restrictions, you will NOT be automatically setup as a user. Our staff will personally review your answers below and confirm your invitation as being valid. Upon our
review, you will receive a separate notification indicating your login credential status. <br>
<br>
</p>
</td>
<td> </td>
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<tr>
<td class="style1">
<p> Invitation Code</p>
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<td style="WIDTH: 443px; HEIGHT: 19px">
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<td colspan="2"></td>
<td> </td>
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<td style="WIDTH: 443px; HEIGHT: 19px">
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<td class="style1">
<p> Last Name</p>
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<td style="WIDTH: 443px; HEIGHT: 19px">
<input name="txtLastName" type="text" maxlength="50" id="txtLastName" class="rfdTextInput" autocomplete="off">
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<td style="HEIGHT: 19px"> </td>
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<tr>
<td colspan="2"></td>
<td> </td>
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<tr>
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<p> Email</p>
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<td style="HEIGHT: 19px"> </td>
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<p> Email Confirm</p>
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<td style="WIDTH: 443px; HEIGHT: 19px">
<input name="txtEmailConfirm" type="text" maxlength="50" id="txtEmailConfirm" class="rfdTextInput" autocomplete="off">
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<td style="HEIGHT: 19px"> </td>
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<tr>
<td colspan="2">
<br>
<p> Passwords must be 6 characters or longer, have at least 1 alphabet character and have at least 1 numeric character. </p>
<br>
</td>
<td> </td>
</tr>
<tr>
<td class="style1">
<p> Password</p>
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<td style="WIDTH: 443px; HEIGHT: 19px">
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<tr>
<td class="style1">
<p> Password Confirm</p>
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<td style="WIDTH: 443px; HEIGHT: 19px">
<input name="txtPasswordConfirm" type="password" maxlength="50" id="txtPasswordConfirm" class="rfdTextInput" autocomplete="off">
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<td style="HEIGHT: 19px"> </td>
</tr>
<tr>
<td colspan="2"></td>
<td> </td>
</tr>
<tr>
<td class="style1">
<p> Security Question #1</p>
</td>
<td style="HEIGHT: 19px">
<a href="javascript: void(0);" class="rfdSelect rfdSelect_Bootstrap" id="SkinnedddlQuestion1" style="width: 243px;"><span class="rfdDropDownArrow p-icon p-i-arrow-down"></span>What is your mother's maiden name?</a><select
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<option selected="selected" value="1">What is your mother's maiden name?</option>
<option value="2">What was your first pet's name?</option>
<option value="3">What is your favorite sport?</option>
<option value="4">What is your favorite color?</option>
<option value="5">Which is your favorite NFL team?</option>
<option value="6">Other - write my own question.</option>
</select>
</td>
<td style="HEIGHT: 19px"> </td>
</tr>
<tr>
<td class="style1">
<p> Security Answer #1</p>
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<a href="javascript: void(0);" class="rfdSelect rfdSelect_Bootstrap" id="SkinnedddlQuestion2" style="width: 243px;"><span class="rfdDropDownArrow p-icon p-i-arrow-down"></span>What is your favorite color?</a><select
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<option value="2">What was your first pet's name?</option>
<option value="3">What is your favorite sport?</option>
<option selected="selected" value="4">What is your favorite color?</option>
<option value="5">Which is your favorite NFL team?</option>
<option value="6">Other - write my own question.</option>
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<p> Security Answer #2</p>
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<div class="footer"> © 2024 Charles Taylor. All Rights Reserved. </div>
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Text Content
Create User Profile Thank you for responding to our invitation. To confirm your invitation please fill out all fields below. Please note, due to security restrictions, you will NOT be automatically setup as a user. Our staff will personally review your answers below and confirm your invitation as being valid. Upon our review, you will receive a separate notification indicating your login credential status. Invitation Code First Name Last Name Email Email Confirm Passwords must be 6 characters or longer, have at least 1 alphabet character and have at least 1 numeric character. Password Password Confirm Security Question #1 What is your mother's maiden name? What is your mother's maiden name? What was your first pet's name? What is your favorite sport? What is your favorite color? Which is your favorite NFL team? Other - write my own question. Security Answer #1 Security Question #2 What is your favorite color? What is your mother's maiden name? What was your first pet's name? What is your favorite sport? What is your favorite color? Which is your favorite NFL team? Other - write my own question. Security Answer #2 Type the code from the image © 2024 Charles Taylor. All Rights Reserved.