tpaservices.uscky.com Open in 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

Form analysis 1 forms found in the DOM

POST ./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">
              <div style="display: block; padding: 10px; margin:0 auto; max-width:600px;">
                <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.&nbsp;&nbsp;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.&nbsp;&nbsp;Our staff will personally review your answers below and confirm your invitation as being valid.&nbsp;&nbsp;Upon our
                            review, you will receive a separate notification indicating your login credential status. <br>
                            <br>
                          </p>
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                        <td>&nbsp; </td>
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                      <tr>
                        <td class="style1">
                          <p>&nbsp;Invitation Code</p>
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                      <tr>
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                        <td>&nbsp; </td>
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                          <p>&nbsp;First Name</p>
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                          <p>&nbsp;Last Name</p>
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                      <tr>
                        <td colspan="2"></td>
                        <td>&nbsp; </td>
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                          <p>&nbsp;Email</p>
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                        <td style="WIDTH: 443px; HEIGHT: 19px">
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                          <p>&nbsp;Email Confirm</p>
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                        <td style="WIDTH: 443px; HEIGHT: 19px">
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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>&nbsp; </td>
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                        <td class="style1">
                          <p>&nbsp;Password</p>
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                          <p>&nbsp;Password Confirm</p>
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                        <td style="HEIGHT: 19px">&nbsp; </td>
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                      <tr>
                        <td colspan="2"></td>
                        <td>&nbsp; </td>
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                      <tr>
                        <td class="style1">
                          <p>&nbsp;Security Question #1</p>
                        </td>
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                          <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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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.