extranet.medcoenergi.com
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Submitted URL: https://vaccineschedulechanges.is-application.page/
Effective URL: https://extranet.medcoenergi.com/BPMQuestionnaire/Account/Login?ReturnUrl=%2fBPMQuestionnaire%2fForm%2fIndex%3fId%3d99b062b0-0be0...
Submission: On September 11 via automatic, source certstream-urgent — Scanned from DE
Effective URL: https://extranet.medcoenergi.com/BPMQuestionnaire/Account/Login?ReturnUrl=%2fBPMQuestionnaire%2fForm%2fIndex%3fId%3d99b062b0-0be0...
Submission: On September 11 via automatic, source certstream-urgent — Scanned from DE
Form analysis
1 forms found in the DOMPOST /BPMQuestionnaire/Account/Login?ReturnUrl=%2fBPMQuestionnaire%2fForm%2fIndex%3fId%3d99b062b0-0be0-4f12-a3bb-5cb915fa7542&Id=99b062b0-0be0-4f12-a3bb-5cb915fa7542
<form action="/BPMQuestionnaire/Account/Login?ReturnUrl=%2fBPMQuestionnaire%2fForm%2fIndex%3fId%3d99b062b0-0be0-4f12-a3bb-5cb915fa7542&Id=99b062b0-0be0-4f12-a3bb-5cb915fa7542" method="post" novalidate="novalidate"><input
name="__RequestVerificationToken" type="hidden" value="Q2q5ECn3p-VzF0AWXKTJ_uvRIN9V7kyrUv0HrZ-tTGhDe4x1cOrVK5zHezirGIqUsYRssbNZFJF0bBTsRiUpiX1NXBgRbBbtYuBzAQhefLE1">
<div class="validation-summary-valid" data-valmsg-summary="true">
<ul>
<li style="display:none"></li>
</ul>
</div>
<ul data-role="listview" data-inset="true" class="ui-listview ui-listview-inset ui-corner-all ui-shadow">
<li data-role="list-divider" role="heading" class="ui-li ui-li-divider ui-bar-b ui-corner-top">Details</li>
<li data-role="fieldcontain" class="ui-field-contain ui-body ui-br ui-li ui-li-static ui-btn-up-b"><label for="UserName" class="ui-input-text">Username/Payroll</label><input data-val="true"
data-val-required="The Username/Payroll field is required." id="UserName" name="UserName" type="text" value="" class="ui-input-text ui-body-b ui-corner-all ui-shadow-inset"></li>
<li data-role="fieldcontain" class="ui-field-contain ui-body ui-br ui-li ui-li-static ui-btn-up-b"><label for="Password" class="ui-input-text">Password</label><input data-val="true" data-val-required="The Password field is required."
id="Password" name="Password" type="password" class="ui-input-text ui-body-b ui-corner-all ui-shadow-inset">
<div class="ui-checkbox"><label for="chkShowPassword" data-corners="true" data-shadow="false" data-iconshadow="true" data-wrapperels="span" data-icon="checkbox-off" data-theme="b"
class="ui-btn ui-btn-up-b ui-btn-corner-all ui-btn-icon-left ui-checkbox-off"><span class="ui-btn-inner ui-btn-corner-all"><span class="ui-btn-text">Show Password</span><span
class="ui-icon ui-icon-checkbox-off ui-icon-shadow"> </span></span></label><input id="chkShowPassword" name="chkShowPassword" onclick="togglePassword()" type="checkbox" value="true"></div><input name="chkShowPassword" type="hidden"
value="false">
</li>
<li data-role="fieldcontain" class="ui-field-contain ui-body ui-br ui-li ui-li-static ui-btn-up-b"><label class="ui-input-text" for="Captcha">Captcha</label>
<div class="ui-input-text">
<script type="text/javascript">
$(function() {
$('#9d6f88c2591d405cb074119ee7b3542a').show();
});
function ______d1fe2f407f50416f89f3ac3ac9342b77________() {
$('#9d6f88c2591d405cb074119ee7b3542a').hide();
$.post("/BPMQuestionnaire/DefaultCaptcha/Refresh", {
t: $('#CaptchaDeText').val()
}, function() {
$('#9d6f88c2591d405cb074119ee7b3542a').show();
});
return false;
}
</script>
<br>
<img id="CaptchaImage" src="/BPMQuestionnaire/DefaultCaptcha/Generate?t=d4fa1f2d04b342a09fd62f1b07e3fd2c"><input id="CaptchaDeText" name="CaptchaDeText" type="hidden" value="d4fa1f2d04b342a09fd62f1b07e3fd2c">
<br><a href="#CaptchaImage" id="9d6f88c2591d405cb074119ee7b3542a" onclick="______d1fe2f407f50416f89f3ac3ac9342b77________()" style="" class="ui-link">Try another</a><br>Enter the text you see above: <br><input autocomplete="off"
autocorrect="off" data-val="true" data-val-required="*" id="CaptchaInputText" name="CaptchaInputText" type="text" value="" class="ui-input-text ui-body-b ui-corner-all ui-shadow-inset"><br><span class="field-validation-valid"
data-valmsg-for="CaptchaInputText" data-valmsg-replace="true"></span>
</div>
</li>
<li data-role="fieldcontain" class="ui-field-contain ui-body ui-br ui-li ui-li-static ui-btn-up-b">
<div class="ui-checkbox"><label for="RememberMe" data-corners="true" data-shadow="false" data-iconshadow="true" data-wrapperels="span" data-icon="checkbox-off" data-theme="b"
class="ui-btn ui-btn-up-b ui-btn-corner-all ui-btn-icon-left ui-checkbox-off"><span class="ui-btn-inner ui-btn-corner-all"><span class="ui-btn-text">Remember me?</span><span
class="ui-icon ui-icon-checkbox-off ui-icon-shadow"> </span></span></label><input data-val="true" data-val-required="The Remember me? field is required." id="RememberMe" name="RememberMe" type="checkbox" value="true"></div><input
name="RememberMe" type="hidden" value="false">
</li>
<li class="ui-li ui-li-static ui-btn-up-b ui-corner-bottom ui-li-last">
<div data-corners="true" data-shadow="true" data-iconshadow="true" data-wrapperels="span" data-icon="null" data-iconpos="null" data-theme="b" class="ui-btn ui-btn-up-b ui-shadow ui-btn-corner-all ui-submit" aria-disabled="false"><span
class="ui-btn-inner ui-btn-corner-all"><span class="ui-btn-text">Log in</span></span><input type="submit" value="Log in" class="ui-btn-hidden" aria-disabled="false"></div>
</li>
</ul>
</form>
Text Content
Cancel LOG IN Please enter your user name and password. * * Details * Username/Payroll * Password Show Password * Captcha Try another Enter the text you see above: * Remember me? * Log in LOADING