intra.acturial.fr Open in urlscan Pro
51.91.20.83  Public Scan

URL: https://intra.acturial.fr/custom/ticketsup/public/view.php?track_id=r4wsz5q34deypsgo
Submission: On September 06 via manual from FR — Scanned from FR

Form analysis 1 forms found in the DOM

Name: form_view_ticketPOST /custom/ticketsup/public/view.php

<form method="post" name="form_view_ticket" enctype="multipart/form-data" action="/custom/ticketsup/public/view.php">
  <input type="hidden" name="token" value="39ea60dc501f47d09e784f6f9c12bb74">
  <input type="hidden" name="action" value="view_ticket">
  <table style="margin: 0 auto;">
    <tbody>
      <tr>
        <td style="text-align: right;">Identifiant de suivi&nbsp;</td>
        <td style="text-align: left;"><input size="30" id="track_id" name="track_id" value="r4wsz5q34deypsgo" autofocus=""></td>
      </tr>
      <tr>
        <td style="text-align: right;">Email&nbsp;</td>
        <td style="text-align: left;"><input size="30" id="email" name="email" value=""></td>
      </tr>
      <tr>
        <td colspan="2" style="text-align: center;"><input class="butAction" type="submit" name="btn_view_ticket" value="Voir la demande de prise en charge"></td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

Système de demande de prise en charge

Merci d'entrer le code de suivi de la demande de prise en charge

Identifiant de suivi  Email 




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Acturial.fr
Société par actions Simplifiée (SAS) - Capital de 2 000,00 €
SIRET : 912 656 915 00010 - NAF-APE : 6419Z - VATIntraShort : 91265691500010
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