customers.empowerins.com
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38.107.248.86
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Submitted URL: https://customers.empowerins.com/insurance/auto/policy/tx/fort-worth/empower-insurance/121000?utm_source=iw%20gui&utm_medium=emai...
Effective URL: https://customers.empowerins.com/Insurance/Auto/Policy/tx/fort-worth/alinsco-insurance-agency/121000?utm_source=iw+gui&utm_medium...
Submission: On November 30 via api from US — Scanned from DE
Effective URL: https://customers.empowerins.com/Insurance/Auto/Policy/tx/fort-worth/alinsco-insurance-agency/121000?utm_source=iw+gui&utm_medium...
Submission: On November 30 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST ./121000?utm_source=iw+gui&utm_medium=email&utm_content=eng+payment&utm_campaign=requested+document
<form method="post" action="./121000?utm_source=iw+gui&utm_medium=email&utm_content=eng+payment&utm_campaign=requested+document" id="form1" itemscope="itemscope" itemtype="http://schema.org/InsuranceAgency" novalidate="novalidate">
<div>
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="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">
</div>
<script type="text/javascript">
//<![CDATA[
var theForm = document.forms['form1'];
if (!theForm) {
theForm = document.form1;
}
function __doPostBack(eventTarget, eventArgument) {
if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
theForm.__EVENTTARGET.value = eventTarget;
theForm.__EVENTARGUMENT.value = eventArgument;
theForm.submit();
}
}
//]]>
</script>
<script src="/WebResource.axd?d=1bVNNa81c0a3WXD9Hb5lskwub5YdWuER5bTJbG1gVmfsZsqMgZaQQCffrpLybLr3Xs6XrItfuQkkTO6nhxTirzs4He41&t=636765284300000000" type="text/javascript"></script>
<script type="text/javascript">
(function(i, s, o, g, r, a, m) {
i['GoogleAnalyticsObject'] = r;
i[r] = i[r] || function() {
(i[r].q = i[r].q || []).push(arguments)
}, i[r].l = 1 * new Date();
a = s.createElement(o), m = s.getElementsByTagName(o)[0];
a.async = 1;
a.src = g;
m.parentNode.insertBefore(a, m)
})(window, document, 'script', '//www.google-analytics.com/analytics.js', 'ga');
ga('create', 'UA-9895486-12', 'auto', {
'name': 'InternalTracker'
});
ga('InternalTracker.require', 'GTM-KXKVMN9');
ga('InternalTracker.require', 'ec');
ga('InternalTracker.send', 'pageview');
</script>
<script src="/WebResource.axd?d=Q1MIhoWFb_fXvmknSHsdDpC04ZuSrwIW1OUi8gbX0QNAPEjy57fYDkcdhWoqz6JABekogDxzNLPqk8AFb3HHDgYVKNQ1&t=636765284300000000" type="text/javascript"></script>
<div>
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="5A2128B1">
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
</div>
<div class="primaryContainer clearfix">
<!-- Nav -->
<div id="Nav_Bar" class="clearfix">
<p id="Nav_Contact">Contact Us:</p>
<p id="Nav_Phone"><span id="spnInsurancePhone" itemprop="telephone">(817) 231-4300</span></p>
</div>
<!-- Menu -->
<div id="Menu_Section" class="clearfix">
<div id="Logo" class="clearfix">
<a href="../../../../../../#" id="lnkHome" itemprop="url"><img src="https://www.empowerins.com/logos/121000.jpg" id="imgLogo" itemprop="logo" class="logo" alt="Alinsco Insurance Agency"></a>
</div>
<img id="Mobile_Nav" src="/Images/three.png" class="image" alt="mobile nav">
<div id="Menu">
<ul class="clearfix">
<li><a id="hprManageMyPolicy1" href="../../../../../../Policy/Policy.aspx">Manage My Policy</a></li>
<li><a href="https://customers.empowerins.com/Insurance/Auto/Quotes/tx/fort-worth/alinsco-insurance-agency/121000" id="hprGetQuote1">Get a Quote</a></li>
<li><a href="https://www.empowerins.com/claims.php" id="hprClaim" target="_blank">Make a Claim</a></li>
<li><a href="#" onclick="loginFocus(makePayment);" id="hprPayment">Make a Payment</a></li>
<!--<li><a href="#" onclick="loginFocus(printIdCards);" id="hprPrintIDCards">Print ID Cards</a></li>-->
<li><a href="#aboutus" id="hprAbout">About Us</a></li>
<li><a href="#ContactUs_Box" id="hprContact">Contact Us</a></li>
</ul>
<input name="hdnActivity" type="hidden" id="hdnActivity">
</div>
</div>
<!-- Quote Section -->
<div id="Quote_Section" class="clearfix">
<div id="Widget_Box" class="clearfix">
<div id="widget">
<div id="logon" class="align_right validationGroup">
<div id="div2" class="error hidden" style=" text-align:left; margin:0 auto; width:980px; clear:both;">
<img src="/Images/warning.png" alt="Warning!" width="18" height="19" style="margin:-10px 0 0 15px; float:left;">
<span id="spnErrorText"></span>
<div>
<ul class="error_instr"></ul>
</div>
<br class="clear">
</div>
<div id="pnlStartQuote" style="width:93%;margin-left:7%;">
<input name="loginRedirect" type="hidden" id="loginRedirect">
<h2 style="text-align:center;margin-bottom: 10px;">Manage My Policy</h2>
<label for="txtPolicyNumber" style="margin-top:5px;">Policy Number </label><input name="txtPolicyNumber" type="text" maxlength="15" id="txtPolicyNumber" tabindex="1" class="defaultText" title="Texas Zip Code"
style="margin: 0px 0 0 10px; width:137px;">
<br class="clear">
<label for="txtZipCode">Garaging Zip Code </label><input name="txtZipCode" type="text" maxlength="10" id="txtZipCode" tabindex="1" class="defaultText" title="Texas Zip Code" style="margin: 10px 0 0 10px; width:137px;">
<input type="submit" name="btnLogIn" value="" id="btnLogIn" class="btn_startquote causesValidation">
<br class="clear">
<p>If you do not have this information,<br>please see your agent or call 1-877-437-5010.</p>
</div>
</div>
<br class="clear">
</div>
</div>
</div>
<!-- Contact -->
<div id="ContactUs_Box" class="clearfix">
<h2>CONTACT US<br></h2>
<div class="error" id="divError" style=" text-align:left; margin:0 auto; width:100%; clear:both;">
<div>
<ul class="error_instr clearfix"></ul>
</div>
</div>
<div class="Contact_Input">
<label id="">Name</label>
<input name="txtContactPersonName" type="text" id="txtContactPersonName" class="clearfix">
</div>
<div class="Contact_Message">
<label id="">Message</label>
<textarea name="txtContactPersonMessage" rows="2" cols="20" id="txtContactPersonMessage" onkeydown="return EnterEvent(event)"></textarea>
</div>
<div class="Contact_Input_Half">
<label id="">Email</label>
<input name="txtContactPersonEmailAddress" type="text" id="txtContactPersonEmailAddress" class="clearfix">
</div>
<div class="Contact_Input_Half">
<label id="">Phone</label>
<input name="txtContactPersonPhone" type="text" id="txtContactPersonPhone" class="clearfix">
</div>
<div class="Contact_Input_Half"><input type="submit" name="btnSend" value="SEND" id="btnSend" class="btnsend" style="color:Green;width:100%;width: 100% !important;"></div>
<div class="Contact_Input_Half"><input type="submit" name="btnClear" value="CLEAR" id="btnClear" class="btnclear" style="color:Red;width:100%;width: 100% !important;"></div>
</div>
<!-- Footer -->
<div id="Footer" class="clearfix">
<div id="Footer_Links" class="clearfix">
<p><a id="hprManageMyPolicy3" href="../../../../../../Policy/Policy.aspx">Manage My Policy</a></p>
<p id=""><a href="https://www.empowerins.com/claims.php" target="_blank" id="hprClaim2">Make a Claim</a></p>
<p id=""><a href="#" id="hprPayment2" onclick="loginFocus(makePayment);">Make a Payment</a></p>
<!--<p id="P1"><a href="#" id="hprPrintIDCards2" onclick="loginFocus(printIdCards);">Print ID Cards</a></p>-->
<p id="P2"><a href="https://customers.empowerins.com/Insurance/Auto/Quotes/tx/fort-worth/alinsco-insurance-agency/121000" id="hprGetQuote2">Get a Quote</a></p>
</div>
<div id="Footer_Info" class="clearfix">
<p id=""><span id="spnContactInsName">Alinsco Insurance Agency</span></p>
<p id=""><span id="spnContactInsPhoneNo">(817) 231-4300</span><br><span id="spnContactInsAddress">6030 Lake Worth Blvd</span><br><span id="spnContactInsCity">Fort Worth</span>,<span id="spnContactInsState">TX</span> <span
id="spnContactInsZipCode">76135</span><br></p>
<div id="Footer_Icons" class="clearfix">
</div>
</div>
<p id="copyright">©2016 Intelliwrite. All Rights Reserved.<br></p>
</div>
</div>
<script src="/Scripts/jQuery/1.11.0/jquery.min.js" type="text/javascript"></script>
<script src="/Scripts/jQuery/jqueryui/1.10.4/jquery-ui.min.js" type="text/javascript"></script>
<script src="/Scripts/jQuery/validate/1.11.1/jquery.validate.min.js" type="text/javascript"></script>
<script src="/Scripts/jQuery/validate/1.11.1/additional-methods.min.js" type="text/javascript"></script>
<script src="/Scripts/validator.js" type="text/javascript"></script>
<input name="hdnAgentNo" type="hidden" id="hdnAgentNo" value="121000">
<input name="hdnAgentID" type="hidden" id="hdnAgentID">
<script type="text/javascript">
// <![CDATA[
$(document).ready(function() {
//Mobile Nav Toggle
$("#txtContactPersonPhone").rules("add", {
required: true,
phoneUS: true,
messages: {
required: "Please enter a valid phone number.",
phoneUS: "Please enter a valid phone number."
}
});
$("#txtContactPersonName").rules("add", {
required: true
});
$("#txtContactPersonMessage").rules("add", {
required: true
});
$("#txtContactPersonEmailAddress").rules("add", {
required: true,
emailButAllowTrailingWhitespace: true,
messages: {
emailButAllowTrailingWhitespace: "Please enter a valid email address."
}
});
$("#Mobile_Nav").click(function() {
$("#Menu").toggle("slow", function() {});
});
$("#txtPolicyNumber").rules("add", {
required: true,
messages: {
required: "Please enter a policy number"
}
});
$("#txtZipCode").rules("add", {
required: true,
messages: {
required: "Please enter a zip code."
}
});
$(window).resize(function() {
$("#divPolicy").dialog("option", "position", {
my: "center",
at: "center",
of: window
});
});
function loginFocus(a) {
$('#loginRedirect').val(a);
$('#txtPolicyNumber').focus;
}
function EnterEvent(e) {
if (e.keyCode == 13) {
var newLine = "\r\n";
var txtVal = $("#txtContactPersonMessage").val();
if (txtVal == "") {
return false;
} else {
txtVal = txtVal + newLine;
$("#txtContactPersonMessage").val(txtVal);
}
}
}
})
// ]]
</script>
<script type="text/javascript">
//<![CDATA[
WebForm_AutoFocus('txtPolicyNumber'); //]]>
</script>
</form>
Text Content
Contact Us: (817) 231-4300 * Manage My Policy * Get a Quote * Make a Claim * Make a Payment * About Us * Contact Us MANAGE MY POLICY Policy Number Garaging Zip Code If you do not have this information, please see your agent or call 1-877-437-5010. CONTACT US Name Message Email Phone Manage My Policy Make a Claim Make a Payment Get a Quote Alinsco Insurance Agency (817) 231-4300 6030 Lake Worth Blvd Fort Worth,TX 76135 ©2016 Intelliwrite. All Rights Reserved.