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https://www.allstate.com/?agentnumber&cid=EMC-C-E-P_EBILL_0161_NOTIFICATION_T-%3AEN&%24web_only=true&_branch_match_id=115...
Submission Tags: falconsandbox
Submission: On August 17 via api from US — Scanned from DE
Submission Tags: falconsandbox
Submission: On August 17 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form>
<div class="m-0">
<div class="p-0 text-color-theme">
<div class="zip-spacing position-relative mb-2"><span class="form-field-tag position-relative "><span class="svg-icon zip-icon"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 47 64">
<g fill="none" fill-rule="evenodd">
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</svg></span><input type="text" class="form-field zipcode-txt" name="zipcode" placeholder="Enter ZIP" maxlength="5" required="" aria-label="enter zip code" value=""></span></div>
<div><button class="btn btn-primary" type="button">use my current location</button></div>
</div>
</div>
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