corteva-ca.static.services.wirewheel.io
Open in
urlscan Pro
2600:9000:246c:2e00:e:38c9:d5c0:93a1
Public Scan
URL:
https://corteva-ca.static.services.wirewheel.io/
Submission: On May 11 via automatic, source certstream-suspicious — Scanned from CA
Submission: On May 11 via automatic, source certstream-suspicious — Scanned from CA
Form analysis 1 forms found in the DOM
<form class="form-inputs">
<div class="mb-3 form-group">
<div class="row">
<div class="col"><label class="fw-bold label-text form-label">Relationship to Corteva <span class="text-danger">*</span></label>
<div class="ml-2 row">
<div class="col">
<div class="radio-label-item form-check form-check-inline"><input name="relationshipToCorteva" type="radio" id="customerFarmer" class="form-check-input" value="Customer/Farmer/Retailer/Distributor"><label title="" for="customerFarmer"
class="form-check-label">Customer/Farmer/Retailer/Distributor</label></div>
</div>
</div>
<div class="ml-2 row">
<div class="col">
<div class="radio-label-item form-check form-check-inline"><input name="relationshipToCorteva" type="radio" id="employee" class="form-check-input" value="Employee/Applicant/Former employee/Contractor"><label title="" for="employee"
class="form-check-label">Employee/Applicant/Former employee/Contractor</label></div>
</div>
</div>
<div class="ml-2 row">
<div class="col">
<div class="radio-label-item form-check form-check-inline"><input name="relationshipToCorteva" type="radio" id="vendor" class="form-check-input" value="Vendor"><label title="" for="vendor" class="form-check-label">Vendor</label></div>
</div>
</div>
</div>
</div>
</div>
<p class="my-3"><strong class="label-text">Contact Reason: <span class="text-danger">*</span></strong></p>
<div class="g-3 mb-4 row row-cols-1">
<div class="col">
<div class="card-requestType card">
<div class="card-body">
<div class="form-check"><input type="checkbox" id="optOut" class="form-check-input" value="optOut"><label class="h6 form-check-label">Unsubscribe me from marketing communications</label></div>
</div>
</div>
</div>
<div class="col">
<div class="card-requestType card">
<div class="card-body">
<div class="form-check"><input type="checkbox" id="correction" class="form-check-input" value="correction"><label class="h6 form-check-label">Update/correct my personal information</label></div>
</div>
</div>
</div>
<div class="col">
<div class="card-requestType card">
<div class="card-body">
<div class="form-check"><input type="checkbox" id="deletion" class="form-check-input" value="deletion"><label class="h6 form-check-label">Delete my personal information</label></div>
</div>
</div>
</div>
<div class="col">
<div class="card-requestType card">
<div class="card-body">
<div class="form-check"><input type="checkbox" id="portability" class="form-check-input" value="portability"><label class="h6 form-check-label">Copy of my personal information</label></div>
</div>
</div>
</div>
<div class="col">
<div class="card-requestType card">
<div class="card-body">
<div class="form-check"><input type="checkbox" id="optOut-data-processing" class="form-check-input" value="optOut-data-processing"><label class="h6 form-check-label">Opt-out of sharing for <span data-toggle="tooltip" data-placement="bottom"
title=""Cross-context behavioral advertising” means the targeting of advertising
to a consumer based on the consumer's personal information obtained from
the consumer's activity across businesses, distinctly-branded websites,
applications, or services, other than the business, distinctly-branded
website, application or service with which the consumer intentionally
interacts.">cross-context behavioral advertising</span>/<span data-toggle="tooltip" data-placement="bottom" title=""Targeted advertising" means displaying advertisements to a consumer where
the advertisement is selected based on personal data obtained or inferred
from that consumer's activities over time and across nonaffiliated
Internet web sites or online applications to predict such consumer's
preferences or interests.">targeted advertising</span></label></div>
</div>
</div>
</div>
<div class="col">
<div class="card-requestType card">
<div class="card-body">
<div class="form-check"><input type="checkbox" id="access" class="form-check-input" value="access"><label class="h6 form-check-label">Inform me about the processing of my personal information</label></div>
</div>
</div>
</div>
</div>
<div class="mb-3 form-group">
<div class="row row-cols-lg-2 row-cols-md-2 row-cols-1">
<div class="mb-2 col"><label class="fw-bold label-text form-label">First Name <span class="text-danger">*</span></label><input name="firstName" type="text" class="mb-2 form-control"></div>
<div class="col"><label class="fw-bold label-text form-label">Last Name <span class="text-danger">*</span></label><input name="lastName" type="text" class="mb-2 form-control"></div>
</div>
</div>
<div class="mb-3 form-group">
<div class="row row-cols-lg-2 row-cols-md-2 row-cols-1">
<div class="col"><label class="fw-bold label-text form-label">Company </label><input name="company" type="text" class="mb-2 form-control"></div>
<div class="mb-3 col"><label class="fw-bold label-text form-label">Phone Number <span class="text-danger">*</span></label>
<div class=" react-tel-input ">
<div class="special-label">Phone</div><input class="form-control " placeholder="" type="tel" name="phoneNumber" required="" value="+1" style="width: 100%;">
<div class="flag-dropdown rounded">
<div class="selected-flag" title="United States: + 1" tabindex="0" role="button" aria-haspopup="listbox">
<div class="flag us">
<div class="arrow"></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="mb-3 form-group">
<div class="row row-cols-1">
<div class="col"><label class="fw-bold label-text form-label">Email</label><input name="email" type="email" class="mb-2 form-control"></div>
</div>
</div>
<div class="mb-3 form-group">
<div class="row">
<div class="mb-2 col"><label class="fw-bold label-text form-label">Details</label><input name="details" placeholder="Please include details to fully understand the request." type="text" class="mb-2 form-control"></div>
</div>
</div>
<div class="mb-3 form-group">
<div class="row row-cols-lg-2 row-cols-md-2 row-cols-1">
<div class="mb-2 col"><label class="fw-bold label-text form-label">Address <span class="text-danger">*</span></label><input name="address" type="text" class="mb-2 form-control"></div>
<div class="mb-2 col"><label class="fw-bold label-text form-label">City <span class="text-danger">*</span></label><input name="city" type="text" class="mb-2 form-control"></div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col"><label class="fw-bold label-text form-label">State <span class="text-danger">*</span></label><select name="state" class="mb-2 form-control">
<option value="">Select State</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="American Samoa">American Samoa</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District Of Columbia">District Of Columbia</option>
<option value="Federated States Of Micronesia">Federated States Of Micronesia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Guam">Guam</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Palau">Palau</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Perto Rico">Perto Rico</option>
<option value="Rhone Island">Rhone Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virgin Islands">Virgin Islands</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
</select></div>
<div class="mb-2 col"><label class="fw-bold label-text form-label">Postal Zip Code <span class="text-danger">*</span></label><input name="postalZipCode" type="text" class="mb-2 form-control"></div>
</div>
</div>
<div class="mb-3 form-group">
<div class="row">
<div class="col"><label class="fw-bold label-text form-label">Intake Type <span class="text-danger">*</span></label>
<div class="ml-2 row">
<div class="col">
<div class="radio-label-item form-check form-check-inline"><input name="intakeType" type="radio" id="mailIn" class="form-check-input" value="Mail-in"><label title="" for="mailIn" class="form-check-label">Mail-in</label></div>
</div>
</div>
<div class="ml-2 row">
<div class="col">
<div class="radio-label-item form-check form-check-inline"><input name="intakeType" type="radio" id="CallIn" class="form-check-input" value="Call-in"><label title="" for="CallIn" class="form-check-label">Call-in</label></div>
</div>
</div>
</div>
</div>
</div>
<div class="d-flex justify-content-center mt-4">
<div class="gg-recaptcha">
<div>
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lf1iqYUAAAAAOjbtw1I0TrsGYpStLjwYFSzY4fX&co=aHR0cHM6Ly9jb3J0ZXZhLWNhLnN0YXRpYy5zZXJ2aWNlcy53aXJld2hlZWwuaW86NDQz&hl=en&type=image&v=wqcyhEwminqmAoT8QO_BkXCr&theme=light&size=normal&badge=bottomright&cb=d9hws1d9esfw"
width="304" height="78" role="presentation" name="a-j8319qz7quuw" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
</div>
<div class="form-group">
<div class="d-flex justify-content-center mt-5 row">
<div class="text-center col-lg-10 col-md-10 col-sm-12"><button disabled="" type="submit" class="btn btn-primary btn-lg" style="width: inherit;">Submit Request</button></div>
</div>
</div>
</form>Text Content
You need to enable JavaScript to run this app. PRIVACY REQUEST Please fill out the form below to submit your request. Relationship to Corteva * Customer/Farmer/Retailer/Distributor Employee/Applicant/Former employee/Contractor Vendor Contact Reason: * Unsubscribe me from marketing communications Update/correct my personal information Delete my personal information Copy of my personal information Opt-out of sharing for cross-context behavioral advertising/targeted advertising Inform me about the processing of my personal information First Name * Last Name * Company Phone Number * Phone Email Details Address * City * State *Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFederated States Of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPerto RicoRhone IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Postal Zip Code * Intake Type * Mail-in Call-in Submit Request © 2023 Corteva.