brooks-policy.co.uk Open in urlscan Pro
18.130.3.35  Public Scan

Form analysis
1 forms found in the DOM

POST /secure/do-login

<form method="post" action="/secure/do-login">
  <input type="hidden" name="redirect" value="quote/my-account">
  <div class="username   clearfix control-group" data-parent=""><label class="control-label" id="label-username" for="username">Email Address</label>
    <div class="input controls"><input type="text" name="username" id="username" class="validate['required']" value="">
    </div>
  </div>
  <div class="password   clearfix control-group" data-parent=""><label class="control-label" id="label-password" for="password">Password</label>
    <div class="input controls"><input type="password" name="password" id="password" class="validate['required']">
      <span class="help-block"><a href="/secure/forgot-password">Forgot your password?</a></span>
    </div>
  </div>
  <div class="action form-actions">
    <button type="submit" value="Login" class="btn btn-primary btn-large btn-info dk-blue"> Login </button>
  </div>
</form>

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Policies are sold and administered by Brooks Braithwaite (Sussex) Ltd,
registered office address: 4 Bridge Road Business Park, Bridge Road, Haywards
Heath, West Sussex RH16 1TX. Registered in England no 1416900.

Acting on behalf of the insurer in respect of sections 1 to 8:
Ecclesiastical Insurance Office plc. Ecclesiastical’s Head Office and registered
details are Ecclesiastical Insurance Office plc (EIO) Reg. No. 24869. Registered
in England at Benefact House, 2000, Pioneer Avenue, Gloucester Business Park,
Brockworth, Gloucester, GL3 4AW, United Kingdom. EIO is authorised by the
Prudential Regulation Authority and regulated by the Financial Conduct Authority
and the Prudential Regulation Authority. Firm Reference Number 113848

In respect of Section of section 9:
Allianz Insurance plc. Registered office address: 57 Ladymead, Guildford, Surrey
GU1 1DB United Kingdom. Registered in England no. 84638. Allianz Insurance plc
is authorised by the Prudential Regulation Authority and regulated by the
Financial Conduct Authority and the Prudential Regulation Authority, Financial
Services Register No. 121849. Brooks Braithwaite (Sussex) Ltd is authorised and
regulated by the Financial Conduct Authority, Financial Services Register
No.304839 and is not part of the Allianz (UK) Group.
enquiries@petplansanctuary.com