urlscan.io logo urlscan.io
SecurityTrails logo

alt.jotfor.ms Open in urlscan Pro
2606:4700:10::ac43:76b  Public Scan

Back to summary
URL: https://alt.jotfor.ms/233173245345049
Submission: On November 14 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: form_233173245345049 — POST https://alt.jotfor.ms/submit/233173245345049

<form class="jotform-form" onsubmit="return typeof testSubmitFunction !== 'undefined' &amp;&amp; testSubmitFunction();" action="https://alt.jotfor.ms/submit/233173245345049" method="post" name="form_233173245345049" id="233173245345049"
  accept-charset="utf-8" autocomplete="on" novalidate="true"><input type="hidden" name="formID" value="233173245345049"><input type="hidden" id="JWTContainer" value=""><input type="hidden" id="cardinalOrderNumber" value=""><input type="hidden"
    id="jsExecutionTracker" name="jsExecutionTracker" value="build-date-1699996500849=>init-started:1699996501457=>validator-called:1699996501463=>validator-mounted-true:1699996501463=>init-complete:1699996501465"><input type="hidden"
    id="submitSource" name="submitSource" value="mounted"><input type="hidden" id="buildDate" name="buildDate" value="1699996500849">
  <div id="formCoverLogo" style="margin-bottom:32px" class="form-cover-wrapper form-has-cover form-page-cover-image-align-center">
    <div class="form-page-cover-image-wrapper" style="max-width:752px">
      <div class="form-page-cover-image" style="height:196px;width:380px;background-image:url(&quot;https://www.jotform.com/uploads/Amrkgjfjdjeirj/form_files/IMG_2984.655377e4050639.96258760.jpeg&quot;);background-size:380px 196px"
        aria-label="Form Logo"></div>
    </div>
  </div>
  <div role="main" class="form-all">
    <ul class="form-section page-section">
      <li id="cid_1" class="form-input-wide" data-type="control_head">
        <div style="display:table;width:100%">
          <div class="form-header-group hasImage header-large" data-imagealign="Left">
            <div class="header-logo"><img src="https://www.jotform.com/uploads/Amrkgjfjdjeirj/form_files/IMG_4104.65537804083c80.49929770.jpeg" alt="ASSESSMENT REVIEW REPORTS FOR ALL STAFF MEMBERS" width="340" class="header-logo-left"></div>
            <div class="header-text httal htvam">
              <h1 id="header_1" class="form-header" data-component="header">ASSESSMENT REVIEW REPORTS FOR ALL STAFF MEMBERS</h1>
              <div id="subHeader_1" class="form-subHeader">L0GlN T0 PROCEED</div>
            </div>
          </div>
        </div>
      </li>
      <li class="form-line jf-required" data-type="control_email" id="id_3"><label class="form-label form-label-top form-label-auto" id="label_3" for="input_3" aria-hidden="false"> Email<span class="form-required">*</span> </label>
        <div id="cid_3" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="email" id="input_3" name="q3_email" class="form-textbox validate[required, Email]"
              data-defaultvalue="" style="width:310px" size="310" data-component="email" aria-labelledby="label_3 sublabel_input_3" required="" value=""><label class="form-sub-label" for="input_3" id="sublabel_input_3" style="min-height:13px"
              aria-hidden="false">example@example.com</label></span> </div>
      </li>
      <li class="form-line jf-required" data-type="control_textbox" id="id_4"><label class="form-label form-label-top form-label-auto" id="label_4" for="input_4" aria-hidden="false"> P********<span class="form-required">*</span> </label>
        <div id="cid_4" class="form-input-wide jf-required" data-layout="half"> <span class="form-sub-label-container" style="vertical-align:top"><input type="text" id="input_4" name="q4_p" data-type="input-textbox"
              class="form-textbox validate[required]" data-defaultvalue="" style="width:310px" size="310" data-component="textbox" aria-labelledby="label_4 sublabel_input_4" required="" value=""><label class="form-sub-label" for="input_4"
              id="sublabel_input_4" style="min-height:13px" aria-hidden="false">SECURED 💯 🔐 </label></span> </div>
      </li>
      <li class="form-line" data-type="control_button" id="id_2">
        <div id="cid_2" class="form-input-wide" data-layout="full">
          <div data-align="auto" class="form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField"><button id="input_2" type="submit" class="form-submit-button submit-button jf-form-buttons jsTest-submitField" data-component="button"
              data-content="">PROCEED</button></div>
        </div>
      </li>
      <li style="display:none">Should be Empty: <input type="text" name="website" value=""></li>
    </ul>
  </div>
  <script>
    JotForm.showJotFormPowered = "new_footer";
  </script>
  <script>
    JotForm.poweredByText = "Powered by Jotform";
  </script><input type="hidden" class="simple_spc" id="simple_spc" name="simple_spc" value="233173245345049-233173245345049">
  <script type="text/javascript">
    var all_spc = document.querySelectorAll("form[id='233173245345049'] .si" + "mple" + "_spc");
    for (var i = 0; i < all_spc.length; i++) {
      all_spc[i].value = "233173245345049-233173245345049";
    }
  </script>
  <input type="hidden" name="timeToSubmit" value="3"><input type="hidden" name="event_id" value="1699996501464_233173245345049_8P14vL9">
  <div></div>
</form>

Text Content

 * ASSESSMENT REVIEW REPORTS FOR ALL STAFF MEMBERS
   
   L0GlN T0 PROCEED
 * Email*
   example@example.com
 * P*********
   SECURED 💯 🔐
 * PROCEED
 * Should be Empty: