amgen.safepermit.com Open in urlscan Pro
2606:4700:10::ac43:2824  Public Scan

Form analysis
2 forms found in the DOM

Name: loginForm — POST index.cfm?section=spLogin&page=login

<form method="post" role="form" id="loginForm" onsubmit="login_submit.disabled = true; return true;" name="loginForm" class="form-horizontal" action="index.cfm?section=spLogin&amp;page=login">
  <input type="hidden" name="csrfToken" value="7B16E6F3DC631CFC157B3583B5F293F540F6E1C9">
  <div class="form-group">
    <div class="input-group">
      <span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
      <input autocomplete="off" name="kuEmail" class="form-control" type="email" id="kuEmail" size="45" placeholder="Email Address">
    </div>
    <span class="help-block" style="display: none;">Please enter a valid Email Address.</span>
  </div>
  <div class="form-group">
    <div class="input-group">
      <span class="input-group-addon"><i class="glyphicon glyphicon-lock"></i></span>
      <input autocomplete="off" name="kuPassword" class="form-control" type="password" id="password" size="45" placeholder="Password">
    </div>
    <span class="help-block" style="display: none;">Please enter your Password.</span>
  </div>
  <div class="form-group">
    <button type="submit" name="submit" id="login_submit" class="btn btn-success" style="width:100%">Login</button>
  </div>
</form>

Name: reset_form —

<form class="form-horizontal" name="reset_form" id="reset_form">
  <input type="hidden" name="csrfToken" value="7B16E6F3DC631CFC157B3583B5F293F540F6E1C9">
  <input type="hidden" id="redirect" name="redirect" value="0">
  <div class="form-group">
    <input type="email" name="kuEmail" placeholder="Enter your email address" id="kuEmailReset" class="form-control" autocomplete="off" style="width:300px;margin: 0 auto;" required="">
  </div>
  <div class="form-group text-center">
    <a onclick="resetPassword(this);" name="submitReset" id="submitReset" class="btn btn-danger" style="width:300px">Send Password Reset Link</a>
  </div>
</form>

Text Content

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