aerocareusa.hmebillpay.com Open in urlscan Pro
204.193.153.122  Public Scan

Form analysis
2 forms found in the DOM

POST /Account/Login

<form action="/Account/Login" id="loginForm" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="gp8XX_xMJpdyPwt6Td3XyeuOT1pyqURis1iR09lVk1Go1JFXALtC4pPktdFand6CRhSoYzlTjrC1CfpCY6tx_-aSZdzf76ZYOxRGtKyfknA1"> <!-- class for error - "has-error" -->
  <label class="visible-xs-block">User name</label>
  <input class="k-textbox form-control input-field" data-val="true" data-val-email="The Username field is not a valid e-mail address." data-val-length="Username cannot exceed maximum length of 50 characters." data-val-length-max="50"
    data-val-required="Required" id="UserName" maxlength="50" name="UserName" onkeypress="HideMessage(this);" placeholder="Username" type="email"> <label class="visible-xs-block">Password</label>
  <input class="k-textbox form-control input-field" data-val="true" data-val-length="Password cannot exceed maximum length of 20 characters." data-val-length-max="20" data-val-required="Required" id="Password" maxlength="20" name="Password"
    onkeypress="HideMessage(this);" placeholder="Password" type="password"> <!-- error box when credentialsare incorrect-->
  <div id="errorMsg" class="media error error-box hide">
    <div class="media-left">
      <span class="icon-warning"></span>
    </div>
    <div class="media-body">
      <p id="errorModel"> </p>
    </div>
  </div>
  <button class="btn btn-secondary m-t-10 m-b-5 k-button" id="LoginBtn" type="button" data-role="button" role="button" aria-disabled="false" tabindex="0">Login</button>
  <script>
    kendo.syncReady(function() {
      jQuery("#LoginBtn").kendoButton({});
    });
  </script>
</form>

<form id="ForgotPasswordForm" novalidate="novalidate">
  <div class="modal-header">
    <h2 class="modal-title">Forgot your password?</h2>
  </div>
  <div class="modal-body text-center">
    <p class="m-b-25">Enter email address associated with your profile, then click reset password button below. You will receive an email with instructions on how to reset your password.</p>
    <div id="divUserEmailAddress" class="form-group text-left">
      <label for="lastName">Email address</label>
      <span class="field-validation-valid" data-valmsg-for="UserEmailAddress" data-valmsg-replace="true"></span>
      <input autocomplete="off" class="k-textbox form-control" data-val="true" data-val-email="The Username field is not a valid e-mail address." data-val-length="Username cannot exceed maximum length of 50 characters." data-val-length-max="50"
        data-val-required="Required" id="UserEmailAddress" maxlength="50" name="UserEmailAddress">
    </div>
  </div>
  <div class="modal-footer">
    <div class="row">
      <div class="col-lg-6 no-padding-sm order-lg-2 text-center">
        <button class="btn btn-default width-100per k-button" id="btnForgotPassword" type="button" data-role="button" role="button" aria-disabled="false" tabindex="0">Reset Password</button>
        <script>
          kendo.syncReady(function() {
            jQuery("#btnForgotPassword").kendoButton({});
          });
        </script>
      </div>
      <div class="col-lg-6 no-padding-sm order-lg-1 text-center m-t-md-10">
        <a href="javascript:void(0)" class="link" data-bs-dismiss="modal">Cancel</a>
      </div>
    </div>
  </div>
</form>

Text Content

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ACCOUNT LOGIN


ACCOUNT LOGIN

User name Password



Login
Forgot your password?

--------------------------------------------------------------------------------


DON’T HAVE AN ACCOUNT?

Register now Register via code Make a one time payment


FORGOT YOUR PASSWORD?

Enter email address associated with your profile, then click reset password
button below. You will receive an email with instructions on how to reset your
password.

Email address
Reset Password
Cancel


RESET LINK HAS BEEN SENT

Please check your email for instructions on how to reset your password.

Okay


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