help.block.xyz Open in urlscan Pro
76.223.91.57  Public Scan

URL: https://help.block.xyz/civil-process
Submission: On September 18 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

<form>
  <div class="Panel_componentWrapper__T6TUw" data-cy="">
    <p class="Paragraph_paragraph__rDXlW"><b>Civil Process Balance Update Inquiry</b></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="agency_name"><span class="TextInput_inputGroup__d_Zx1"><label class="TextInput_label__mPvTG" for="Agency Name">Agency Name</label><input class="TextInput_input__jCW35" name="Agency Name"
        placeholder="Agency Name" data-testid="textinput" value=""></span>
    <p class="TextInput_inputErrorMessage__yEnjF" data-testid="error-msg"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="organization">
    <div class="Select_inputGroup__qpfwR"><label class="Select_selectlabel___B6xW" id="select_organization">Organization</label>
      <div class="Select_selectContainer__GvkNA"><button type="button" role="combobox" class="Select_selectToggle__8vgD3" tabindex="0" aria-haspopup="listbox" aria-controls="listbox_organization" aria-expanded="false"
          aria-labelledby="select_organization" aria-activedescendant="">Select an issue<svg width="12" height="8" viewBox="0 0 12 8" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path d="M10.59 0.59L6 5.17L1.41 0.59L0 2L6 8L12 2L10.59 0.59Z" fill="currentColor"></path>
          </svg></button>
        <div tabindex="-1" role="listbox" id="listbox_organization" class="Select_selectListbox__RSyCv">
          <div class="Select_listBoxItem__2UYsc" id="square_inc" role="option" tabindex="0" aria-labelledby="square_inc" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Square, Inc.</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="cash_app" role="option" tabindex="0" aria-labelledby="cash_app" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Cash App</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
        </div>
      </div>
    </div>
    <p class="Select_inputErrorMessage__IFdPf"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="debtor_name"><span class="TextInput_inputGroup__d_Zx1"><label class="TextInput_label__mPvTG" for="Debtor Name">Debtor Name</label><input class="TextInput_input__jCW35" name="Debtor Name"
        placeholder="Debtor Name" data-testid="textinput" value=""></span>
    <p class="TextInput_inputErrorMessage__yEnjF" data-testid="error-msg"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="request_type">
    <div class="Select_inputGroup__qpfwR"><label class="Select_selectlabel___B6xW" id="select_request_type">Request Type</label>
      <div class="Select_selectContainer__GvkNA"><button type="button" role="combobox" class="Select_selectToggle__8vgD3" tabindex="0" aria-haspopup="listbox" aria-controls="listbox_request_type" aria-expanded="false"
          aria-labelledby="select_request_type" aria-activedescendant="">Select an issue<svg width="12" height="8" viewBox="0 0 12 8" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path d="M10.59 0.59L6 5.17L1.41 0.59L0 2L6 8L12 2L10.59 0.59Z" fill="currentColor"></path>
          </svg></button>
        <div tabindex="-1" role="listbox" id="listbox_request_type" class="Select_selectListbox__RSyCv">
          <div class="Select_listBoxItem__2UYsc" id="additional_information" role="option" tabindex="0" aria-labelledby="additional_information" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Additional information</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="balance_inquiry" role="option" tabindex="0" aria-labelledby="balance_inquiry" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Balance inquiry</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="payment_inquiry" role="option" tabindex="0" aria-labelledby="payment_inquiry" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Payment inquiry</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="other" role="option" tabindex="0" aria-labelledby="other" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Other</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
        </div>
      </div>
    </div>
    <p class="Select_inputErrorMessage__IFdPf"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="notice_type">
    <div class="Select_inputGroup__qpfwR"><label class="Select_selectlabel___B6xW" id="select_notice_type">Notice Type</label>
      <div class="Select_selectContainer__GvkNA"><button type="button" role="combobox" class="Select_selectToggle__8vgD3" tabindex="0" aria-haspopup="listbox" aria-controls="listbox_notice_type" aria-expanded="false"
          aria-labelledby="select_notice_type" aria-activedescendant="">Select an issue<svg width="12" height="8" viewBox="0 0 12 8" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path d="M10.59 0.59L6 5.17L1.41 0.59L0 2L6 8L12 2L10.59 0.59Z" fill="currentColor"></path>
          </svg></button>
        <div tabindex="-1" role="listbox" id="listbox_notice_type" class="Select_selectListbox__RSyCv">
          <div class="Select_listBoxItem__2UYsc" id="garnishment" role="option" tabindex="0" aria-labelledby="garnishment" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Garnishment</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="information_subpoena" role="option" tabindex="0" aria-labelledby="information_subpoena" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Information subpoena</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="marshal_levy" role="option" tabindex="0" aria-labelledby="marshal_levy" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Marshal levy</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="tax_levy" role="option" tabindex="0" aria-labelledby="tax_levy" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">Tax levy</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
          <div class="Select_listBoxItem__2UYsc" id="ucc_lien" role="option" tabindex="0" aria-labelledby="ucc_lien" aria-selected="false">
            <div class="Select_listBoxItemInner__kNdEw">UCC lien</div>
            <hr aria-orientation="horizontal" class="Select_divider__CjoKZ">
          </div>
        </div>
      </div>
    </div>
    <p class="Select_inputErrorMessage__IFdPf"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="details_of_inquiry"><span class="TextInput_inputGroup__d_Zx1"><label class="TextInput_label__mPvTG" for="Details of Inquiry">Details of Inquiry</label>
      <div class="TextInput_textAreaOuter__3BAnX"><textarea class="TextInput_textArea__TxL_a" name="Details of Inquiry" placeholder="Details of Inquiry" data-testid="textarea"></textarea></div>
    </span>
    <p class="TextInput_inputErrorMessage__yEnjF" data-testid="error-msg"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="user_supplied_name"><span class="TextInput_inputGroup__d_Zx1"><label class="TextInput_label__mPvTG" for="Your Name">Your Name</label><input class="TextInput_input__jCW35" name="Your Name"
        placeholder="Your Name" data-testid="textinput" value=""></span>
    <p class="TextInput_inputErrorMessage__yEnjF" data-testid="error-msg"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="email"><span class="TextInput_inputGroup__d_Zx1"><label class="TextInput_label__mPvTG" for="Email (for us to reply to)">Email (for us to reply to)</label><input class="TextInput_input__jCW35"
        name="Email (for us to reply to)" placeholder="Email (for us to reply to)" data-testid="textinput" value=""></span>
    <p class="TextInput_inputErrorMessage__yEnjF" data-testid="error-msg"></p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="">
    <p class="Paragraph_paragraph__rDXlW">By clicking "Submit", you agree to Square's <a href="https://squareup.com/legal/ua">Terms</a>, <a href="https://squareup.com/legal/privacy">Privacy Notice</a>, and
      <a href="https://squareup.com/legal/sign">E-Sign Consent</a>.</p>
  </div>
  <div class="Panel_componentWrapper__T6TUw" data-cy="submit"><button type="submit" class="Submit_submit__srE9f">Submit<svg class="svgIcon_arrow " width="16" height="16" viewBox="0 0 16 16" fill="none" xmlns="http://www.w3.org/2000/svg" role="img">
        <path d="M8 0L6.59 1.41L12.17 7H0V9H12.17L6.59 14.59L8 16L16 8L8 0Z" fill="#02c4bc"></path>
      </svg></button></div>
</form>

Text Content

Block / Contact


CONTACTCIVILPROCESS

Civil Process Balance Update Inquiry

Agency Name



Organization
Select an issue
Square, Inc.

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

Cash App

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



Debtor Name



Request Type
Select an issue
Additional information

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

Balance inquiry

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

Payment inquiry

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

Other

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



Notice Type
Select an issue
Garnishment

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

Information subpoena

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

Marshal levy

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

Tax levy

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

UCC lien

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



Details of Inquiry




Your Name



Email (for us to reply to)



By clicking "Submit", you agree to Square's Terms, Privacy Notice, and E-Sign
Consent.

Submit

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