sunrxv208770.webmavens.dev Open in urlscan Pro
142.93.53.181  Public Scan

Form analysis
1 forms found in the DOM

POST https://sunrxv208770.webmavens.dev/login

<form action="https://sunrxv208770.webmavens.dev/login" method="POST">
  <input type="hidden" name="_token" value="G4xQ0owBIeSBu0G1djRQhfFRerJwrhVj6itWUAD5" autocomplete="off">
  <div class="space-y-6">
    <div>
      <label for="email" class="block text-sm font-medium leading-6 text-gray-900 dark:text-gray-100">Email address</label>
      <div class="mt-2">
        <input id="email" name="email" type="email" autocomplete="email" required="" class="forminput" value="" placeholder="Email" autofocus="">
      </div>
    </div>
    <div>
      <div class="flex items-center justify-between">
        <label for="password" class="block text-sm font-medium leading-6 text-gray-900 dark:text-gray-100">Password</label>
      </div>
      <div class="mt-2">
        <input id="password" name="password" type="password" autocomplete="current-password" required="" class="forminput" placeholder="Password">
      </div>
    </div>
    <div>
      <button type="submit"
        class="flex w-full justify-center rounded-md bg-blue-500 px-3 py-1.5 text-sm font-semibold leading-6 text-white shadow-sm hover:bg-blue-600 focus-visible:outline focus-visible:outline-2 focus-visible:outline-offset-2 focus-visible:outline-blue-600 dark:bg-blue-500 dark:hover:bg-blue-400">Login</button>
    </div>
    <div class="text-sm">
      <a href="https://sunrxv208770.webmavens.dev/password/reset" class="font-semibold text-blue-500 hover:text-blue-600 dark:text-blue-500 dark:hover:text-blue-400">Forgot password?</a>
    </div>
  </div>
</form>

Text Content

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Advanced Claims Capture (ACC)

Email address

Password

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