www.umpireclaim.com Open in urlscan Pro
66.147.237.41  Public Scan

Submitted URL: https://umpireclaim.com/
Effective URL: https://www.umpireclaim.com/
Submission: On October 09 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 2 forms found in the DOM

Name: bootstrap_get_matchPOST /api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form

<form action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form" id="myform" method="post" labelwidth="100" labelpaddingtop="0.5em" enctype="multipart/form-data" form_action_type="widget" form_action_div="" return_data_type=""
  name="bootstrap_get_match" class="fv-form fv-form-bootstrap" novalidate="novalidate"><button type="submit" class="fv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button><input type="hidden" name="sized" value="0"
    id="myform-element-0"><input type="hidden" name="usertokenid" value="" id="myform-element-1"><input type="hidden" name="saveinfo" value="1" id="myform-element-2"><input type="hidden" name="vals" value="4|3" id="myform-element-3"><input
    type="hidden" name="answerqmatch" value="7" id="myform-element-4"><input type="hidden" name="form_source" value="%2F" id="myform-element-5"><input type="hidden" name="form" value="myform" id="myform-element-6"><input type="hidden" name="formname"
    value="bootstrap_get_match" id="myform-element-7"><input type="hidden" name="dowiz" value="1" id="myform-element-8"><input type="hidden" name="save" value="1" id="myform-element-9"><input type="hidden" name="url_origin_pars" value="/home"
    id="myform-element-10">
  <style>
    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group .checkbox label,
    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group .radio label,
    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group label.checkbox,
    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group label.radio {
      display: inline-block;
      margin-right: 15px;
    }

    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group label {
      display: none;
    }

    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group label.btn {
      display: block;
    }

    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group div.bootstrap-filestyle,
    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group div.bootstrap-filestyle label.btn {
      width: 100%;
    }

    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group div.bootstrap-filestyle span.group-span-filestyle:nth-child(2) {
      margin: 0px !important;
    }

    form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] .form-group div.bootstrap-filestyle span.group-span-filestyle:nth-child(2) label.btn {
      margin-top: 10px;
    }
  </style>
  <script>
    $(document).ready(function() {
      $('form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] input, form[action="/api/widget/json/get/Bootstrap%20Theme%20-%20Function%20-%20Save%20Form"] select').each(function() {
        if ($(this).parents('.form-group').find('.required:hidden').length > 0) {
          let placeholderAttr = $(this).attr('placeholder');
          let optionRequired = $(this).find('option[value=""]').html();
          if (typeof placeholderAttr !== 'undefined' && placeholderAttr.indexOf(`(Required)`) < 1) {
            $(this).attr('placeholder', $(this).attr('placeholder') + ` (Required)`);
          }
          if (typeof optionRequired !== 'undefined' && optionRequired.indexOf(`(Required)`) < 1) {
            $(this).find('option[value=""]').html($(this).find('option[value=""]').html() + ` (Required)`);
          }
        }
      })
    })
  </script>
  <div class="form-group"><label class="vertical-label bd-text" for="myform-element-13"><span class="required">* </span>Your Name</label><input type="text" name="lead_name" required="" placeholder="Your Name (Required)" autocomplete="off" value=""
      class="form-control control-group  form-control " id="myform-element-13" data-fv-field="lead_name"><small class="help-block" data-fv-validator="notEmpty" data-fv-for="lead_name" data-fv-result="NOT_VALIDATED" style="display: none;">Required
      Field</small></div>
  <div class="form-group"><label class="vertical-label bd-email" for="myform-element-14"><span class="required">* </span>Email</label><input type="email" name="lead_email" required="" placeholder="Email (Required)" autocomplete="off" value=""
      class="form-control control-group  form-control " id="myform-element-14" data-fv-field="lead_email"><small class="help-block" data-fv-validator="notEmpty" data-fv-for="lead_email" data-fv-result="NOT_VALIDATED" style="display: none;">Required
      Field</small><small class="help-block" data-fv-validator="emailAddress" data-fv-for="lead_email" data-fv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small></div>
  <div class="form-group"><label class="vertical-label bd-text" for="myform-element-15"><span class="required">* </span>Phone</label><input type="text" name="lead_phone" required="" placeholder="Phone (Required)" autocomplete="off" value=""
      class="form-control control-group  form-control " id="myform-element-15" data-fv-field="lead_phone"><small class="help-block" data-fv-validator="notEmpty" data-fv-for="lead_phone" data-fv-result="NOT_VALIDATED" style="display: none;">Required
      Field</small></div>
  <div class="form-group">
    <label class="vertical-label" for="myform-element-1543"> Appointment Day </label>
    <select name="lead_preferred_day" autocomplete="off" class="form-control control-group " id="myform-element-1543">
      <option value="">Appointment Day</option>
      <option value="As soon as possible">As soon as possible</option>
      <option value="Sunday">Sunday</option>
      <option value="Monday">Monday</option>
      <option value="Tuesday">Tuesday</option>
      <option value="Wednesday">Wednesday</option>
      <option value="Thursday">Thursday</option>
      <option value="Friday">Friday</option>
      <option value="Saturday">Saturday</option> ?&gt;
    </select>
  </div>
  <div class="form-group">
    <label class="vertical-label" for="myform-element-1654"> Appointment Time</label>
    <select name="lead_preferred_time" autocomplete="off" class="form-control control-group " id="myform-element-1654">
      <option value="">Appointment Time</option>
      <option value="As soon as possible">As soon as possible</option>
      <option value="12:00 am">12:00 am</option>
      <option value="1:00 am">1:00 am</option>
      <option value="2:00 am">2:00 am</option>
      <option value="3:00 am">3:00 am</option>
      <option value="4:00 am">4:00 am</option>
      <option value="5:00 am">5:00 am</option>
      <option value="6:00 am">6:00 am</option>
      <option value="7:00 am">7:00 am</option>
      <option value="8:00 am">8:00 am</option>
      <option value="9:00 am">9:00 am</option>
      <option value="10:00 am">10:00 am</option>
      <option value="11:00 am">11:00 am</option>
      <option value="12:00 pm">12:00 pm</option>
      <option value="1:00 pm">1:00 pm</option>
      <option value="2:00 pm">2:00 pm</option>
      <option value="3:00 pm">3:00 pm</option>
      <option value="4:00 pm">4:00 pm</option>
      <option value="5:00 pm">5:00 pm</option>
      <option value="6:00 pm">6:00 pm</option>
      <option value="7:00 pm">7:00 pm</option>
      <option value="8:00 pm">8:00 pm</option>
      <option value="9:00 pm">9:00 pm</option>
      <option value="10:00 pm">10:00 pm</option>
      <option value="11:00 pm">11:00 pm</option>
    </select>
  </div>
  <style type="text/css">
    #map-canvas-contact-sidebar {
      display: block;
      width: 100%;
      height: 250px;
      float: right;
    }

    label.fill-location-check {
      display: block;
      width: 100%;
      float: left;
      margin: 6px 0 6px 9%;
    }

    #myform .google-writen-location {
      float: right;
    }

    #map-canvas-contact-sidebar {
      border-radius: 4px;
    }

    .pac-container {
      z-index: 1551;
    }
  </style> <input type="hidden" name="utoken" value="">
  <span class="location_status" id="location_status" data-state="only_input"></span>
  <span class="location_required" id="location_required" data-state="1"></span>
  <div class="form-group" style="overflow: auto;">
    <label for="myform-element-8"><span class="required">* </span>Location</label>
    <span class="input_wrapper"><input id="pac-input" required="" fv-notempty-message="Required Field" form-id="myform" class="controls google-writen-location form-control pac-target-input" type="text" name="lead_location"
        placeholder="City/Zip Code (Required)" autocomplete="off" data-fv-field="lead_location"></span>
    <input type="hidden" name="lat" value="">
    <input type="hidden" name="lng" value="">
    <input type="hidden" name="swlat" value="">
    <input type="hidden" name="swlng" value="">
    <input type="hidden" name="nelat" value="">
    <input type="hidden" name="nelng" value="">
    <input type="hidden" name="location_type" value="">
    <input type="hidden" name="country_sn" value="">
    <input type="hidden" name="county_sn" value="">
    <input type="hidden" name="adm_lvl_1_sn" value="">
    <small class="help-block" data-fv-validator="notEmpty" data-fv-for="lead_location" data-fv-result="NOT_VALIDATED" style="display: none;">Required Field</small>
  </div>
  <div class="form-group"><label class="vertical-label bd-" for="myform-element-20"><span class="required">* </span>Message</label><textarea rows="4" name="lead_message" required="" placeholder="Please write details for our appointment*"
      autocomplete="off" class="form-control control-group form-control" id="myform-element-20" data-fv-field="lead_message"></textarea><small class="help-block" data-fv-validator="notEmpty" data-fv-for="lead_message" data-fv-result="NOT_VALIDATED"
      style="display: none;">Required Field</small></div><input type="hidden" name="url_from" value="/">
  <input type="hidden" name="checkPageType" value="home">
  <div class="form-group"><input type="hidden" name="bd_hpc" autocomplete="off" value="" class="form-control control-group " id="myform-element-25"></div>
  <div class="form-group">
    <div class="form-group security_question_label">
      <div id="myform-captchaContainer" class="control-group">
        <div class="g-recaptcha" id="myform-google-recaptcha"></div>
      </div>
      <small class="help-block" id="recaptcha_error" style="display:none;" data-fv-validator="notEmpty" data-fv-for="recaptcha" data-fv-result="INVALID">The security check was not completed successfully.</small>
      <div class="clearfix bmargin"></div>
      <input type="hidden" name="recaptcha" id="myform-rcap">
    </div>
    <style>
      .modal .g-recaptcha-scale,
      .col-md-4 .g-recaptcha-scale,
      .col-md-3 .g-recaptcha-scale,
      .col-lg-3 .g-recaptcha-scale,
      .col-lg-4 .g-recaptcha-scale {
        transform: scale(0.77);
        -webkit-transform: scale(0.77);
        transform-origin: 0 0;
        -webkit-transform-origin: 0 0;
        margin-bottom: -15px;
      }

      .modal #myform-captchaContainer,
      .col-md-4 #myform-captchaContainer,
      .col-md-3 #myform-captchaContainer,
      .col-lg-3 #myform-captchaContainer,
      .col-lg-4 #myform-captchaContainer {
        transform: scale(0.77);
        -webkit-transform: scale(0.77);
        transform-origin: 0 0;
        -webkit-transform-origin: 0 0;
        margin-bottom: -15px;
      }
    </style>
    <script type="text/javascript">
      var formID = '';
      var currentCaptcha = {};
      var captchaHolders = {};
      window.addEventListener('load', () => {
        formID = document.querySelectorAll('[name="recaptcha"]');
        if (typeof formID != "undefined" && formID !== null) {
          for (let i = 0; i < formID.length; i++) {
            let formIDForm = formID[i].closest('form');
            if (typeof formIDForm != "undefined" && formIDForm !== null) {
              formIDForm.addEventListener('click', reCaptchaOnFormClick, false);
            }
          }
        }
      });

      function reCaptchaOnFormClick(event) {
        currentCaptchaForm = event.srcElement.closest('form');
        var head = document.getElementsByTagName('head')[0];
        var script = document.createElement('script');
        script.type = 'text/javascript';
        script.src = 'https://www.google.com/recaptcha/api.js?onload=onloadCallback&render=explicit&hl=en';
        head.appendChild(script);
        if (typeof currentCaptchaForm != "undefined" && currentCaptchaForm !== null) {
          currentCaptchaForm.removeEventListener('click', reCaptchaOnFormClick, false);
        }
      }
      var onloadCallback = function(event) {
        var captcha = currentCaptchaForm.querySelectorAll('div[class=g-recaptcha]');
        if (captcha[0].id) {
          captchaHolders[captcha[0].id] = grecaptcha.render(captcha[0].id, {
            'sitekey': '6LcW4qcbAAAAAIxhtmjnHZ8SGRdU3fljD87XWWIg'
          });
        }
      }
    </script>
    <script>
      function respuesta() {
        var checkedTextArea = document.getElementsByClassName('g-recaptcha');
        var rcap = document.getElementsByTagName('recaptcha');
        for (var i = 0; i < checkedTextArea.length; i++) {
          if (checkedTextArea[i].value != '') {
            for (var index = 0; i < rcap.length; index++) {
              rcap[index].setAttribute("value", "checked");
            }
          }
        }
      }
      $(document).ready(function() {
        $("#myform input[type=submit]").unbind('click');
        $("#myform input[type=submit]").click(function(event) {
          var formId = $(this.form).attr('id');
          var captchaHolderKey = formId + "-google-recaptcha";
          if (typeof captchaHolders[captchaHolderKey] != "undefined") {
            event.preventDefault();
            if (grecaptcha.getResponse(captchaHolders[captchaHolderKey]) === "") {
              $("#" + formId).formValidation('validate');
              $("#" + formId + " .security_question_label").addClass("has-error");
              $("#" + formId + " #recaptcha_error").css("display", "block");
              return false;
            } else {
              $("#" + formId + " .security_question_label").removeClass("has-error");
              $("#" + formId + " #recaptcha_error").css("display", "none");
              respuesta();
              $("#" + formId).submit();
            }
          }
        });
      });
    </script>
  </div>
  <div class="form-actions"><input type="submit" value="Send Message" name="" class="btn btn-success btn-block btn-lg " id="myform-element-27"></div>
</form>

Name: newsletter_modal_signupPOST /api/widget/json/get/Bootstrap%20Theme%20-%20Module%20-%20Newsletter%20Actions

<form action="/api/widget/json/get/Bootstrap%20Theme%20-%20Module%20-%20Newsletter%20Actions" id="newsletter" method="post" labelwidth="100" labelpaddingtop="0.5em" enctype="multipart/form-data" form_action_type="widget"
  form_action_div=".newsletter_modal_form_container" return_data_type="" name="newsletter_modal_signup" class="fv-form fv-form-bootstrap" novalidate="novalidate"><button type="submit" class="fv-hidden-submit"
    style="display: none; width: 0px; height: 0px;"></button><input type="hidden" name="sized" value="0" id="newsletter-element-0"><input type="hidden" name="usertokenid" value="" id="newsletter-element-1"><input type="hidden" name="saveinfo"
    value="1" id="newsletter-element-2"><input type="hidden" name="vals" value="4|3" id="newsletter-element-3"><input type="hidden" name="answerqmatch" value="7" id="newsletter-element-4"><input type="hidden" name="form_source" value="%2F"
    id="newsletter-element-5"><input type="hidden" name="form" value="myform" id="newsletter-element-6"><input type="hidden" name="formname" value="newsletter_modal_signup" id="newsletter-element-7"><input type="hidden" name="dowiz" value="1"
    id="newsletter-element-8"><input type="hidden" name="save" value="1" id="newsletter-element-9"><input type="hidden" name="url_origin_pars" value="/home" id="newsletter-element-10"><input type="hidden" name="action" autocomplete="off"
    value="subscribe" id="newsletter-element-11">
  <div class="form-group"><input type="text" name="first_name" placeholder="Name" autocomplete="off" value="" class="form-control control-group  form-control " id="newsletter-element-12"></div>
  <div class="form-group"><input type="email" name="email" required="" placeholder="Enter email address" autocomplete="off" value="" class="form-control control-group form-control" id="newsletter-element-13" data-fv-field="email"><small
      class="help-block" data-fv-validator="notEmpty" data-fv-for="email" data-fv-result="NOT_VALIDATED" style="display: none;">Required Field</small><small class="help-block" data-fv-validator="emailAddress" data-fv-for="email"
      data-fv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small></div>
  <div class="form-group">
    <div class="form-group security_question_label">
      <div id="newsletter-captchaContainer" class="control-group">
        <div class="g-recaptcha" id="newsletter-google-recaptcha"></div>
      </div>
      <small class="help-block" id="recaptcha_error" style="display:none;" data-fv-validator="notEmpty" data-fv-for="recaptcha" data-fv-result="INVALID">The security check was not completed successfully.</small>
      <div class="clearfix bmargin"></div>
      <input type="hidden" name="recaptcha" id="newsletter-rcap">
    </div>
    <style>
      .modal .g-recaptcha-scale,
      .col-md-4 .g-recaptcha-scale,
      .col-md-3 .g-recaptcha-scale,
      .col-lg-3 .g-recaptcha-scale,
      .col-lg-4 .g-recaptcha-scale {
        transform: scale(0.77);
        -webkit-transform: scale(0.77);
        transform-origin: 0 0;
        -webkit-transform-origin: 0 0;
        margin-bottom: -15px;
      }

      .modal #newsletter-captchaContainer,
      .col-md-4 #newsletter-captchaContainer,
      .col-md-3 #newsletter-captchaContainer,
      .col-lg-3 #newsletter-captchaContainer,
      .col-lg-4 #newsletter-captchaContainer {
        transform: scale(0.77);
        -webkit-transform: scale(0.77);
        transform-origin: 0 0;
        -webkit-transform-origin: 0 0;
        margin-bottom: -15px;
      }
    </style>
    <script type="text/javascript">
      var formID = '';
      var currentCaptcha = {};
      var captchaHolders = {};
      window.addEventListener('load', () => {
        formID = document.querySelectorAll('[name="recaptcha"]');
        if (typeof formID != "undefined" && formID !== null) {
          for (let i = 0; i < formID.length; i++) {
            let formIDForm = formID[i].closest('form');
            if (typeof formIDForm != "undefined" && formIDForm !== null) {
              formIDForm.addEventListener('click', reCaptchaOnFormClick, false);
            }
          }
        }
      });

      function reCaptchaOnFormClick(event) {
        currentCaptchaForm = event.srcElement.closest('form');
        var head = document.getElementsByTagName('head')[0];
        var script = document.createElement('script');
        script.type = 'text/javascript';
        script.src = 'https://www.google.com/recaptcha/api.js?onload=onloadCallback&render=explicit&hl=en';
        head.appendChild(script);
        if (typeof currentCaptchaForm != "undefined" && currentCaptchaForm !== null) {
          currentCaptchaForm.removeEventListener('click', reCaptchaOnFormClick, false);
        }
      }
      var onloadCallback = function(event) {
        var captcha = currentCaptchaForm.querySelectorAll('div[class=g-recaptcha]');
        if (captcha[0].id) {
          captchaHolders[captcha[0].id] = grecaptcha.render(captcha[0].id, {
            'sitekey': '6LcW4qcbAAAAAIxhtmjnHZ8SGRdU3fljD87XWWIg'
          });
        }
      }
    </script>
    <script>
      function respuesta() {
        var checkedTextArea = document.getElementsByClassName('g-recaptcha');
        var rcap = document.getElementsByTagName('recaptcha');
        for (var i = 0; i < checkedTextArea.length; i++) {
          if (checkedTextArea[i].value != '') {
            for (var index = 0; i < rcap.length; index++) {
              rcap[index].setAttribute("value", "checked");
            }
          }
        }
      }
      $(document).ready(function() {
        $("#newsletter input[type=submit]").unbind('click');
        $("#newsletter input[type=submit]").click(function(event) {
          var formId = $(this.form).attr('id');
          var captchaHolderKey = formId + "-google-recaptcha";
          if (typeof captchaHolders[captchaHolderKey] != "undefined") {
            event.preventDefault();
            if (grecaptcha.getResponse(captchaHolders[captchaHolderKey]) === "") {
              $("#" + formId).formValidation('validate');
              $("#" + formId + " .security_question_label").addClass("has-error");
              $("#" + formId + " #recaptcha_error").css("display", "block");
              return false;
            } else {
              $("#" + formId + " .security_question_label").removeClass("has-error");
              $("#" + formId + " #recaptcha_error").css("display", "none");
              respuesta();
              $("#" + formId).submit();
            }
          }
        });
      });
    </script>
  </div>
  <div class="form-group"><input type="hidden" name="bd_hpc" autocomplete="off" value="" class="form-control control-group " id="newsletter-element-16"></div>
  <div class="form-actions"><input type="submit" value="Subscribe Now" name="" class="btn btn-success btn-block btn-lg  bold " id="newsletter-element-17"></div><input type="hidden" name="origin" value="/">
</form>

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