app.claimwizard.com Open in urlscan Pro
52.72.41.134  Public Scan

Form analysis
2 forms found in the DOM

POST /static/j_spring_security_check

<form method="POST" action="/static/j_spring_security_check">
  <div class="form-group mb-3">
    <input name="j_username" type="email" placeholder="Username" required="" class="form-control rounded-pill border-0 shadow-sm px-4" value="" autocomplete="username">
  </div>
  <div class="form-group mb-3">
    <input name="j_password" type="password" placeholder="Password" required="" class="form-control rounded-pill border-0 shadow-sm px-4 text-primary" autocomplete="current-password">
  </div>
  <div class="custom-control custom-checkbox mb-3">
    <input id="customCheck1" type="checkbox" name="rme" class="custom-control-input">
    <label for="customCheck1" class="custom-control-label">Remember me</label>
  </div>
  <button type="submit" class="btn btn-primary btn-block text-uppercase mb-2 rounded-pill shadow-sm">Sign in</button>
  <div class="text-center justify-content-between mt-4">
    <p>
      <a href="#" class="toggler" data-panel=".panel-forgot-pw">Forgot Password?</a>
    </p>
  </div>
  <div class="m-t-lg text-muted text-center justify-content-between mt-4 small">
    <p>Copyright ©2024 ClaimWizard. All Rights Reserved.<br> ClaimWizard™ is a trademark of ClaimWizard, LLC.</p>
    <p> <a style="text-decoration:none;margin-right:10px;" href="https://claimwizard.com/tos">Terms of Service</a> | <a style="margin-left:10px;text-decoration:none;" href="https://claimwizard.com/pp">Privacy Policy</a></p>
  </div>
</form>

#

<form id="frmPwRecov" action="#"> I want to reset my password.<br><br>My username is <input type="email" class="form-control rounded-pill border-0 shadow-sm px-4" "="" value=""><br><br>
										
										<button type=" submit" class="btn btn-primary btn-block text-uppercase mb-2 rounded-pill shadow-sm">Reset Password</button>
  <div style="margin-top:10px;"><a href="#" class="toggler" data-panel=".panel-login">&lt;&lt; Return to login</a></div>
  <div class="error-message hidden" aria-hidden="true" style="margin-top:20px;color:red;background:#fff;padding:20px;border:1px solid red;"> We're sorry but your account could not be located. If you need assistance, please contact either your office
    administrator or technical support. </div>
</form>

Text Content

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Copyright ©2024 ClaimWizard. All Rights Reserved.
ClaimWizard™ is a trademark of ClaimWizard, LLC.

Terms of Service | Privacy Policy


CLAIMWIZARD

I want to reset my password.

My username is

Reset Password
<< Return to login
We're sorry but your account could not be located. If you need assistance,
please contact either your office administrator or technical support.