rweinc.formstack.com Open in urlscan Pro
65.9.66.125  Public Scan

Form analysis
1 forms found in the DOM

POST https://rweinc.formstack.com/forms/index.php

<form id="fsForm5507003" method="post" class="StyledForm-sc-1xaj75q-0 ivrLlT fsForm" action="https://rweinc.formstack.com/forms/index.php" novalidate="" enctype="multipart/form-data"><input type="hidden" tabindex="-1"
    name="formstackFormSchemaVersion" value="4"><input type="hidden" tabindex="-1" name="formstackFormRendererVersion" value="master"><input type="hidden" tabindex="-1" name="form" value="5507003"><input type="hidden" tabindex="-1" name="viewkey"
    value="wKttSzXStM"><input type="hidden" tabindex="-1" name="password" value=""><input type="hidden" tabindex="-1" name="hidden_fields" value=""><input type="hidden" tabindex="-1" name="_submit" value="1"><input type="hidden" tabindex="-1"
    name="incomplete" value=""><input type="hidden" tabindex="-1" name="incomplete_email" value=""><input type="hidden" tabindex="-1" name="incomplete_password" value=""><input type="hidden" tabindex="-1" name="latitude" value=""><input type="hidden"
    tabindex="-1" name="longitude" value=""><input id="fsUserAgent" type="hidden" tabindex="-1" name="fsUserAgent" value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/119.0.6045.123 Safari/537.36">
  <div id="fsPage5507003-1" class="StyledPage-sc-15mrpfq-0 hCMMok fsPage">
    <div data-testid="section0-col1" id="fsSection0" class="StyledSection-sc-1jyjf4h-0 gcHUoI fsSection"><a id="field-anchor-154028470" tabindex="-1" aria-hidden="true"></a><span class="StyledLabel-sc-vn5hkq-0 evOLxK fsLabelVertical fsFieldFocused"
        id="label-field154028470" for="field154028470" data-testid="field-154028470">
        <div class="StyledLabelText-sc-1bsmirz-0 feKLYI fsLabel fsRequiredLabel">Employee Name<span class="fsRequiredMarker">*</span></div>
        <div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
          <div class="StyledSubField-sc-1wt4t9i-0 bdsNVQ fsSubField fsNameFirst"><input autocomplete="given-name" class="StyledInput-sc-1cxwxcf-0 keLOgR" id="field154028470-first" type="text" label="Employee Name" required="" maxlength="20"
              name="field154028470-first" data-fs-field-id="154028470" data-fs-field-name="name" data-fs-field-alias="first" value=""><label for="field154028470-first" class="StyledLabel-sc-vn5hkq-0 enkRMv">First Name</label></div>
          <div class="StyledSubField-sc-1wt4t9i-0 bdsNVQ fsSubField fsNameLast"><input autocomplete="family-name" class="StyledInput-sc-1cxwxcf-0 keLOgR" id="field154028470-last" type="text" label="Employee Name" required="" maxlength="20"
              name="field154028470-last" data-fs-field-id="154028470" data-fs-field-name="name" data-fs-field-alias="last" value=""><label for="field154028470-last" class="StyledLabel-sc-vn5hkq-0 enkRMv">Last Name</label></div>
        </div>
      </span><a id="field-anchor-154028479" tabindex="-1" aria-hidden="true"></a><span class="StyledLabel-sc-vn5hkq-0 evOLxK fsLabelVertical" id="label-field154028479" for="field154028479" data-testid="field-154028479-vertical">
        <div class="StyledLabelText-sc-1bsmirz-0 feKLYI fsLabel fsRequiredLabel">Compliance<span class="fsRequiredMarker">*</span></div>
        <fieldset aria-labelledby="154028479-legend" role="group" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK PSYyM"><span style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
            <legend id="154028479-legend">Compliance Required field</legend>
          </span>
          <div><label for="field154028479_1" class="StyledOptionLabel-sc-1bymt4x-0 gCQOOi fsOptionLabel"><input label="Compliance" required="" name="field154028479[]" class="StyledOptionButton-sc-wqe0tc-0 dxkgBL" type="checkbox" id="field154028479_1"
                data-fs-field-id="154028479" data-fs-field-name="checkbox" data-fs-field-alias="0" value="I , the above named employee agree and comply with the corporate remote working policy">I , the above named employee agree and comply with the
              corporate remote working policy</label></div>
        </fieldset>
      </span></div>
  </div>
  <div id="fsSubmit5507003" class="StyledFormFooter-sc-9cjpwp-0 dPhaIv fsSubmit fsPagination">
    <div class="StyledFormNavigations-sc-t0vu6u-0 jnnwJH"><button id="fsSubmitButton5507003" class="StyledSubmitButton-sc-1ylq3c5-0 NxcJU fsSubmitButton" type="submit">Begin Enrollment</button></div>
  </div>
</form>

Text Content

Employee Name*
First Name
Last Name
Compliance*
Compliance Required field
I , the above named employee agree and comply with the corporate remote working
policy
Begin Enrollment