www.jcbins-demo.com
Open in
urlscan Pro
65.74.175.75
Public Scan
Submitted URL: http://jcbins-demo.com/
Effective URL: https://www.jcbins-demo.com/
Submission: On August 10 via manual from US — Scanned from DE
Effective URL: https://www.jcbins-demo.com/
Submission: On August 10 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /#wpcf7-f147-o1
<form action="/#wpcf7-f147-o1" method="post" class="wpcf7-form init" aria-label="Contact form" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="147">
<input type="hidden" name="_wpcf7_version" value="5.7.7">
<input type="hidden" name="_wpcf7_locale" value="en_US">
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f147-o1">
<input type="hidden" name="_wpcf7_container_post" value="0">
<input type="hidden" name="_wpcf7_posted_data_hash" value="">
<input type="hidden" name="_wpcf7_recaptcha_response" value="HFZmwydRUVDCtac1wHSEYWSQZ3bX9RVz5uZy9sKBw8CQZmYRd8NUtEDS9uJzYSJhF1GS0kAh9BT1kJYSYhBF90PhJlPF0MJkNEaTwSZGMlGFEmOTcqSWYQNgQHFh9BAh8wDCk5IH4vQkRifnd8XGMvVk9ObE0VZwcIZjd1dRJlDCws">
</div>
<div class="modal-header">
<div data-dismiss="modal" aria-label="Close">
<p><em class="fa fa-times-circle"></em>
</p>
</div>
<h1 class="modal-title">Request A Demo </h1>
<p>Let us show you the difference of working with JCB. Give us a few details about yourself and we'll be in touch. </p>
</div>
<div class="modal-body">
<p><label for="name_field" class="lbl">Name</label><span class="wpcf7-form-control-wrap" data-name="your-name"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="name_field" aria-required="true"
aria-invalid="false" value="" type="text" name="your-name"></span><br>
<label for="email_field" class="lbl">Email</label><span class="wpcf7-form-control-wrap" data-name="your-email"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email form-control"
id="email_field" aria-required="true" aria-invalid="false" value="" type="email" name="your-email"></span><br>
<label for="phone_field" class="lbl">Phone</label><span class="wpcf7-form-control-wrap" data-name="your-phone"><input size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control" id="phone_field" aria-required="true"
aria-invalid="false" value="" type="text" name="your-phone"></span><br>
<label for="message_field" class="lbl">Message</label><span class="wpcf7-form-control-wrap" data-name="your-message"><textarea cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control"
id="message_field" aria-required="true" aria-invalid="false" name="your-message"></textarea></span><br>
<br>
<label for="leaveitalone" style="visibility:hidden;">Leave it Alone</label><span id="wpcf7-64d54affc813b-wrapper" class="wpcf7-form-control-wrap leaveitalone-wrap" style="display:none !important; visibility:hidden !important;"><input
id="leaveitalone" class="wpcf7-form-control wpcf7-text" type="text" name="leaveitalone" value="" size="40" tabindex="-1" autocomplete="new-password" aria-label="Please leave this field empty."></span><br>
<input class="wpcf7-form-control has-spinner wpcf7-submit btn btn-green btn-round btn-xl" type="submit" value="Submit"><span class="wpcf7-spinner"></span>
</p>
</div>
<div class="wpcf7-response-output" aria-hidden="true"></div>
</form>
Text Content
Skip to content Open toolbar Accessibility Tools Accessibility Tools * Increase TextIncrease Text * Decrease TextDecrease Text * GrayscaleGrayscale * High ContrastHigh Contrast * Negative ContrastNegative Contrast * Light BackgroundLight Background * Links UnderlineLinks Underline * Readable FontReadable Font * Reset Reset * Home * Admins * Students * Our Services * About * Home * Students * Admins * Our Services * About * Home * Students * Admins * Our Services * About REDEFINING STUDENT INSURANCE Use the search and we’ll direct you to your student portal. STUDENTS, FIND YOUR SCHOOL Use the search and we’ll direct you to your student portal. Select school year Select a plan View My School Portal ERROR: You must complete all fields. STUDENT PORTAL Click Here ADMINISTRATOR PORTAL Click Here ©2023 JCB Insurance Solution, a Gallagher Company Terms of Use Privacy Policy ©2023 JCB Insurance Solution, a Gallagher Company REQUEST A DEMO Let us show you the difference of working with JCB. Give us a few details about yourself and we'll be in touch. Name Email Phone Message Leave it Alone Notifications 1 * Start Again Hello there! Let me know if there is anything I can help. Today -------------------------------------------------------------------------------- New Messages Charlie a few seconds ago Hi, my name is Charlie! How can I help? Enrollment General Login Waiver by Freshworks 1