apexuat.allmerica.com Open in urlscan Pro
192.147.224.138  Public Scan

Submitted URL: http://apexuat.allmerica.com/AgencyPortalSP/AddMultipleForms
Effective URL: https://apexuat.allmerica.com/my.policy
Submission: On November 01 via manual from CA — Scanned from CA

Form analysis 1 forms found in the DOM

Name: e1POST

<form style="width:350px" id="auth_form" name="e1" method="post" onsubmit="javascript: return masterSubmit(this);" autocomplete="off">
  <br><br>
  <table style="width: 350px;" id="credentials_table">
    <tbody>
      <tr>
        <td colspan="2" id="credentials_table_header">Log-In</td>
      </tr>
      <tr>
        <td style="height:20px" colspan="2" id="credentials_table_postheader"></td>
      </tr>
      <tr style="height:12px">
        <td colspan="2"></td>
      </tr>
      <tr>
        <td width="20%" class="credentials_table_label_cell" style="text-align: right; padding-right: 16px;"><label for="input_1" id="label_input_1">User ID</label></td>
        <td class="credentials_table_field_cell"><input style="font-size: 18px; padding-left: 5px" type="text" name="user" class="credentials_input_text" value="" id="input_1" autocomplete="off" autocapitalize="off"></td>
      </tr>
      <tr style="height:12px">
        <td colspan="2"></td>
      </tr>
      <tr>
        <td width="20%" class="credentials_table_label_cell" style="text-align: right; padding-right: 16px;"><label for="input_2" id="label_input_2">Password</label></td>
        <td class="credentials_table_field_cell"><input style="font-size: 18px; padding-left: 5px" type="password" name="password" class="credentials_input_password" value="" id="input_2" autocomplete="off" autocapitalize="off"></td>
      </tr>
      <tr style="height:8px">
        <td colspan="2"></td>
      </tr>
      <tr id="submit_row">
        <td class="credentials_table_label_cell"></td>
        <td style="text-align: left" class="credentials_table_field_cell"><input type="submit" class="credentials_input_submit" value="Continue"></td>
      </tr>
      <tr style="height:15px">
        <td colspan="2"></td>
      </tr>
      <tr id="forgot_pwd_row">
        <td class="credentials_table_label_cell"></td>
        <td style="cursor: pointer; font-size: 17px; text-align: left" class="credentials_table_field_cell"><a href="https://secauthuat.allmerica.com/SecAuth/portalforgotpassword" style="color: #003170; cursor: pointer;">Forgot Your Password?</a>
        </td>
      </tr>
      <tr id="change_pwd_row">
        <td class="credentials_table_label_cell"></td>
        <td style="cursor: pointer; font-size: 17px; text-align: left" class="credentials_table_field_cell"><a href="https://secauthuat.allmerica.com/SecAuth/portalchangepassword" style="color: #003170; cursor: pointer;">Change Password</a></td>
      </tr>
      <tr style="height:50px">
        <td colspan="2"></td>
      </tr>
      <tr>
        <td colspan="2" id="credentials_table_footer"></td>
      </tr>
    </tbody>
  </table>
  <input type="hidden" name="vhost" value="standard">
</form>

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