web.ifaxapp.com Open in urlscan Pro
13.32.99.71  Public Scan

URL: https://web.ifaxapp.com/fax-confirmed/NjM2OTI5NjpyZWNlaXZlcjpHcmVnIEphdXJlcXVpaUZheGFwcHtzPSVXczFDUnQsdnRHd3I5Yzg%3D
Submission: On June 06 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-serverapp-c409="" novalidate="" class="example-form ng-untouched ng-pristine ng-valid"><mat-form-field _ngcontent-serverapp-c409="" appearance="outline"
    class="mat-form-field example-full-width ng-tns-c112-2 mat-primary mat-form-field-type-mat-input mat-form-field-appearance-outline mat-form-field-can-float mat-form-field-has-label mat-form-field-hide-placeholder ng-untouched ng-pristine ng-valid">
    <div class="mat-form-field-wrapper ng-tns-c112-2">
      <div class="mat-form-field-flex ng-tns-c112-2">
        <div class="mat-form-field-outline ng-tns-c112-2 ng-star-inserted">
          <div class="mat-form-field-outline-start ng-tns-c112-2" style="width: 35px;"></div>
          <div class="mat-form-field-outline-gap ng-tns-c112-2" style="width: 46px;"></div>
          <div class="mat-form-field-outline-end ng-tns-c112-2"></div>
        </div>
        <div class="mat-form-field-outline mat-form-field-outline-thick ng-tns-c112-2 ng-star-inserted">
          <div class="mat-form-field-outline-start ng-tns-c112-2" style="width: 35px;"></div>
          <div class="mat-form-field-outline-gap ng-tns-c112-2" style="width: 46px;"></div>
          <div class="mat-form-field-outline-end ng-tns-c112-2"></div>
        </div><!----><!----><!---->
        <div class="mat-form-field-infix ng-tns-c112-2"><input _ngcontent-serverapp-c409="" type="text" formcontrolname="searchdata" matinput="" aria-label="State" id="search2"
            class="mat-input-element mat-form-field-autofill-control mat-autocomplete-trigger ng-tns-c112-2 ng-untouched ng-pristine ng-valid cdk-text-field-autofill-monitored" aria-invalid="false" aria-required="false" autocomplete="off"
            role="combobox" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true"><!----><button _ngcontent-serverapp-c409="" type="button" mat-ubtton="" class="search_icon ng-tns-c112-2"><mat-icon _ngcontent-serverapp-c409=""
              role="img" class="mat-icon notranslate material-icons mat-icon-no-color" aria-hidden="true">search</mat-icon></button><mat-autocomplete _ngcontent-serverapp-c409="" class="ng-tns-c112-2"><!----></mat-autocomplete><span
            class="mat-form-field-label-wrapper ng-tns-c112-2"><label class="mat-form-field-label ng-tns-c112-2 mat-empty mat-form-field-empty ng-star-inserted" id="mat-form-field-label-1" for="search2" aria-owns="search2"><!----><mat-label
                _ngcontent-serverapp-c409="" class="ng-tns-c112-2 ng-star-inserted">Search</mat-label><!----><!----></label><!----></span></div><!---->
      </div><!---->
      <div class="mat-form-field-subscript-wrapper ng-tns-c112-2"><!---->
        <div class="mat-form-field-hint-wrapper ng-tns-c112-2 ng-trigger ng-trigger-transitionMessages ng-star-inserted" style="opacity: 1; transform: translateY(0%);"><!---->
          <div class="mat-form-field-hint-spacer ng-tns-c112-2"></div>
        </div><!---->
      </div>
    </div>
  </mat-form-field></form>

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