secure.westyorksfire.gov.uk Open in urlscan Pro
95.152.244.222  Public Scan

Form analysis
1 forms found in the DOM

POST ./

<form method="post" action="./" onsubmit="javascript:return WebForm_OnSubmit();" id="form1">
  <div class="aspNetHidden">
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUJMTQzMzY5ODIyZGSxOPzr6Ool2SC6LPgqlCoifmcuHlOMZb7JrmzG4RPehA==">
  </div>
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    var theForm = document.forms['form1'];
    if (!theForm) {
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    function __doPostBack(eventTarget, eventArgument) {
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        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
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  <script src="/WebResource.axd?d=O035QqidS2MQdtmrmHC_8L85MxEgvYoYf_jFvWhbz7W1ssJSGZK3nnLep8VWyQBDu9TmqFVW2o7zP7lkDeiyp7rJUKRR3RvfzhaV-ubi5Bw1&amp;t=637823365705833095" type="text/javascript"></script>
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  <div class="aspNetHidden">
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="E8DA6375">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEdAAUtHKZJ2oM9jioRbzym7mk2WfwQpuK/m5cYCChjI6f8eahXufbhIqPmwKf992GTkd1100z73I0ej3E4zrB15fTLtBkakX23YAyFtnbSLK+q20dpe9pvfOE/PTCtKlnwEXqa+aKHe5oZvJoigYd6nz9M">
  </div>
  <div id="wrapper">
    <div id="header">
      <img id="logo" src="../common/wyfrs-logo.png" alt="WYFRS">
      <h1>Partnership Referral Form</h1>
    </div>
    <div id="LoginPanel" class="loginpanel" style="width:100%;">
      <div id="content" class="center">
        <div class="section">
          <div class="row"></div>
          <div class="row"></div>
          <div class="row"><span><i>Please be aware that our Safe &amp; Well service is currently running at a reduced level due to Covid-19.
<br>All assessments will be carried out over the phone in the first instance.</i></span></div>
          <div class="row"></div>
          <div class="row">
            <div class="input-group half">
              <label for="tbUsername" id="lUsername">User Name</label>
              <input name="tbUsername" type="text" id="tbUsername" class="fill" style="width:447px;">
              <span id="UsernameValidator" style="color:Red;display:none;">*Please enter a Username</span>
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          <div class="row">
            <div class="input-group half">
              <label for="tbPassword" id="lPassword">Password</label>
              <input name="tbPassword" type="password" id="tbPassword" class="fill" style="width:447px;">
              <span id="PasswordValidator" style="color:Red;visibility:hidden;">*Please enter a Password</span>
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          </div>
          <div class="row">
            <div class="input-group half">
              <input type="button" name="btnForgotPassword" value="Forgot Password?" onclick="javascript:__doPostBack('btnForgotPassword','')" id="btnForgotPassword" class="ForgotPassword">
              <input type="submit" name="btLogin" value="Login" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;btLogin&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, false))" id="btLogin"
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    PasswordValidator.errormessage = "*Please enter a Password";
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    PasswordValidator.initialvalue = "";
    //]]>
  </script>
  <script type="text/javascript">
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    function ValidatorOnSubmit() {
      if (Page_ValidationActive) {
        return ValidatorCommonOnSubmit();
      } else {
        return true;
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    }
    //]]>
  </script>
</form>

Text Content

PARTNERSHIP REFERRAL FORM

Please be aware that our Safe & Well service is currently running at a reduced
level due to Covid-19.
All assessments will be carried out over the phone in the first instance.

User Name *Please enter a Username
Password *Please enter a Password