eligibility.equifaxbreachsettlement.com Open in urlscan Pro
52.254.63.132  Public Scan

Submitted URL: https://eligibility.equifaxbreachsettlement.com/en/eligibility
Effective URL: https://eligibility.equifaxbreachsettlement.com/en/Eligibility
Submission: On January 24 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /en/eligibility

<form autocomplete="off" id="CheckEligibility" method="post" action="/en/eligibility" novalidate="novalidate">
  <section class="show-on-load">
    <div class="row">
      <div class="col-sm-12">
        <h1>Check Your Eligibility</h1>
      </div>
    </div>
    <div class="row margin-top-20">
      <div class="col-sm-12">
        <p>Use the form below to find out if your information was impacted and if you are a class member.</p>
      </div>
    </div>
    <div class="row margin-top-20">
      <div class="col-sm-2">
        <label class="control-label" id="LastName-label" for="LastName">Last Name</label>
      </div>
      <div class="col-sm-4">
        <input aria-labelledby="LastName-label" type="text" maxlength="100" class="form-control" data-val-regex="Invalid characters found in the last name" data-val="true" data-val-regex-pattern="^[^0-9*=<>\$&amp;&quot;]+$"
          data-val-required="This is required" id="LastName" name="LastName" value="">
        <span class="text-danger field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
      </div>
    </div>
    <div class="row margin-top-20">
      <div class="col-sm-2">
        <label class="control-label" id="Identifier-label" for="Identifier">Last 6 Digits of Social Security Number</label>
      </div>
      <div class="col-sm-4">
        <input type="password" class="form-control" maxlength="6" style="max-width: 100px;" data-val-regex="Please only include numbers" aria-labelledby="Identifier-label" data-val="true" data-val-maxlength="SSN must be 6 digits"
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      </div>
    </div>
    <div class="row form-group margin-bottom-20">
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      <div class="col-sm-4">
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              <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
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          </div><button class="btn btn-success btn-lg btn-block jnd-green-btn g-recaptcha" data-callback="CheckEligibilitySubmitForm" data-sitekey="6Ld62GYUAAAAAKpsTUbp12OKqDlW4BIzN2-2zfFq" id="idBtnCheckEligibility" type="submit">Submit</button>
          <script type="text/javascript">
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            $('#CheckEligibility').on('submit', function() {
              if ($(this).valid()) {
                $('#idBtnCheckEligibility').prop('disabled', true)
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  </section>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8GKTMfp3GMFFhvpFIk_ULcXHmlbtSwltEI1YsN-JmL7tojtwOmCCqLEDbJ3A8jjeSWt1m9_nEW4IHlZF06HTrLBw528WEqmjovJitinhwJtkfNz7h1wjswBf3IjfWPgucdPm0WH7r6QGcgi2VM54gmI">
</form>

Text Content

EQUIFAX DATA BREACH SETTLEMENT

Please select one option...HomeKey DatesImportant DocumentsFAQsSee If My
Information Was Impacted by the 2017 Data BreachCure My Incomplete ClaimFile an
Extended Claims Period Claim FormUpload Documentation for my ClaimCheck my Claim
StatusActivate My Pre-Paid CardContact the Settlement AdministratorES
 * Home
 * Key Dates
 * Important Documents
 * FAQs
 * I Would Like To...
   * See If My Information Was Impacted by the 2017 Data Breach
   * Cure My Incomplete Claim
   * File an Extended Claims Period Claim Form
   * Upload Documentation for my Claim
   * Check my Claim Status
   * Activate My Pre-Paid Card
   * Contact the Settlement Administrator
 * ES


CHECK YOUR ELIGIBILITY

Use the form below to find out if your information was impacted and if you are a
class member.

Last Name

Last 6 Digits of Social Security Number


Submit


This Is The Official Settlement Website For The Equifax Data Breach Settlement.

It Is Operated By The Settlement Administrator, Not By Equifax.

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