eligibility.equifaxbreachsettlement.com
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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
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 DOMPOST /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*=<>\$&"]+$"
data-val-required="This is required" id="LastName" name="LastName" value="">
<span class="text-danger field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row margin-top-20">
<div class="col-sm-2">
<label class="control-label" id="Identifier-label" for="Identifier">Last 6 Digits of Social Security Number</label>
</div>
<div class="col-sm-4">
<input type="password" class="form-control" maxlength="6" style="max-width: 100px;" data-val-regex="Please only include numbers" aria-labelledby="Identifier-label" data-val="true" data-val-maxlength="SSN must be 6 digits"
data-val-maxlength-max="6" data-val-minlength="SSN must be 6 digits" data-val-minlength-min="6" data-val-regex-pattern="^[0-9]*$" data-val-required="This is required" id="Identifier" name="Identifier">
<span class="text-danger field-validation-valid" data-valmsg-for="Identifier" data-valmsg-replace="true"></span>
</div>
</div>
<div class="row form-group margin-bottom-20">
<div class="col-sm-2"></div>
<div class="col-sm-4">
<div>
<script src="https://www.google.com/recaptcha/api.js?hl=en"></script>
<div>
<div class="grecaptcha-badge" data-style="bottomright"
style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
<div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-cd5re6basyp1" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Ld62GYUAAAAAKpsTUbp12OKqDlW4BIzN2-2zfFq&co=aHR0cHM6Ly9lbGlnaWJpbGl0eS5lcXVpZmF4YnJlYWNoc2V0dGxlbWVudC5jb206NDQz&hl=en&v=QUpyTKFkX5CIV6EF8TFSWEif&size=invisible&cb=hgehhqc5sjl"></iframe>
</div>
<div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</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">
function CheckEligibilitySubmitForm() {
document.getElementById('CheckEligibility').submit();
}
$('#CheckEligibility').on('submit', function() {
if ($(this).valid()) {
$('#idBtnCheckEligibility').prop('disabled', true)
}
})
</script>
</div>
</div>
</div>
</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. × LocKey_Modal_YourInfo_Body Close × LocKey_Modal_CompleteDescription_Body Close LOCKEY_LOSSTYPE0 × LocKey_LossTypeExamples0 Close LOCKEY_LOSSTYPE1 × LocKey_LossTypeExamples1 Close LOCKEY_LOSSTYPE2 × LocKey_LossTypeExamples2 Close LOCKEY_LOSSTYPE3 × LocKey_LossTypeExamples3 Close LOCKEY_LOSSTYPE4 × LocKey_LossTypeExamples4 Close LOCKEY_LOSSTYPE5 × LocKey_LossTypeExamples5 Close DESCRIPTIONS OF SUPPORTING DOCS × LocKey_DescriptionOfSupportingDocInfo Close LOCKEY_EXPLANATIONOFTIMESPENT × LocKey_ExplanationOfTimeSpent_Info Close SUPPORTING DOCUMENTS: LOCKEY_SUPPORTINGDOCUMENTS_LOSSES_HEADER_EXPLANATION × LocKey_ExplanationOfTimeSpentSupportingDocuments_Info Close Copyright © 2024 JND. All rights reserved. Privacy Policy