apply.evrebate.oregon.gov Open in urlscan Pro
85.222.140.6  Public Scan

Form analysis
4 forms found in the DOM

Name: siteLoginPage:j_id4:headerComponent:j_id13 — POST /EV_SiteLogin

<form id="siteLoginPage:j_id4:headerComponent:j_id13" name="siteLoginPage:j_id4:headerComponent:j_id13" method="post" action="/EV_SiteLogin" enctype="application/x-www-form-urlencoded">
  <input type="hidden" name="siteLoginPage:j_id4:headerComponent:j_id13" value="siteLoginPage:j_id4:headerComponent:j_id13">
  <div class="navbar-wrappervf client-bg"
    style="background: linear-gradient(110deg, #fff 0% 45%, rgb(170,206,239,0.15) 45% 47.5%, rgb(170,206,239,0.32) 47.5% 50%,rgb(170,206,239,0.49) 50% 52.5%,rgb(170,206,239,0.66) 52.5% 55%,rgb(170,206,239,0.83) 55% 57.5%,rgb(170,206,239,1) 57.5% 100%) !important;">
    <header class="evnav navbar navbar-default container" id="navbarev" role="banner">
      <div class="row">
        <div class="col-sm-12">
          <div class="navbar-header evpull">
            <div class="region region-navigation">
              <a class="logo navbar-btn pull-left" href="https://www.evrebate.oregon.gov/" rel="home" target="_blank" title="Home"><img src="https://energycenter.org/sites/default/files/salesforce/oregon/Oregon-CVRP.png" alt="Logo Image">
                  </a>
            </div>
          </div>
        </div>
      </div>
    </header>
  </div>
  <div id="siteLoginPage:j_id4:headerComponent:j_id13:j_id42"></div>
</form>

Name: siteLoginPage:j_id4:headerComponent:session — POST /EV_SiteLogin

<form id="siteLoginPage:j_id4:headerComponent:session" name="siteLoginPage:j_id4:headerComponent:session" method="post" action="/EV_SiteLogin" enctype="application/x-www-form-urlencoded">
  <input type="hidden" name="siteLoginPage:j_id4:headerComponent:session" value="siteLoginPage:j_id4:headerComponent:session">
  <script type="text/javascript" language="Javascript">
    function dpf(f) {
      var adp = f.adp;
      if (adp != null) {
        for (var i = 0; i < adp.length; i++) {
          adp[i].parentNode.removeChild(adp[i]);
        }
      }
    };

    function apf(f, pvp) {
      var adp = new Array();
      f.adp = adp;
      var ps = pvp.split(',');
      for (var i = 0, ii = 0; i < ps.length; i++, ii++) {
        var p = document.createElement("input");
        p.type = "hidden";
        p.name = ps[i];
        p.value = ps[i + 1];
        f.appendChild(p);
        adp[ii] = p;
        i += 1;
      }
    };

    function jsfcljs(f, pvp, t) {
      apf(f, pvp);
      var ft = f.target;
      if (t) {
        f.target = t;
      }
      f.submit();
      f.target = ft;
      dpf(f);
    };
  </script>
  <script>
    function logout() {
      SfdcApp.Visualforce.VSManager.vfPrepareForms(["siteLoginPage:j_id4:headerComponent:session"]);
      if (typeof jsfcljs == 'function') {
        jsfcljs(document.forms['siteLoginPage:j_id4:headerComponent:session'], 'siteLoginPage:j_id4:headerComponent:session:j_id21,siteLoginPage:j_id4:headerComponent:session:j_id21', '');
      }
      return false
    }
  </script>
  <script id="siteLoginPage:j_id4:headerComponent:session:j_id22" type="text/javascript">
    deleteOtherBrowserSession = function() {
      A4J.AJAX.Submit('siteLoginPage:j_id4:headerComponent:session', null, {
        'similarityGroupingId': 'siteLoginPage:j_id4:headerComponent:session:j_id22',
        'oncomplete': function(request, event, data) {
          sessionDelete();
        },
        'parameters': {
          'siteLoginPage:j_id4:headerComponent:session:j_id22': 'siteLoginPage:j_id4:headerComponent:session:j_id22'
        }
      })
    };
  </script><input id="siteLoginPage:j_id4:headerComponent:session:sessionTimeLeft" type="hidden" name="siteLoginPage:j_id4:headerComponent:session:sessionTimeLeft">
  <script id="siteLoginPage:j_id4:headerComponent:session:j_id23" type="text/javascript">
    sessionForceTimeout = function() {
      A4J.AJAX.Submit('siteLoginPage:j_id4:headerComponent:session', null, {
        'similarityGroupingId': 'siteLoginPage:j_id4:headerComponent:session:j_id23',
        'oncomplete': function(request, event, data) {
          doSessionTimeout('')
        },
        'parameters': {
          'siteLoginPage:j_id4:headerComponent:session:j_id23': 'siteLoginPage:j_id4:headerComponent:session:j_id23'
        }
      })
    };
  </script>
  <div id="siteLoginPage:j_id4:headerComponent:session:j_id43"></div>
</form>

<form class="ev-login-form"><lightning-input class="lUsername ev-input slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-1"><abbr lightning-input_input=""
        class="slds-required" title="required">*</abbr>Email</label>
    <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="text" id="input-1" inputmode="email" placeholder="Enter Email" required=""></div>
  </lightning-input><lightning-input class="lPassword slds-p-top_medium ev-input slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-2"><abbr
        lightning-input_input="" class="slds-required" title="required">*</abbr>Password</label>
    <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="password" id="input-2" placeholder="Enter Password" required=""></div>
  </lightning-input>
  <div class="slds-p-top_small ev-body-font"><a class="ev-link">Forgot your password?</a></div>
  <div class="slds-p-top_large slds-align_absolute-center"><lightning-button class="ev-big-button"><button class="slds-button slds-button_brand" type="submit">Login</button></lightning-button></div>
</form>

<form class="slds-is-relative"><lightning-layout class="slds-grid slds-wrap" interop-layout_layout-host="">
    <slot interop-layout_layout="" class="slds-slot"><lightning-layout-item class="slds-p-around_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot><lightning-input class="firstName ev-input individual slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-13"><abbr lightning-input_input=""
                class="slds-required" title="required">*</abbr>First Name</label>
            <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="text" id="input-13" maxlength="25" placeholder="Enter First Name" required=""></div>
          </lightning-input></slot>
      </lightning-layout-item><lightning-layout-item class="slds-p-around_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot><lightning-input class="lastName ev-input individual slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-15"><abbr lightning-input_input=""
                class="slds-required" title="required">*</abbr>Last Name</label>
            <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="text" id="input-15" maxlength="25" placeholder="Enter Last Name" required=""></div>
          </lightning-input></slot>
      </lightning-layout-item><lightning-layout-item class="slds-p-right_small slds-p-left_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot><lightning-input class="phone ev-input slds-p-top_x-small individual slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-17"><abbr
                lightning-input_input="" class="slds-required" title="required">*</abbr>Phone Number</label>
            <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="text" id="input-17" maxlength="14" minlength="14" pattern="^\(\d{3}\)\s\d{3}-\d{4}$"
                placeholder="Enter Phone" required=""></div>
          </lightning-input></slot>
      </lightning-layout-item><lightning-layout-item class="slds-p-right_small slds-p-left_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot>
          <div><lightning-input class="driverLicense ev-input slds-p-top_x-small individual dlentity slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-19"><abbr
                  lightning-input_input="" class="slds-required" title="required">*</abbr>Driver's License</label>
              <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="text" id="input-19" maxlength="20" placeholder="Enter Driver's License" required=""></div>
            </lightning-input></div>
        </slot>
      </lightning-layout-item><lightning-layout-item class="slds-p-around_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot><lightning-input class="email ev-input slds-p-top_x-small individual slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-21"><abbr
                lightning-input_input="" class="slds-required" title="required">*</abbr>Email</label>
            <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="text" id="input-21" inputmode="email" maxlength="50" placeholder="Enter Email" required=""></div>
          </lightning-input>
          <div class="slds-p-top_xx-small emailhelp">Must be a valid email address</div>
        </slot>
      </lightning-layout-item><lightning-layout-item class="slds-p-around_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot><lightning-input class="email2 ev-input slds-p-top_x-small individual slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-23"><abbr
                lightning-input_input="" class="slds-required" title="required">*</abbr>Re-Enter Email</label>
            <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="text" id="input-23" inputmode="email" maxlength="50" placeholder="Re-Enter Email" required=""></div>
          </lightning-input></slot>
      </lightning-layout-item><lightning-layout-item class="slds-p-right_small slds-p-left_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot><lightning-input class="password ev-input slds-p-top_x-small pwordlist individual slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-25"><abbr
                lightning-input_input="" class="slds-required" title="required">*</abbr>Password</label>
            <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="password" id="input-25" placeholder="Enter Password" required=""></div>
          </lightning-input>
          <div class="help-block confirmMessage">
            <div class="inline-error" id="password_msg-4"></div>
            <div class="confirmPasswordMessage" id="confirmMessagecount-4"></div>
          </div>
        </slot>
      </lightning-layout-item><lightning-layout-item class="slds-p-right_small slds-p-left_small slds-size_12-of-12 slds-small-size_12-of-12 slds-medium-size_12-of-12 slds-large-size_6-of-12">
        <slot><lightning-input class="password2 ev-input slds-p-top_x-small individual slds-form-element" lightning-input_input-host=""><label lightning-input_input="" class="slds-form-element__label slds-no-flex" for="input-27"><abbr
                lightning-input_input="" class="slds-required" title="required">*</abbr>Re-Enter Password</label>
            <div lightning-input_input="" class="slds-form-element__control slds-grow"><input lightning-input_input="" class="slds-input" type="password" id="input-27" placeholder="Re-Enter Password" required=""></div>
          </lightning-input></slot>
      </lightning-layout-item></slot>
  </lightning-layout>
  <div class="slds-align_absolute-center">
    <div class="row lbuttonmobile">
      <div class="slds-p-top_large slds-align_absolute-center"><lightning-button class="ev-button" style="pointer-events: none;"><button class="slds-button slds-button_brand" disabled="" type="submit">Create</button></lightning-button></div>
    </div>
  </div>
</form>

Text Content

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*First Name

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*Re-Enter Email

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