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ccf.policytech.com Open in urlscan Pro
131.226.193.144  Public Scan

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Submitted URL: https://ccf.policytech.com/dotNet/documents/?docid=70510&autoselectlocalizedcopy=true
Effective URL: https://ccf.policytech.com/dotNet/noAuth/login.aspx?ReturnUrl=%2fdotNet%2fdocuments%2f%3fdocid%3d70510%26amp%3bautoselectlo...
Submission: On September 16 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: form1 — POST https://support.policyTech.com/errorReport/

<form name="form1" method="post" action="https://support.policyTech.com/errorReport/" id="form1" enctype="multipart/form-data">
  <div>
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="G/3u/9oyJaeLJxyaO4WeK5kVqztaOusWqD4WnP3n16TrYJEKP2aSG4tlX8l6/xfIocln91wumR0n8ABjsOiWJypr+qscBI8HhMsN4HbX8Wty7a871gZW39W9/rPh5KK30UaiVwzbicpRefCoobu0wJ3STrF4IetmJgeV8ixB2064s5hfBHmk23BPm0vjQWiwVOGAupCCWmtpsaQOhYzORLjRyY7/PYNQW5cAAYGg0QG2fMoGMrENtavdo63e1jkCYIkKuH0HlobANWIfRnRsQqTPAeevmyUGxNRWugmrqZbYY3hdU+sVhqhDUbA=">
  </div>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="1E3619F6">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="qY9HTQUERPjlZfJvOKcUEK1ETukHKjt7JPxhIkbglWuocy87sRNINid8ztNd+CYXQ4Tg7fgRGEimQSJorGvoyBd+gezjKgOoxkJca6rmeZE7bVeAwmZ5rClOkm1q3vvMcX3QQm29k0zTOgnWbRBB/oLesd/iKDbmqTCghvNAEb2CTwe3xRvI+iaUuxA0rd1Q5OaHriufXzP9VQgSWKzd0IOJK44wbTVPWI+4syf/ZOHz1TjG1nf3Ntrq43xaYIWoc/wcKdMYkkLLohsn6GGOK2mTE7M=">
  </div>
  <input type="hidden" name="busTitle" id="busTitle" value="Cleveland Clinic "><input type="hidden" name="userName" id="userName"><input type="hidden" name="errorMsg" id="errorMsg" value="fxQyiZq4BIc="><input type="hidden"
    name="aspHiddenField_SiteID" id="aspHiddenField_SiteID"><input type="hidden" name="aspHiddenField_SendToEmailAddress" id="aspHiddenField_SendToEmailAddress">
  <table width="100%" height="100%" cellspacing="0" cellpadding="0" border="0" class="Login_Body">
    <tbody>
      <tr>
        <td valign="middle" align="center">
          <div style="text-align: left; width: 500px;">
            <div style="padding: 10px">
              <span id="LGLabel1" class="error_message_header">Sorry! PolicyTech has encountered an error. Please try again.</span>
              <br>
              <span class="error_message_body">
                <span id="LGLabel2" class="error_message_body">If this error persists, please notify your system administrator and contact PolicyTech Support for assistance.</span>
              </span>
              <br>
              <br>
              <span class="error_message_body">
                <span id="LGLabelAdditionalInfo" class="error_message_body">Additional Information (for context): 4e35517b-a658-4a8c-8513-e6d631510dce</span>
              </span>
              <br>
              <br>
            </div>
            <div style="background-color: #eeeeee; padding: 10px;">
              <table>
                <tbody>
                  <tr>
                    <td colspan="2">
                      <strong>
                        <span id="LGLabel4">To help us improve our product, please fill in the form and submit the error report.</span></strong>
                    </td>
                  </tr>
                  <tr>
                    <td width="100">
                      <span id="LGLabel7">Your Name</span>
                    </td>
                    <td>
                      <input name="user" type="text" id="user">
                    </td>
                  </tr>
                  <tr>
                    <td>
                      <span id="LGLabel3">Email</span>
                    </td>
                    <td>
                      <input name="email" type="text" id="email">
                    </td>
                  </tr>
                  <tr>
                    <td>
                      <span id="LGLabel5">Phone Number</span>
                    </td>
                    <td>
                      <input name="phone" type="text" id="phone">
                    </td>
                  </tr>
                  <tr>
                    <td colspan="2"> &nbsp;<br>
                      <em>
                        <span id="LGLabel6">Please describe the error (how it happened, what you think may have caused it, how to reproduce the error, etc.)</span></em><br>
                      <textarea name="description" rows="4" cols="54" id="description"></textarea>
                    </td>
                  </tr>
                  <tr>
                    <td colspan="2">
                      <input type="submit" name="submit" value="Submit Report" id="submit">
                    </td>
                  </tr>
                </tbody>
              </table>
            </div>
          </div>
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

Sorry! PolicyTech has encountered an error. Please try again.
If this error persists, please notify your system administrator and contact
PolicyTech Support for assistance.

Additional Information (for context): 4e35517b-a658-4a8c-8513-e6d631510dce



To help us improve our product, please fill in the form and submit the error
report. Your Name Email Phone Number  
Please describe the error (how it happened, what you think may have caused it,
how to reproduce the error, etc.)