beta.claims.covertree.com Open in urlscan Pro
13.32.121.35  Public Scan

URL: https://beta.claims.covertree.com/
Submission: On July 25 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="">
  <div class="MuiGrid-root MuiGrid-container MuiGrid-spacing-xs-3 css-sql0z5">
    <div class="MuiGrid-root MuiGrid-container MuiGrid-item MuiGrid-spacing-xs-3 MuiGrid-grid-xs-12 css-1brxfir">
      <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-md-8 css-1dxdhf7">
        <div class="MuiFormControl-root MuiFormControl-fullWidth css-tzsjye"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-standard css-1lbq4m3"
            data-shrink="true" for="policy-claim-address" id="policy-claim-address-label">
            <p class="MuiTypography-root MuiTypography-body2 css-1r2lg4n" aria-label="">Address</p>
          </label>
          <div class="MuiAutocomplete-root MuiAutocomplete-hasClearIcon css-f7t77y">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-cfp88q"><input aria-invalid="false" autocomplete="off" id="policy-claim-address" type="text"
                class="MuiInputBase-input MuiOutlinedInput-input MuiAutocomplete-input MuiAutocomplete-inputFocused css-165kyau" aria-autocomplete="list" aria-expanded="false" autocapitalize="none" spellcheck="false" role="combobox"
                aria-labelledby="policy-claim-address-label" data-testid="autocomplete-input" value="">
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-vf58vc">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
          <p class="MuiFormHelperText-root MuiFormHelperText-sizeMedium MuiFormHelperText-contained css-1ne7zmy"></p>
        </div>
      </div>
      <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-md-4 css-x0261r">
        <div class="MuiFormControl-root MuiFormControl-fullWidth css-tzsjye"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard css-qj4asp"
            data-shrink="false" for="unit-id" id="unit-id-label">
            <p class="MuiTypography-root MuiTypography-body2 css-o31y96" aria-label="">Unit / Lot#</p>
          </label>
          <div class="MuiFormControl-root MuiTextField-root css-18tud45" data-testid="lotUnit">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-adornedEnd css-nokmjv"><input aria-invalid="false" id="unit-id" name="lotUnit" type="text"
                data-testid="unit-number-testId" class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputAdornedEnd css-xyotfh" value="">
              <div class="MuiInputAdornment-root MuiInputAdornment-positionEnd MuiInputAdornment-outlined MuiInputAdornment-sizeMedium css-1nvf7g0">
                <h6 class="MuiTypography-root MuiTypography-subtitle1 css-180mo4a">Optional</h6>
              </div>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-vf58vc">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
          <p class="MuiFormHelperText-root Mui-error MuiFormHelperText-sizeMedium css-1f7qszx"></p>
        </div>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-12 MuiGrid-grid-md-4 css-x0261r">
      <div class="MuiFormControl-root MuiFormControl-fullWidth css-tzsjye"><label
          class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-standard css-12yreuk"
          data-shrink="false" for="lost-date" id="lost-date-label">
          <p class="MuiTypography-root MuiTypography-body2 css-o31y96">Date of Loss</p>
        </label>
        <div class="MuiFormControl-root MuiTextField-root css-kb5xwn">
          <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-adornedEnd Mui-readOnly MuiInputBase-readOnly css-nokmjv"><input aria-invalid="false" autocomplete="off" id=":r5:"
              name="dateOfLoss" placeholder="MM/DD/YYYY" readonly="" type="text" aria-label="Choose date" inputmode="text" class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputAdornedEnd Mui-readOnly MuiInputBase-readOnly css-xyotfh"
              value="">
            <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-vf58vc">
              <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
            </fieldset>
          </div>
        </div>
        <p class="MuiFormHelperText-root Mui-error MuiFormHelperText-sizeMedium css-1f7qszx"></p>
      </div>
    </div>
    <div class="MuiGrid-root MuiGrid-item MuiGrid-grid-xs-5 MuiGrid-grid-md-3 css-190foek">
      <div class="MuiBox-root css-18pgfmz">
        <div class="MuiBox-root css-1d93vvc"><button
            class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-colorPrimary MuiButton-disableElevation MuiButton-fullWidth Mui-disabled MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-colorPrimary MuiButton-disableElevation MuiButton-fullWidth css-1i79bqp"
            tabindex="-1" type="submit" disabled="">Next</button></div>
      </div>
    </div>
  </div>
</form>

Text Content

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Policy details

Loss location

Claim details

Upload photos

Who's reporting

Finalize & submit

ANY QUESTIONS?

(877) 417-8733


POLICY DETAILS

Address





Unit / Lot#

OPTIONAL



Date of Loss





Next