support.insureid.net Open in urlscan Pro
34.202.252.217  Public Scan

URL: https://support.insureid.net/support/tickets/new
Submission: On May 17 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /support/tickets

<form accept-charset="UTF-8" action="/support/tickets" class="form-portal ticket-form" enctype="multipart/form-data" id="new_helpdesk_ticket" method="post" rel="validate" novalidate="novalidate">
  <div style="margin:0;padding:0;display:inline"><input name="utf8" type="hidden" value="✓"><input name="authenticity_token" type="hidden" value="zq6NNi57hzuoeoS6TB2bBjX862qe0ZuhLqEHugKGl7U="></div>
  <div class="control-group  ">
    <label class=" required control-label requester-label " for="helpdesk_ticket_email" aria-required="true">Requester</label>
    <div class="controls   ">
      <div class="row-fluid">
        <input class="span12 email required" data-remote="true" id="helpdesk_ticket_email" name="helpdesk_ticket[email]" placeholder="Email" size="30" type="email" value="" aria-required="true">
        <div id="name_field" class="default_name_field hide">
          <input class="text span12 name_field" placeholder="Your Name" name="helpdesk_ticket[name]" type="text">
        </div>
      </div>
    </div>
  </div>
  <div class="control-group  ">
    <label class=" required control-label subject-label " for="helpdesk_ticket_subject" aria-required="true">Subject</label>
    <div class="controls   ">
      <input class=" required text span12" id="helpdesk_ticket_subject" name="helpdesk_ticket[subject]" placeholder="" size="30" type="text" aria-required="true">
    </div>
  </div>
  <div class="control-group  ">
    <label class=" required control-label cf_website_url_or_name_171484-label " for="helpdesk_ticket_cf_website_url_or_name_171484" aria-required="true">Website URL or name</label>
    <div class="controls   ">
      <input class=" required text span12" id="helpdesk_ticket_custom_field_cf_website_url_or_name_171484" name="helpdesk_ticket[custom_field][cf_website_url_or_name_171484]" placeholder="" size="30" type="text" aria-required="true">
    </div>
  </div>
  <div class="control-group  ">
    <label class=" required control-label description-label " for="helpdesk_ticket_description" aria-required="true">Description</label>
    <div class="controls   ">
      <div class="redactor_box">
        <ul class="redactor_toolbar">
          <li><a href="javascript:void(null);" title="Bold (Ctrl-B)" class="redactor_btn_bold" tabindex="-1"><span class="hide">Bold (Ctrl-B)</span></a></li>
          <li><a href="javascript:void(null);" title="Italic (Ctrl-I)" class="redactor_btn_italic" tabindex="-1"><span class="hide">Italic (Ctrl-I)</span></a></li>
          <li><a href="javascript:void(null);" title="Underline(Ctrl-U)" class="redactor_btn_underline" tabindex="-1"><span class="hide">Underline(Ctrl-U)</span></a></li>
          <li class="redactor_separator"></li>
          <li><a href="javascript:void(null);" title="• Unordered List (Ctrl-Shift-7)" class="redactor_btn_unorderedlist" tabindex="-1"><span class="hide">• Unordered List (Ctrl-Shift-7)</span></a></li>
          <li><a href="javascript:void(null);" title="1. Ordered List (Ctrl-Shift-8)" class="redactor_btn_orderedlist" tabindex="-1"><span class="hide">1. Ordered List (Ctrl-Shift-8)</span></a></li>
          <li class="redactor_separator"></li>
          <li><a href="javascript:void(null);" title="Font Color" class="redactor_btn_fontcolor" tabindex="-1"><span class="hide">Font Color</span></a></li>
          <li><a href="javascript:void(null);" title="Back Color" class="redactor_btn_backcolor" tabindex="-1"><span class="hide">Back Color</span></a></li>
          <li class="redactor_separator"></li>
          <li><a href="javascript:void(null);" title="Link" class="redactor_btn_link" tabindex="-1"><span class="hide">Link</span></a></li>
        </ul>
        <div rel="getPasteImage" contenteditable="true" style="width:50px;height:0px; overflow: hidden;"></div>
        <div class="redactor_editor" contenteditable="true" dir="ltr" style="height: 141px; font-family: &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; font-size: 13px;">
          <p><br></p>
        </div><textarea class=" required_redactor html_paragraph span12" cols="40" id="helpdesk_ticket_ticket_body_attributes_description_html" name="helpdesk_ticket[ticket_body_attributes][description_html]" placeholder="" rows="6"
          style="display: none;"></textarea>
      </div>
      <div class="single_file">
        <div class="attach-wrapper row-fluid new-attach" id="attachment-type" data-multifile-enable="true" data-location="portal">
          <div class="attachments-list-wrap">
            <div class="attachments-list-form" id="ticket-container">
              <div class="attachment_contents">
                <div id="ticket-attachments" class="attachments-wrap shared_attachment_list">
                </div>
              </div>
            </div>
            <div class="clearfix"></div>
            <div class="hidden_upload">
              <div class="add_attachment"><span>+</span> Attach a file</div>
              <input type="file" name="emptyfile" id="ticket_file" data-attach-id="ticket" namewhenfilled="helpdesk_ticket[attachments][][resource]" filecontainer="ticket-container" filelist="ticket-attachments" sendfocusto="ticket-body"
                max_size="20" max_attachment="" class="original_input">
            </div>
          </div>
          <!-- screenshot-->
          <!--screenshot end -->
        </div>
        <script id="file-list-template" type="text/x-jquery-tmpl"> <div class="item">
    <span class="{{if (!file_valid) }} alert-invalid{ {{/if}}">
      ${name} {{if (size != '0' && size != '0.00 KB ') }} (${size}) {{/if}} - 
    </span>
    <span> 
      {{if (file_valid) }}
        <a href="javascript:void(0)" onclick="Helpdesk.Multifile.remove(this); return false;" inputId="${inputId}" class="attachment-close"></a>
      {{else}}
      <div>
        <span class="alert-invalid-attach-text">
          Exceeds attachments size(Not Added)
        </span>
        </div>
      {{/if}}
    </span>
  </div>
</script>
        <script type="text/javascript">
          // Fix for Firefox/IE - To override :hover style persistance after click on input[type=file] element
          jQuery('div.attach-wrapper a[data-toggle="dropdown"]').bind('click', function() {
            jQuery(this).parents('div.attach-wrapper').find('a.attach-link-wrap').first().css({
              'background-color': 'inherit',
              'background-image': 'inherit',
              'color': 'inherit',
              'box-shadow': 'inherit'
            });
          });
          jQuery('li.portal-attach a.attach-link-wrap').bind('mouseover', function() {
            jQuery(this).removeAttr('style');
          }).bind('mousemove', function(event) {
            // Fix to move "Browse" button along with mouse pointer - fix for IE.
            p = jQuery(this).find('div').first();
            newLeft = Math.min(175, Math.max(event.clientX - p.offset().left + p.position().left - 5, 0));
            window.title = newLeft;
            p.css({
              left: newLeft,
              top: 0
            });
          })
        </script>
      </div>
    </div>
  </div>
  <!-- block ends here for fragment cache -->
  <div class="control-group">
    <div class="controls recaptcha-control">
      <iframe src="/support/recaptcha#6LdvejUUAAAAAEn6wjOFcPVRyQr4KtAJ03ltA1SQ" class="recaptcha-frame" id="recaptcha-frame" height="100px" width="320px">
      </iframe>
    </div>
  </div>
  <input id="meta_user_agent" name="meta[user_agent]" type="hidden" value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/101.0.4951.64 Safari/537.36">
  <input id="meta_seen_articles" name="meta[seen_articles]" type="hidden">
  <input id="meta_enterprise_enabled" name="meta[enterprise_enabled]" type="hidden" value="false"> <input id="meta_referrer" name="meta[referrer]" type="hidden" value="">
  <div class="form-actions">
    <input class="btn btn-primary" id="helpdesk_ticket_submit" name="commit" type="submit" value="Submit">
    <a href="/support/home" class="btn">Cancel</a>
  </div>
</form>

Text Content

Welcome
Login  Sign up
Home Solutions



SUBMIT A TICKET

Requester

Subject

Website URL or name

Description
 * Bold (Ctrl-B)
 * Italic (Ctrl-I)
 * Underline(Ctrl-U)
 * 
 * • Unordered List (Ctrl-Shift-7)
 * 1. Ordered List (Ctrl-Shift-8)
 * 
 * Font Color
 * Back Color
 * 
 * Link






+ Attach a file

Cancel
Home Solutions



Insert Link ...Unlink