www.merlinkresponse.com Open in urlscan Pro
63.144.218.248  Public Scan

Form analysis
1 forms found in the DOM

Name: aspnetForm — POST ./

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    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CA0B0334">
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  <script type="text/javascript">
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    Sys.WebForms.PageRequestManager._initialize('ctl00$ScriptManager1', 'aspnetForm', ['tctl00$body$CaseDetailsUpdatePanel', '', 'tctl00$body$UploadFileUpdatePanel', ''], [], ['ctl00$body$btnUploadFile', 'btnUploadFile'], 90, 'ctl00');
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  <table cellpadding="0" cellspacing="0" border="0" width="100%">
    <tbody>
      <tr style="vertical-align:top;">
        <td align="center" class="pagetitle" style="padding-left:20px; vertical-align:top">MerLink DRS Upload Image</td>
      </tr>
    </tbody>
  </table>
  <script type="text/javascript">
    function cancelUploadFile() {
      var textBox = document.getElementById("tbUploadFileMerchantComments");
      textBox.innerHTML = "";
      var fileUploadControl = document.getElementById("fileUpload");
      fileUploadControl.value = "";
    }
    //function uncheckAcknowledgePreArb() {
    //    var checkbox = document.getElementById("chkAcknowledgePreArb");
    //    var button = document.getElementById("btnUploadFile");
    //    if (checkbox != null) {
    //        checkbox.checked = false;
    //        button.style.display = "none";
    //    }
    //    else
    //        button.style.display = "block"; 
    //}
    function updateRespondToCase() {
      var button = document.getElementById("btnUploadFile");
      var checkbox = document.getElementById("chkAcknowledgePreArb");
      if (checkbox.checked) button.style.display = "block";
      else button.style.display = "none";
    }

    function validateFileUpload() {
      var fileUploadControl = document.getElementById("fileUpload");
      var file = fileUploadControl.value;
      var errorTextBox = document.getElementById("lblUploadFileError");
      if (file == "") {
        errorTextBox.innerHTML = "No file selected";
        return false;
      }
      if (file.indexOf('.') == -1) {
        errorTextBox.innerHTML = "Invalid file:  No extension.";
        return false;
      }
      var fileExtension = file.substring(file.lastIndexOf('.') + 1).toLowerCase();
      var validFileExtensions = ["pdf", "jpg", "jpeg", "tif", "tiff"];
      var validFileType = false;
      for (var i = 0; i < validFileExtensions.length; i++) {
        if (fileExtension == validFileExtensions[i]) validFileType = true;
      }
      if (!validFileType) {
        errorTextBox.innerHTML = "Invalid file type";
        return false;
      }
      var fileSize = fileUploadControl.files[0].size;
      if (fileSize >= 10485760) {
        errorTextBox.innerHTML = "File too large.  Must be less than 10Mb.";
        return false;
      }
      document.body.style.cursor = 'wait';
      return true;
    }

    function isValue(n) {
      return !isNaN(n) && isFinite(n);
    }

    function isNumeric(n) {
      return !isNaN(parseFloat(n)) && isFinite(n);
    }

    function isDecimal(n) {
      if (!isNumeric(n)) return false;
      var indexOfDot = n.indexOf('.');
      var llength = 16;
      var rlength = 2;
      if (indexOfDot == -1) {
        if (n.length > llength) {
          return false;
        }
      } else {
        var right = n.length - indexOfDot - 1;
        if (indexOfDot > llength) {
          return false;
        }
        if (right > rlength) {
          return false;
        }
      }
      return true;
    }

    function validateUploadInfo() {
      var caseNumberControl = document.getElementById("tbCaseNumber");
      var caseAmountControl = document.getElementById("tbCaseAmount");
      var emailAddressControl = document.getElementById("tbUserEmailAddress");
      var caseNumber = caseNumberControl.value;
      var caseAmount = caseAmountControl.value;
      var emailAddress = emailAddressControl.value;
      var errorTextBox = document.getElementById("lblWebResponseFormError");
      errorTextBox.style.color = "red";
      errorTextBox.innerHTML = "";
      if (isNumeric(caseNumber)) {
        if (caseNumber.length != 13) {
          errorTextBox.innerHTML = "Case Number should be equal to 13 digits";
          return false;
        }
      } else {
        errorTextBox.innerHTML = "Invalid Case Number";
        return false;
      }
      if (!isDecimal(caseAmount)) {
        errorTextBox.innerHTML = "Invalid Case Amount";
        return false;
      }
      if (!validateEmail(emailAddress)) {
        errorTextBox.innerHTML = "Invalid Email Address";
        return false;
      }
      errorTextBox.style.color = "white";
      errorTextBox.innerHTML = "Dummy";
      return true;
    }

    function validateEmail(email) {
      var re = /^[^\s@]+@[^\s@]+\.[^\s@]+$/; // /\S+@\S+\.\S+/;
      return re.test(email);
    }

    function textboxMultilineMaxNumber(txt, maxLen) {
      try {
        if (txt.value.length > (maxLen - 1)) return false;
      } catch (e) {}
    }
  </script>
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    <div style="width:100%; overflow-y: hidden; border:dotted 1px #3366CC;">
      <table cellpadding="0" cellspacing="0" border="0" width="100%">
        <tbody>
          <tr>
            <td align="center">
              <table cellpadding="5" cellspacing="5" border="0">
                <tbody>
                  <tr>
                    <td>
                      <table cellpadding="0" cellspacing="0" width="100%">
                      </table>
                    </td>
                  </tr>
                  <tr>
                    <td align="center"><span id="lblWebResponseFormError" style="color:White;width:100px;">Label</span></td>
                  </tr>
                  <tr>
                    <td>
                      <table cellpadding="0" cellspacing="0" width="440px">
                        <tbody>
                          <tr>
                            <td align="left" width="140px">Case Number:</td>
                            <td align="left" width="300px">
                              <input name="ctl00$body$tbCaseNumber" type="text" maxlength="13" id="tbCaseNumber" class="textbox1" style="border-color:#6699FF;width:300px;text-align: right">
                            </td>
                          </tr>
                        </tbody>
                      </table>
                    </td>
                  </tr>
                  <tr>
                    <td>
                      <table cellpadding="0" cellspacing="0" width="440px">
                        <tbody>
                          <tr>
                            <td align="left" width="140px">Case Amount:</td>
                            <td align="left" width="300px">
                              <input name="ctl00$body$tbCaseAmount" type="text" maxlength="19" id="tbCaseAmount" class="textbox1" style="border-color:#6699FF;width:300px;text-align: right">
                            </td>
                          </tr>
                        </tbody>
                      </table>
                    </td>
                  </tr>
                  <tr>
                    <td>
                      <table cellpadding="0" cellspacing="0" width="440px">
                        <tbody>
                          <tr>
                            <td align="left" width="140px">Email Address:</td>
                            <td align="left" width="300px">
                              <input name="ctl00$body$tbUserEmailAddress" type="text" maxlength="75" id="tbUserEmailAddress" class="textbox1" style="border-color:#6699FF;width:300px;text-align: right">
                            </td>
                          </tr>
                        </tbody>
                      </table>
                    </td>
                  </tr>
                  <tr>
                    <td>
                      <table cellpadding="0" cellspacing="0" width="100%">
                      </table>
                    </td>
                  </tr>
                  <tr>
                    <td align="center"><span id="Label3" style="color:Red;"></span></td>
                  </tr>
                </tbody>
              </table>
            </td>
          </tr>
          <tr>
            <td style="height:20px;" align="center">
              <input type="submit" name="ctl00$body$btnValidateUploadInfo" value="Upload File" onclick="return validateUploadInfo();" id="ctl00_body_btnValidateUploadInfo" class="button1">
              <input type="submit" name="ctl00$body$dummyButton" value="" id="ctl00_body_dummyButton" style="display: none">
              <input type="hidden" name="ctl00$body$dummyField" id="ctl00_body_dummyField">
            </td>
          </tr>
          <tr>
            <td>
              <table cellpadding="0" cellspacing="0" width="100%">
              </table>
            </td>
          </tr>
        </tbody>
      </table>
      <div id="ctl00_body_UploadFileUpdatePanel">
        <div id="UploadFilePanel" style="display: none; position: fixed; z-index: 10001;">
          <div class="Popup" style="width:450px;">
            <div class="PopupHeader" id="PopupHeaderUploadFile">Upload Image</div>
            <div>
              <table cellpadding="5" cellspacing="5" border="0">
                <tbody>
                  <tr>
                    <td align="left"><b><span id="ctl00_body_lblImageRestrictions">Image size is limited to 10 megabytes.</span></b></td>
                  </tr>
                  <tr>
                    <td align="left"><span id="ctl00_body_lblImageAvailability">Documents uploaded prior to 2 PM Eastern Standard Time will be available to view the following business day. Documents uploaded after 2 PM Eastern Standard Time may not
                        be available for up to 2 business days. All images will be converted to a .tif format; 8 ½ X 11, Black and White, 200 X 200 DPI.</span></td>
                  </tr>
                  <tr>
                    <td align="center"><input type="file" name="ctl00$body$fileUpload" id="fileUpload" class="fileUpload" style="color:Black;"></td>
                  </tr>
                  <tr>
                    <td align="center"><b>Merchant Comments</b></td>
                  </tr>
                  <tr>
                    <td align="center">
                      <textarea name="ctl00$body$tbUploadFileMerchantComments" rows="2" cols="20" id="tbUploadFileMerchantComments" onkeypress="return textboxMultilineMaxNumber(this,2499)" style="height:100px;width:400px;"></textarea>
                    </td>
                  </tr>
                  <tr>
                    <td align="center">Only PDF, JPEG and TIF file formats are accepted.</td>
                  </tr>
                  <tr>
                    <td align="center"><span id="lblUploadFileError" style="color:Red;"></span></td>
                  </tr>
                  <tr>
                    <td>
                      <table cellpadding="0" cellspacing="0" width="100%">
                        <tbody>
                          <tr>
                            <td align="left"><input type="submit" name="ctl00$body$btnUploadFile" value="Upload" onclick="return validateFileUpload();" id="btnUploadFile" class="button1"></td>
                            <td align="right"><input type="submit" name="ctl00$body$btnCancelUploadFile" value="Cancel" onclick="cancelUploadFile();" id="btnCancelUploadFile" class="button1"></td>
                          </tr>
                        </tbody>
                      </table>
                    </td>
                  </tr>
                </tbody>
              </table>
            </div>
          </div>
        </div>
        <div data-act-control-type="modalPopupBackground" id="ctl00_body_ModalPopupExtender1_backgroundElement" class="PopupBackground" style="display: none; position: fixed; left: 0px; top: 0px; z-index: 10000;"></div>
      </div>
    </div>
    <script type="text/javascript">
      //<![CDATA[
      Sys.Application.add_init(function() {
        $create(Sys.Extended.UI.ModalPopupBehavior, {
          "backgroundCssClass": "PopupBackground",
          "cancelControlID": "btnCancelUploadFile",
          "dynamicServicePath": "/default.aspx",
          "id": "ctl00_body_ModalPopupExtender1",
          "popupControlID": "UploadFilePanel",
          "popupDragHandleControlID": "PopupHeaderUploadFile"
        }, null, null, $get("ctl00_body_dummyField"));
      });
      //]]>
    </script>
  </div>
</form>

Text Content

MerLink DRS Upload Image



Label

Case Number:

Case Amount:

Email Address:





Upload Image

Image size is limited to 10 megabytes. Documents uploaded prior to 2 PM Eastern
Standard Time will be available to view the following business day. Documents
uploaded after 2 PM Eastern Standard Time may not be available for up to 2
business days. All images will be converted to a .tif format; 8 ½ X 11, Black
and White, 200 X 200 DPI. Merchant Comments Only PDF, JPEG and TIF file formats
are accepted.