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2a02:26f0:7100:1b1::2d5b  Public Scan

Form analysis
1 forms found in the DOM

Name: authForm —

<form id="auth-form" name="authForm" novalidate="" class="form-horizontal ng-pristine ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength" role="form" ng-submit="onSubmit(authForm.$valid)" autocomplete="off">
  <input type="password" style="width:0;height:0;background:transparent;border:0px">
  <!-- ngIf: pageContext==='enrollment' -->
  <div ng-if="pageContext==='enrollment'" class="form-group row ng-scope">
    <div class="text-right col-xs-12">
      <small class="ng-binding"> All fields required </small>
    </div>
  </div><!-- end ngIf: pageContext==='enrollment' -->
  <div data-ng-show="errors" class="form-group required row ng-hide">
    <div class="form-error col-xs-12" role="alert">
      <!-- ngIf: !initialCredentialData.isRetailUser -->
      <p data-ng-if="!initialCredentialData.isRetailUser" class="ng-binding ng-scope">The personal information you have entered does not match the information provided to us by {{ sponsor }}. Please correct the information you have entered and try
        again. If you are still not able to sign in, please call {{ supportPhone }} so we can help you. If you were recently hired, then we may not have received your information yet. Please call {{ supportPhone }} to find out when you may be
        eligible.</p><!-- end ngIf: !initialCredentialData.isRetailUser -->
      <!-- ngIf: initialCredentialData.isRetailUser -->
    </div>
  </div>
  <div class="form-group required row" data-ng-class="{true: ['has-error','has-feedback']} [authForm.firstName.$invalid &amp;&amp; authForm.submitted]">
    <label for="firstName" class="col-xs-12">
      <strong><span class="ng-binding">First name</span></strong>
    </label>
    <div class="col-xs-12">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" id="firstName" data-ng-model="user.firstName" data-ng-change="authForm.firstName.available=false"
        data-ng-blur="authForm.firstName.available=true" name="firstName" required="" data-fe-validation="" aria-describedby="authForm-firstName-error">
      <small class="error ng-binding ng-hide" id="authForm-firstName-error" data-ng-show="authForm.firstName.$error.required &amp;&amp; authForm.submitted">Please enter your first name.</small>
    </div>
  </div>
  <div class="form-group required row" data-ng-class="{true: ['has-error','has-feedback']} [authForm.lastName.$invalid &amp;&amp; authForm.submitted]">
    <label for="lastName" class="col-xs-12">
      <strong><span class="ng-binding">Last name</span></strong>
    </label>
    <div class="col-xs-12">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" id="lastName" name="lastName" data-ng-model="user.lastName" required="" data-fe-validation=""
        aria-describedby="authForm-lastName-error">
      <small class="error ng-binding ng-hide" id="authForm-lastName-error" data-ng-show="authForm.lastName.$error.required &amp;&amp; authForm.submitted">Please enter your last name.</small>
    </div>
  </div>
  <!-- ngIf: initialCredentialData.isZipCodeRequired -->
  <div class="form-group required row ng-scope" data-ng-class="{true: ['has-error','has-feedback']} [authForm.zipCode.$invalid &amp;&amp; authForm.submitted]" data-ng-if="initialCredentialData.isZipCodeRequired">
    <label for="zipCode" class="col-xs-12">
      <strong><span class="ng-binding">Zip code</span></strong>
    </label>
    <div class="col-xs-4">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength" id="zipCode" name="zipCode" data-ng-model="user.zipCode"
        data-ng-blur="authForm.zipCode.inFocus=false" data-ng-focus="authForm.zipCode.inFocus=true" size="5" maxlength="5" data-ng-pattern="/^\d{5}$/" required="" data-fe-validation="" aria-describedby="authForm-zipCode-error" number-only="">
    </div>
    <div class="col-xs-8">&nbsp;</div>
    <small class="error col-xs-12 ng-binding ng-hide" id="authForm-zipCode-error" data-ng-show="authForm.zipCode.$invalid &amp;&amp; authForm.submitted">Please enter a valid Zip code.</small>
    <span class="col-xs-12 ng-hide" data-ng-show="authForm.zipCode.inFocus">Use the Zip code that <span data-ng-show="recordKeeper" class="ng-binding ng-hide"> has </span>
      <span data-ng-show="!recordKeeper">we have</span> on file.</span>
  </div><!-- end ngIf: initialCredentialData.isZipCodeRequired -->
  <!-- ngIf: initialCredentialData.isDobRequired -->
  <div class="form-group required row ng-scope" data-ng-class="{true: ['has-error']} [(authForm.DOBmonth.$invalid || authForm.DOBday.$invalid || authForm.DOByear.$invalid) &amp;&amp; authForm.submitted]"
    data-ng-if="initialCredentialData.isDobRequired">
    <label for="dateOfBirth" class="col-xs-12">
      <strong><span class="ng-binding">Date of birth <span class="light-weight text-muted"></span></span></strong>
    </label>
    <div class="col-xs-12 col-sm-7 col-md-7">
      <input autocomplete="off" type="text" ng-model="DOB.DOBmonth" name="DOBmonth" placeholder="MM" class="form-control col-xs-2 col-sm-3 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength"
        id="DOBmonth" ng-pattern="/^\d+$/" maxlength="2" required="" number-only="">
      <input autocomplete="off" type="text" ng-model="DOB.DOBday" name="DOBday" placeholder="DD"
        class="form-control col-xs-offset-1 col-xs-2 col-sm-3 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength" id="DOBday" ng-pattern="/^\d+$/" maxlength="2" required="" number-only="">
      <input autocomplete="off" type="text" ng-model="DOB.DOByear" name="DOByear" placeholder="YYYY" class="form-control col-xs-offset-1 col-xs-4 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-pattern ng-valid-maxlength"
        id="DOByear" ng-pattern="/^\d+$/" maxlength="4" required="" number-only="">
      <!--
        <input type="text" class="form-control" id="dateOfBirth" name="dateOfBirth"
          size="14" maxlength="10" data-ng-pattern="/^\d\d?\/\d\d?\/\d{4}$/"
          data-ng-model="user.dateOfBirth" required data-fe-validation aria-describedby="authForm-dateOfBirth-error">
  -->
    </div>
    <small class="error col-xs-12 ng-binding ng-hide" id="authForm-dateOfBirth-error" data-ng-show="(authForm.DOBmonth.$invalid || authForm.DOBday.$invalid || authForm.DOByear.$invalid) &amp;&amp; authForm.submitted">Please enter a valid date of
      birth.</small>
  </div><!-- end ngIf: initialCredentialData.isDobRequired -->
  <!-- ngIf: initialCredentialData.isSSNRequired -->
  <div class="form-group row ng-scope" data-ng-if="initialCredentialData.isSSNRequired" data-ng-class="{true: ['has-error','has-feedback']} [authForm.lastFourSSN.$invalid &amp;&amp; authForm.submitted]">
    <label for="lastFourSSN" class="col-xs-12">
      <strong><span id="lastFourSSNLabel" class="ng-binding">Last 4 digits of SSN</span></strong>
      <i class="fa fa-question-circle" tooltip-placement="top" uib-tooltip="We need the last 4 digits of your social security number because it is the most reliable way to confirm who you are." style="font-size: 15px"></i>
    </label>
    <div class="col-xs-4">
      <input autocomplete="off" class="form-control ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-maxlength" type="password" id="lastFourSSN" name="lastFourSSN" size="4" maxlength="4" data-ng-model="user.lastFourSSN"
        data-ng-required="initialCredentialData.isSSNRequired" data-fe-validation="" aria-describedby="authForm-lastFourSSN-error" number-only="" required="required">
    </div>
    <div class="col-xs-6 lastFourSSN-align text-muted">
      <i class="fa fa-lock lock-icon"></i><span class="ng-binding">Secure Server</span>
    </div>
    <small class="error col-xs-12 ng-binding ng-hide" id="authForm-lastFourSSN-error" data-ng-show="authForm.lastFourSSN.$invalid &amp;&amp; authForm.submitted">Please enter 4 digits.</small>
  </div><!-- end ngIf: initialCredentialData.isSSNRequired -->
  <!-- ngIf: initialCredentialData.isEmpIDRequired -->
  <!-- ngIf: showEmail -->
  <div data-ng-show="showPrivacyPolicy" class="form-group row">
    <div class="policy-link col-xs-12">
      <span class="ng-binding"> We use this information only to verify your identity. It is stored securely in accordance with our
        <a target="_blank" data-ng-href="https://legaldocs.financialengines.io/Empower/Empower_Managed_Accounts/Empower_PrivacyPolicy.pdf" class="ng-binding" href="https://legaldocs.financialengines.io/Empower/Empower_Managed_Accounts/Empower_PrivacyPolicy.pdf">Privacy Policy</a>.
      </span>
    </div>
  </div>
  <div class="vertical-space-20"></div>
  <!-- ngIf: authForm.submittedPost -->
  <div class="form-group row">
    <div class="col-xs-12">
      <!-- ngIf: !authForm.submittedPost --><button id="confirm-identity-button" type="submit" ladda="submitting" data-style="slide-down" data-ng-if="!authForm.submittedPost" class="ladda-button btn btn-lg btn-primary ng-scope" style="width:100%;">
        <span class="ladda-label ng-binding">CONFIRM IDENTITY</span>
        <span class="ladda-spinner"></span></button><!-- end ngIf: !authForm.submittedPost -->
    </div>
  </div>
  <div class="vertical-space-20"></div>
</form>

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Your retirement evaluation has confidential information, so we need to confirm
your identity.
All fields required

The personal information you have entered does not match the information
provided to us by {{ sponsor }}. Please correct the information you have entered
and try again. If you are still not able to sign in, please call {{ supportPhone
}} so we can help you. If you were recently hired, then we may not have received
your information yet. Please call {{ supportPhone }} to find out when you may be
eligible.

First name
Please enter your first name.
Last name
Please enter your last name.
Zip code

 
Please enter a valid Zip code. Use the Zip code that has we have on file.
Date of birth

Please enter a valid date of birth.
Last 4 digits of SSN

Secure Server
Please enter 4 digits.
We use this information only to verify your identity. It is stored securely in
accordance with our Privacy Policy.

CONFIRM IDENTITY


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