fam-dev.kp.org Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST /idp/yz8cuYOlKr/resumeSAML20/idp/startSSO.ping

<form method="POST" action="/idp/yz8cuYOlKr/resumeSAML20/idp/startSSO.ping" autocomplete="off">
  <div class="ping-messages">
    <div class="ping-error" id="mandatory-check"></div>
  </div>
  <div class="ping-input-container">
    <input type="text" required="" name="pf.username" placeholder="National User ID" autocomplete="off" autocorrect="off" autocapitalize="off" tabindex="1">
  </div>
  <div class="ping-input-container">
    <input type="hidden" required="" name="pf.dob" autocomplete="off" autocorrect="off" autocapitalize="off">
    <span id="label-text-dob">Date of Birth</span>
    <span id="DOB-inputs">
      <select id="dropdown-month" tabindex="2">
        <option value="">Month</option>
        <option value="1">Jan</option>
        <option value="2">Feb</option>
        <option value="3">Mar</option>
        <option value="4">Apr</option>
        <option value="5">May</option>
        <option value="6">Jun</option>
        <option value="7">Jul</option>
        <option value="8">Aug</option>
        <option value="9">Sep</option>
        <option value="10">Oct</option>
        <option value="11">Nov</option>
        <option value="12">Dec</option>
      </select>
      <select id="dropdown-date" tabindex="3">
        <option value="">Date</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
        <option value="24">24</option>
        <option value="25">25</option>
        <option value="26">26</option>
        <option value="27">27</option>
        <option value="28">28</option>
        <option value="29">29</option>
        <option value="30">30</option>
        <option value="31">31</option>
      </select>
      <select id="dropdown-year" tabindex="4">
        <option value="">Year</option>
        <option value="1925">1925</option>
        <option value="1926">1926</option>
        <option value="1927">1927</option>
        <option value="1928">1928</option>
        <option value="1929">1929</option>
        <option value="1930">1930</option>
        <option value="1931">1931</option>
        <option value="1932">1932</option>
        <option value="1933">1933</option>
        <option value="1934">1934</option>
        <option value="1935">1935</option>
        <option value="1936">1936</option>
        <option value="1937">1937</option>
        <option value="1938">1938</option>
        <option value="1939">1939</option>
        <option value="1940">1940</option>
        <option value="1941">1941</option>
        <option value="1942">1942</option>
        <option value="1943">1943</option>
        <option value="1944">1944</option>
        <option value="1945">1945</option>
        <option value="1946">1946</option>
        <option value="1947">1947</option>
        <option value="1948">1948</option>
        <option value="1949">1949</option>
        <option value="1950">1950</option>
        <option value="1951">1951</option>
        <option value="1952">1952</option>
        <option value="1953">1953</option>
        <option value="1954">1954</option>
        <option value="1955">1955</option>
        <option value="1956">1956</option>
        <option value="1957">1957</option>
        <option value="1958">1958</option>
        <option value="1959">1959</option>
        <option value="1960">1960</option>
        <option value="1961">1961</option>
        <option value="1962">1962</option>
        <option value="1963">1963</option>
        <option value="1964">1964</option>
        <option value="1965">1965</option>
        <option value="1966">1966</option>
        <option value="1967">1967</option>
        <option value="1968">1968</option>
        <option value="1969">1969</option>
        <option value="1970">1970</option>
        <option value="1971">1971</option>
        <option value="1972">1972</option>
        <option value="1973">1973</option>
        <option value="1974">1974</option>
        <option value="1975">1975</option>
        <option value="1976">1976</option>
        <option value="1977">1977</option>
        <option value="1978">1978</option>
        <option value="1979">1979</option>
        <option value="1980">1980</option>
        <option value="1981">1981</option>
        <option value="1982">1982</option>
        <option value="1983">1983</option>
        <option value="1984">1984</option>
        <option value="1985">1985</option>
        <option value="1986">1986</option>
        <option value="1987">1987</option>
        <option value="1988">1988</option>
        <option value="1989">1989</option>
        <option value="1990">1990</option>
        <option value="1991">1991</option>
        <option value="1992">1992</option>
        <option value="1993">1993</option>
        <option value="1994">1994</option>
        <option value="1995">1995</option>
        <option value="1996">1996</option>
        <option value="1997">1997</option>
        <option value="1998">1998</option>
        <option value="1999">1999</option>
        <option value="2000">2000</option>
        <option value="2001">2001</option>
        <option value="2002">2002</option>
        <option value="2003">2003</option>
        <option value="2004">2004</option>
        <option value="2005">2005</option>
        <option value="2006">2006</option>
        <option value="2007">2007</option>
        <option value="2008">2008</option>
        <option value="2009">2009</option>
        <option value="2010">2010</option>
        <option value="2011">2011</option>
        <option value="2012">2012</option>
        <option value="2013">2013</option>
        <option value="2014">2014</option>
        <option value="2015">2015</option>
        <option value="2016">2016</option>
        <option value="2017">2017</option>
        <option value="2018">2018</option>
        <option value="2019">2019</option>
        <option value="2020">2020</option>
        <option value="2021">2021</option>
        <option value="2022">2022</option>
        <option value="2023">2023</option>
        <option value="2024">2024</option>
      </select>
    </span>
  </div>
  <br>
  <div class="ping-buttons">
    <input type="hidden" name="pf.submit" value="">
    <a onclick="postOk();" href="javascript:void(0)" id="submitLinkID" onkeydown="postOnReturn()" class="ping-button normal allow" title="Continue" tabindex="5">
                                Continue
                            </a>
  </div><!-- .ping-buttons -->
  <!-- #recaptcha -->
  <div id="recaptcha" class="g-recaptcha recaptcha" data-badge="bottomright" data-sitekey="6LcLH3cfAAAAAK6BdJPzZF86nAlKAHgC3MVgYUa5" data-callback="submitForm" data-action="Login" data-size="invisible">
    <div class="grecaptcha-badge" data-style="none" style="width: 256px; height: 60px; position: fixed; visibility: hidden;">
      <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-o4lxndseclu4" frameborder="0" scrolling="no"
          sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
          src="https://www.google.com/recaptcha/enterprise/anchor?ar=1&amp;k=6LcLH3cfAAAAAK6BdJPzZF86nAlKAHgC3MVgYUa5&amp;co=aHR0cHM6Ly9mYW0tZGV2LmtwLm9yZzo0NDM.&amp;hl=de&amp;v=EGbODne6buzpTnWrrBprcfAY&amp;size=invisible&amp;badge=bottomright&amp;sa=Login&amp;cb=wfupx6eed0pn"></iframe>
      </div>
      <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
        style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div><iframe style="display: none;"></iframe>
  </div>
  <div class="section-footer">
    <p> If you need assistance with signing on, please contact KP’s IT Service Desk.</p>
  </div>
</form>

Text Content

Please enter the below details to continue
Date of Birth Month JanFebMarAprMayJunJulAugSepOctNovDec Date
12345678910111213141516171819202122232425262728293031 Year
1925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024

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If you need assistance with signing on, please contact KP’s IT Service Desk.

You are accessing a private computer system owned by or authorized by Kaiser
Permanente. All Information contained in or on this system is deemed to be
PRIVATE, CONFIDENTIAL and PROPRIETARY to Kaiser Permanente or its agents. Your
use of this private computer system must be limited to authorized Kaiser
Permanente business purposes and shall be in compliance with Kaiser Permanente
policies, requirements and guidelines. You may download confidential and/or
sensitive Kaiser Permanente information or data, including but not limited to
personally identifiable information (PII), protected health information (PHI),
payment card information (PCI) from this system only to devices provided by
Kaiser Permanente. By accessing this private computer system, you agree to
comply with all applicable Kaiser Permanente policies, requirements and
guidelines, and you expressly consent to the monitoring of your use to detect
improper access or misconduct. If possible criminal activity or other improper
access to or use of the system is detected, your conduct may be reported to
management and/or law enforcement, which may result in criminal charges,
corrective or disciplinary action up to and including termination of employment.

Hourly/non-exempt employees may not work outside of approved schedules without
authorization. If you are working, either remotely or in a Kaiser Permanente
facility, you must report and be paid for all time worked whether it was
authorized or not.