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covid19.ontariohealth.ca Open in urlscan Pro
2620:1ec:46::40  Public Scan

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Submitted URL: https://mbp9vw39.r.ca-central-1.awstrack.me/L0/https:%2F%2Fcovid19.ontariohealth.ca:443%2Freceipt-identity%3FreceiptId=UV2W5VEMA4A3BM5V/1/01...
Effective URL: https://covid19.ontariohealth.ca/receipt-identity?receiptId=UV2W5VEMA4A3BM5V
Submission: On November 04 via manual from CA — Scanned from CA

Form analysis 1 forms found in the DOM

POST /receipt-identity

<form method="POST" action="/receipt-identity" autocomplete="off" class="oux-form" data-valform-name="receipt-identity" id="receipt_identity_form" aria-label="Receipt Identity Verification" aria-describedby="receipt_identity_label">
  <input type="hidden" id="_csrf" name="_csrf" value="k36LwC6e-JkQQJjyvlVRUZrEXqccNqPQ2s_Y">
  <input type="hidden" id="receiptId" name="receiptId" value="UV2W5VEMA4A3BM5V">
  <input type="hidden" id="viewId" name="viewId" value="YQ78F8MNFNQX">
  <div class="oux-row form-row p-1 mb-2 bg-primary bg--aa">
    <b><span data-translate="receipt-identity.verify.section" id="receipt_identity_verify_section">Enter identity information. All fields are required.</span></b>
  </div>
  <div class="oux-row form-row" id="hcn_div">
    <div class="col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 form-group">
      <label for="hcn" class="oux-label form-label" data-translate="fld.receipt-identity.hcn.label" id="fld_receipt_identity_hcn_label">Identification number</label>
      <input type="text" class="form-control nums--12" id="hcn" name="hcn" data-val-id="receipt-identity.hcn" maxlength="12" value="" aria-labelledby="fld_receipt_identity_hcn_label" data-assistivetextby="fld_receipt_identity_hcn_assist"
        aria-describedby="fld_receipt_identity_hcn_assist" required="required" pattern="^[0-9]{4}-[0-9]{3}-[0-9]{3}$" aria-invalid="false">
      <div class="form-text" data-translate="fld.receipt-identity.hcn.assist" id="fld_receipt_identity_hcn_assist">Enter your 10 digits of green photo health (OHIP) card or red and white health card number or COVID ID</div>
      <div class="invalid-feedback" id="fld_hcn_feedback" data-invalidatedby="hcn" aria-atomic="false">
        <p class="invalid-reason is-required" aria-live="off" aria-atomic="false" data-translate="fld.receipt-identity.hcn.required" id="fld_hcn_required_error">Identification number is required</p>
        <p class="invalid-reason is-invalid" aria-live="off" aria-atomic="false" data-translate="fld.receipt-identity.hcn.invalid" id="fld_hcn_invalid_error">Identification number is invalid</p>
      </div>
    </div>
  </div>
  <div class="oux-row form-row" id="dob_div">
    <div class="col-12 col-sm-12 col-md-12 col-lg-12 col-xl-12 form-group">
      <label for="dob" class="oux-label form-label" data-translate="fld.receipt-identity.dob.label" id="fld_receipt_identity_dob_label">Month of birth</label>
      <input type="text" class="form-control nums--3" id="dob" name="dob" data-val-id="receipt-identity.dob" maxlength="2" value="" data-assistivetextby="fld_receipt_identity_dob_assist" aria-describedby="fld_receipt_identity_dob_assist"
        required="required" pattern="^(0[1-9]|1[012])$" aria-invalid="false">
      <div class="form-text" data-translate="fld.receipt-identity.dob.assist" id="fld_receipt_identity_dob_assist">Enter the 2 digits for your month of birth, for example, for March use 03</div>
      <div class="invalid-feedback" id="fld_dob_feedback" data-invalidatedby="dob" aria-atomic="false">
        <p class="invalid-reason is-required" aria-live="off" aria-atomic="false" data-translate="fld.receipt-identity.dob.required" id="fld_dob_required_error">Month of birth is required</p>
        <p class="invalid-reason is-invalid" aria-live="off" aria-atomic="false" data-translate="fld.receipt-identity.dob.invalid" id="fld_dob_invalid_error">Month of birth is invalid</p>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-12 col-md-12 col-lg-12 col-xl-12 mt-2 form-group form-buttons" oncontextmenu="javascript:return false;">
      <button type="submit" class="btn btn-primary" data-translate="app-button.continue" id="continue_button" name="continue_button" disabled="">Continue</button>
    </div>
  </div>
</form>

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COVID-19 VACCINATION


COVID-19 VACCINATION




IDENTITY VERIFICATION FOR COVID-19 VACCINATION PROOF

Enter identity information. All fields are required.
Identification number
Enter your 10 digits of green photo health (OHIP) card or red and white health
card number or COVID ID

Identification number is required

Identification number is invalid

Month of birth
Enter the 2 digits for your month of birth, for example, for March use 03

Month of birth is required

Month of birth is invalid

Continue
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