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172.64.150.189
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URL:
https://www.instacart.com/secure_forms/account_verification
Submission: On March 01 via manual from US — Scanned from DE
Submission: On March 01 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: dropzone_form —
<form id="dropzone_form" name="dropzone_form">
<h1 class="title"> Account verification </h1>
<p class="subtitle"> Your account security is our top priority. Verify your account securely using the form below. </p>
<img class="mobile-image" src="https://www.instacart.com/assets/secure_forms/account_verification-28b95351282bb10096866ddcd41662f391eb7d0d8d2f977e5b1da79bd9df65f1.png">
<p class="legal"> Instacart collects and maintains information as described in our <a href=" /privacy"> Customer Privacy Policy</a>, <a href=" /terms">Customer Terms of Service</a>, and
<a href=" /privacy-policy">Shopper and Shopper Applicant Privacy Policy</a>. We collect and use personal and account information solely in accordance with these policies. </p>
<div class="form-group">
<label for="secure_mail"> Email address </label>
<p class="form-subtitle"> Enter the email associated with your Instacart account. </p>
<input class="form-control email-input" id="secure_mail" name="secure_mail" placeholder="Email address" type="text">
</div>
<div class="form-group">
<label for="attachments"> Attach valid goverment ID & credit card </label>
<p class="form-subtitle">
<b> For security purposes: </b> please block the document number and date of birth on your ID, and block everything but your name and the last 4 digits on your credit card. Military IDs cannot be accepted, and will be deleted immediately if
submitted.
</p>
<div id="dropzone-placeholder-div" style="" class="">
<div style="position: relative; width: 100%; height: 100%">
<div id="sendsafely-iframe" style="position: absolute; top: 0px; left: 0px; width: 100%; height: 100%; z-index: 10; opacity: 0.01;"><iframe src="https://static-secure.instacart.com/html/dropzone.html" scrolling="no"
style="width: 100%; height: 100%;"></iframe></div>
<div id="sendsafely-dropzone" style="position: absolute; top: 0; left: 0; width: 100%; height:100%; overflow: hidden; position: relative; z-index: 1;">
<div
style="width: 100%; border: 2px dashed #F3F3F3; border-color: rgba(0,0,0,0.05); font-size: 14px; text-align: center; padding-top: 10px; padding-bottom: 10px;; color: #666666; background-color: #ffffff -webkit-box-sizing: border-box; -moz-box-sizing: border-box; box-sizing: border-box; -webkit-box-sizing: border-box; -moz-box-sizing: border-box; box-sizing: border-box;"
align="center">
<div style="margin: 0 auto; float:center; min-width: 45%; max-width: 95%; display: inline-block;"><span><img src="https://app-static.sendsafely.com/images/external/logo.png" width="23px" height="23px"
style="margin-right:5px; margin-top: -2px;vertical-align: middle;"></span><span>Drag files here or click to add a file</span></div>
</div>
</div>
</div>
<div>
<ul id="sendsafely-attached-file-list" style="margin: 0; overflow: hidden; padding: 0;"></ul>
</div>
<div id="sendsafely-error-message" class="alert alert-dismissible" role="alert"
style="display:none; margin-top:5px; -webkit-box-sizing: border-box; -moz-box-sizing: border-box; box-sizing: border-box; -webkit-box-sizing: border-box; -moz-box-sizing: border-box; box-sizing: border-box;"></div>
</div>
</div><button class="ic-btn ic-btn-success submit-btn" id="sendsafely-submit" onclick="submitForm()" type="button"> Submit </button>
</form>
Text Content
ACCOUNT VERIFICATION Your account security is our top priority. Verify your account securely using the form below. Instacart collects and maintains information as described in our Customer Privacy Policy, Customer Terms of Service, and Shopper and Shopper Applicant Privacy Policy. We collect and use personal and account information solely in accordance with these policies. Email address Enter the email associated with your Instacart account. Attach valid goverment ID & credit card For security purposes: please block the document number and date of birth on your ID, and block everything but your name and the last 4 digits on your credit card. Military IDs cannot be accepted, and will be deleted immediately if submitted. Drag files here or click to add a file Submit