www.track1099.com Open in urlscan Pro
34.192.81.192  Public Scan

Form analysis
1 forms found in the DOM

POST /retrieve/9db1b89f-d659-4d67-9eaf-fe1286eeb491

<form action="/retrieve/9db1b89f-d659-4d67-9eaf-fe1286eeb491" accept-charset="UTF-8" method="post"><input type="hidden" name="authenticity_token" value="kFcPW8nEVzmtm93Mg3tZtCKHgWWoMdaeli3fbxWLDGH0aTSl4AkRLWmJJYOr7oY40ad-7ysOzCMpoINH87Q6Mw">
  <div class="card border-primary">
    <div class="card-header text-white bg-primary">
      <h4 class="mb-0">Welcome!</h4>
    </div>
    <div class="card-body">
      <div id="form" class="row" style="">
        <div class="col-sm-6" data-fields="tin_verification">
          <div class="form-group field-tin_verification">
            <label class="control-label" for="tin_verification"><span class="label-inner">Verify Your Identity</span></label>
            <div data-editor=""><input id="tin_verification" class="form-control" name="tin_verification" autocomplete="off" maxlength="4" type="password"></div>
            <p class="help-block" data-error=""></p>
            <p class="help-block"></p>
          </div>
        </div>
        <div class="col-sm-6">
          <p>Enter the last 4 numbers of your SSN or EIN.</p>
        </div>
      </div>
    </div>
    <div class="card-footer">
      <button type="submit" class="btn btn-lg btn-primary save-button">Continue</button>
    </div>
  </div>
</form>

Text Content

HELMAN, MANYA B., M.D., P.C. ONLINE
1099-MISC POWERED BY

WELCOME!

Verify Your Identity






Enter the last 4 numbers of your SSN or EIN.

Continue

SECURITY CENTER

Helman, Manya B., M.D., P.C. has selected Track1099 by Avalara, an IRS-approved
vendor, to e-deliver 1099-MISC forms.

We encrypt Tax ID numbers separately in our database for extra security.

Our cloud security procedures are updated continuously to meet evolving threats.
We are committed to being best in class.