verified.capitalone.com Open in urlscan Pro
92.123.149.2  Public Scan

Form analysis
1 forms found in the DOM

Name: piiForm —

<form novalidate="" name="piiForm" autocomplete="off" class="ng-untouched ng-pristine ng-invalid">
  <div class="ci-margin-bottom-medium"><c1-ease-form-field id="pii-form-last-name-field" class="pii-form--last-name-container ng-untouched ng-pristine ng-invalid">
      <div class="c1-ease-form-field">
        <div class="c1-ease-form-field--count-container"><span class="c1-ease-textfield__input--label"><label c1easeformfieldlabel="" id="c1-ease-input-label-1" class="c1-ease-textfield__label ng-star-inserted" for="pii-form-last-name-input">Last
              Name</label><span role="button" class="ng-star-inserted"></span><!----><!----></span><!----><!----><!----><!----><!----></div><input id="pii-form-last-name-input" data-testtarget="pii-form-last-name-input" c1easeinput=""
          formcontrolname="lastName" autocomplete="family-name" class="c1-ease-textfield__input ng-untouched ng-pristine ng-invalid" maxlength="" placeholder="" aria-invalid="false" aria-required="false">
        <div class="c1-ease-form-field-suffix__wrapper"></div>
        <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><c1-ease-form-field-error data-testtarget="lastNameError" id="c1-ease-error-1" class="c1-ease-textfield__helper--error ng-star-inserted">Please enter your
            Last Name</c1-ease-form-field-error><!----><!----></div>
        <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><!----></div>
      </div>
    </c1-ease-form-field></div><!---->
  <div class="ci-margin-bottom-medium toggle-link"><codex-form-input-ssn id="pii-form-ssn-itin-field" data-testtarget="pii-form-ssn-itin-field" class="pii-form--ssn-container" _nghost-rfa-c89=""><c1-ease-form-field _ngcontent-rfa-c89=""
        class="ng-untouched ng-pristine ng-invalid">
        <div class="c1-ease-form-field">
          <div class="c1-ease-form-field--count-container"><span class="c1-ease-textfield__input--label"><label _ngcontent-rfa-c89="" c1easeformfieldlabel="" data-testtarget="label-pii-form-ssn-itin-field" id="c1-ease-input-label-3"
                for="c1-ease-input-2" class="c1-ease-textfield__label ng-star-inserted">Social Security Number or ITIN</label><!----></span><!----><!----><!----><!----><!----></div><input _ngcontent-rfa-c89="" c1easeinput="" codexvalidatessn=""
            autocomplete="false" type="password" placeholder="000000000" mask="000000000" pattern="\d*" inputmode="numeric" class="c1-ease-textfield__input ng-untouched ng-pristine ng-invalid" data-testtarget="ssnItin" id="c1-ease-input-2"
            aria-invalid="false" aria-required="false" maxlength="" aria-describedby="c1-ease-input-suffix-1">
          <div class="c1-ease-form-field-suffix__wrapper"><span _ngcontent-rfa-c89="" c1easesuffix="" class="c1-ease-form-field-suffix c1-ease-textfield__icon--right" id="c1-ease-input-suffix-1" aria-live="polite"><c1-ease-icon _ngcontent-rfa-c89=""
                iconname="ui-outlined:lock" class="c1-ease-icon--medium-size"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" fill="#141414" fit="" height="100%" width="100%" preserveAspectRatio="xMidYMid meet" focusable="false">
                  <path
                    d="M19,16 L19,11 C19,10.448 18.552,10 18,10 L17,10 L7,10 L6,10 C5.448,10 5,10.448 5,11 L5,16 C5,18.757 7.243,21 10,21 L14,21 C16.757,21 19,18.757 19,16 Z M8,7 L8,9 L16,9 L16,7 C16,4.794 14.206,3 12,3 C9.794,3 8,4.794 8,7 Z M18,9 C19.104,9 20,9.896 20,11 L20,16 C20,19.313 17.313,22 14,22 L10,22 C6.687,22 4,19.313 4,16 L4,11 C4,9.896 4.896,9 6,9 L7,9 L7,7 C7,4.243 9.243,2 12,2 C14.757,2 17,4.243 17,7 L17,9 L18,9 Z M12,13 C12.828,13 13.5,13.672 13.5,14.5 C13.5,15.152 13.081,15.701 12.5,15.908 L12.5,17.5 C12.5,17.776 12.276,18 12,18 C11.724,18 11.5,17.776 11.5,17.5 L11.5,15.908 C10.919,15.701 10.5,15.152 10.5,14.5 C10.5,13.672 11.172,13 12,13 Z">
                  </path>
                </svg></c1-ease-icon></span></div>
          <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><c1-ease-form-field-error _ngcontent-rfa-c89="" id="c1-ease-error-0" class="c1-ease-textfield__helper--error"> Please enter your Social Security Number or
              ITIN <!----><!----><!----></c1-ease-form-field-error></div>
          <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><!----></div>
        </div>
      </c1-ease-form-field></codex-form-input-ssn>
    <div><c1-ease-form-field id="pii-form-bank-acct-num-field" class="pii-form--bank-account-container ng-untouched ng-pristine ng-valid" hidden="">
        <div class="c1-ease-form-field">
          <div class="c1-ease-form-field--count-container"><span class="c1-ease-textfield__input--label"><label c1easeformfieldlabel="" id="c1-ease-input-label-2" class="c1-ease-textfield__label ng-star-inserted"
                for="pii-form-bank-acct-num-input">Bank Account Number</label><!----></span><!----><!----><!----><!----><!----></div><input id="pii-form-bank-acct-num-input" data-testtarget="pii-form-bank-acct-num-input" c1easeinput=""
            formcontrolname="bankAccountNumber" autocomplete="false" class="c1-ease-textfield__input ng-untouched ng-pristine ng-valid" maxlength="" type="password" placeholder="" aria-invalid="false" aria-required="false"
            aria-describedby="c1-ease-input-suffix-0">
          <div class="c1-ease-form-field-suffix__wrapper"><span c1easesuffix="" class="c1-ease-form-field-suffix" id="c1-ease-input-suffix-0" aria-live="polite"><c1-ease-icon iconname="ui-outlined:lock" class="c1-ease-icon--medium-size"><svg
                  xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" fill="#141414" fit="" height="100%" width="100%" preserveAspectRatio="xMidYMid meet" focusable="false">
                  <path
                    d="M19,16 L19,11 C19,10.448 18.552,10 18,10 L17,10 L7,10 L6,10 C5.448,10 5,10.448 5,11 L5,16 C5,18.757 7.243,21 10,21 L14,21 C16.757,21 19,18.757 19,16 Z M8,7 L8,9 L16,9 L16,7 C16,4.794 14.206,3 12,3 C9.794,3 8,4.794 8,7 Z M18,9 C19.104,9 20,9.896 20,11 L20,16 C20,19.313 17.313,22 14,22 L10,22 C6.687,22 4,19.313 4,16 L4,11 C4,9.896 4.896,9 6,9 L7,9 L7,7 C7,4.243 9.243,2 12,2 C14.757,2 17,4.243 17,7 L17,9 L18,9 Z M12,13 C12.828,13 13.5,13.672 13.5,14.5 C13.5,15.152 13.081,15.701 12.5,15.908 L12.5,17.5 C12.5,17.776 12.276,18 12,18 C11.724,18 11.5,17.776 11.5,17.5 L11.5,15.908 C10.919,15.701 10.5,15.152 10.5,14.5 C10.5,13.672 11.172,13 12,13 Z">
                  </path>
                </svg></c1-ease-icon></span></div>
          <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><!----></div>
          <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><!----></div>
        </div>
      </c1-ease-form-field><button c1easebutton="" id="pii-form-ssn-bank-toggle" data-testtarget="pii-form-ssn-bank-toggle" type="button"
        class="link-button ci-font-size-xsmall ci-text-align-left ci-padding-left-none text-link c1-ease-button c1-ease-button--progressive c1-ease-button--text ng-star-inserted"> Use bank account number instead </button><!----></div>
  </div>
  <div class="ci-margin-bottom-medium"><codex-form-date-control data-testtarget="pii-form-dob-field" class="pii-form--dob-container"><c1-ease-form-field class="ng-untouched ng-pristine ng-invalid">
        <div class="c1-ease-form-field">
          <div class="c1-ease-form-field--count-container"><span class="c1-ease-textfield__input--label"><label c1easeformfieldlabel="" data-testtarget="date-control-label" id="dateofbirth" for="input-0"
                class="c1-ease-textfield__label ng-star-inserted"> Date of Birth </label><!----></span><!----><!----><!----><!----><!----></div><input c1easeinput="" type="text" data-testtarget="date-control-input"
            class="c1-ease-textfield__input ng-untouched ng-pristine ng-invalid" id="input-0" placeholder="mm / dd / yyyy" aria-invalid="false" aria-required="false" maxlength="">
          <div class="c1-ease-form-field-suffix__wrapper"></div>
          <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><c1-ease-form-field-error data-testtarget="date-control-error-required" id="c1-ease-error-2"
              class="c1-ease-textfield__helper--error ng-star-inserted">Please enter your Date of Birth</c1-ease-form-field-error><!----><!----><!----><!----></div>
          <div role="alert" class="c1-ease-form-field-error--container" style="display: none;"><!----></div>
        </div>
      </c1-ease-form-field></codex-form-date-control></div><!----><button id="pii-form-submit-btn" data-testtarget="pii-form-submit-btn" c1easebutton=""
    class="ci-margin-top-medium c1-ease-button--full-width c1-ease-button c1-ease-button--progressive" name="Get Started"> Get Started <!----></button>
</form>

Text Content

United States
Select A Country: United States Canada
English
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GET STARTED BY TELLING US ABOUT YOU

To setup online access, we need to locate you in our system.




ENTER YOUR PERSONAL INFORMATION

Last Name

Please enter your Last Name

Social Security Number or ITIN

Please enter your Social Security Number or ITIN

Bank Account Number



Use bank account number instead
Date of Birth

Please enter your Date of Birth

Get Started
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