www.vitalchek.com Open in urlscan Pro
66.241.57.29  Public Scan

Form analysis
1 forms found in the DOM

Name: orderLoginFrm — POST /v/order-status-signon

<form name="orderLoginFrm" id="orderLoginFrmId" action="/v/order-status-signon" method="post">
  <input type="hidden" id="commonError" name="commonError" value="">
  <div class="form-floating mb-4">
    <input type="text" inputmode="numeric" pattern="[0-9]*" id="orderId" class="form-control" name="orderId" placeholder="Order number" maxlength="20" autocomplete="false" value="">
    <label for="orderId">Order:</label>
  </div>
  <div class="mb-4">
    <div class="form-floating input-group">
      <input type="text" inputmode="numeric" pattern="[0-9]*" id="pin" class="form-control" name="pin" placeholder="pin" maxlength="12" autocomplete="false" value="">
      <label for="pin">PIN:</label>
      <button class="btn btn-outline-secondary" name="forgotPinButton" type="button" id="forgotPin">Forgot PIN?</button>
    </div>
  </div>
  <div class="form-floating mb-4">
    <input type="text" id="phoneNumber" inputmode="numeric" pattern="[0-9]*" class="form-control" name="phoneNumber" placeholder="phone number" maxlength="20" autocomplete="false" value="">
    <label for="phoneNumber">Phone Number:</label>
  </div>
  <div class="btn-container">
    <div class="btn-group btn-group--spaced gap-2">
      <button id="submitBtn" type="submit" class="btn btn-primary">
        <span id="uploadSpinner" class="spinner-border spinner-border-sm me-2 d-none" aria-hidden="true"></span><span>Submit</span>
      </button>
      <button type="button" class="btn btn-secondary" onclick="resetFormValues();">Reset</button>
    </div>
  </div>
</form>

Text Content

ORDER CERTIFICATE
 * Birth Certificates
 * Death Certificates
 * Marriage Certificates
 * Divorce Certificates

 * My Order Status
 * Timing/Pricing
 * Support

 * Español


MANAGE MY ORDER

Enter your Order Number, PIN, and Phone Number to manage your vital record(s)
order.

Order:
PIN: Forgot PIN?
Phone Number:
Submit Reset



READY TO GET STARTED? CHOOSE YOUR CERTIFICATE:


BIRTH CERTIFICATES

Get Started


DEATH CERTIFICATES

Get Started


MARRIAGE CERTIFICATES

Get Started


DIVORCE CERTIFICATES

Get Started


 * Why VitalChek?
 * Timing and Pricing
 * FAQs
 * Manage My Order
 * Espanol
 * Support
 * Customer Testimonials
 * Site Security
 * Privacy
 * Accessibility
 * Site Map
 * Legal

 * 
 * 
 * 



Copyright 2024 LexisNexis Risk Solutions. All rights reserved ala-p-s-204.022724

Located in the United States of America.

AdEospNT



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