<form name="contact" method="post" target="_blank"
action="https://blt.lbl.gov/credit/credit.aspx"
enctype="application/x-www-form-urlencoded">
Employee ID: <input name="employeeid" title="Employee ID" type="text">
<input name="submit" value="Receive Credit" type="submit">
<input type="hidden" name="courseid" value="SEC0203"/>
<input type="hidden" name= "reason" value="Web Based Course"/>
<input type="hidden" name="url" value="https://commons.lbl.gov/x/1oIRBw"/>
<input type="hidden" name="invalid_empid_url" value="https://commons.lbl.gov/x/nwGABw"/>
</form>
| 