Filling multiple form data values that never change (US Veterans health co-payment)

Hey ronaldjbreen,

I have been doing some testing with the form you have shared and as ajh0912 has suggested I have been able to create an Identity item specifically for this page. You will need to add some custom fields for the Account number and full name given them the same labels as I have done below:

Let us know how you get on and if you need some assistance recreating this on your end. Once you have created it you should be able to visit the form, click on the 1Password icon in your browser toolbar and click 'Autofill' next to the identity item.