DECEASED FU-BIRTH
CEASED FU MEMBER(S)-BIRTH INFO
You mentioned earlier that (First Name, Last Name) died recently.
In order to make sure our records about (him/her) are correct,
I'd like to ask a few additional items of information.
IF TYPE OF IW is (3)
First, may we have (his/her) complete birth date?
Next, in what state was (he/she) born?
ELSE
VERIFY: First, we have (his/her) birth date as..., is that correct?
Next, in what state was (he/she) born?
END
FIRST NAME LAST NAME MONTH DAY YEAR BIRTH STATE
Q56 where INDIVIDUAL # equals (DEAD PEOPLE] ./JAN/FEB/MAR/APR/MAY/JUN/JUL/AUG/SEP/OCT/NOV/DEC/DK/RF ./ALABAMA/ARIZONA/ARKANSAS/CALIFORNIA/COLORADO/CONNECTICUT/DELAWARE/DIST OF COLUMBIA/FLORIDA/GEORGIA/IDAHO/ILLINOIS/INDIANA/IOWA/K
ANSAS/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/SOU
TH DAKOTA/TENNESSEE/TEXAS/UTAH/VERMONT/VIRGINIA/WASHINGTON/WEST VIRGINIA/WISCONSIN/WYOMING/ALASKA/HAWAII/GUAM/PUERTO RICO/VIRGIN ISLANDS(U.S.)/FOREIGN COUNTRY;C/DK;s/RF;s