Encl. (1) to COMDTINST 5512.10
BLOCK 38. LAST UPDATE. No entry is required.
BLOCK 39. V/I (VERIFY/ISSUE). Enter the correct action as pre- scribed in Block 12 for codes
A, C, and I. For Guard/Reserve DEERS Enrollment Program dependents who are no longer
eligible for fu- ture benefits upon mobilization of the sponsor, enter Code T and the appropriate
code in Block 60. For all other Ready Reserve members and Reserve retirees entitled to pay at age
60, leave blank.
BLOCK 40. CURRENT RESIDENCE ADDRESS. Enter the number and street of the
dependent's residence address. If the dependent is deceased or if the address is unknown, leave
blank. (Use no more than 27 characters.)
BLOCK 41. SUPPLEMENTAL ADDRESS INFORMATION. Enter supplemental address
information as prescribed in Block 14.
BLOCK 42. CITY. Enter the dependent's current city of residence as prescribed in Block 15.
BLOCK 43. STATE. Enter the postal abbreviation for the dependent as prescribed in Block 16.
BLOCK 44. ZIP CODE. Enter the 9-digit zip code of the depend- ent's current residence address
in the same manner as prescribed in Block 17.
BLOCK 45. COUNTRY. Enter the dependent's country of residence as prescribed in Block 18.
BLOCK 46. HOME TELEPHONE NUMBER. Enter the dependent's current residence
telephone number in the same manner as prescribed in Block 20.
BLOCK 47. DATE OF BIRTH. Enter the dependent's date of birth in the same manner as
prescribed in Block 21.
BLOCK 48. MBI (MULTIPLE BIRTH INDICATOR). Enter the applicable value to identify
dependents with the same REL (relationship) and whose dates of birth are within 10 months of each
other. This value is required even when those dependents are not twins, trip-
lets, etc. (Use 1 character.)
Y
- Yes, there are multiple births.
N
- No, There are no multiple births
BLOCK 49. STU (STUDENT). Leave blank.
NOTE: Dependent children over age 21 attending school full-time will not be entered at this time.
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