DGMTP1 ;ALB/RMO - Print Means Test 10-10F Cont. ;7 APR 1992 11:00 am
;;5.3;Registration;;Aug 13, 1993
;
EN ;Entry point to print demograpic, marital status and dependents
D DEM,MAR,DEP,EN^DGMTP2
Q Q
;
DEM ;Print demographic portion of form
W @IOF,?116,"VA FORM 10-10F",!,DGLNE,!,"DEPARTMENT OF VETERANS AFFAIRS",?111,"FINANCIAL WORKSHEET",!,DGLNE
W !?30,"THE LAW PROVIDES SEVERE PENALTIES FOR WILLFUL SUBMISSION OF FALSE INFORMATION",!?39,"SEE PAGE 3 FOR PRIVACY ACT AND PAPERWORK REDUCTION ACT INFORMATION",!,DGLNE
W !?1,"Applicant's Name: ",$$NAME^DGMTU1(DGVPRI),?72,"| Social Security Number: ",$$SSN^DGMTU1(DGVPRI)
Q
;
MAR ;Print marital status
W !,DGLNE,!!?61,"A. Marital Status",$$UL^DGMTSCU1(DGUL,DGLNE1)
W !?1,"1. Were you married last calendar year.",?41,"| 2. Did you live with your spouse",?78,"| 3. If you did not live with your spouse, show the"
W !?4,"(If ""NO"", go to Section B).",?41,"| last calendar year. (If ""YES"", go",?78,"| amount you contributed to your spouse's support"
W !?6,$$YN^DGMTSCU1($P(DGVIR0,"^",5))
W ?41,"| to Section B). ",$S($P(DGVIR0,"^",5)=0:"NOT APPLICABLE",1:$$YN^DGMTSCU1($P(DGVIR0,"^",6)))
W ?78,"| last calendar year ",$S($P(DGVIR0,"^",5)=0!($P(DGVIR0,"^",6)):"NOT APPLICABLE",1:$$AMT^DGMTSCU1($P(DGVIR0,"^",7)))
Q
;
DEP ;Print dependent children
W $$UL^DGMTSCU1(DGUL,DGLNE1),!!?60,"B. Dependent Children",$$UL^DGMTSCU1(DGUL,DGLNE1)
W !?2,"During last calendar year, did you have any UNMARRIED children or stepchildren who are under the age of 18 or between the ages"
W !?2,"of 18 and 23 and attending school? OR did you have any unmarried children over the age of 17 who became permanently incapable"
W !?2,"of self-support before reaching the age of 18? ",$$YN^DGMTSCU1($P(DGVIR0,"^",8))," (If ""NO"", go to Section C)"
W $$UL^DGMTSCU1(DGUL,DGLNE1),!?6,"Child's Name",?30,"| Permanently",?50,"| Did the child",?72,"| Did you contribute",?93,"| Did the",?109,"| Was the child's"
W !?30,"| incapable of",?50,"| live with you",?72,"| to the child's",?93,"| child have",?109,"| income available"
W !?30,"| self-support",?50,"|",?72,"| support?",?93,"| any income?",?109,"| to you?"
W !?6," (1)",?30,"| (2)",?50,"| (3)",?72,"| (4)",?93,"| (5)",?109,"| (6)"
I '$P(DGVIR0,"^",8) W $$UL^DGMTSCU1(DGUL,DGLNE1),!?6,"NOT APPLICABLE",?30,"|",?50,"|",?72,"|",?93,"|",?109,"|"
I $P(DGVIR0,"^",8) S DGCNT=0 F S DGCNT=$O(DGREL("C",DGCNT)) Q:'DGCNT D CHILD
Q
;
CHILD ;Print data collected for a dependent child
N DGIR0
S DGIR0=$G(^DGMT(408.22,+$G(DGINR("C",DGCNT)),0))
W $$UL^DGMTSCU1(DGUL,DGLNE1),!?1,$$NAME^DGMTU1(+DGREL("C",DGCNT))
W ?30,"| ",$$YN^DGMTSCU1($P(DGIR0,"^",9))
W ?50,"| ",$$YN^DGMTSCU1($P(DGIR0,"^",6))
W ?72,"| ",$S($P(DGIR0,"^",6):"NOT APPLICABLE",1:$$YN^DGMTSCU1($P(DGIR0,"^",10)))
W ?93,"| ",$$YN^DGMTSCU1($P(DGIR0,"^",11))
W ?109,"| ",$S($P(DGIR0,"^",11)=0:"NOT APPLICABLE",1:$$YN^DGMTSCU1($P(DGIR0,"^",12)))
CHILDQ Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDGMTP1 3017 printed Sep 23, 2025@20:21:01 Page 2
DGMTP1 ;ALB/RMO - Print Means Test 10-10F Cont. ;7 APR 1992 11:00 am
+1 ;;5.3;Registration;;Aug 13, 1993
+2 ;
EN ;Entry point to print demograpic, marital status and dependents
+1 DO DEM
DO MAR
DO DEP
DO EN^DGMTP2
Q QUIT
+1 ;
DEM ;Print demographic portion of form
+1 WRITE @IOF,?116,"VA FORM 10-10F",!,DGLNE,!,"DEPARTMENT OF VETERANS AFFAIRS",?111,"FINANCIAL WORKSHEET",!,DGLNE
+2 WRITE !?30,"THE LAW PROVIDES SEVERE PENALTIES FOR WILLFUL SUBMISSION OF FALSE INFORMATION",!?39,"SEE PAGE 3 FOR PRIVACY ACT AND PAPERWORK REDUCTION ACT INFORMATION",!,DGLNE
+3 WRITE !?1,"Applicant's Name: ",$$NAME^DGMTU1(DGVPRI),?72,"| Social Security Number: ",$$SSN^DGMTU1(DGVPRI)
+4 QUIT
+5 ;
MAR ;Print marital status
+1 WRITE !,DGLNE,!!?61,"A. Marital Status",$$UL^DGMTSCU1(DGUL,DGLNE1)
+2 WRITE !?1,"1. Were you married last calendar year.",?41,"| 2. Did you live with your spouse",?78,"| 3. If you did not live with your spouse, show the"
+3 WRITE !?4,"(If ""NO"", go to Section B).",?41,"| last calendar year. (If ""YES"", go",?78,"| amount you contributed to your spouse's support"
+4 WRITE !?6,$$YN^DGMTSCU1($PIECE(DGVIR0,"^",5))
+5 WRITE ?41,"| to Section B). ",$SELECT($PIECE(DGVIR0,"^",5)=0:"NOT APPLICABLE",1:$$YN^DGMTSCU1($PIECE(DGVIR0,"^",6)))
+6 WRITE ?78,"| last calendar year ",$SELECT($PIECE(DGVIR0,"^",5)=0!($PIECE(DGVIR0,"^",6)):"NOT APPLICABLE",1:$$AMT^DGMTSCU1($PIECE(DGVIR0,"^",7)))
+7 QUIT
+8 ;
DEP ;Print dependent children
+1 WRITE $$UL^DGMTSCU1(DGUL,DGLNE1),!!?60,"B. Dependent Children",$$UL^DGMTSCU1(DGUL,DGLNE1)
+2 WRITE !?2,"During last calendar year, did you have any UNMARRIED children or stepchildren who are under the age of 18 or between the ages"
+3 WRITE !?2,"of 18 and 23 and attending school? OR did you have any unmarried children over the age of 17 who became permanently incapable"
+4 WRITE !?2,"of self-support before reaching the age of 18? ",$$YN^DGMTSCU1($PIECE(DGVIR0,"^",8))," (If ""NO"", go to Section C)"
+5 WRITE $$UL^DGMTSCU1(DGUL,DGLNE1),!?6,"Child's Name",?30,"| Permanently",?50,"| Did the child",?72,"| Did you contribute",?93,"| Did the",?109,"| Was the child's"
+6 WRITE !?30,"| incapable of",?50,"| live with you",?72,"| to the child's",?93,"| child have",?109,"| income available"
+7 WRITE !?30,"| self-support",?50,"|",?72,"| support?",?93,"| any income?",?109,"| to you?"
+8 WRITE !?6," (1)",?30,"| (2)",?50,"| (3)",?72,"| (4)",?93,"| (5)",?109,"| (6)"
+9 IF '$PIECE(DGVIR0,"^",8)
WRITE $$UL^DGMTSCU1(DGUL,DGLNE1),!?6,"NOT APPLICABLE",?30,"|",?50,"|",?72,"|",?93,"|",?109,"|"
+10 IF $PIECE(DGVIR0,"^",8)
SET DGCNT=0
FOR
SET DGCNT=$ORDER(DGREL("C",DGCNT))
if 'DGCNT
QUIT
DO CHILD
+11 QUIT
+12 ;
CHILD ;Print data collected for a dependent child
+1 NEW DGIR0
+2 SET DGIR0=$GET(^DGMT(408.22,+$GET(DGINR("C",DGCNT)),0))
+3 WRITE $$UL^DGMTSCU1(DGUL,DGLNE1),!?1,$$NAME^DGMTU1(+DGREL("C",DGCNT))
+4 WRITE ?30,"| ",$$YN^DGMTSCU1($PIECE(DGIR0,"^",9))
+5 WRITE ?50,"| ",$$YN^DGMTSCU1($PIECE(DGIR0,"^",6))
+6 WRITE ?72,"| ",$SELECT($PIECE(DGIR0,"^",6):"NOT APPLICABLE",1:$$YN^DGMTSCU1($PIECE(DGIR0,"^",10)))
+7 WRITE ?93,"| ",$$YN^DGMTSCU1($PIECE(DGIR0,"^",11))
+8 WRITE ?109,"| ",$SELECT($PIECE(DGIR0,"^",11)=0:"NOT APPLICABLE",1:$$YN^DGMTSCU1($PIECE(DGIR0,"^",12)))
CHILDQ QUIT
