- EASECDD ;ALB/LBD - Executable help for fields in file #408.21 ;4 SEP 2001
- ;;1.0;ENROLLMENT APPLICATION SYSTEM;**5,7,34,40,100,110**;Mar 15, 2001;Build 12
- ;
- 8 ; Social Security
- W !,?8,"Enter in this field the annual amount of Social Security"
- W !,?8,"received during the current calendar year."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 9 ; US Civil Service
- W !,?8,"Enter in this field the annual amount of U.S. Civil Service"
- W !,?8,"received during the current calendar year."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 10 ; US Railroad Retirement
- W !,?8,"Enter in this field the annual amount of U.S. Railroad Retirement"
- W !,?8,"received during the current calendar year."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 11 ; Military Retirement
- W !,?8,"Enter in this field the annual amount of Military Retirement"
- W !,?8,"received during the current calendar year."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 12 ; Unemployment Compensation
- W !,?8,"Enter in this field the annual amount of Unemployment Compensation"
- W !,?8,"received during the current calendar year."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 13 ; Other Retirement
- W !,?8,"Enter in this field the annual amount of Other Retirement received"
- W !,?8,"during the current calendar year. This includes company, state,"
- W !,?8,"local, etc."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 14 ; Total Income from Employment
- W !,?8,"Enter in this field the annual amount of Gross Income received during"
- W !,?8,"the current year. This includes, but is not limited to, wages and"
- W !,?8,"income from a business, bonuses, tips, severance pay, accrued"
- W !,?8,"benefits, cash gifts."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 15 ; Interest, Dividend or Annuity (Original 10-10EC)
- ; Net Income from Farm, Ranch or Business (Revised 10-10EC)
- ; Display a different message for the revised 10-10EC form.
- ; Modified for LTC IV (EAS*1*40)
- I $G(DGFORM) D
- .W !,?8,"Enter in this field the annual amount of Net Income received during"
- .W !,?8,"the current calendar year from the operation of a farm, ranch,"
- .W !,?8,"property or business."
- I '$G(DGFORM) D
- .W !,?8,"Enter in this field the annual amount of Interest and Dividend"
- .W !,?8,"Income received during the current calendar year (i.e., interest"
- .W !,?8,"income, standard dividend income from non tax deferred annuities)."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 16 ; Workers Comp or Black Lung
- W !,?8,"Enter in this field the annual amount of Workers Compensation or"
- W !,?8,"Black Lung Benefits received during the current calendar year."
- W !!,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 17 ; All Other Income
- ; Display a different message for the revised 10-10EC form.
- ; Modified for LTC IV (EAS*1*40)
- ; EAS*1*110
- N DGAIA
- I $G(DGFORM) D
- .S DGAIA(1)="Enter in this field the annual amount of All Other Income received"
- .S DGAIA(1,"F")="!,?8"
- .S DGAIA(2)="during the current calendar year, including retirement and pension"
- .S DGAIA(2,"F")="!,?8"
- .S DGAIA(3)="income, Social Security Retirement and Social Security Disability"
- .S DGAIA(3,"F")="!,?8"
- .S DGAIA(4)="income, compensation benefits such as unemployment, Workers and"
- .S DGAIA(4,"F")="!,?8"
- .S DGAIA(5)="Black Lung, or VA disability. Also cash gifts, court mandated"
- .S DGAIA(5,"F")="!,?8"
- .S DGAIA(6)="payments, inheritance amounts, tort settlement payments, interest"
- .S DGAIA(6,"F")="!,?8"
- .S DGAIA(7)="and dividends, including tax exempt earnings and distributions from"
- .S DGAIA(7,"F")="!,?8"
- .S DGAIA(8)="Individual Retirement Accounts (IRAs) or annuities."
- .S DGAIA(8,"F")="!,?8"
- .S DGAIA(9)="A monthly amount can be entered with an '*' after it."
- .S DGAIA(9,"F")="!!,?8"
- .S DGAIA(10,"F")="!"
- .D EN^DDIOL(.DGAIA)
- I '$G(DGFORM) D
- .S DGAIA(1)="Enter in this field the annual amount of All Other Income"
- .S DGAIA(1,"F")="!,?8"
- .S DGAIA(2)="received during the current calendar year (i.e., inheritance amounts,"
- .S DGAIA(2,"F")="!,?8"
- .S DGAIA(3)="tort settlement payments)."
- .S DGAIA(3,"F")="!,?8"
- .S DGAIA(4)="A monthly amount can be entered with an '*' after it."
- .S DGAIA(4,"F")="!!,?8"
- .S DGAIA(5,"F")="!"
- .D EN^DDIOL(.DGAIA)
- S X="?"
- Q
- 101 ; Medical Expenses
- W !,?8,"Enter in this field the total amount of unreimbursed medical expenses"
- W !,?8,"paid by the veteran during the current calendar year. The expenses"
- W !,?8,"can be for the veteran or for members of the veteran's family."
- W !,?8,"Reportable medical expenses include amounts paid for the following:"
- W !,?8,"fees of physicians, dentists, and other providers of health services;"
- W !,?8,"hospital and nursing home fees; medical insurance premiums (including"
- W !,?8,"the Medicare premium); drugs and medicines; eyeglasses; any other"
- W !,?8,"expenses that are reasonable related to medical care. The expenses"
- W !,?8,"must actually have been paid by the veteran. Do not list expenses"
- W !,?8,"which have not been paid or which have been paid by someone other"
- W !,?8,"than the veteran. Do not list expenses which the veteran has paid if"
- W !,?8,"the veteran expects to receive reimbursement from insurance or some"
- W !,?8,"other source."
- W !
- W !,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 102 ; Funeral and Burial Expenses
- ; Modified wording for LTC Phase III (EAS*1*34)
- W !,?8,"Enter in this field amounts paid by the veteran during the current"
- W !,?8,"calendar year for funeral or burial expenses of the veteran's"
- W !,?8,"spouse or child, or pre-paid arrangements for the veteran."
- W !,?8,"Do not report amounts paid for funeral or burial expenses of other"
- W !,?8,"relatives such as parents, siblings, etc."
- W !
- W !,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 103 ; Educational Expenses
- W !,?8,"Enter in this field the total amount paid by the veteran for"
- W !,?8,"educational expenses during the current calendar year. This"
- W !,?8,"includes educational expenses for the veteran, spouse and children."
- W !,?8,"Educational expenses are tuition, fees, and books if enrolled in a"
- W !,?8,"program of education."
- W !
- W !,?8,"A monthly amount can be entered with an '*' after it.",!
- S X="?"
- Q
- 201 ; Cash
- ; Display a different message for the revised 10-10EC form.
- ; Modified for LTC IV (EAS*1*40)
- W !,?8,"Enter in this field cash and amounts in bank accounts. This"
- W !,?8,"includes checking accounts, savings accounts, money markets,"
- W !,?8,"interest, dividends from IRA, 401K's, and other tax deferred"
- W !,?8,"annuities.",!
- ;If this is the revised 10-10EC form, also print the message for stocks.
- I $G(DGFORM) G 202
- S X="?"
- Q
- 202 ; Stock, bonds, mutual funds
- W !,?8,"Enter in this field the current value of stocks, bonds, mutual"
- W !,?8,"funds, SEP's, and other retirement accounts (e.g., IRA, 401K,"
- W !,?8,"annuities, self-employed person).",!
- S X="?"
- Q
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HEASECDD 7373 printed Feb 18, 2025@23:20:14 Page 2
- EASECDD ;ALB/LBD - Executable help for fields in file #408.21 ;4 SEP 2001
- +1 ;;1.0;ENROLLMENT APPLICATION SYSTEM;**5,7,34,40,100,110**;Mar 15, 2001;Build 12
- +2 ;
- 8 ; Social Security
- +1 WRITE !,?8,"Enter in this field the annual amount of Social Security"
- +2 WRITE !,?8,"received during the current calendar year."
- +3 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +4 SET X="?"
- +5 QUIT
- 9 ; US Civil Service
- +1 WRITE !,?8,"Enter in this field the annual amount of U.S. Civil Service"
- +2 WRITE !,?8,"received during the current calendar year."
- +3 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +4 SET X="?"
- +5 QUIT
- 10 ; US Railroad Retirement
- +1 WRITE !,?8,"Enter in this field the annual amount of U.S. Railroad Retirement"
- +2 WRITE !,?8,"received during the current calendar year."
- +3 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +4 SET X="?"
- +5 QUIT
- 11 ; Military Retirement
- +1 WRITE !,?8,"Enter in this field the annual amount of Military Retirement"
- +2 WRITE !,?8,"received during the current calendar year."
- +3 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +4 SET X="?"
- +5 QUIT
- 12 ; Unemployment Compensation
- +1 WRITE !,?8,"Enter in this field the annual amount of Unemployment Compensation"
- +2 WRITE !,?8,"received during the current calendar year."
- +3 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +4 SET X="?"
- +5 QUIT
- 13 ; Other Retirement
- +1 WRITE !,?8,"Enter in this field the annual amount of Other Retirement received"
- +2 WRITE !,?8,"during the current calendar year. This includes company, state,"
- +3 WRITE !,?8,"local, etc."
- +4 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +5 SET X="?"
- +6 QUIT
- 14 ; Total Income from Employment
- +1 WRITE !,?8,"Enter in this field the annual amount of Gross Income received during"
- +2 WRITE !,?8,"the current year. This includes, but is not limited to, wages and"
- +3 WRITE !,?8,"income from a business, bonuses, tips, severance pay, accrued"
- +4 WRITE !,?8,"benefits, cash gifts."
- +5 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +6 SET X="?"
- +7 QUIT
- 15 ; Interest, Dividend or Annuity (Original 10-10EC)
- +1 ; Net Income from Farm, Ranch or Business (Revised 10-10EC)
- +2 ; Display a different message for the revised 10-10EC form.
- +3 ; Modified for LTC IV (EAS*1*40)
- +4 IF $GET(DGFORM)
- Begin DoDot:1
- +5 WRITE !,?8,"Enter in this field the annual amount of Net Income received during"
- +6 WRITE !,?8,"the current calendar year from the operation of a farm, ranch,"
- +7 WRITE !,?8,"property or business."
- End DoDot:1
- +8 IF '$GET(DGFORM)
- Begin DoDot:1
- +9 WRITE !,?8,"Enter in this field the annual amount of Interest and Dividend"
- +10 WRITE !,?8,"Income received during the current calendar year (i.e., interest"
- +11 WRITE !,?8,"income, standard dividend income from non tax deferred annuities)."
- End DoDot:1
- +12 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +13 SET X="?"
- +14 QUIT
- 16 ; Workers Comp or Black Lung
- +1 WRITE !,?8,"Enter in this field the annual amount of Workers Compensation or"
- +2 WRITE !,?8,"Black Lung Benefits received during the current calendar year."
- +3 WRITE !!,?8,"A monthly amount can be entered with an '*' after it.",!
- +4 SET X="?"
- +5 QUIT
- 17 ; All Other Income
- +1 ; Display a different message for the revised 10-10EC form.
- +2 ; Modified for LTC IV (EAS*1*40)
- +3 ; EAS*1*110
- +4 NEW DGAIA
- +5 IF $GET(DGFORM)
- Begin DoDot:1
- +6 SET DGAIA(1)="Enter in this field the annual amount of All Other Income received"
- +7 SET DGAIA(1,"F")="!,?8"
- +8 SET DGAIA(2)="during the current calendar year, including retirement and pension"
- +9 SET DGAIA(2,"F")="!,?8"
- +10 SET DGAIA(3)="income, Social Security Retirement and Social Security Disability"
- +11 SET DGAIA(3,"F")="!,?8"
- +12 SET DGAIA(4)="income, compensation benefits such as unemployment, Workers and"
- +13 SET DGAIA(4,"F")="!,?8"
- +14 SET DGAIA(5)="Black Lung, or VA disability. Also cash gifts, court mandated"
- +15 SET DGAIA(5,"F")="!,?8"
- +16 SET DGAIA(6)="payments, inheritance amounts, tort settlement payments, interest"
- +17 SET DGAIA(6,"F")="!,?8"
- +18 SET DGAIA(7)="and dividends, including tax exempt earnings and distributions from"
- +19 SET DGAIA(7,"F")="!,?8"
- +20 SET DGAIA(8)="Individual Retirement Accounts (IRAs) or annuities."
- +21 SET DGAIA(8,"F")="!,?8"
- +22 SET DGAIA(9)="A monthly amount can be entered with an '*' after it."
- +23 SET DGAIA(9,"F")="!!,?8"
- +24 SET DGAIA(10,"F")="!"
- +25 DO EN^DDIOL(.DGAIA)
- End DoDot:1
- +26 IF '$GET(DGFORM)
- Begin DoDot:1
- +27 SET DGAIA(1)="Enter in this field the annual amount of All Other Income"
- +28 SET DGAIA(1,"F")="!,?8"
- +29 SET DGAIA(2)="received during the current calendar year (i.e., inheritance amounts,"
- +30 SET DGAIA(2,"F")="!,?8"
- +31 SET DGAIA(3)="tort settlement payments)."
- +32 SET DGAIA(3,"F")="!,?8"
- +33 SET DGAIA(4)="A monthly amount can be entered with an '*' after it."
- +34 SET DGAIA(4,"F")="!!,?8"
- +35 SET DGAIA(5,"F")="!"
- +36 DO EN^DDIOL(.DGAIA)
- End DoDot:1
- +37 SET X="?"
- +38 QUIT
- 101 ; Medical Expenses
- +1 WRITE !,?8,"Enter in this field the total amount of unreimbursed medical expenses"
- +2 WRITE !,?8,"paid by the veteran during the current calendar year. The expenses"
- +3 WRITE !,?8,"can be for the veteran or for members of the veteran's family."
- +4 WRITE !,?8,"Reportable medical expenses include amounts paid for the following:"
- +5 WRITE !,?8,"fees of physicians, dentists, and other providers of health services;"
- +6 WRITE !,?8,"hospital and nursing home fees; medical insurance premiums (including"
- +7 WRITE !,?8,"the Medicare premium); drugs and medicines; eyeglasses; any other"
- +8 WRITE !,?8,"expenses that are reasonable related to medical care. The expenses"
- +9 WRITE !,?8,"must actually have been paid by the veteran. Do not list expenses"
- +10 WRITE !,?8,"which have not been paid or which have been paid by someone other"
- +11 WRITE !,?8,"than the veteran. Do not list expenses which the veteran has paid if"
- +12 WRITE !,?8,"the veteran expects to receive reimbursement from insurance or some"
- +13 WRITE !,?8,"other source."
- +14 WRITE !
- +15 WRITE !,?8,"A monthly amount can be entered with an '*' after it.",!
- +16 SET X="?"
- +17 QUIT
- 102 ; Funeral and Burial Expenses
- +1 ; Modified wording for LTC Phase III (EAS*1*34)
- +2 WRITE !,?8,"Enter in this field amounts paid by the veteran during the current"
- +3 WRITE !,?8,"calendar year for funeral or burial expenses of the veteran's"
- +4 WRITE !,?8,"spouse or child, or pre-paid arrangements for the veteran."
- +5 WRITE !,?8,"Do not report amounts paid for funeral or burial expenses of other"
- +6 WRITE !,?8,"relatives such as parents, siblings, etc."
- +7 WRITE !
- +8 WRITE !,?8,"A monthly amount can be entered with an '*' after it.",!
- +9 SET X="?"
- +10 QUIT
- 103 ; Educational Expenses
- +1 WRITE !,?8,"Enter in this field the total amount paid by the veteran for"
- +2 WRITE !,?8,"educational expenses during the current calendar year. This"
- +3 WRITE !,?8,"includes educational expenses for the veteran, spouse and children."
- +4 WRITE !,?8,"Educational expenses are tuition, fees, and books if enrolled in a"
- +5 WRITE !,?8,"program of education."
- +6 WRITE !
- +7 WRITE !,?8,"A monthly amount can be entered with an '*' after it.",!
- +8 SET X="?"
- +9 QUIT
- 201 ; Cash
- +1 ; Display a different message for the revised 10-10EC form.
- +2 ; Modified for LTC IV (EAS*1*40)
- +3 WRITE !,?8,"Enter in this field cash and amounts in bank accounts. This"
- +4 WRITE !,?8,"includes checking accounts, savings accounts, money markets,"
- +5 WRITE !,?8,"interest, dividends from IRA, 401K's, and other tax deferred"
- +6 WRITE !,?8,"annuities.",!
- +7 ;If this is the revised 10-10EC form, also print the message for stocks.
- +8 IF $GET(DGFORM)
- GOTO 202
- +9 SET X="?"
- +10 QUIT
- 202 ; Stock, bonds, mutual funds
- +1 WRITE !,?8,"Enter in this field the current value of stocks, bonds, mutual"
- +2 WRITE !,?8,"funds, SEP's, and other retirement accounts (e.g., IRA, 401K,"
- +3 WRITE !,?8,"annuities, self-employed person).",!
- +4 SET X="?"
- +5 QUIT