State Death Match - Manual - Non-EDR sites

State Death Match Collections

DFSTATE Format

State Death Match - Manual - Non-EDR sites

OMB: 0960-0700

Document [docx]
Download: docx | pdf

State Death (DFSTATE) Format

5/2004


Field Location

Field Name

Program

Mnemonic

Field Size

Remarks

01-09

SOCIAL SECURITY NUMBER

SSN

9

a

10-29

LAST NAME

LNAME

20

a

30 44

FIRST NAME

FNAME

15

a

45-59

MIDDLE NAME

MNAME

15

b

60-67

DATE OF DEATH (mmddccyy)

DOD

8

a

68-75

DATE OF BIRTH (mmddccyy)

DOB

8

a

76

SEX CODE (Values: M, F, U)

SEX

1

a, f

77-79

STATE SOURCE OF DEATH (Value: 010-650)

SSD

3

a

80-105

DEATH CERTIFICATE NUMBER

DCN

26

a

106-109

MOTHER'S MAIDEN SURNAME

MOM-SURN

4

b

110-113

MOTHER'S FIRST NAME

MOM-FNAME

4

b

114-117

FATHER'S SURNAME

DAD-SURN

4

b

118-121

FATHER'S FIRST NAME

DAD-FNAME

4

b

122-123

PLACE OF BIRTH

POB

2

b

124

FOREIGN COUNTRY INDICATOR

FOREIGN

1

c

125

EDR VERIFY CODE

Values: Y – EDR Verified

N – EDR Unverified

Space – non EDR or no online SSN Verification

EDRCD

1

a

126-133

DATE OF SSN VERIFICATION (mmddccyy or spaces)

DOV

8

d

134-141

DATE OF STATE TRANSMISSION (mmddccyy or spaces)

DST

8

d

142-150

FILLER (Spaces)

-----

9

e


Remarks:

  1. Mandatory

  2. Optional

  3. Optional (enter a 1 when the PLACE OF BIRTH in positions 122-123 is a foreign country)

  4. Conditional. The date in positions 126-133 is mandatory if the EDR VERIFY CODE in position 125 = Y or N, otherwise it should be spaces.

The date in positions 134-141 is mandatory if the EDR VERIFY CODE in position 125 = Y or N, otherwise it should be spaces.

  1. Should always be spaces

  2. The SEX code in position 76 must equal M, F or U for EDR reports (position 125 = Y or N).

The values of 1 for Male and 2 for Female will be accepted on non-EDR reports (position 125 = Space), but values of M, F or U are preferred.

Summary of Changes to DFSTATE format


The State Death (DFSTATE) format has changed to include fields needed for Electronic Death Registration (EDR) processing. Only states that will participate in EDR need to make changes to the record.


Three new fields have been added:


EDR VERIFY CODE

  • Show a ‘Y’ when the report was submitted through the EDR system, online SSN verification was requested and the SSN was verified.

  • Show an ‘N’ when the report was submitted through the EDR system, online SSN verification was requested, but the SSN was not verified.

  • Show a space when the report was not submitted through the EDR system, or the report was submitted through the EDR system, but online SSN verification was not requested.

DATE OF SSN VERIFICATION

This field is mandatory when a report is submitted through the EDR system and online SSN verification was requested (i.e., when position 125 = Y or N), otherwise it should be spaces. When needed, it is the date of the online SSN verification attempt. If more than one verification attempt is made, use the date of the latest attempt.


DATE OF STATE TRANSMISSION

This field is mandatory when a report is submitted through the EDR system and online SSN verification was requested (i.e., when position 125 = Y or N), otherwise it should be spaces. This is the date that the record is transmitted to SSA.


In addition, filler size decreased from 26 to 9 characters and it appears at the end of the record. It should always be spaces.


All fields are alphanumeric.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleState Death (DFSTATE) Format
Author215228
File Modified0000-00-00
File Created2021-01-22

© 2024 OMB.report | Privacy Policy