| Item 28 |
- Enter G if the pregnant woman is in the case. If she is not included and only her husband is in the case, enter S. |
| Item 60 |
- Enter EDD with the month and year of the expected delivery date for the pregnant woman. For example, if the expected delivery date is 10/24/97, enter 10/97. |
| Item 80 |
- Enter code 680 PWS with the expected delivery date (month and year) under persons when the pregnant woman is excluded from the case and the husband remains eligible for benefits. Item 28 must be coded with an S. |