If a pregnancy is reported, please complete the Pregnancy Form 3501 to answer questions specific to the pregnancy. The option of ‘Previously reported’ should only be used if the same pregnancy instance has already been reported on a F3501. If there is a question regarding use of this option, please submit your question via Center Support in the ServiceNow application.

Question 185: Was the recipient pregnant at any time in this reporting period? (Female Only)

Indicate “yes” if the female recipient was pregnant at any time during the reporting period and complete a Form 3501. Indicate “no” if the female recipient was not pregnant at any time during the reporting period.

Question 186: Was the recipient’s female partner pregnant at any time in this reporting period? (Male only)

Indicate “yes” if the male recipient’s female partner was pregnant at any time during the reporting period and complete a Form 3501. Indicate “no” if the male recipient’s female partner was not pregnant at any time during the reporting period.

Last modified: Jan 27, 2020

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