Spouse
Dependent Name:
[emp_spouse_n_first] [emp_spouse_n_middle] [emp_spouse_n_last] 
Dependent DOB:
[emp_spouse_dob_mo]/ [emp_spouse_dob_day]/ [emp_spouse_dob_year]
Dependent SSN:
[emp_spouse_ssn]
Gender
[emp_spouse_gender]