

The full name should be listed in the Name space.
The members national number should be listed in the member # block.
The reason block refers to why the loss of member is ocurring. The choices are TO for Transfering Out, D for Deceased, R for Resigned, S for Suspended (Non Payment of Dues), and DUP for Duplicate (For removing a name listed twice on the National Roster).
A word of caution about deleting members. Once a member is deleted, they are gone. If they quit and then rejoin, they are assigned a new membership number. When someone resigns from your department, be sure they are also resigning from the lodge. Many lodges allow the retired/resigned members to continue membership. This is normally determined by the lodges Constitution and Bylaws.
Suspending members for non payment of percapita on a local basis is recommended rather than doing it on a national basis. It is quite frankly too hard to track. Wait until your bylaws provide that a member can be dropped, and then use the loss form to drop the member. (This is why the S catagory is listed on the form).