IndividualSolutionsFREE!TaxHouseholdSizeMartialStatusARFNotice of Non-DiscriminationScreeningEligibilityFollow-UpCHARITYGUIDEFaxFormWorkReleaseFormCERNERHIPPlanSummaryConflict ofInterestFormHHWPlanSummaryPowerAcctFormIncomeDeterminationof DisabilityRMI FormIdentityAffidavit forChildrenUnder 16IndividualSolutionsFREE!TaxHouseholdSizeMartialStatusARFNotice of Non-DiscriminationScreeningEligibilityFollow-UpCHARITYGUIDEFaxFormWorkReleaseFormCERNERHIPPlanSummaryConflict ofInterestFormHHWPlanSummaryPowerAcctFormIncomeDeterminationof DisabilityRMI FormIdentityAffidavit forChildrenUnder 16

BINGO ELIGIBILITY - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Individual Solutions
  2. FREE!
  3. Tax Household Size
  4. Martial Status
  5. ARF
  6. Notice of Non-Discrimination
  7. Screening
  8. Eligibility
  9. Follow-Up
  10. CHARITY GUIDE
  11. Fax Form
  12. Work Release Form
  13. CERNER
  14. HIP Plan Summary
  15. Conflict of Interest Form
  16. HHW Plan Summary
  17. Power Acct Form
  18. Income
  19. Determination of Disability RMI Form
  20. Identity Affidavit for Children Under 16