HHWPlanSummaryFaxFormMartialStatusEligibilityPowerAcctFormTaxHouseholdSizeFREE!ScreeningFollow-UpCHARITYGUIDEIdentityAffidavit forChildrenUnder 16ARFHIPPlanSummaryDeterminationof DisabilityRMI FormIndividualSolutionsWorkReleaseFormIncomeNotice of Non-DiscriminationCERNERConflict ofInterestFormHHWPlanSummaryFaxFormMartialStatusEligibilityPowerAcctFormTaxHouseholdSizeFREE!ScreeningFollow-UpCHARITYGUIDEIdentityAffidavit forChildrenUnder 16ARFHIPPlanSummaryDeterminationof DisabilityRMI FormIndividualSolutionsWorkReleaseFormIncomeNotice of Non-DiscriminationCERNERConflict ofInterestForm

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