Conflict ofInterestFormFollow-UpPowerAcctFormTaxHouseholdSizeCERNERNotice of Non-DiscriminationHIPPlanSummaryHHWPlanSummaryScreeningEligibilityFaxFormWorkReleaseFormCHARITYGUIDEIndividualSolutionsIdentityAffidavit forChildrenUnder 16ARFMartialStatusFREE!Determinationof DisabilityRMI FormIncomeConflict ofInterestFormFollow-UpPowerAcctFormTaxHouseholdSizeCERNERNotice of Non-DiscriminationHIPPlanSummaryHHWPlanSummaryScreeningEligibilityFaxFormWorkReleaseFormCHARITYGUIDEIndividualSolutionsIdentityAffidavit forChildrenUnder 16ARFMartialStatusFREE!Determinationof DisabilityRMI FormIncome

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.


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