Cost ofCareUnearnedIncomeFive Yearsof TaxReturnsCertificationPeriodForm9709AVSLivestockMandatoryClearances1159CLienWorksheetTerm LifeInsurancePolicyBuyIn4245Physician'sReportQuarterlyBankStatementsLumpSumPaymentDES015Five Yearsor 60MonthsSection Mof theApplicationTardyRedetEquityValueDHMH257EligibilityDetailsPagePolicyAlert08-1EmergencyServicesOnly4255Statementof IntentCost ofCareUnearnedIncomeFive Yearsof TaxReturnsCertificationPeriodForm9709AVSLivestockMandatoryClearances1159CLienWorksheetTerm LifeInsurancePolicyBuyIn4245Physician'sReportQuarterlyBankStatementsLumpSumPaymentDES015Five Yearsor 60MonthsSection Mof theApplicationTardyRedetEquityValueDHMH257EligibilityDetailsPagePolicyAlert08-1EmergencyServicesOnly4255Statementof Intent

Long Term Care Bingo! - 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. Cost of Care
  2. Unearned Income
  3. Five Years of Tax Returns
  4. Certification Period
  5. Form 9709
  6. AVS
  7. Livestock
  8. Mandatory Clearances
  9. 1159C Lien Worksheet
  10. Term Life Insurance Policy
  11. Buy In
  12. 4245 Physician's Report
  13. Quarterly Bank Statements
  14. Lump Sum Payment
  15. DES 015
  16. Five Years or 60 Months
  17. Section M of the Application
  18. Tardy Redet
  19. Equity Value
  20. DHMH 257
  21. Eligibility Details Page
  22. Policy Alert 08-1
  23. Emergency Services Only
  24. 4255 Statement of Intent