1159CLienWorksheetEmergencyServicesOnlyEligibilityDetailsPagePolicyAlert08-1LivestockCertificationPeriodSection Mof theApplicationBuyInFive Yearsof TaxReturnsDHMH257Term LifeInsurancePolicyCost ofCareEquityValueUnearnedIncomeQuarterlyBankStatementsAVSFive Yearsor 60Months4245Physician'sReportForm9709MandatoryClearancesTardyRedetDES0154255Statementof IntentLumpSumPayment1159CLienWorksheetEmergencyServicesOnlyEligibilityDetailsPagePolicyAlert08-1LivestockCertificationPeriodSection Mof theApplicationBuyInFive Yearsof TaxReturnsDHMH257Term LifeInsurancePolicyCost ofCareEquityValueUnearnedIncomeQuarterlyBankStatementsAVSFive Yearsor 60Months4245Physician'sReportForm9709MandatoryClearancesTardyRedetDES0154255Statementof IntentLumpSumPayment

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