QuarterlyBankStatementsAVSDHMH257BuyInTerm LifeInsurancePolicyEmergencyServicesOnlyMandatoryClearancesUnearnedIncomeLivestockDES015EquityValueFive Yearsor 60Months4245Physician'sReportFive Yearsof TaxReturnsForm9709PolicyAlert08-1Section Mof theApplicationCost ofCareLumpSumPaymentCertificationPeriodEligibilityDetailsPageTardyRedet1159CLienWorksheet4255Statementof IntentQuarterlyBankStatementsAVSDHMH257BuyInTerm LifeInsurancePolicyEmergencyServicesOnlyMandatoryClearancesUnearnedIncomeLivestockDES015EquityValueFive Yearsor 60Months4245Physician'sReportFive Yearsof TaxReturnsForm9709PolicyAlert08-1Section Mof theApplicationCost ofCareLumpSumPaymentCertificationPeriodEligibilityDetailsPageTardyRedet1159CLienWorksheet4255Statementof 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. Quarterly Bank Statements
  2. AVS
  3. DHMH 257
  4. Buy In
  5. Term Life Insurance Policy
  6. Emergency Services Only
  7. Mandatory Clearances
  8. Unearned Income
  9. Livestock
  10. DES 015
  11. Equity Value
  12. Five Years or 60 Months
  13. 4245 Physician's Report
  14. Five Years of Tax Returns
  15. Form 9709
  16. Policy Alert 08-1
  17. Section M of the Application
  18. Cost of Care
  19. Lump Sum Payment
  20. Certification Period
  21. Eligibility Details Page
  22. Tardy Redet
  23. 1159C Lien Worksheet
  24. 4255 Statement of Intent