4255Statementof IntentResidentialAllowanceFive Yearsof TaxReturnsTardyRedetMandatoryClearancesFive Yearsor 60MonthsCost ofCareWrittenAffidavitLumpSumPaymentPeriod UnderConsiderationGoodFaithLump4245Physician'sReportEmergencyServicesOnlyNotice ofEligibilityPenaltyPeriodBuyInEquityInterestTechnicalFactorsEquityValueRealPropertySpousalAllowance90 DayPostEligibilityPeriod1159CLienWorksheetGoodFaithSection Mof theApplicationQuarterlyBankStatementsDHMH257ResidentialAllowanceEligibilityDetailsPageLivestock4235ALiquidAssietsE & ESystemGoodFaithAVSE & ESystemParisAlertsCertificationPeriodPolicyAlert08-1DES015RealPropertySpousalAllowanceTerm LifeInsurancePolicyForm9709UnearnedIncome4255Statementof IntentResidentialAllowanceFive Yearsof TaxReturnsTardyRedetMandatoryClearancesFive Yearsor 60MonthsCost ofCareWrittenAffidavitLumpSumPaymentPeriod UnderConsiderationGoodFaithLump4245Physician'sReportEmergencyServicesOnlyNotice ofEligibilityPenaltyPeriodBuyInEquityInterestTechnicalFactorsEquityValueRealPropertySpousalAllowance90 DayPostEligibilityPeriod1159CLienWorksheetGoodFaithSection Mof theApplicationQuarterlyBankStatementsDHMH257ResidentialAllowanceEligibilityDetailsPageLivestock4235ALiquidAssietsE & ESystemGoodFaithAVSE & ESystemParisAlertsCertificationPeriodPolicyAlert08-1DES015RealPropertySpousalAllowanceTerm LifeInsurancePolicyForm9709UnearnedIncome

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. 4255 Statement of Intent
  2. Residential Allowance
  3. Five Years of Tax Returns
  4. Tardy Redet
  5. Mandatory Clearances
  6. Five Years or 60 Months
  7. Cost of Care
  8. Written Affidavit
  9. Lump Sum Payment
  10. Period Under Consideration
  11. Good FaithLump
  12. 4245 Physician's Report
  13. Emergency Services Only
  14. Notice of Eligibility
  15. Penalty Period
  16. Buy In
  17. Equity Interest
  18. Technical Factors
  19. Equity Value
  20. Real Property
  21. Spousal Allowance
  22. 90 Day Post Eligibility Period
  23. 1159C Lien Worksheet
  24. Good Faith
  25. Section M of the Application
  26. Quarterly Bank Statements
  27. DHMH 257
  28. Residential Allowance
  29. Eligibility Details Page
  30. Livestock
  31. 4235A
  32. Liquid Assiets
  33. E & E System Good Faith
  34. AVS
  35. E & E System
  36. Paris Alerts
  37. Certification Period
  38. Policy Alert 08-1
  39. DES 015
  40. Real Property
  41. Spousal Allowance
  42. Term Life Insurance Policy
  43. Form 9709
  44. Unearned Income