CasenumberAllegedviolationsAmountowedHearingvia phoneor in-personList ofenclosuresFree!Applicationof laws tofactsDeadlineforpaymentClaimant'snameLegalconclusionsAgreed-uponfactsEvidenceobtainedTime andlocation ofhearingAnti-retaliationprovisionMethodsofpaymentHearingattendeesApplicablelawsEmployer'snameList ofrecordsprovidedFindingsof factDate ofdecisionAbilityto filelawsuitFinaldecision/ orderCertifiedmail oremailedDisputedfacts/issuesLLA'ssignatureCasenumberAllegedviolationsAmountowedHearingvia phoneor in-personList ofenclosuresFree!Applicationof laws tofactsDeadlineforpaymentClaimant'snameLegalconclusionsAgreed-uponfactsEvidenceobtainedTime andlocation ofhearingAnti-retaliationprovisionMethodsofpaymentHearingattendeesApplicablelawsEmployer'snameList ofrecordsprovidedFindingsof factDate ofdecisionAbilityto filelawsuitFinaldecision/ orderCertifiedmail oremailedDisputedfacts/issuesLLA'ssignature

Administrative Decision 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. Case number
  2. Alleged violations
  3. Amount owed
  4. Hearing via phone or in-person
  5. List of enclosures
  6. Free!
  7. Application of laws to facts
  8. Deadline for payment
  9. Claimant's name
  10. Legal conclusions
  11. Agreed-upon facts
  12. Evidence obtained
  13. Time and location of hearing
  14. Anti-retaliation provision
  15. Methods of payment
  16. Hearing attendees
  17. Applicable laws
  18. Employer's name
  19. List of records provided
  20. Findings of fact
  21. Date of decision
  22. Ability to file lawsuit
  23. Final decision / order
  24. Certified mail or emailed
  25. Disputed facts/issues
  26. LLA's signature