ApplicablelawsList ofrecordsprovidedTime andlocation ofhearingFindingsof factDisputedfacts/issuesClaimant'snameLLA'ssignatureDeadlineforpaymentEmployer'snameCertifiedmail oremailedCasenumberHearingvia phoneor in-personFree!Finaldecision/ orderAmountowedHearingattendeesAnti-retaliationprovisionEvidenceobtainedAbilityto filelawsuitAllegedviolationsMethodsofpaymentLegalconclusionsApplicationof laws tofactsDate ofdecisionAgreed-uponfactsList ofenclosuresApplicablelawsList ofrecordsprovidedTime andlocation ofhearingFindingsof factDisputedfacts/issuesClaimant'snameLLA'ssignatureDeadlineforpaymentEmployer'snameCertifiedmail oremailedCasenumberHearingvia phoneor in-personFree!Finaldecision/ orderAmountowedHearingattendeesAnti-retaliationprovisionEvidenceobtainedAbilityto filelawsuitAllegedviolationsMethodsofpaymentLegalconclusionsApplicationof laws tofactsDate ofdecisionAgreed-uponfactsList ofenclosures

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