Disputedfacts/issuesLegalconclusionsHearingvia phoneor in-personFree!Findingsof factApplicationof laws tofactsList ofenclosuresApplicablelawsList ofrecordsprovidedAgreed-uponfactsMethodsofpaymentEvidenceobtainedCertifiedmail oremailedFinaldecision/ orderDeadlineforpaymentClaimant'snameHearingattendeesDate ofdecisionLLA'ssignatureAbilityto filelawsuitAnti-retaliationprovisionTime andlocation ofhearingAmountowedAllegedviolationsEmployer'snameCasenumberDisputedfacts/issuesLegalconclusionsHearingvia phoneor in-personFree!Findingsof factApplicationof laws tofactsList ofenclosuresApplicablelawsList ofrecordsprovidedAgreed-uponfactsMethodsofpaymentEvidenceobtainedCertifiedmail oremailedFinaldecision/ orderDeadlineforpaymentClaimant'snameHearingattendeesDate ofdecisionLLA'ssignatureAbilityto filelawsuitAnti-retaliationprovisionTime andlocation ofhearingAmountowedAllegedviolationsEmployer'snameCasenumber

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