List ofenclosuresLegalconclusionsMethodsofpaymentFinaldecision/ orderDeadlineforpaymentCertifiedmail oremailedCasenumberEvidenceobtainedHearingattendeesDate ofdecisionAnti-retaliationprovisionHearing:phone orin-personFindingsof factApplicablelawsAbilityto filelawsuitApplicationof laws tofactsAgreed-uponfactsHearingtime andlocationAmountowedList ofrecordsprovidedAllegedviolationsDisputedfacts/issuesClaimant'snameLLA'ssignatureEmployer'snameList ofenclosuresLegalconclusionsMethodsofpaymentFinaldecision/ orderDeadlineforpaymentCertifiedmail oremailedCasenumberEvidenceobtainedHearingattendeesDate ofdecisionAnti-retaliationprovisionHearing:phone orin-personFindingsof factApplicablelawsAbilityto filelawsuitApplicationof laws tofactsAgreed-uponfactsHearingtime andlocationAmountowedList ofrecordsprovidedAllegedviolationsDisputedfacts/issuesClaimant'snameLLA'ssignatureEmployer'sname

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