Agreed-uponfactsAnti-retaliationprovisionEvidenceobtainedAllegedviolationsDeadlineforpaymentCasenumberHearingattendeesEmployer'snameApplicablelawsAbilityto filelawsuitDisputedfacts/issuesApplicationof laws tofactsClaimant'snameList ofenclosuresLegalconclusionsList ofrecordsprovidedFinaldecision/ orderMethodsofpaymentDate ofdecisionFindingsof factHearing:phone orin-personCertifiedmail oremailedHearingtime andlocationLLA'ssignatureAmountowedAgreed-uponfactsAnti-retaliationprovisionEvidenceobtainedAllegedviolationsDeadlineforpaymentCasenumberHearingattendeesEmployer'snameApplicablelawsAbilityto filelawsuitDisputedfacts/issuesApplicationof laws tofactsClaimant'snameList ofenclosuresLegalconclusionsList ofrecordsprovidedFinaldecision/ orderMethodsofpaymentDate ofdecisionFindingsof factHearing:phone orin-personCertifiedmail oremailedHearingtime andlocationLLA'ssignatureAmountowed

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