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