Disputedfacts/issuesDate ofdecisionLegalconclusionsAmountowedList ofenclosuresAllegedviolationsCertifiedmail oremailedAgreed-uponfactsList ofrecordsprovidedHearingtime andlocationFinaldecision/ orderDeadlineforpaymentClaimant'snameLLA'ssignatureFindingsof factApplicationof laws tofactsEvidenceobtainedMethodsofpaymentAnti-retaliationprovisionApplicablelawsHearing:phone orin-personHearingattendeesCasenumberEmployer'snameAbilityto filelawsuitDisputedfacts/issuesDate ofdecisionLegalconclusionsAmountowedList ofenclosuresAllegedviolationsCertifiedmail oremailedAgreed-uponfactsList ofrecordsprovidedHearingtime andlocationFinaldecision/ orderDeadlineforpaymentClaimant'snameLLA'ssignatureFindingsof factApplicationof laws tofactsEvidenceobtainedMethodsofpaymentAnti-retaliationprovisionApplicablelawsHearing:phone orin-personHearingattendeesCasenumberEmployer'snameAbilityto filelawsuit

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