Employer'snameHearing:phone orin-personAnti-retaliationprovisionDeadlineforpaymentHearingtime andlocationCertifiedmail oremailedFindingsof factList ofrecordsprovidedAbilityto filelawsuitList ofenclosuresApplicablelawsHearingattendeesLLA'ssignatureDisputedfacts/issuesAgreed-uponfactsDate ofdecisionCasenumberClaimant'snameEvidenceobtainedApplicationof laws tofactsMethodsofpaymentLegalconclusionsAmountowedFinaldecision/ orderAllegedviolationsEmployer'snameHearing:phone orin-personAnti-retaliationprovisionDeadlineforpaymentHearingtime andlocationCertifiedmail oremailedFindingsof factList ofrecordsprovidedAbilityto filelawsuitList ofenclosuresApplicablelawsHearingattendeesLLA'ssignatureDisputedfacts/issuesAgreed-uponfactsDate ofdecisionCasenumberClaimant'snameEvidenceobtainedApplicationof laws tofactsMethodsofpaymentLegalconclusionsAmountowedFinaldecision/ orderAllegedviolations

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