signaturenameofinsuredU.S.CitizenzipcodephonenumberemployerfirstnameM.I.citysocialsecuritynumbers.s.#date ofbirthd.o.b.daydate--/--/----countrystatecountymonthtimeoutpolicy#timeinemployeeaddressyearlastnamesignaturenameofinsuredU.S.CitizenzipcodephonenumberemployerfirstnameM.I.citysocialsecuritynumbers.s.#date ofbirthd.o.b.daydate--/--/----countrystatecountymonthtimeoutpolicy#timeinemployeeaddressyearlastname

Forms 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. signature
  2. name of insured
  3. U.S. Citizen
  4. zipcode
  5. phone number
  6. employer
  7. first name
  8. M.I.
  9. city
  10. social security number s.s.#
  11. date of birth d.o.b.
  12. day
  13. date --/--/----
  14. country
  15. state
  16. county
  17. month
  18. time out
  19. policy #
  20. time in
  21. employee
  22. address
  23. year
  24. last name