Part A 12:01 a.m. 1st of the month 9 months Personal Needs Allowance Form H1280 QIT Stimulus Payments File Date $2,382 10 SLMB 2 years 23B Form H1299 90 days 24Q Term Insurance 39 Form H1252 Delay in Certification Disability Determination Non Financial Criteria 3 months PCC Notes 45 $213.71 $148.50 Regency Agreement to Release Preneed Contract 13R Part B WCT QMB 20 days 30 days 3 months prior $3259.50 Aid & Attendance $1,500 Participating Vehicle $4,764 65 Form H1245 Part A 12:01 a.m. 1st of the month 9 months Personal Needs Allowance Form H1280 QIT Stimulus Payments File Date $2,382 10 SLMB 2 years 23B Form H1299 90 days 24Q Term Insurance 39 Form H1252 Delay in Certification Disability Determination Non Financial Criteria 3 months PCC Notes 45 $213.71 $148.50 Regency Agreement to Release Preneed Contract 13R Part B WCT QMB 20 days 30 days 3 months prior $3259.50 Aid & Attendance $1,500 Participating Vehicle $4,764 65 Form H1245
(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.
Part A
12:01 a.m. 1st of the month
9 months
Personal Needs Allowance
Form H1280
QIT
Stimulus Payments
File Date
$2,382
10
SLMB
2 years
23B
Form H1299
90 days
24Q
Term Insurance
39
Form H1252
Delay in Certification
Disability Determination
Non Financial Criteria
3 months
PCC Notes
45
$213.71
$148.50
Regency Agreement to Release
Preneed
Contract
13R
Part B
WCT
QMB
20 days
30 days
3 months prior
$3259.50
Aid & Attendance
$1,500
Participating
Vehicle
$4,764
65
Form H1245