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