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