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