11am& 4pmEmployerCertificationAccountValue forRefundTransmitted10%FreeSpace10 mailingdays(Mon.-Sat.)1099R7-10bus.daysW-2591/2SpousalConsentReconciledThreemonthson or after07/01/2015ApprovedMemberDirectedPlanRefundBenefitForfeiture20%Age65AddressChangeCheckPrintDate30-days apartDCportion ofthe CO11am& 4pmEmployerCertificationAccountValue forRefundTransmitted10%FreeSpace10 mailingdays(Mon.-Sat.)1099R7-10bus.daysW-2591/2SpousalConsentReconciledThreemonthson or after07/01/2015ApprovedMemberDirectedPlanRefundBenefitForfeiture20%Age65AddressChangeCheckPrintDate30-days apartDCportion ofthe CO

Refund - 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. 11am & 4pm
  2. Employer Certification
  3. Account Value for Refund
  4. Transmitted
  5. 10%
  6. Free Space
  7. 10 mailing days (Mon.-Sat.)
  8. 1099R
  9. 7-10 bus. days
  10. W-2
  11. 59 1/2
  12. Spousal Consent
  13. Reconciled
  14. Three months
  15. on or after 07/01/2015
  16. Approved
  17. Member Directed Plan Refund
  18. Benefit Forfeiture
  19. 20%
  20. Age 65
  21. Address Change
  22. Check Print Date
  23. 30-days a part
  24. DC portion of the CO