30-days apartSpousalConsent10%TransmittedThreemonths10 mailingdays(Mon.-Sat.)CheckPrintDate11am& 4pmApproved591/2AccountValue forRefundW-2EmployerCertification7-10bus.dayson or after07/01/2015DCportion ofthe COAddressChangeFreeSpaceReconciledAge6520%1099RMemberDirectedPlanRefundBenefitForfeiture30-days apartSpousalConsent10%TransmittedThreemonths10 mailingdays(Mon.-Sat.)CheckPrintDate11am& 4pmApproved591/2AccountValue forRefundW-2EmployerCertification7-10bus.dayson or after07/01/2015DCportion ofthe COAddressChangeFreeSpaceReconciledAge6520%1099RMemberDirectedPlanRefundBenefitForfeiture

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