20%TransmittedMemberDirectedPlanRefund1099R7-10bus.days30-days apartReconciledW-210%AddressChangeThreemonths10 mailingdays(Mon.-Sat.)11am& 4pmBenefitForfeitureSpousalConsent591/2on or after07/01/2015EmployerCertificationFreeSpaceDCportion ofthe COAge65CheckPrintDateApprovedAccountValue forRefund20%TransmittedMemberDirectedPlanRefund1099R7-10bus.days30-days apartReconciledW-210%AddressChangeThreemonths10 mailingdays(Mon.-Sat.)11am& 4pmBenefitForfeitureSpousalConsent591/2on or after07/01/2015EmployerCertificationFreeSpaceDCportion ofthe COAge65CheckPrintDateApprovedAccountValue forRefund

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