SpousalConsentAddressChangeMemberDirectedPlanRefundon or after07/01/2015W-2AccountValue forRefund30-days apart11am& 4pmCheckPrintDateTransmitted1099RApprovedBenefitForfeiture10 mailingdays(Mon.-Sat.)ThreemonthsEmployerCertification7-10bus.daysDCportion ofthe CO20%10%Reconciled591/2Age65FreeSpaceSpousalConsentAddressChangeMemberDirectedPlanRefundon or after07/01/2015W-2AccountValue forRefund30-days apart11am& 4pmCheckPrintDateTransmitted1099RApprovedBenefitForfeiture10 mailingdays(Mon.-Sat.)ThreemonthsEmployerCertification7-10bus.daysDCportion ofthe CO20%10%Reconciled591/2Age65FreeSpace

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