591/211am& 4pmAddressChangeFreeSpaceTransmittedBenefitForfeitureReconciledApprovedMemberDirectedPlanRefundAge65CheckPrintDate10%DCportion ofthe CO30-days apart20%Threemonths10 mailingdays(Mon.-Sat.)on or after07/01/2015SpousalConsent7-10bus.days1099REmployerCertificationW-2AccountValue forRefund591/211am& 4pmAddressChangeFreeSpaceTransmittedBenefitForfeitureReconciledApprovedMemberDirectedPlanRefundAge65CheckPrintDate10%DCportion ofthe CO30-days apart20%Threemonths10 mailingdays(Mon.-Sat.)on or after07/01/2015SpousalConsent7-10bus.days1099REmployerCertificationW-2AccountValue 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. 59 1/2
  2. 11am & 4pm
  3. Address Change
  4. Free Space
  5. Transmitted
  6. Benefit Forfeiture
  7. Reconciled
  8. Approved
  9. Member Directed Plan Refund
  10. Age 65
  11. Check Print Date
  12. 10%
  13. DC portion of the CO
  14. 30-days a part
  15. 20%
  16. Three months
  17. 10 mailing days (Mon.-Sat.)
  18. on or after 07/01/2015
  19. Spousal Consent
  20. 7-10 bus. days
  21. 1099R
  22. Employer Certification
  23. W-2
  24. Account Value for Refund