591/2FreeSpace20%30-days apartAge657-10bus.dayson or after07/01/2015ApprovedCheckPrintDateThreemonthsEmployerCertification1099RDCportion ofthe COMemberDirectedPlanRefundW-2Reconciled10%TransmittedSpousalConsent10 mailingdays(Mon.-Sat.)11am& 4pmAccountValue forRefundBenefitForfeitureAddressChange591/2FreeSpace20%30-days apartAge657-10bus.dayson or after07/01/2015ApprovedCheckPrintDateThreemonthsEmployerCertification1099RDCportion ofthe COMemberDirectedPlanRefundW-2Reconciled10%TransmittedSpousalConsent10 mailingdays(Mon.-Sat.)11am& 4pmAccountValue forRefundBenefitForfeitureAddressChange

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