BenefitForfeitureEmployerCertificationDCportion ofthe COSpousalConsent10 mailingdays(Mon.-Sat.)MemberDirectedPlanRefundThreemonthsAccountValue forRefundon or after07/01/20151099R10%Transmitted11am& 4pmFreeSpaceReconciledApprovedW-2AddressChange591/2Age6530-days apartCheckPrintDate20%7-10bus.daysBenefitForfeitureEmployerCertificationDCportion ofthe COSpousalConsent10 mailingdays(Mon.-Sat.)MemberDirectedPlanRefundThreemonthsAccountValue forRefundon or after07/01/20151099R10%Transmitted11am& 4pmFreeSpaceReconciledApprovedW-2AddressChange591/2Age6530-days apartCheckPrintDate20%7-10bus.days

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