Return to Work Leave Request Form ASRS LEAVE WITHOUT PAY Intermittent Leave Workers’ Compensation MATERNITY LEAVE ADA (Americans with Disabilities Act) HIPAA LOA LEAVE BALANCES Life Insurance Bereavement Leave Open Enrollment Short- Term Disability CONTRACT DAYS FMLA ESI - RETIRE/REHIRE HSA (Health Savings Account) FTE PAYROLL CALENDAR COBRA Qualifying Life Event Qualifying Life Event Return to Work Leave Request Form ASRS LEAVE WITHOUT PAY Intermittent Leave Workers’ Compensation MATERNITY LEAVE ADA (Americans with Disabilities Act) HIPAA LOA LEAVE BALANCES Life Insurance Bereavement Leave Open Enrollment Short- Term Disability CONTRACT DAYS FMLA ESI - RETIRE/REHIRE HSA (Health Savings Account) FTE PAYROLL CALENDAR COBRA Qualifying Life Event Qualifying Life Event
(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.
Return to Work
Leave Request Form
ASRS
LEAVE WITHOUT PAY
Intermittent Leave
Workers’ Compensation
MATERNITY LEAVE
ADA (Americans with Disabilities Act)
HIPAA
LOA
LEAVE BALANCES
Life Insurance
Bereavement Leave
Open Enrollment
Short-Term Disability
CONTRACT DAYS
FMLA
ESI - RETIRE/REHIRE
HSA (Health Savings Account)
FTE
PAYROLL CALENDAR
COBRA
Qualifying Life Event
Qualifying Life Event